Registry-Driven, Community-Based Immunization Outreach: A Randomized Controlled Trial

This study evaluated the effectiveness of registry-driven, community-based outreach directed toward children with immunization delays. A sample of 1,856 children aged 6 to 10 months was randomly assigned to receive either outreach or no intervention. Children in the outreach group were more likely t...

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Bibliographic Details
Published in:American journal of public health (1971) 2001-09, Vol.91 (9), p.1507-1511
Main Authors: Wilcox, Sarah A, Koepke, Christopher P, Levenson, Robert, Thalheimer, Judith C
Format: Article
Language:English
Subjects:
Adolescent
Adult
African Americans
At risk
Biological and medical sciences
Children
Children & youth
Communities
Community-Institutional Relations
Families & family life
General aspects
Humans
Immunization
Immunization Schedule
Infant
Infant, Newborn
Medical sciences
Mothers
Nursing
Philadelphia
Planification. Prevention (methods). Intervention. Evaluation
Poverty Areas
Prenatal care
Prenatal Care - standards
Program Evaluation
Programmes
Public health
Public health. Hygiene
Public health. Hygiene-occupational medicine
Randomized controlled trials
Registration
Registries
Registry reports
Regression analysis
Risk Factors
Social services
Time Factors
Urban Health Services - organization & administration
USA
Variables
Workers
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Description
Summary:This study evaluated the effectiveness of registry-driven, community-based outreach directed toward children with immunization delays. A sample of 1,856 children aged 6 to 10 months was randomly assigned to receive either outreach or no intervention. Children in the outreach group were more likely to receive an immunization during the observation period than children in the control group (61% vs 43%). Outreach was most effective for children with multiple risks, as measured by their immunization record; it was not effective for children whose mothers had received inadequate prenatal care. Registry-driven outreach can effectively identify high-risk children and bring them to care.
ISSN:0090-0036
1541-0048
DOI:10.2105/AJPH.91.9.1507