Building on Success—Potential to Improve Coverage of Multiple Health Interventions Through Integrated Delivery With Routine Childhood Vaccination

Background. Integrating delivery of nonvaccine interventions with childhood vaccinations has been suggested as a mechanism to accelerate progress toward Millennium Development Goals. Methods. Demographic health surveys from 28 sub-Saharan African countries were analyzed to determine potential covera...

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Bibliographic Details
Published in:The Journal of infectious diseases 2012-03, Vol.205 (suppl_1), p.S28-S39
Main Authors: Anand, Abhijeet, Luman, Elizabeth T., O'Connor, Patrick M.
Format: Article
Language:English
Subjects:
Africa South of the Sahara
AIDS
Child nutrition
Childhood
Delivery of Health Care, Integrated
HIV
Humans
Immunization
Infant
Mothers
Psychoeducational intervention
Vaccination
Vitamin A
Water treatment
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Summary:Background. Integrating delivery of nonvaccine interventions with childhood vaccinations has been suggested as a mechanism to accelerate progress toward Millennium Development Goals. Methods. Demographic health surveys from 28 sub-Saharan African countries were analyzed to determine potential coverage with 5 nonvaccine interventions that could be delivered to children, mothers, and families during routine infant vaccinations. Potential coverage levels were calculated among households with children aged 12-23 months, based on existing coverage of interventions and vaccinations. Findings. Most (>60%) children in families that had not received nonvaccine interventions had been vaccinated. If nonvaccine interventions could be delivered with vaccinations, the median percentage of households owning a bed net could increase from 46% to 92% and those with improved or treated sources of water from 55% to 91%. The median percentage of children who had received vitamin A supplementation could increase from 66% to 90%. Mothers who have been tested for human immunodeficiency virus could increase from 16% to 86%. Conclusions. In Africa, vaccination programs could provide a platform to substantially increase coverage of nonvaccine interventions. Studies are needed to investigate programmatic approaches to optimize the selection, adoption, and long-term utilization of these interventions and to assess the impact on vaccination and other intervention coverage.
ISSN:0022-1899
1537-6613
DOI:10.1093/infdis/jir794