Community health worker interventions are key to optimal infant immunization coverage, evidence from a pretest-posttest experiment in Mwingi, Kenya
Autor: | Japheth Mativo Nzioki, Rosebella Ongutu Onyango, James Hebert Ombaka, James Ouma |
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Rok vydání: | 2016 |
Předmět: |
Adult
Adolescent Maternal Health Psychological intervention Developing country Pilot Projects Health intervention Community health workers maternal and child health vaccination coverage 03 medical and health sciences Young Adult 0302 clinical medicine Environmental health Intervention (counseling) Surveys and Questionnaires Medicine Humans 030212 general & internal medicine Prospective Studies Developing Countries Community Health Workers vaccination coverage business.industry 030503 health policy & services Mortality rate Research Vaccination Child Health Infant Reproducibility of Results General Medicine Middle Aged maternal and child health Kenya Sample size determination Vaccination coverage Community health Female 0305 other medical science business |
Zdroj: | The Pan African Medical Journal Pan African Medical Journal; Vol 28, No 1 (2017) |
ISSN: | 1937-8688 |
Popis: | Introduction : Immunization is a powerful and cost-effective health intervention which averts an estimated 2 to 3 million deaths every year. Kenya has a high infant and under five mortality and morbidity rates. Increasing routine child immunization coverage is one way of reducing child morbidity and mortality rates in Kenya. Community Health Workers (CHWs) have emerged as critical human resources for health in developing countries. The Community Strategy (CS) is one of the CHW led interventions promoting Maternal and Child Health (MCH) in Kenya. This study sought to establish the effect of CS on infant vaccination Coverage (IVC) in Mwingi west sub-county; Kenya. Methods : This was a pretest - posttest experimental study design with 1 pretest and 2 post-test surveys conducted in intervention and control sites. Mwingi west and Mwingi north sub-counties where intervention and control sites respectively. Sample size in each survey was 422 households. Women with a child aged 9-12 months were main respondents. Results : intervention site end-term evaluation indicated that; the CS increased IVC by 10.1% (Z =6.0241, P |
Databáze: | OpenAIRE |
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