Impact of measles supplementary immunisation activities on utilisation of maternal and child health services in low-income and middle-income countries

BMJ Global Health
Iryna PostolovskaStéphane Verguet

Abstract

Measles supplementary immunisation activities (SIAs) are an integral component of measles elimination in low-income and middle-income countries (LMICs). Despite their success in increasing vaccination coverage, there are concerns about their negative consequences on routine services. Few studies have conducted quantitative assessments of SIA impact on utilisation of health services. We analysed the impact of SIAs on utilisation of selected maternal and child health services using Demographic and Health Surveys and Multiple Indicator Cluster Surveys from 28 LMICs, where at least one SIA occurred over 2000-2014. Logistic regressions were conducted to investigate the association between SIAs and utilisation of the following services: facility delivery, postnatal care and outpatient sick child care (for fever, diarrhoea, cough). SIAs do not appear to significantly impact utilisation of maternal and child services. We find a reduction in care-seeking for treatment of child cough (OR 0.67; 95% CI 0.48 to 0.95); and a few significant effects at the country level, suggesting the need for further investigation of the idiosyncratic effects of SIAs in each country. The paper contributes to the debate on vertical versus horizontal programm...Continue Reading

References

Jan 5, 2002·American Journal of Public Health·Benjamin LoevinsohnBjorn Melgaard
Jun 6, 2002·Lancet·Robin BiellikJean-Marie Okwo-Bele
Apr 24, 2004·The Journal of Infectious Diseases·Ciro A de QuadrosPeter Carrasco
Sep 18, 2008·Bulletin of the World Health Organization·Andrew Kennedy, Carel Ijsselmuiden
Nov 6, 2008·Tropical Medicine & International Health : TM & IH·Youssouf CoulibalyGuy Kegels
Jun 23, 2009·Lancet·UNKNOWN World Health Organization Maximizing Positive Synergies Collaborative GroupCarissa Etienne
Oct 17, 2009·Vaccine·UNKNOWN World Health Organization
Jun 17, 2011·The Journal of Infectious Diseases·P HanvoravongchaiU K Griffiths
Aug 27, 2013·Journal of Epidemiology and Community Health·Stéphane VerguetKaren J Hofman
Apr 3, 2014·The Journal of Infectious Diseases·Svea ClosserElizabeth Nuttall
Nov 13, 2015·MMWR. Morbidity and Mortality Weekly Report·Robert T PerryJames L Goodson
May 14, 2016·Health Policy and Planning·Sandra Mounier-JackPierre Ongolo-Zogo
May 28, 2017·International Orthopaedics·Ines VielgutLukas A Holzer

❮ Previous
Next ❯

Citations

Nov 2, 2019·Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology·Allison PortnoyJane J Kim
Aug 9, 2020·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Allison PortnoyStéphane Verguet

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.