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Impact of measles supplementary immunisation activities on utilisation of maternal and child health services in low-income and middle-income countries

BACKGROUND: Measles supplementary immunisation activities (SIAs) are an integral component of measles elimination in low-income and middle-income countries (LMICs). Despite their success in increasing vaccination coverage, there are concerns about their negative consequences on routine services. Few...

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Autores principales: Postolovska, Iryna, Helleringer, Stéphane, Kruk, Margaret E, Verguet, Stéphane
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5942424/
https://www.ncbi.nlm.nih.gov/pubmed/29755760
http://dx.doi.org/10.1136/bmjgh-2017-000466
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author Postolovska, Iryna
Helleringer, Stéphane
Kruk, Margaret E
Verguet, Stéphane
author_facet Postolovska, Iryna
Helleringer, Stéphane
Kruk, Margaret E
Verguet, Stéphane
author_sort Postolovska, Iryna
collection PubMed
description BACKGROUND: Measles supplementary immunisation activities (SIAs) are an integral component of measles elimination in low-income and middle-income countries (LMICs). Despite their success in increasing vaccination coverage, there are concerns about their negative consequences on routine services. Few studies have conducted quantitative assessments of SIA impact on utilisation of health services. METHODS: We analysed the impact of SIAs on utilisation of selected maternal and child health services using Demographic and Health Surveys and Multiple Indicator Cluster Surveys from 28 LMICs, where at least one SIA occurred over 2000–2014. Logistic regressions were conducted to investigate the association between SIAs and utilisation of the following services: facility delivery, postnatal care and outpatient sick child care (for fever, diarrhoea, cough). RESULTS: SIAs do not appear to significantly impact utilisation of maternal and child services. We find a reduction in care-seeking for treatment of child cough (OR 0.67; 95% CI 0.48 to 0.95); and a few significant effects at the country level, suggesting the need for further investigation of the idiosyncratic effects of SIAs in each country. CONCLUSION: The paper contributes to the debate on vertical versus horizontal programmes to ensure universal access to vaccination. Measles SIAs do not seem to affect care-seeking for critical conditions.
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spelling pubmed-59424242018-05-11 Impact of measles supplementary immunisation activities on utilisation of maternal and child health services in low-income and middle-income countries Postolovska, Iryna Helleringer, Stéphane Kruk, Margaret E Verguet, Stéphane BMJ Glob Health Research BACKGROUND: Measles supplementary immunisation activities (SIAs) are an integral component of measles elimination in low-income and middle-income countries (LMICs). Despite their success in increasing vaccination coverage, there are concerns about their negative consequences on routine services. Few studies have conducted quantitative assessments of SIA impact on utilisation of health services. METHODS: We analysed the impact of SIAs on utilisation of selected maternal and child health services using Demographic and Health Surveys and Multiple Indicator Cluster Surveys from 28 LMICs, where at least one SIA occurred over 2000–2014. Logistic regressions were conducted to investigate the association between SIAs and utilisation of the following services: facility delivery, postnatal care and outpatient sick child care (for fever, diarrhoea, cough). RESULTS: SIAs do not appear to significantly impact utilisation of maternal and child services. We find a reduction in care-seeking for treatment of child cough (OR 0.67; 95% CI 0.48 to 0.95); and a few significant effects at the country level, suggesting the need for further investigation of the idiosyncratic effects of SIAs in each country. CONCLUSION: The paper contributes to the debate on vertical versus horizontal programmes to ensure universal access to vaccination. Measles SIAs do not seem to affect care-seeking for critical conditions. BMJ Publishing Group 2018-05-07 /pmc/articles/PMC5942424/ /pubmed/29755760 http://dx.doi.org/10.1136/bmjgh-2017-000466 Text en © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See: http://creativecommons.org/licenses/by/4.0/
spellingShingle Research
Postolovska, Iryna
Helleringer, Stéphane
Kruk, Margaret E
Verguet, Stéphane
Impact of measles supplementary immunisation activities on utilisation of maternal and child health services in low-income and middle-income countries
title Impact of measles supplementary immunisation activities on utilisation of maternal and child health services in low-income and middle-income countries
title_full Impact of measles supplementary immunisation activities on utilisation of maternal and child health services in low-income and middle-income countries
title_fullStr Impact of measles supplementary immunisation activities on utilisation of maternal and child health services in low-income and middle-income countries
title_full_unstemmed Impact of measles supplementary immunisation activities on utilisation of maternal and child health services in low-income and middle-income countries
title_short Impact of measles supplementary immunisation activities on utilisation of maternal and child health services in low-income and middle-income countries
title_sort impact of measles supplementary immunisation activities on utilisation of maternal and child health services in low-income and middle-income countries
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5942424/
https://www.ncbi.nlm.nih.gov/pubmed/29755760
http://dx.doi.org/10.1136/bmjgh-2017-000466
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