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Well child clinics and mass vaccination campaigns: An evaluation of strategies for improving the coverage of primary health care in a developing country

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  • Loevinsohn, B.P.
  • Loevinsohn, M.E.

Abstract

Millions of children in developing countries are dying from diseases that could be prevented or treated by simple interventions. To examine ways to improve the delivery of these basic services, we evaluated well child clinics and mass vaccination campaigns under operational conditions in a rural area of Nicaragua. We found that mass vaccination campaigns using volunteers reached 77.1 per cent of the population under age six. At stationary well child clinics in which villages were invited to a health center and a small food ration was used as an incentive, attendance improved to 94.1 per cent. Similar attendance levels (99.2 per cent) were attained by mobile well child clinics also using a food incentive. Attendance at stationary clinics decreased with the distance of the village from the health center. However, stationary clinics took up only half as much health workers' time as mobile clinics. Our results suggest that stationary clinics employing food as an incentive could be used for villages or neighborhoods close to a health center while mobile clinics offering food should be reserved for more isolated villages.

Suggested Citation

  • Loevinsohn, B.P. & Loevinsohn, M.E., 1987. "Well child clinics and mass vaccination campaigns: An evaluation of strategies for improving the coverage of primary health care in a developing country," American Journal of Public Health, American Public Health Association, vol. 77(11), pages 1407-1411.
    • Handle: RePEc:aph:ajpbhl:1987:77:11:1407-1411_5
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    Cited by:

    1. Baulia, Susmita, 2024. "Is household shock a boon or bane to the utilisation of preventive healthcare for children? Evidence from Uganda," Economics & Human Biology, Elsevier, vol. 52(C).
    2. Zahra Azadi & Harsha Gangammanavar & Sandra Eksioglu, 2020. "Developing childhood vaccine administration and inventory replenishment policies that minimize open vial wastage," Annals of Operations Research, Springer, vol. 292(1), pages 215-247, September.
    3. Kejriwal, Saransh & Sheth, Sarjan & Silpa, P.S. & Sarkar, Sumit & Guha, Apratim, 2022. "Attaining herd immunity to a new infectious disease through multi-stage policies incentivising voluntary vaccination," Chaos, Solitons & Fractals, Elsevier, vol. 154(C).

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