Auswahl der wissenschaftlichen Literatur zum Thema „Measles immunisation coverage“

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Zeitschriftenartikel zum Thema "Measles immunisation coverage"

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Money, Meera Karunakaran, und Pavitra Mohan. „Measles immunisation coverage in urban slums“. Indian Journal of Pediatrics 66, Nr. 4 (Juli 1999): 505–9. http://dx.doi.org/10.1007/bf02727157.

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Sahoo, Harihar. „Coverage of Child Immunisation and Its Determinants in India“. Social Change 42, Nr. 2 (Juni 2012): 187–202. http://dx.doi.org/10.1177/004908571204200203.

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For reducing morbidity, mortality and disabilities from the six serious but preventable diseases—that is, tuberculosis, diphtheria, pertussis, tetanus, poliomyelitis and measles—the government of India initiated Expanded Programme on Immunisation by making free vaccination services easily available to all eligible children. Despite considerable gains in immunisation coverage, a large chunk of children die from vaccine preventable diseases. The article sheds light on the coverage of child immunisation in India and estimates the effect of selected demographic and socio-economic characteristics on immunisation coverage. Data for the study have been utilised from DLHS-RCH, conducted during 2002–04. Both bi-variate and multivariate techniques have been carried out in due course of analysis. Multivariate analysis in the form of multinomial logistic regression is employed to see the net effect of each of the independent variables on the dependant variable, that is, immunisation (no immunisation, any immunisation and full immunisation). The different background characteristics considered for the study are age of mother, educational level of mother, birth order, sex of the child, place of residence, religion, caste and standard of living of the household, antenatal care (ANC) and geographical region. The result reveals that about half the children are fully immunised but one-fifth of the children have not been immunised. There is a substantial variation in full immunisation across background variables. Those children are more likely to be fully immunised whose mothers are more educated. Besides this, the sex of the child, place of residence and standard of living of the household also show statistically significant effect on full immunisation.
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Bonmarin, I., und D. Lévy-Bruhl. „Measles in France: the epidemiological impact of suboptimal immunisation coverage“. Eurosurveillance 7, Nr. 4 (01.04.2002): 55–60. http://dx.doi.org/10.2807/esm.07.04.00322-en.

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The promotion of immunisation in France since 1983 has resulted in a 97% reduction in morbidity and a reduction of 60% of mortality. However, the stable and sub-optimal coverage around 84% leads to a shift in higher age groups, where complications are more frequent and serious. The proportion of those aged over 10 years was 13% in 1985 and reached 48% in 1997, the transmission of measles being maintained in France. To eliminate the disease, vaccine coverage with 2 doses and over 95% would be necessary.
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Riumallo-Herl, Carlos, Angela Y. Chang, Samantha Clark, Dagna Constenla, Andrew Clark, Logan Brenzel und Stéphane Verguet. „Poverty reduction and equity benefits of introducing or scaling up measles, rotavirus and pneumococcal vaccines in low-income and middle-income countries: a modelling study“. BMJ Global Health 3, Nr. 2 (April 2018): e000613. http://dx.doi.org/10.1136/bmjgh-2017-000613.

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IntroductionBeyond their impact on health, vaccines can lead to large economic benefits. While most economic evaluations of vaccines have focused on the health impact of vaccines at a national scale, it is critical to understand how their impact is distributed along population subgroups.MethodsWe build a financial risk protection model to evaluate the impact of immunisation against measles, severe pneumococcal disease and severe rotavirus for birth cohorts vaccinated over 2016–2030 for three scenarios in 41 Gavi-eligible countries: no immunisation, current immunisation coverage forecasts and the current immunisation coverage enhanced with funding support. We distribute modelled disease cases per socioeconomic group and derive the number of cases of: (1) catastrophic health costs (CHCs) and (2) medical impoverishment.ResultsIn the absence of any vaccine coverage, the number of CHC cases attributable to measles, severe pneumococcal disease and severe rotavirus would be approximately 18.9 million, 6.6 million and 2.2 million, respectively. Expanding vaccine coverage would reduce this number by up to 90%, 30% and 40% in each case. More importantly, we find a higher share of CHC incidence among the poorest quintiles who consequently benefit more from vaccine expansion.ConclusionOur findings contribute to the understanding of how vaccines can have a broad economic impact. In particular, we find that immunisation programmes can reduce the proportion of households facing catastrophic payments from out-of-pocket health expenses, mainly in lower socioeconomic groups. Thus, vaccines could have an important role in poverty reduction.
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Dias, J. A., M. Cordeiro, M. A. Afzal, M. G. Freitas, M. R. Morgado, J. L. Silva, L. M. Nunes, M. G. Lima und F. Avilez. „Mumps epidemic in Portugal despite high vaccine coverage - preliminary report“. Eurosurveillance 1, Nr. 4 (01.04.1996): 25–28. http://dx.doi.org/10.2807/esm.01.04.00160-en.

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A measles, mumps, and rubella (MMR) trivalent vaccine was added to Portugal's National Immunisation Programme (NIP) in 1987. All vaccines are given at health centres, free of charge, but an epidemic of mumps began in 1995, firstly in northern Portugal and
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Jaupart, Pascal, Lizzie Dipple und Stefan Dercon. „Has Gavi lived up to its promise? Quasi-experimental evidence on country immunisation rates and child mortality“. BMJ Global Health 4, Nr. 6 (Dezember 2019): e001789. http://dx.doi.org/10.1136/bmjgh-2019-001789.

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IntroductionGavi, the Vaccine Alliance, was set up in 2000 to improve access to vaccines for children living in the poorest countries. Funding has increased significantly over time, with Gavi disbursements reaching US $1.58 billion in 2015. We assess whether Gavi’s funding programmes have indeed increased immunisation coverage in 51 recipient countries for two key vaccines for 12–23 month olds: combined diphtheria, pertussis and tetanus (DPT) and measles. Additionally, we look at effects on infant and child mortality.MethodsTaking a difference-in-differences quasi-experimental approach to observational data, we estimate the impact of Gavi eligibility on immunisation coverage and mortality rates over time, using WHO/UNICEF figures covering 1995–2016. We control for economy size and population of each country as well as running a suite of robustness checks and sensitivity tests.ResultsWe find large and significant positive effects from Gavi’s funding programmes: on average a 12.02 percentage point increase in DPT immunisation coverage (95% CI 6.56 to 17.49) and an 8.81 percentage point increase in measles immunisation coverage (95% CI 3.58 to 14.04) over the period to 2016. Our estimates show Gavi support also induced 6.22 fewer infant deaths (95% CI −10.47 to −1.97) and 12.23 fewer under-five deaths (95% CI −19.66 to −4.79) per 1000 live births.ConclusionOur findings provide evidence that Gavi has had a substantial impact on the fight against communicable diseases for improved population and child health in lower-income countries. In this case, the health policy to verticalise aid—specifically development assistance for health—via a specialised global fund has had positive outcomes.
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Braeckman, T., H. Theeten, M. Roelants, S. Blaizot, K. Hoppenbrouwers, K. Maertens, P. Van Damme und C. Vandermeulen. „Can Flanders resist the measles outbreak? Assessing vaccination coverage in different age groups among Flemish residents“. Epidemiology and Infection 146, Nr. 8 (02.05.2018): 1043–47. http://dx.doi.org/10.1017/s0950268818000985.

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AbstractThe Belgian strategic plan to eliminate measles contains several vaccination strategies including routine immunisation programmes and catch-up campaigns. A new expanded programme on immunisation-based survey (2016) assessed the uptake of the recommended measles–mumps–rubella (MMR) vaccine in three different cohorts: toddlers, adolescents and parents of toddlers. A two-stage cluster sampling technique was used to select 875 toddlers (age 18–24 months) and 1250 adolescents (born in 2000) from 107 municipalities in Flanders. After consent of the parent(s), 746 (85.2%) families of toddlers and 1012 (81.0%) families of adolescents were interviewed at home. Measles vaccination coverage was high at 18–24 months (96.2%) and 81.5% were vaccinated at recommended age. Toddlers who had two siblings or a non-working mother or changed vaccinator were more at risk for not being vaccinated. Coverage of the teenager dose reached 93.5% and was lower in adolescents with educational underachievement or whose mother was part-time working or with a non-Belgian background. Only 56.0% of mothers and 48.3% of fathers remembered having received at least one measles-containing vaccine. Although measles vaccination coverage in toddlers meets the required standards for elimination, administration of the teenager dose of MMR vaccine and parent compliance to the recent measles catch-up campaign in Flanders leave room for improvement.
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Lévy-Bruhl, D., R. G. Pebody, K. Osborne, I. Veldhuijzen und M. Valenciano. „ESEN : a comparison of vaccination programmes Part two : pertussis“. Eurosurveillance 3, Nr. 11 (01.11.1998): 107–10. http://dx.doi.org/10.2807/esm.03.11.00086-en.

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This article is the second of a series of three, which compare vaccination programmes, immunisation schedules, vaccine coverage, and the epidemiological impact of vaccination for diphtheria, pertussis, measles, mumps, and rubella in eight countries (Denma
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Grundy, John, und Beverley-Ann Biggs. „The Impact of Conflict on Immunisation Coverage in 16 Countries“. International Journal of Health Policy and Management 8, Nr. 4 (30.12.2018): 211–21. http://dx.doi.org/10.15171/ijhpm.2018.127.

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Background: Military conflict has been an ongoing determinant of inequitable immunisation coverage in many low- and middle-income countries, yet the impact of conflict on the attainment of global health goals has not been fully addressed. This review will describe and analyse the association between conflict, immunisation coverage and vaccine-preventable disease (VPD) outbreaks, along with country specific strategies to mitigate the impact in 16 countries. Methods: We cross-matched immunisation coverage and VPD data in 2014 for displaced and refugee populations. Data on refugee or displaced persons was sourced from the United Nations High Commissioner for Refugees (UNHCR) database, and immunisation coverage and disease incidence data from World Health Organization (WHO) databases. Demographic and Health Survey (DHS) databases provided additional data on national and sub-national coverage. The 16 countries were selected because they had the largest numbers of registered UNHCR "persons of interest" and received new vaccine support from Global Alliance for Vaccine and Immunisation (GAVI), the Vaccine Alliance. We used national planning and reporting documentation including immunisation multiyear plans, health system strengthening strategies and GAVI annual progress reports (APRs) to assess the impact of conflict on immunisation access and coverage rates, and reviewed strategies developed to address immunisation program shortfalls in conflict settings. We also searched the peer-reviewed literature for evidence that linked immunisation coverage and VPD outbreaks with evidence of conflict. Results: We found that these 16 countries, representing just 12% of the global population, were responsible for 67% of global polio cases and 39% of global measles cases between 2010 and 2015. Fourteen out of the 16 countries were below the global average of 85% coverage for diphtheria, pertussis, and tetanus (DPT3) in 2014. We present data from countries where the onset of conflict has been associated with sudden drops in national and sub-national immunisation coverage. Tense security conditions, along with damaged health infrastructure and depleted human resources have contributed to infrequent outreach services, and delays in new vaccine introductions and immunisation campaigns. These factors have in turn contributed to pockets of low coverage and disease outbreaks in sub-national areas affected by conflict. Despite these impacts, there was limited reference to the health needs of conflict affected populations in immunisation planning and reporting documents in all 16 countries. Development partner investments were heavily skewed towards vaccine provision and working with partner governments, with comparatively low levels of health systems support or civil partnerships. Conclusion: Global and national policy and planning focus is required on the service delivery needs of conflict affected populations, with increased investment in health system support and civil partnerships, if persistent immunisation inequities in conflict affected areas are to be addressed.
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Sarker, Abdur Razzaque, Raisul Akram, Nausad Ali und Marufa Sultana. „Coverage and factors associated with full immunisation among children aged 12–59 months in Bangladesh: insights from the nationwide cross-sectional demographic and health survey“. BMJ Open 9, Nr. 7 (Juli 2019): e028020. http://dx.doi.org/10.1136/bmjopen-2018-028020.

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ObjectiveTo estimate the coverage and factors associated with full immunisation coverage among children aged 12–59 months in Bangladesh.Study designThe study is cross sectional in design. Secondary dataset from Bangladesh Demographic and Health Survey was used for this analysis. Immunisation status was categorised as ‘fully immunised’ if the children had received all the eight recommended vaccine doses otherwise ‘partially/unimmunised’.SettingsBangladesh.ParticipantChildren aged 12–59 months were the study participants. Participants were randomly selected through a two-stage stratified sampling design. A total of 6230 children were eligible for the analysis.ResultsAbout 86% of the children (5356 out of 6230) were fully immunised. BCG has the highest coverage rate (97.1%) followed by oral polio vaccine 1 (97%) and pentavalent 1 (96.6%), where the coverage rate was the lowest for measles vaccine (88%). Coverage was higher in urban areas (88.5%) when compared with rural ones (85.1%). Full immunisation coverage was significantly higher among children who lived in the Rangpur division (adjusted OR (AOR)=3.46; 95% CI 2.45 to 4.88, p<0.001), were 48–59 months old (AOR=1.32; 95% CI 1.06 to 1.64, p=0.013), lived in a medium size family (AOR=1.56; 95% CI 1.32 to 1.86, p<0.001), had parents with a higher level of education (AOR=1.96; 95% CI 1.21 to 3.17, p=0.006 and AOR=1.55; 95% CI 1.05 to 2.29, p=0.026) and belonged to the richest families (AOR=2.2; 95% CI 1.5 to 3.21, p<0.001). The likelihood of being partially or unimmunised was higher among children who had the father as their sole healthcare decision-maker (AOR=0.69; 95% CI 0.51 to 0.92, p<0.012).ConclusionsThere were significant variations of child immunisation coverage across socioeconomic and demographic factors. These findings will inform innovative approaches for immunisation programmes, and the introduction of relevant policies, including regular monitoring and evaluation of immunisation coverage—particularly for low-performing regions, so that the broader benefit of immunisation programmes can be achieved in all strata of the society.
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Dissertationen zum Thema "Measles immunisation coverage"

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Borus, Peter Kimutai. „Measles vaccination in Kenya : determination of vaccine coverage, determinants of receipt of vaccination and the quality of immunisation services in slum areas of Nairobi“. Thesis, London School of Hygiene and Tropical Medicine (University of London), 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.289764.

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Dyer, J. J. „Effect of an immunisation campaign in Natal and KwaZulu on vaccination coverage rates 1990-1991“. Thesis, 1992. http://hdl.handle.net/10413/2381.

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In 1990 the Department of National Health and Population Development of South Africa launched a nationwide immunisation coverage campaign targetted mainly at measles. In order to measure the effect of the campaign on vaccination coverage rates for children pre- and post- campaign vaccination coverage surveys were performed using a modified EPI technique, stratified for race and urban/rural residence. The results in Natal/KwaZulu showed no significant changes in vaccination coverage rates as documented by Road-to-Health cards for any race, although the trend was towards a slight increase. The results bring into question the effectiveness of immunisation campaigns as a strategy for raising vaccination coverage levels, and having a sustained impact on the incidence of measles. Alternative strategies, such as the strengthening and expansion of existing primary health care services, and changes to the immunisation schedule for measles, should be considered.
Thesis (MMed.)-University of Natal, Durban, 1992.
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Mogotsi, Charmaine Koketso. „Measles immunization coverage and dropout rate on children between 6 months and 14 years in the City of Tshwane, Hammanskraal“. Diss., 2021. http://hdl.handle.net/10500/27555.

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Measles is a highly contagious virus that can affect the entire population if an effective immunisation programme is not in place. This study was aimed at determining the measles immunisation coverage and the dropout rate among children aged between 6 months and 14 years and at assessing factors associated with caregivers’ knowledge and perception of, and attitude towards the measles immunisation programme. Between 14 May 2018 and 31 July 2018, a descriptive, cross-sectional study design was conducted using simple random sampling to sample 381 caregivers of children at nine public health facilities at Tshwane Sub-district 2, Hammanskraal town. Data were collected by means of a structured questionnaire and observational checklist, and analysed using IBM SPSS version 23.0. Overall, the measles immunization coverage was 95.8% (365/381) and the MCV1-MCV2 dropout rate was 4.1%. The association between educational level and employment status (correlation coefficient=0.157**, p=0.0002), measles knowledge (correlation coefficient=-0.244**, p=0.000), immunization importance (correlation coefficient=-0.194**, p=0.000) and measles vaccine schedule (correlation coefficient=-0.138**, p=0.007) were found to be significant at p<0.05. The findings in this study revealed that caregivers’ positive attitude towards, and knowledge of measles immunisation programme resulted in high measles immunisation coverage and low dropout rate. It is recommended that continuous positive immunisation education about the benefits and importance be emphasized in order to increase immunisation uptake.
Health Studies
M. P. H.
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Bücher zum Thema "Measles immunisation coverage"

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Pan African Institute for Development. East and Southern Africa., Hrsg. A study of the factors contributing to the low immunisation coverage of measles in the under five years old children in Solwezi District. [Kabwe, Zambia: PAID-ESA, 1999.

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