Impact of community volunteers on Immunization rates of children younger than 2 years.
Association of Public Health Annual Conference. American Public Health Association Conference. Lancaster, GBR ; Indianapolis, IND, USA, 1998/03/25 - 1997/11/11.
To assess the effectiveness of a volunteer-driven outreach program on immunization rates in children younger than 2 years.
Randomized controlled trial.
Pediatric ambulatory clinics in New York, NY.
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.
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.
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).
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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0300196
Code Inist : 002B05A02. Création : 16/11/1999.