Impact of measles supplementary immunisation activities on utilisation of maternal and child health services in low-income and middleincome countries

Iryna Postolovska, Stéphane Helleringer, Margaret E. Kruk, Stéphane Verguet

Research output: Contribution to journalArticle

Abstract

Background Measles supplementary immunisation activities (SIAs) are an integral component of measles elimination in low-income and middle-income countries (LMICs). Despite their success in increasing vaccination coverage, there are concerns about their negative consequences on routine services. Few studies have conducted quantitative assessments of SIA impact on utilisation of health services. Methods We analysed the impact of SIAs on utilisation of selected maternal and child health services using Demographic and Health Surveys and Multiple Indicator Cluster Surveys from 28 LMICs, where at least one SIA occurred over 2000-2014. Logistic regressions were conducted to investigate the association between SIAs and utilisation of the following services: Facility delivery, postnatal care and outpatient sick child care (for fever, diarrhoea, cough). Results SIAs do not appear to significantly impact utilisation of maternal and child services. We find a reduction in care-seeking for treatment of child cough (OR 0.67; 95% CI 0.48 to 0.95); and a few significant effects at the country level, suggesting the need for further investigation of the idiosyncratic effects of SIAs in each country. Conclusion The paper contributes to the debate on vertical versus horizontal programmes to ensure universal access to vaccination. Measles SIAs do not seem to affect care-seeking for critical conditions.

Original languageEnglish (US)
Article numbere000466
JournalBMJ Global Health
Volume3
Issue number3
DOIs
StatePublished - Nov 2018

ASJC Scopus subject areas

  • Health Policy
  • Public Health, Environmental and Occupational Health

Fingerprint Dive into the research topics of 'Impact of measles supplementary immunisation activities on utilisation of maternal and child health services in low-income and middleincome countries'. Together they form a unique fingerprint.

  • Cite this