Health cards, maternal reports and the measurement of immunization coverage: the example of Guatemala.
Soc Sci Med
; 38(8): 1075-89, 1994 Apr.
Article
em En
| MEDLINE
| ID: mdl-8042056
Immunization against major childhood diseases has been an essential component of health policies in developing countries. However, despite its importance and the efforts invested by many organizations in promoting immunization programs, consistent and accurate measurement of immunization coverage has not yet been achieved. In this paper, we explore the implications of alternative methods of measuring immunization coverage rates in Guatemala, using data from the 1987 Encuesta Nacional de Salud Materno Infantil, and we consider the dangers of making inferences about levels and trends in coverage from cross-sectional data. The results indicate that (1) service statistics may well lead to overestimates of coverage; (2) survey estimates derived from health cards can also produce severely biased estimates; and (3) in spite of problems associated with maternal recall, mothers' reports of their children's vaccination status probably result in substantially improved estimates of immunization coverage.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Prontuários Médicos
/
Imunização
/
Países em Desenvolvimento
/
Pesquisa sobre Serviços de Saúde
/
Memória
/
Mães
Tipo de estudo:
Observational_studies
/
Prevalence_studies
/
Qualitative_research
/
Risk_factors_studies
Aspecto:
Determinantes_sociais_saude
/
Patient_preference
Limite:
Child, preschool
/
Humans
/
Infant
/
Newborn
País/Região como assunto:
America central
/
Guatemala
Idioma:
En
Revista:
Soc Sci Med
Ano de publicação:
1994
Tipo de documento:
Article
País de publicação:
Reino Unido