PMID- 22315378
OWN - NLM
STAT- MEDLINE
DCOM- 20120322
LR  - 20211021
IS  - 1537-6613 (Electronic)
IS  - 0022-1899 (Print)
IS  - 0022-1899 (Linking)
VI  - 205 Suppl 1
IP  - Suppl 1
DP  - 2012 Mar
TI  - Validity of Expanded Program on Immunization Contact Method health behavior 
      estimates in Mali.
PG  - S112-9
LID - 10.1093/infdis/jir797 [doi]
AB  - BACKGROUND: In the developing world, household surveys provide high-quality 
      health behavior data integral to public health program management. The Expanded 
      Program on Immunization Contact Method (EPI-CM) is a proposed, less 
      resource-intensive method in which health center staff incorporate health 
      behavior questions into routine vaccination activities. No systematic evaluation 
      of EPI-CM validity has yet been conducted. METHODS: We used concurrent household 
      survey and EPI-CM to collect data on 4 infant health behaviors in Mali at 2 time 
      points (8 total comparisons). Studied health behaviors were bednet use, obtaining 
      care for fever, obtaining care for a respiratory complaint, and using oral 
      rehydration solution for diarrhea. Household survey and EPI-CM estimates were 
      considered equivalent if a 95% confidence interval about the difference in 
      estimated proportions fell within the interval (-.10, .10). RESULTS: EPI-CM 
      estimates were higher than household survey estimates for 7 of 8 unadjusted 
      paired estimates; estimates of bednet use in 2009 met a priori equivalence 
      criteria in a setting of high bednet use (90.5%). When we restricted household 
      survey data to infants up-to-date on vaccinations, estimates for behaviors other 
      than bednet use remained substantially different. CONCLUSIONS: We were unable to 
      demonstrate that EPI-CM, as implemented, consistently produces data comparable 
      with household survey data.
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
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  - *Health Behavior
MH  - Humans
MH  - *Immunization Programs
MH  - Infant
MH  - Infant, Newborn
MH  - Mali
PMC - PMC3738018
EDAT- 2012/02/15 06:00
MHDA- 2012/03/23 06:00
PMCR- 2013/03/01
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- 2013/03/01 00:00 [pmc-release]
AID - jir797 [pii]
AID - 10.1093/infdis/jir797 [doi]
PST - ppublish
SO  - J Infect Dis. 2012 Mar;205 Suppl 1(Suppl 1):S112-9. doi: 10.1093/infdis/jir797.