Demand-side determinants of timely vaccination of oral polio vaccine in social mobilization network areas of CORE Group polio project in Uttar Pradesh, India.

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  • Additional Information
    • Source:
      Publisher: BioMed Central Country of Publication: England NLM ID: 100968551 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2334 (Electronic) Linking ISSN: 14712334 NLM ISO Abbreviation: BMC Infect. Dis. Subsets: MEDLINE
    • Publication Information:
      Original Publication: London : BioMed Central, [2001-
    • Subject Terms:
    • Abstract:
      Background: Children who receive all doses of scheduled vaccines reduce their susceptibility to vaccine-preventable diseases. In India, full immunization coverage has increased significantly. However, only a small proportion of children are immunized on time. Globally, studies on factors affecting coverage of childhood immunization have found a significant impact by demand and supply-side determinants. This paper explores the demand-side determinants of timely immunization of the third dose of oral polio vaccine (OPV3) among children aged 6-11 months in the catchment areas of CORE Group Polio Project India.
      Methods: We analyzed secondary de-identified data from a household level 'Doers and Non-doers survey' conducted in 2015. Determinants of timely OPV3 immunization were identified by modeling the characteristics of index children and survey respondents, surveyed households, respondents' media habits, their exposure to immunization services and perceptions towards child immunization, through a multinomial regression analysis.
      Results: The eight demand-side predictors based on the background characteristics and perceptions of caregivers determined timely vaccination of OPV3. The strongest predictor of timely OPV3 immunization was found to be the fathers' educational level. Children of uneducated or lesser educated fathers had increased odds of not receiving the OPV1 vaccination, as compared to children of more educated fathers (OR > 10). Respondents who strongly perceived other (non-health) benefits of child immunization were three times more likely to timely vaccinate their children than those who do not. Furthermore, mothers who disagreed with the positive attributes of child immunization were 25 times more likely to delay or not to take their children for OPV immunization on time.
      Conclusions: This study found eight essential factors that are responsible for timely OPV3. Despite limitations in data collection and analysis, immunization programs in India could use the eight identified demand-side determinants of timeliness and tailor communication strategies accordingly. We suggest that program communication efforts be directed at male community members; such messaging should address parents' perceptions of non-health benefits and stress the positive attributes of child immunization. Further investigation would be helpful to assess the various risk factors of under-vaccination as well as vaccinators' understating about timely immunization.
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    • Contributed Indexing:
      Keywords: CGPP*; India*; Polio*; Timely immunization*
    • Accession Number:
      0 (Poliovirus Vaccine, Oral)
    • Publication Date:
      Date Created: 20180518 Date Completed: 20190305 Latest Revision: 20190305
    • Publication Date:
      20190306
    • Accession Number:
      10.1186/s12879-018-3129-2
    • Accession Number:
      29769034
  • Citations
    • ABNT:
      CHOUDHARY, M. et al. Demand-side determinants of timely vaccination of oral polio vaccine in social mobilization network areas of CORE Group polio project in Uttar Pradesh, India. BMC Infectious Diseases, [s. l.], v. 18, n. 1, p. 222, 2018. Disponível em: . Acesso em: 21 ago. 2019.
    • AMA:
      Choudhary M, Solomon R, Awale J, Dey R. Demand-side determinants of timely vaccination of oral polio vaccine in social mobilization network areas of CORE Group polio project in Uttar Pradesh, India. BMC Infectious Diseases. 2018;18(1):222. doi:10.1186/s12879-018-3129-2.
    • APA:
      Choudhary, M., Solomon, R., Awale, J., & Dey, R. (2018). Demand-side determinants of timely vaccination of oral polio vaccine in social mobilization network areas of CORE Group polio project in Uttar Pradesh, India. BMC Infectious Diseases, 18(1), 222. https://doi.org/10.1186/s12879-018-3129-2
    • Chicago/Turabian: Author-Date:
      Choudhary, Manojkumar, Roma Solomon, Jitendra Awale, and Rina Dey. 2018. “Demand-Side Determinants of Timely Vaccination of Oral Polio Vaccine in Social Mobilization Network Areas of CORE Group Polio Project in Uttar Pradesh, India.” BMC Infectious Diseases 18 (1): 222. doi:10.1186/s12879-018-3129-2.
    • Harvard:
      Choudhary, M. et al. (2018) ‘Demand-side determinants of timely vaccination of oral polio vaccine in social mobilization network areas of CORE Group polio project in Uttar Pradesh, India’, BMC Infectious Diseases, 18(1), p. 222. doi: 10.1186/s12879-018-3129-2.
    • Harvard: Australian:
      Choudhary, M, Solomon, R, Awale, J & Dey, R 2018, ‘Demand-side determinants of timely vaccination of oral polio vaccine in social mobilization network areas of CORE Group polio project in Uttar Pradesh, India’, BMC Infectious Diseases, vol. 18, no. 1, p. 222, viewed 21 August 2019, .
    • MLA:
      Choudhary, Manojkumar, et al. “Demand-Side Determinants of Timely Vaccination of Oral Polio Vaccine in Social Mobilization Network Areas of CORE Group Polio Project in Uttar Pradesh, India.” BMC Infectious Diseases, vol. 18, no. 1, May 2018, p. 222. EBSCOhost, doi:10.1186/s12879-018-3129-2.
    • Chicago/Turabian: Humanities:
      Choudhary, Manojkumar, Roma Solomon, Jitendra Awale, and Rina Dey. “Demand-Side Determinants of Timely Vaccination of Oral Polio Vaccine in Social Mobilization Network Areas of CORE Group Polio Project in Uttar Pradesh, India.” BMC Infectious Diseases 18, no. 1 (May 16, 2018): 222. doi:10.1186/s12879-018-3129-2.
    • Vancouver/ICMJE:
      Choudhary M, Solomon R, Awale J, Dey R. Demand-side determinants of timely vaccination of oral polio vaccine in social mobilization network areas of CORE Group polio project in Uttar Pradesh, India. BMC Infectious Diseases [Internet]. 2018 May 16 [cited 2019 Aug 21];18(1):222. Available from: http://ezproxy.parker.edu/login?url={targeturl}