Ehsanullah Tarin, Moazzam Khalil, Zafar M Alvi, Tajammal Mustafa, Francisco S Sy, Shirley J Thompson, Shafio Ur Rehman, Nasim Ashraf.
Impact of Community-Based Intervention on Immunization Coverage Against Vaccine-Preventable diseases in Pakistan.
Pak J Health Jan ;36(1-2):53-6.

Methods: Data from 22 units, each a cluster of 500 to 550 households, under village improvement project In four regions of Pakistan, from 1990-1995 are analyzed. Baseline survey of 100% households solicited the health needs. A monthly report generates data on immunization status, and a follow up survey in 1996 measured attitudinal change towards immunization. Results: The vaccine coverage for all six diseases (48%), BCG (59%), DPT (49%a), Polio (49%), and Measles (48%) at baseline, increased to 90, 98, 93, 93, and 90 percent at the end of 1995. No cases of these diseases were reported during past three years. At follow-up, 91.7% women knew childhood infectious diseases could be prevented by immunization, and at 973% households, mothers had immunization cards. Conclusion: Vaccine coverage can be enhanced by community-based health education, providing immunization, and follow-up of families, resulting in decrease in disease burden.

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