World Health Organization-Country Office for India, National Public Health Surveillance Project, New Delhi, India.
Division of Infectious Diseases and Geographic Medicine, Department of Medicine, Stanford University School of Medicine, Stanford, California.
Am J Trop Med Hyg. 2024 Sep 3;111(5):1060-1065. doi: 10.4269/ajtmh.24-0182. Print 2024 Nov 6.
In 2018, the Navi Mumbai Municipal Corporation implemented phase 1 of a public sector typhoid conjugate vaccine campaign in Navi Mumbai, India, targeting all children aged 9 months to 14 years within its administrative boundaries. To assess associations with receipt of vaccine in phase 1, we used generalized estimating equations to calculate estimates of vaccination by child-, household-, and community-level demographics (child education and age; household head education, income, and occupation; community informal settlement percent). Campaign vaccine receipt was most associated with children enrolled in school (odds ratio [OR] = 3.84, 95% CI: 2.18-6.77), the lowest household income tertile when divided into three equal parts (OR = 1.64, 95% CI: 1.43-1.84), and lower community-level socioeconomic status (OR = 1.06, 95% CI: 1.04-1.08 per 10% informal settlement proportion). The campaign was successful in reaching the most underserved populations of its target communities.
2018 年,印度那瓦西 Municipal Corporation 在那瓦西实施了第一阶段公立部门伤寒结合疫苗活动,目标是针对其行政区域内所有 9 个月至 14 岁的儿童。为了评估与第一阶段疫苗接种的相关性,我们使用广义估计方程计算了儿童、家庭和社区人口统计学(儿童教育和年龄;家庭户主教育、收入和职业;社区非正规住区比例)特征与疫苗接种的估计相关性。疫苗接种活动与入学儿童最相关(比值比[OR] = 3.84,95%CI:2.18-6.77),当将家庭收入分为三部分时,收入最低的三分之一与疫苗接种最相关(OR = 1.64,95%CI:1.43-1.84),社区社会经济地位越低(每 10%非正规住区比例,OR = 1.06,95%CI:1.04-1.08)。该活动成功地覆盖了目标社区中服务最不足的人群。