Assessing the effectiveness of house-to-house visits on routine oral polio immunization completion and tracking of defaulters

Dora Ward Curry, Henry B. Perry, Syed N. Tirmizi, Allison L. Goldstein, Meg C. Lynch

Research output: Contribution to journalArticlepeer-review

Abstract

Strengthening routine immunization is one of the four prongs of the Global Polio Eradication Initiative. Using data collected through 30-cluster sample household surveys of caretakers of children aged 12-23 months, this paper assessed the effectiveness of house-to-house visits on routine oral polio immunization completion, using simple frequency tables, bivariate and multivariate logistic regression analyses. Logistic regression results demonstrated that children in households where the caregivers reported receiving a household visit by health workers were more likely to be fully immunized for polio through routine immunization than other children, although results were significant only after correcting for confounders. In Ethiopia and India, children of caregivers who remembered a house-to-house visit were significantly and positively associated with routine polio vaccination completion (OR=2.2 and OR=2.2 respectively). In Angola, the association was positive, though not significant (OR=1.3). The evidence suggests that targeting high-risk areas for house-to-house visits played a role in increasing routine polio vaccination.

Original languageEnglish (US)
Pages (from-to)356-366
Number of pages11
JournalJournal of Health, Population and Nutrition
Volume32
Issue number2
StatePublished - Jun 2014

Keywords

  • Community health workers
  • Defaulter tracking
  • Home visits
  • Oral polio immunization
  • Polio eradication
  • Routine immunization

ASJC Scopus subject areas

  • Food Science
  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis

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