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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
Improved equity in measles vaccination from integrating insecticide-treated bednets in a vaccination campaign, Madagascar
Tropical Medicine and International Health, Volume 17, No. 4, Year 2012
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Description
Objective To evaluate the effect of integrating ITN distribution on measles vaccination campaign coverage in Madagascar. Methods Nationwide cross-sectional survey to estimate measles vaccination coverage, nationally, and in districts with and without ITN integration. To evaluate the effect of ITN integration, propensity score matching was used to create comparable samples in ITN and non-ITN districts. Relative risks (RR) and 95% confidence intervals (CI) were estimated via log-binomial models. Equity ratios, defined as the coverage ratio between the lowest and highest household wealth quintile (Q), were used to assess equity in measles vaccination coverage. Results National measles vaccination coverage during the campaign was 66.9% (95% CI 63.0-70.7). Among the propensity score subset, vaccination campaign coverage was higher in ITN districts (70.8%) than non-ITN districts (59.1%) (RR=1.3, 95% CI 1.1-1.6). Among children in the poorest wealth quintile, vaccination coverage was higher in ITN than in non-ITN districts (Q1; RR=2.4, 95% CI 1.2-4.8) and equity for measles vaccination was greater in ITN districts (equity ratio=1.0, 95% CI 0.8-1.3) than in non-ITN districts (equity ratio=0.4, 95% CI 0.2-0.8). Conclusion Integration of ITN distribution with a vaccination campaign might improve measles vaccination coverage among the poor, thus providing protection for the most vulnerable and difficult to reach children. © 2012 Blackwell Publishing Ltd.
Authors & Co-Authors
Goodson, James L.
United States, Atlanta
Centers for Disease Control and Prevention
Kulkarni, Manisha A.
Canada, Ottawa
University of Ottawa
Vanden Eng, Jodi Leigh
United States, Atlanta
Centers for Disease Control and Prevention
Wannemuehler, Kathleen A.
United States, Atlanta
Centers for Disease Control and Prevention
Cotte, Annett Hoppe
United States, Atlanta
Centers for Disease Control and Prevention
Desrochers, Rachelle E.
Canada, Ottawa
University of Ottawa
Randriamanalina, Bakolalao
Madagascar, Antananarivo
Ministry of Health
Luman, Elizabeth T.
United States, Atlanta
Centers for Disease Control and Prevention
Statistics
Citations: 25
Authors: 8
Affiliations: 3
Identifiers
Doi:
10.1111/j.1365-3156.2011.02953.x
ISSN:
13602276
e-ISSN:
13653156
Research Areas
Health System And Policy
Infectious Diseases
Maternal And Child Health
Study Design
Cross Sectional Study
Case-Control Study
Study Approach
Quantitative
Study Locations
Madagascar