Improving Routine Immunization Coverage Through Educational Messages Delivered During Polio NIDs in Pakistan: A Cluster Randomized Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 4,560
- 试验地点
- 1
- 主要终点
- age appropriate vaccination of children 3 - 14 months old at the time of the endline survey
研究概览
简要总结
This study aims to assess if pictorial messages promoting routine immunization during supplementary campaigns for oral polio vaccine in areas with poor DTP3 vaccine coverage can improve immunization rates. A cluster randomized trial design in low literature populations will be used.
详细描述
The overall objective of this study is to assess whether supplementary immunization activities (SIAs) held for polio eradication can be used to improve routine immunization coverage in Pakistan.
Primary research objectives:
(i) To assess effectiveness of educational messages regarding routine immunization during SIAs held for polio on improving routine immunization coverage in Pakistan.
Secondary research objectives:
(i) To assess maternal knowledge about routine immunization in the intervention and control arms.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 3 Months 至 14 Months（Child）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Households with children aged 3-14 months
- •Resident of selected cluster
- •Willing to consent for participation in the study
排除标准
- •Households with children aged below 3 months or above 14 months
- •Non-resident of selected cluster
- •Refusing to consent
研究组 & 干预措施
Educational messages only
EPI vaccinators/volunteers will educate mothers/care-providers of infants less than 12 months old months about the benefits of routine immunization
干预措施: Distribution of Plastic Pouches to retain vaccination card (Other)
Status quo
No interventional activity will take place in this group. Therefore, the status quo (routine services) will be maintained during Polio NID
Educational messages only
EPI vaccinators/volunteers will educate mothers/care-providers of infants less than 12 months old months about the benefits of routine immunization
干预措施: Vaccine promotion messages (Behavioral)
Immunization status verification only
EPI vaccinators/volunteers will identify and record details of un/under-vaccinated children less than 12 months old in households they visit during an NID, and update immunization registries maintained at the local EPI centers so these children can be reached in subsequent outreach activity.
干预措施: Vaccination Verification. (Other)
Immunization status verification only
EPI vaccinators/volunteers will identify and record details of un/under-vaccinated children less than 12 months old in households they visit during an NID, and update immunization registries maintained at the local EPI centers so these children can be reached in subsequent outreach activity.
干预措施: Distribution of Plastic Pouches to retain vaccination card (Other)
Education and vaccine verification
EPI vaccinators/volunteers will educate mothers/care-providers of infants less than 12 months old months about the benefits of routine immunization, identify and record details of un/under-vaccinated children in households they visit during an NID, and update immunization registries maintained at the local EPI centers so these children can be reached in subsequent outreach activity.
干预措施: Vaccine promotion messages (Behavioral)
Education and vaccine verification
EPI vaccinators/volunteers will educate mothers/care-providers of infants less than 12 months old months about the benefits of routine immunization, identify and record details of un/under-vaccinated children in households they visit during an NID, and update immunization registries maintained at the local EPI centers so these children can be reached in subsequent outreach activity.
干预措施: Vaccination Verification. (Other)
Education and vaccine verification
EPI vaccinators/volunteers will educate mothers/care-providers of infants less than 12 months old months about the benefits of routine immunization, identify and record details of un/under-vaccinated children in households they visit during an NID, and update immunization registries maintained at the local EPI centers so these children can be reached in subsequent outreach activity.
干预措施: Distribution of Plastic Pouches to retain vaccination card (Other)
结局指标
主要结局
age appropriate vaccination of children 3 - 14 months old at the time of the endline survey
时间窗: 03 months after intervention (polio NID)
Age appropriate vaccination for the purposes of this study is defined as the administration of: 1. All scheduled doses of the DPT/Hepatitis-B/Hib (Penta) vaccine within 14 days of the recommended age for children 3 - 11 months of age, and 2. First dose of the measles vaccine (Measles-1) for children 9 - 14 months of age.
次要结局
- Maternal knowledge about routine immunization(03 months after intervention)
- Retention of immunization cards(03 months after intervention (polio NID))
研究者
Anita Kaniz Mehdi Zaidi
Professor and Chair, Department of Paediatrics and Child Health
Aga Khan University