Determinants of third dose of diphtheria-tetanus-pertussis (DTP) completion among children who received DTP1 at rural immunization centres in Pakistan: a cohort study.

Tropical Medicine & International Health : TM & IH
Hussain R UsmanEric Chamot

Abstract

In Pakistan, a high proportion of children fail to complete third dose of diphtheria-tetanus-pertussis (DTP3) after having received the first dose (DTP1). A cohort study was conducted to identify the factors predicting three doses of diphtheria-tetanus-pertussis (DTP3) completion among children who have received DTP1 at six centres of Expanded Programme on Immunization (EPI) in rural Pakistan. We analyzed a cohort of mother-child pairs enrolled at DTP1 between November 2005 and May 2006 in the standard care group of a larger randomized controlled trial. Data were collected from mothers on a structured questionnaire at enrollment, and each child was followed up at clinic visits for 90 days to record dates of DTP2 and DTP3. Multivariable log-binomial regression analysis was performed to identify the independent predictors of DTP3 completion. Only 39% (149/378) of enrolled children completed DTP3 during the follow-up period. After adjusting for the centre of enrollment in multivariable analysis, DTP3 completion was higher among children who were < or =60 days old at enrolment [adjusted risk ratio (Adj. RR) 1.39, 95% confidence interval (CI): 1.06-1.82], who were living in a household with monthly household income >Rs. 3000 (US$ 50...Continue Reading

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Citations

Oct 4, 2011·Virology Journal·Masaud ShahAleena Sumrin
May 23, 2014·International Health·Akinola Ayoola Fatiregun, Emem Emmanuel Etukiren
Sep 17, 2015·The Pediatric Infectious Disease Journal·Tina TanCarl Heinz Wirsing von König
Sep 24, 2021·BMC Health Services Research·Shobhit SrivastavaAdrita Banerjee

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