Redesigned immunization card and center-based education to reduce childhood immunization dropouts in urban Pakistan: A randomized controlled trial
Abstract In Pakistan during 2000–2004, about 11–13% of children who received the first dose of diphtheria–pertussis–tetanus (DPT1) failed to complete its third dose (DPT3). We assessed the effect of a redesigned immunization card and center-based education to mothers on DPT3 completion. We enrolled...
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Veröffentlicht in: | Vaccine 2009-01, Vol.27 (3), p.467-472 |
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Format: | Artikel |
Sprache: | eng |
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Zusammenfassung: | Abstract In Pakistan during 2000–2004, about 11–13% of children who received the first dose of diphtheria–pertussis–tetanus (DPT1) failed to complete its third dose (DPT3). We assessed the effect of a redesigned immunization card and center-based education to mothers on DPT3 completion. We enrolled 1500 mother–child units at DPT1, randomized them to three intervention and one standard care groups, and recorded their DPT3 visits during a 90-day follow-up. In multivariable analysis, a significant increase of 31% (adjusted RR = 1.31, 95% CI = 1.18–1.46) in DPT3 completion was estimated in the group that received both redesigned card and center-based education compared with the standard care group. |
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ISSN: | 0264-410X 1873-2518 |
DOI: | 10.1016/j.vaccine.2008.10.048 |