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Immunisation in a curative setting.

P E Kofoed1, B Nielsen, A K Rahman

  • 1International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh.

BMJ (Clinical Research Ed.)
|September 22, 1990
PubMed
Summary
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Vaccination uptake was studied in women and children at a diarrheal treatment center. High vaccination rates were observed in children (84.2%), but lower rates in women (40.4%), indicating potential for improved public health services.

Area of Science:

  • Public Health
  • Vaccinology
  • Epidemiology

Background:

  • Curative health facilities can serve as crucial points for public health interventions.
  • Assessing vaccination uptake in diverse patient populations is essential for targeted health strategies.
  • Diarrheal treatment centers offer a unique opportunity to reach underserved women and children.

Purpose of the Study:

  • To evaluate the effectiveness of offering vaccinations to women and children attending a curative health facility.
  • To determine the uptake rates of immunizations among an unimmunized population within a specific healthcare setting.
  • To identify missed opportunities for vaccination in a vulnerable demographic.

Main Methods:

  • A prospective survey was conducted over eight months at the International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh.
Keywords:
AsiaBangladeshClinic VisitsDelivery Of Health CareDeveloping CountriesDiarrheaDiseasesEconomic FactorsHealthHealth ServicesImmunizationMaternal-child Health ServicesNeedsOrganization And AdministrationPrimary Health CareProgram AcceptabilityProgram ActivitiesProgram EvaluationProgramsResearch ReportService StatisticsSouthern AsiaTreatment

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  • The study targeted unimmunized women (aged 15-45) and children attending the center as patients or attendants.
  • Vaccination uptake was calculated as the percentage of the eligible population accepting immunization.

    • Main Results:

    • 84.2% of eligible children and 40.4% of eligible women received vaccinations.
    • Children aged under 1 year constituted the majority of vaccinated children (75.9%).
    • Significant missed opportunities for vaccination were noted: 8.0% for children and 59.6% for women.

    Conclusions:

    • Immunization services can be successfully integrated into health facilities that primarily treat acutely ill patients.
    • The findings highlight the potential for curative care settings to enhance public health by increasing vaccination coverage.
    • Targeted strategies are needed to improve vaccination uptake among women attending such facilities.