title: Role of health communications in Russia's diphtheria immunization program.
abstract: As part of a broader program in health communication assistance, project staff from Basic Support for Institutionalizing Child Survival worked with staff from Russia's oblast (regional) public health agencies to design and implement communication activities supporting local diphtheria immunization efforts. Because aggressive community outreach efforts and strong administrative sanctions had already achieved impressive adult coverage rates for first doses of diphtheria toxoid vaccine, communication interventions emphasized the need for second and third doses. Outcomes were assessed through vaccination coverage data and more qualitative measures. In one project site, the increase in adult coverage (two or more doses) was very modest. In a second site, with a stronger communications component, coverage increased significantly (from 20% to 80%). Although it is not possible to disentangle completely the effects of communications from other aspects of oblast immunization programs, these and other outcome data suggest that health communications can play an important role in Russia's ongoing mass immunization efforts.
authors.affiliation: Academy for Educational Development, Washington, DC 20009-5721, USA.
authors.forename: R W
authors.initials: RW
authors.lastname: Porter
authors.forename: R
authors.initials: R
authors.lastname: Steinglass
authors.forename: J
authors.initials: J
authors.lastname: Kaiser
authors.forename: P
authors.initials: P
authors.lastname: Olkhovsky
authors.forename: M
authors.initials: M
authors.lastname: Rasmuson
authors.forename: F A
authors.initials: FA
authors.lastname: Dzhatdoeva
authors.forename: B
authors.initials: B
authors.lastname: Fishman
authors.forename: V
authors.initials: V
authors.lastname: Bragina
mesh_terms: D000328:Adult; D016022:Case-Control Studies; D003146:Communications Media; D004165:Diphtheria / Q000453:epidemiology / Q000517:prevention & control*; D004168:Diphtheria Toxoid / Q000008:administration & dosage*; D022422:Diphtheria-Tetanus Vaccine; D007722:Health Knowledge, Attitudes, Practice; D006284:Health Plan Implementation; D006293:Health Promotion; D006801:Humans; D017589:Immunization Programs; D008875:Middle Aged; D012426:Russia / Q000453:epidemiology; D011795:Surveys and Questionnaires; D013745:Tetanus Toxoid / Q000008:administration & dosage*; D014611:Vaccination; D017778:Vaccines, Combined / Q000008:administration & dosage
chemical_list: D004168:Diphtheria Toxoid; D022422:Diphtheria-Tetanus Vaccine; D013745:Tetanus Toxoid; D017778:Vaccines, Combined