title: Redesigned immunization card and center-based education to reduce childhood immunization dropouts in urban Pakistan: a randomized controlled trial.
abstract: In Pakistan during 2000-2004, about 11-13% of children who received the first dose of diphtheria-pertussis-tetanus (DPT1) failed to complete its third dose (DPT3). We assessed the effect of a redesigned immunization card and center-based education to mothers on DPT3 completion. We enrolled 1500 mother-child units at DPT1, randomized them to three intervention and one standard care groups, and recorded their DPT3 visits during a 90-day follow-up. In multivariable analysis, a significant increase of 31% (adjusted RR=1.31, 95% CI=1.18-1.46) in DPT3 completion was estimated in the group that received both redesigned card and center-based education compared with the standard care group.
authors.affiliation: Division of Epidemiology and Biostatistics, Department of Community Health Sciences, The Aga Khan University, P.O. Box: 3500, Stadium Road, Karachi 74800, Pakistan. hussain@uab.edu
authors.forename: Hussain R
authors.initials: HR
authors.lastname: Usman
authors.forename: Saeed
authors.initials: S
authors.lastname: Akhtar
authors.forename: Faiza
authors.initials: F
authors.lastname: Habib
authors.forename: Imtiaz
authors.initials: I
authors.lastname: Jehan
mesh_terms: D000328:Adult; D015721:Diphtheria-Tetanus-Pertussis Vaccine / Q000276:immunology*; D004493:Education; D005260:Female; D006302:Health Services Research; D006801:Humans; D007114:Immunization / Q000379:methods*; D007115:Immunization Schedule; D007223:Infant; D008297:Male; D010154:Pakistan; D010352:Patient Dropouts / Q000706:statistics & numerical data*; D055815:Young Adult
chemical_list: D015721:Diphtheria-Tetanus-Pertussis Vaccine