Routineimpfungen im Kindesalter und ihre Assoziation mit perinataler Betreuung

Schön, Mareike

Eine Querschnittsstudie zum Zusammenhang zwischen institutioneller Entbindung, früher postnataler Nachsorge und Grundimmunisierung im ländlichen Nord-Indien

dc.contributor.advisor	Paul, Thomas Prof. Dr.
dc.contributor.author	Schön, Mareike
dc.date.accessioned	2025-05-26T15:29:58Z
dc.date.available	2025-07-16T00:50:10Z
dc.date.issued	2025-05-26
dc.identifier.uri	http://resolver.sub.uni-goettingen.de/purl?ediss-11858/16017
dc.identifier.uri	http://dx.doi.org/10.53846/goediss-11250
dc.format.extent	73	de
dc.language.iso	deu	de
dc.subject.ddc	610	de
dc.title	Routineimpfungen im Kindesalter und ihre Assoziation mit perinataler Betreuung	de
dc.title.alternative	Eine Querschnittsstudie zum Zusammenhang zwischen institutioneller Entbindung, früher postnataler Nachsorge und Grundimmunisierung im ländlichen Nord-Indien	de
dc.type	doctoralThesis	de
dc.title.translated	The association of institutional delivery and timely postnatal care with childhood vaccination	de
dc.contributor.referee	Paul, Thomas Prof. Dr.
dc.date.examination	2025-06-18	de
dc.description.abstracteng	Incomplete or missing doses in routine childhood immunizations remain a significant public health concern. Health systems in low- and middle-income countries (LMICs) often face challenges in ensuring full vaccination coverage among children, which compromises their protection against communicable diseases. This study used data from child vaccination cards collected during a cross-sectional primary survey of 1,967 households to assess vaccination status. It examined the association between timely postnatal care (PNC), place of delivery, and both any-dose coverage (at least one dose of each vaccine) and full vaccination among children aged 10 to 20 months in Bihar, India. Bivariate and multivariable logistic regression models were employed. The analysis included vaccines targeting tuberculosis, hepatitis B, polio, diphtheria/pertussis/tetanus (DPT), and measles. Additionally, predictors of perinatal healthcare utilization were explored using multivariable logistic regression. 47.9% of the 1,011 children with card verification were fully vaccinated. Timely PNC was positively associated with full vaccination (adjusted odds ratio (aOR) 1.48, 95% confidence interval (CI) 1.06-2.08) and with the administration of at least one dose (any-dose) of polio vaccine (aOR 3.37 95% CI 1.79-6.36), hepatitis B/pentavalent vaccine (aOR 2.11 95% CI 1.24-3.59), and DPT/pentavalent vaccine (aOR 2.29 95% CI 1.35-3.88). Additionally, delivery in a public health care facility was positively associated with at least one dose of hepatitis B/pentavalent vaccine administration (aOR 4.86 95% CI 2.97-7.95). Predictors for timely PNC were institutional delivery (public and private) (aOR 2.7 95% CI 1.96-3.72, aOR 2.38 95% CI 1.56-3.64), at least one ANC visit (aOR 1.59 95% CI 1.18-2.15), wealth quintile (Middle aOR 1.57 95% CI 1.02-2.41, Richer aOR 1.51 95% CI 1.01-2.25, Richest aOR 2.06 95% CI 1.28-3.31) and household size (aOR 0.95 95% CI 0.92-0.99). Predictor for institutional delivery (public) was at least one ANC visit (aOR 2.18 95% CI 1.73-2.74). Predictors for institutional delivery (private) were at least one ANC visit (aOR 3.18 95% CI 2.44-5.63), religion (aOR 2.21 95% CI 1.14-4.28) and wealth quintile (Richer aOR 4.99 95% CI 1.80-13.82, Richest aOR 6.06 95% CI 2.25-16.30). The findings reveal a positive association between timely postnatal care and childhood vaccination coverage. Additionally, delivery in a public health facility is linked to a higher likelihood of receiving at least one dose of the hepatitis B vaccine, thereby reducing the incidence of zero-dose children. Enhancing the uptake of timely postnatal care, promoting institutional deliveries, and strengthening immunization services prior to discharge from health facilities may contribute to improved vaccination rates among children.	de
dc.contributor.coReferee	Brockmann, Knut Prof. Dr.
dc.title.alternativeTranslated	A cross-sectional study in rural Bihar, India	de
dc.subject.ger	postnatale Betreuung	de
dc.subject.ger	Bihar	de
dc.subject.ger	Grundimmunisierung	de
dc.subject.ger	Geburtsort	de
dc.subject.ger	Indien	de
dc.subject.ger	perinatale Beteuung	de
dc.subject.eng	childhood	de
dc.subject.eng	postnatal care	de
dc.subject.eng	vaccination	de
dc.subject.eng	Bihar	de
dc.subject.eng	institutional delivery	de
dc.subject.eng	India	de
dc.identifier.urn	urn:nbn:de:gbv:7-ediss-16017-2
dc.affiliation.institute	Medizinische Fakultät	de
dc.subject.gokfull	Öffentliches Gesundheitswesen / Arbeitsmedizin / Präventivmedizin / Sozialmedizin - Allgemein- und Gesamtdarstellungen (PPN619876441)	de
dc.description.embargoed	2025-07-16	de
dc.identifier.ppn	1926887972
dc.notes.confirmationsent	Confirmation sent 2025-05-26T19:45:01	de

Files in this item

Name:Dissertation_Mareike Schön_final.pdf

Size:717.2Kb

Format:PDF

View/Open

Name:: Dissertation_Mareike Schön_fin ...
Size:: 717.2Kb
Format:: PDF

View/Open

This item appears in the following Collection(s)

Human- und Zahnmedizin [3270]

Show simple item record