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  1. Impact of community volunteers on Immunization rates of children younger than 2 years.

    Article, Communication - En anglais

    Association of Public Health Annual Conference. American Public Health Association Conference. Lancaster, GBR ; Indianapolis, IND, USA, 1998/03/25 - 1997/11/11.

    Objective 

    To assess the effectiveness of a volunteer-driven outreach program on immunization rates in children younger than 2 years.

    Design 

    Randomized controlled trial.

    Setting 

    Pediatric ambulatory clinics in New York, NY.

    Patients 

    A total of 163 children were randomly assigned to receive services from the volunteer-driven outreach program or to serve as control subjects.

    All children were (1) younger than 2 years, (2) no-shows for a scheduled appointment in the pediatric clinic, and (3) due or overdue for a vaccine.

    Intervention 

    Immunization outreach, tracking, and follow-up were provided by community volunteers throughout follow-up (mean, 6.5 months).

    Control children were notified of immunization status at enrollment but received no further contact until the conclusion of follow-up (mean, 6.4 months).

    Main Outcome Measure 

    Immunization status 6 months after enrollment.

    Results 

    Significantly more intervention children were up-to-date with their vaccination series than controls (75% vs 54% ; P=03).

    Children in the control group were 2.8 times more likely to be late for a vaccine than intervention children (odds ratio=2.8 ; P=02).

    In addition, an immunization delay of longer than 30 days at enrollment was a significant predictor of final immunization delay (odds ratio=2.6 ; P=02).

    Conclusions 

    This volunteer-driven program significantly improved immunization rates among intervention children compared with controls. (...)

    Mots-clés Pascal : Volontaire, Vaccination, Immunoprophylaxie, Prévention, Infection, Evaluation, Efficacité, Programme sanitaire, Immunisation, Nourrisson, Homme

    Mots-clés Pascal anglais : Volunteer, Vaccination, Immunoprophylaxis, Prevention, Infection, Evaluation, Efficiency, Sanitary program, Immunization, Infant, Human

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

    Cote : 99-0300196

    Code Inist : 002B05A02. Création : 16/11/1999.