THE GENERAL PLAN AND OBJECTIVES OF A MATERNAL AND CHILD HEALTH PROGRAM

ObjectiveUntimely vaccination refers to receiving the given dose before (early) or after (delayed) the recommended time window. The purpose of this study was to assess the extent of timeliness of childhood vaccinations and examine the determinants of vaccination timeliness in Sindh province, Pakistan.DesignCross-sectional analysis of data from the 2013 and 2014 Maternal and Child Health Program Indicator Surveys.SettingCommunity-based maternal and child health surveys.ParticipantsAmong 10 200 respondents of Maternal and Child Health Program Indicator Surveys, 1143 women who had a live birth in the 2 years preceding the survey were included.OutcomesAt the participants’ home, an interviewer asked mothers to show their children’s vaccination cards, which contained information regarding vaccinations. Children’s vaccination status was categorised into timely or early/delayed compared with vaccination schedule. A logistic regression analysis using Firth’s penalised likelihood was performed to identify factors associated with timeliness of vaccinations.Results238 children (20.8% of children who received a full set of basic vaccinations) received all vaccinations on schedule among children who received a full set of basic vaccinations. The percentages of timely vaccinations ranged from 2.3% for second measles vaccination to 89.3% for bacillus Calmette-Guérin. Child’s age and place of delivery were associated with timely vaccinations. Older child age and institutional delivery were associated with decreased timely vaccination rate.ConclusionsHome-based vaccination record is a key tool to improve the timeliness of vaccinations. The redesigned vaccination cards, the new electronic registries for vaccination card information and the vaccination tracking system to remind the second/third vaccination visits may be helpful to improve timely vaccinations for children under 2 years old.

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Relationship of Maternal and Child Health to the General Health Program

American Journal of Public Health and the Nations Health ◽

10.2105/ajph.28.3.256 ◽

1938 ◽

Vol 28 (3) ◽

pp. 256-262

Author(s):

Thomas Parran

Keyword(s):

Child Health ◽

Maternal And Child Health ◽

General Health ◽

Health Program ◽

Relationship Of ◽

And Child Health

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Topography and scale in a community-driven maternal and child health program in Eastern Indonesia

Medicine Anthropology Theory | An open-access journal in the anthropology of health illness and medicine ◽

10.17157/mat.4.1.364 ◽

2020 ◽

Vol 4 (1) ◽

Cited By ~ 1

Author(s):

Jesse Hession Grayman

Keyword(s):

Child Health ◽

Child Mortality ◽

Maternal And Child Health ◽

Health Program ◽

Development Program ◽

Child Health Services ◽

Therapeutic Landscape ◽

Policy Work ◽

Poor Infrastructure ◽

And Child Health

In 2007, the Indonesian government introduced Generasi, a community-driven development program to address village priorities such as reducing poverty, maternal mortality, and child mortality. When describing Generasi’s biggest challenges, program facilitators on the eastern Indonesian island of Flores used a geographic vocabulary of fields (medan, lapangan) and topography (topografi) that evokes the demands of supervising Generasi’s implementation across dozens of mountain villages with poor infrastructure. But their geographic language also extends metaphorically to the enduring problems of scale and governance. I analyze these discourses of topography and field in relation to the changing therapeutic landscape of maternal and child health services in the Manggarai highlands of western Flores, then follow Generasi’s scalar scaffolding from the meetings and clinics in villages, to the technocratic policy work in Jakarta, and to the academic spaces of Auckland and Cambridge.

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