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  1. The immunization of children enrolled in the special supplemental food program for women, infants, and children (WIC) : the impact of different strategies.

    Article - En anglais

    Objective

    - To assess the impact of different interventions to increase measles vaccination coverage among preschool children enrolled in the Special Supplemental Food Program for Women, Infants, and Children (WIC).

    Design

    - Public health intervention trial.

    Setting

    - Six volunteer WIC sites in New York City.

    Study Participants

    - Children aged 12 to 59 months presenting for WIC certification between April 1 and September 30,1991, who were eligible for measles vaccination. interventions.

    • Two WIC sites were assigned at random to one of three immunization strategies : (1) escort : child was escorted to a nearby pediatric clinic for immunization ;

    • (2) voucher incentive : the family returned monthly, rather than every 2 months, to pick up WIC food vouchers until the child was immunized ;

    • or (3) referral : the family was passively referred for immunization.

    Main Outcome Measure

    - Proportion of eligible children receiving measles vaccination.

    Results

    - Of children eligible for measles immunization, 74% (618/836) were immunized.

    Children at escort sites were 5.5 times (relative risk [RR]=5.5 ; 95% confidence interval [Cl], 3.7 to 8.1) and those at voucher incentive sites were 2.9 times (RR=2.9 ; 95% Cl, 1.9 to 4.5) more likely to be immunized than children at referral sites.

    Conclusions

    - Both escort and voucher incentive models resulted in more children being immunized more rapidly than passive referral.

    Mots-clés Pascal : Vaccination, Enfant, Homme, Programme sanitaire, Nourrisson, Mère, New York, Etats Unis, Amérique du Nord, Amérique, Rougeole, Virose, Infection, Immunisation, Stratégie, Prévention, Age préscolaire

    Mots-clés Pascal anglais : Vaccination, Child, Human, Sanitary program, Infant, Mother, New York, United States, North America, America, Measles, Viral disease, Infection, Immunization, Strategy, Prevention, Preschool age

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0467420

    Code Inist : 002B05A02. Création : 01/03/1996.