PMID- 22315377
OWN - NLM
STAT- MEDLINE
DCOM- 20120322
LR  - 20240314
IS  - 1537-6613 (Electronic)
IS  - 0022-1899 (Print)
IS  - 0022-1899 (Linking)
VI  - 205 Suppl 1
IP  - Suppl 1
DP  - 2012 Mar
TI  - Effect of the Expanded Program on Immunization Contact Method of data collection 
      on health behaviors in Mali.
PG  - S103-11
LID - 10.1093/infdis/jir798 [doi]
AB  - BACKGROUND: The Expanded Program on Immunization Contact Method (EPI-CM) is a 
      proposed monitoring and program management tool for developing countries. The 
      method involves health workers tallying responses to questions about health 
      behaviors during routine immunizations and providing targeted counseling. We 
      evaluated whether asking caretakers about health behaviors during EPI visits led 
      to changes in those behaviors. METHODS: We worked in 2 districts in Mali: an 
      intervention district where during immunization visits workers asked about 4 
      health behaviors related to bed net use, fever, respiratory disease, and 
      diarrhea, and a control district where workers conducted routine immunization 
      activities without health behavior questions. To evaluate the effect of EPI-CM, 
      we conducted a cross-sectional household survey at baseline and 1 year 
      postintervention. We used multivariate logistic regression to compare between 
      districts the change over 1 year in 4 health behaviors: use of 
      insecticide-treated nets, appropriate fever treatment, care-seeking for 
      respiratory complaints, and appropriate diarrhea treatment. RESULTS: There were 
      no significant differences between the 2 districts in the change in the 4 health 
      behaviors when controlling for age, sex, maternal education and occupation, 
      immunization history, and wealth. CONCLUSIONS: We found no evidence that EPI-CM 
      increases healthy behaviors. Further evaluation of other potential benefits and 
      costs of EPI-CM is warranted.
FAU - Wei, Stanley C
AU  - Wei SC
AD  - Preventive Medicine Residency Program, Scientific Education and Professional 
      Development Program Office, Centers for Disease Control and Prevention, Atlanta, 
      Georgia, USA.
FAU - Vanden Eng, Jodi L
AU  - Vanden Eng JL
FAU - Patterson, Amy E
AU  - Patterson AE
FAU - Doumbia, Seydou
AU  - Doumbia S
FAU - Kleinbaum, David G
AU  - Kleinbaum DG
FAU - Ryman, Tove K
AU  - Ryman TK
FAU - Toure, Mahamoudou B
AU  - Toure MB
FAU - McMorrow, Meredith L
AU  - McMorrow ML
LA  - eng
GR  - CC999999/ImCDC/Intramural CDC HHS/United States
PT  - Journal Article
PT  - Research Support, U.S. Gov't, Non-P.H.S.
PT  - Research Support, U.S. Gov't, P.H.S.
PL  - United States
TA  - J Infect Dis
JT  - The Journal of infectious diseases
JID - 0413675
SB  - IM
MH  - Cross-Sectional Studies
MH  - *Data Collection
MH  - *Health Behavior
MH  - Humans
MH  - *Immunization Programs
MH  - Infant
MH  - Logistic Models
MH  - Mali
MH  - Odds Ratio
PMC - PMC5893864
MID - NIHMS955639
COIS- Potential conflicts of interest. All authors: No reported conflicts. All authors 
      have submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest. 
      Conflicts that the editors consider relevant to the content of the manuscript 
      have been disclosed.
EDAT- 2012/02/15 06:00
MHDA- 2012/03/23 06:00
PMCR- 2018/04/11
CRDT- 2012/02/09 06:00
PHST- 2012/02/09 06:00 [entrez]
PHST- 2012/02/15 06:00 [pubmed]
PHST- 2012/03/23 06:00 [medline]
PHST- 2018/04/11 00:00 [pmc-release]
AID - jir798 [pii]
AID - 10.1093/infdis/jir798 [doi]
PST - ppublish
SO  - J Infect Dis. 2012 Mar;205 Suppl 1(Suppl 1):S103-11. doi: 10.1093/infdis/jir798.