Well child clinics and mass vaccination campaigns

An evaluation of strategies for improving the coverage of primary health care in a developing country

Datos Bibliográficos

ID11025344
AutoresB P Loevinsohn, BenjaminP Loevinsohn (Ministry of Health of the Russian Federation), M E Loevinsohn, Michael Loevinsohn
Año1987
Volumen77
Número11
Páginas1407-1411
Fecha de publicación1987-11-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaAmerican Journal of Public Health (JOURNAL)
Identificadores de la revistaISSN: 0090-0036 • E-ISSN: 1541-0048
EditorialAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.77.11.1407
PMID3661793
OpenAlexW2146055071
IdiomaEN
Citas recibidas9
Referencias citadas13

Millions of children in developing countries are dying from diseases that could be prevented or treated by simple interventions. To examine ways to improve the delivery of these basic services, we evaluated well child clinics and mass vaccination campaigns under operational conditions in a rural area of Nicaragua. We found that mass vaccination campaigns using volunteers reached 77.1 per cent of the population under age six. At stationary well child clinics in which villages were invited to a health center and a small food ration was used as an incentive, attendance improved to 94.1 per cent. Similar attendance levels (99.2 per cent) were attained by mobile well child clinics also using a food incentive. Attendance at stationary clinics decreased with the distance of the village from the health center. However, stationary clinics took up only half as much health workers' time as mobile clinics. Our results suggest that stationary clinics employing food as an incentive could be used for villages or neighborhoods close to a health center while mobile clinics offering food should be reserved for more isolated villages

Attendance · Developing country · Economic growth · Environmental health · Family medicine · Incentive · Population · Psychological intervention · Vaccination · Child Nutrition and Water Access · Global Maternal and Child Health · Medicine · Nursing · Vaccine Coverage and Hesitancy