EFFECTIVENESS OF COMMUNITY SERVICE MODEL FOR INCREASING ROUTINE IMMUNIZATION COVERAGE AT PRIMARY HEALTHCARE FACILITIES IN A RURAL DISTRICT OF PAKISTAN: A QUASI-EXPERIMENTAL STUDY

Zulfiqar Ali, Sathirakorn Pongpanich, Ramesh Kumar

Abstract


Background: In Pakistan Routine Immunization coverage has been reported to be significantly low due to multiple factors that results in high number of deaths in children under 5. This study was conducted to assess the effectiveness of integrating Community Services to improve Routine immunization coverage in rural district of Pakistan. Methods: A quasi-experimental study with control and intervention arms was conducted in government Basic Health unit’s catchment population of Panjgur by interviewing household head/Fathers. Total 234 household head including fathers were interviewed during this baseline survey. Community service model was used for to increase routine immunization coverage at catchment area of Basic Health unit (BHU) in intervention group while routine services were given in control BHU. Results: 230 parents completed the questionnaire during the end line after three months of intervention. There were no significant differences found between two groups at baseline but after the intervention, there was statistically significance difference (<0.05) between both group’s knowledge and practices regarding routine immunization. Moreover, there was no statistically significant difference in control group reported (>0.05) after the intervention period. Overall immunization status after intervention where fully immunization status in intervention group after intervention was 88.8% as compared to control group after intervention was 13.6% for partial immunization status in intervention group after intervention was 11.1% as compared to control group after intervention was 81.1 for the Non-Immunization status in intervention group after intervention was 0% as compared to control group after intervention was 5.1%. Conclusions: Community Service Model has significantly improved the Knowledge & Practices among households/parents of children under 5 in the intervention arm.


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References


1. Bassier-Paltoo MA, Monteiro LMC, Ramsammy DL. Section II: Poster Sessions. J Urban Health 2009; 86(3):389–497.

Nisar N, White F. Factors affecting utilization of antenatal care among reproductive age group women (15-49 years) in an urban squatter settlement of Karachi. J Pak Med Assoc 2003;53(2):47–53.

Tulchinsky TH, Varavikova EA. What is the “New Public Health”? Public Health Rev 2010; 32:25–53.

Ali Z, Pongpanich S, Kumar R, Gaffar A, Murred S, Safdar RM. Routine immunization statusamong children under 5 years of age living in rural district of Pakistan. Int J Health Res Innov 2015;3(2):13–20.

MICS, BALOCHISTAN MULTIPLE INDICATOR CLUSTER SURVEY, Health, Editor. Planning and Development (P&D) Department Government of Balochistan In collaboration with UNICEF (United Nations Children’s Fund). 2011.

Mureed S, Somronghtong R, Kumar R, Ghaffar A, Chapman RS. Enhanced immunization coverage through interventions for childhood cluster diseases in Developing Countries. J Ayub Med Coll Abbottabad 2015;27(1):223–7.

Awadh AI, Hassali MA, Al-lela OQ, Bux SH, Elkalmi RM, Hadi H. Immunization knowledge and practice among Malaysian parents: a questionnaire development and pilot-testing. BMC Public Health 2014;14:1107.

IBM Corp. Released. IBM SPSS Statistics for Windows, V.A., NY: IBM Corp 2013.

Gellin BG, Maibach EW, Marcuse EK. Do parents understand immunizations? A national telephone survey. Pediatrics 2000;106(5):1097–102.

Anjum Q, Omair A, Inam SN, Ahmed Y, Usman Y, Shaikh S. Improving vaccination status of children under five through health education. J Pak Med Assoc 2004;54(12):610–3.

Northrop-Clewes CA, Ahmad N, Paracha PI, Thurnham DI. Impact of health service provision on mothers and infants in a rural village in North West Frontier Province, Pakistan. Public Health Nutr1998;1(1):51–9.

Agboatwalla M, Akram DS. Impact of health education on mothers' knowledge of preventive health practices. Trop Doct 1997;27(4):199–202.

Agha A, White F, Younus M, Kadir MM, Alir S, Fatmi Z. Eight key household practices of integrated management of childhood illnesses (IMCI) amongst mothers of children aged 6 to 59 months in Gambat, Sindh, Pakistan. J Pak Med Assoc 2007;57(6):288–93.

Zahidie A, Wasim S, Fatmi Z. Vaccine effectiveness and risk factors associated with measles among children presenting to the hospitals of karachi, pakistan. J Coll Physicians Surg Pak 2014;24(12):882–8.

Shaikh S, Memon S, Ahmed I, Amna, Manzoor R, Shaikh S. Impact of an IEC (Information, Education and Communication) intervention on key family practices of mothers related to child health in Jamshoro, Sindh. Pak J Med Sci 2014;30(3):611–8.

Lorenz C, Khalid M, Influencing factors on vaccination uptake in Pakistan. J Pak Med Assoc 2012;62(1):59–61.

Owais A, Hanif B, Siddiqui AR, Agha A, Zaidi AK. Does improving maternal knowledge of vaccines impact infant immunization rates? A community-based randomized-controlled trial in Karachi, Pakistan. BMC Public Health 2011;11:239.

Ahmad R, Alvi SS, Hassan M, Kamin M, Malik M, Sarwar L, et al. Availability of expanded programme of immunization services provided to children in a rural Pakistani village. J Pak Med Assoc 2011;61(4):415–8.

Wiggins, N. Popular education for health promotion and community empowerment: a review of the literature. Health Promot Int 2012;27(3):356–71.


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