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Improved equity in measles vaccination from integrating insecticide‐treated bednets in a vaccination campaign, Madagascar
Amélioration de l’équité en matière de vaccination contre la rougeole par l’intégration de moustiquaires imprégnées d’insecticide dans une campagne de vaccination, à Madagascar
Mejora de la equidad en la vacunación contra el sarampión integrando mosquiteras impregnadas con insecticida en la campaña de vacunación, Madagascar

Goodson, James L. ; Kulkarni, Manisha A. ; Vanden Eng, Jodi L. ; Wannemuehler, Kathleen A. ; Cotte, Annett H. ; Desrochers, Rachelle E. ; Randriamanalina, Bakolalao ; Luman, Elizabeth T.

Tropical Medicine & International Health, April 2012, Vol.17(4), pp.430-437 [Periódico revisado por pares]

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  • Título:
    Improved equity in measles vaccination from integrating insecticide‐treated bednets in a vaccination campaign, Madagascar

    Amélioration de l’équité en matière de vaccination contre la rougeole par l’intégration de moustiquaires imprégnées d’insecticide dans une campagne de vaccination, à Madagascar

    Mejora de la equidad en la vacunación contra el sarampión integrando mosquiteras impregnadas con insecticida en la campaña de vacunación, Madagascar
  • Autor: Goodson, James L. ; Kulkarni, Manisha A. ; Vanden Eng, Jodi L. ; Wannemuehler, Kathleen A. ; Cotte, Annett H. ; Desrochers, Rachelle E. ; Randriamanalina, Bakolalao ; Luman, Elizabeth T.
  • Assuntos: Measles ; Malaria ; Vaccination ; Insecticide‐Treated Bed Nets ; Integration ; Campaign ; Rougeole ; Paludisme ; Vaccination ; Moustiquaires Imprégnées D’insecticide ; Intégration ; Campagne ; Sarampión ; Malaria ; Vacunación ; Mosquiteras Impregnadas Con Insecticida ; Campaña ; Integración
  • É parte de: Tropical Medicine & International Health, April 2012, Vol.17(4), pp.430-437
  • Descrição: To evaluate the effect of integrating ITN distribution on measles vaccination campaign coverage in Madagascar. Nationwide cross‐sectional survey to estimate measles vaccination coverage, nationally, and in districts with and without ITN integration. To evaluate the effect of ITN integration, propensity score matching was used to create comparable samples in ITN and non‐ITN districts. Relative risks (RR) and 95% confidence intervals (CI) were estimated via log‐binomial models. Equity ratios, defined as the coverage ratio between the lowest and highest household wealth quintile (), were used to assess equity in measles vaccination coverage. National measles vaccination coverage during the campaign was 66.9% (95% CI 63.0–70.7). Among the propensity score subset, vaccination campaign coverage was higher in ITN districts (70.8%) than non‐ITN districts (59.1%) (RR = 1.3, 95% CI 1.1–1.6). Among children in the poorest wealth quintile, vaccination coverage was higher in ITN than in non‐ITN districts (Q1; RR = 2.4, 95% CI 1.2–4.8) and equity for measles vaccination was greater in ITN districts (equity ratio = 1.0, 95% CI 0.8–1.3) than in non‐ITN districts (equity ratio = 0.4, 95% CI 0.2–0.8). Integration of ITN distribution with a vaccination campaign might improve measles vaccination coverage among the poor, thus providing protection for the most vulnerable and difficult to reach children.
  • Idioma: Francês;Espanhol

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