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Well child clinics and mass vaccination campaigns

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

Bibliographic Data

ID11025344
AuthorsB P Loevinsohn, BenjaminP Loevinsohn (Ministry of Health of the Russian Federation), M E Loevinsohn, Michael Loevinsohn
Year1987
Volume77
Issue11
Pages1407-1411
Publication date1987-11-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.77.11.1407
PMID3661793
OpenAlexW2146055071
LanguageEN
Citations received9
References cited13

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

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  • Strategies in primary health care

    Jarno Habicht, J P HABICHT et al.•American Journal of Public Health•1987

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  • Health care behavior on Nicaragua's Atlantic coast

    Open Access•B Barrett•Social Science & Medicine•1993

  • Determinants of partial participation in the immunization programmes in Iran

    Open Access•Kiumarss Nasseri, Mehdi Latifi et al.•Social Science & Medicine•1990

  • A causal model of high rates of child mortality

    Open Access•Ann V Millard•Social Science & Medicine•1994

  • Selective Primary Health Care

    Julia A Walsh, Kenneth S Warren•New England Journal of Medicine•1979

  • Health services reforms in revolutionary Nicaragua

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Unique citing works9
Citations per year0,23
Citation span1987 - 2023 (37)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 9
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