The Journal of Health, Population and Nutrition
Vol. 28, No. 5, 2010, pp. 450-457
Bioline Code: hn10059
Full paper language: English
Document type: Research Article
Document available free of charge
The Journal of Health, Population and Nutrition, Vol. 28, No. 5, 2010, pp. 450-457
© Copyright 2010 Journal of Health Population and Nutrition.
Community participation in two vaccination trials in slums of Kolkata, India: A multi-level analysis|
Ali, Mohammad; Sur, Dipika; Lopez, Anna Lena; Kanungo, Suman; Ochiai, R. Leon; Manna, Byomkesh; Kim, Deok Ryun; Deen, Jacqueline; Bhattacharya, Sujit K. & Clemens, John D.
This study aims at understanding the individual and community-level characteristics that influenced par-ticipation in two consecutive vaccine trials (typhoid and cholera) in urban slums of Kolkata, India. The study area was divided into 80 geographic clusters (communities), with 59, 533 subjects aged ≥ 2 years for analysis. A multi-level model was employed in which the individuals were seen nested within the cluster. Rates of participation in both the trials were nearly the same; those who participated in the initial trial were likely to participate in the subsequent cholera vaccine trial. Communities with predominantly Hindu population, lower percentage of households with an educated household head, or lower percentage of households owning a motorbike had higher participation than their counterparts. At individual scale, higher participation was observed among younger subjects, females, and individuals from households with a household head who had no or minimal education. Geographic patterns were also observed in participa-tion in the trials. The results illustrated that participation in the trial was mostly influenced by various indi-vidual and community-level factors, which need to be addressed for a successful vaccination campaign.
Cholera; Cholera vaccines; Typhoid fever; Typhoid-paratyphoid vaccines; Vaccination; India
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