Background: The World Health Organization (WHO) initiated the Expanded Program on Immunization (EPI) in 1974. It has been widely used in different studies. Along with this, other survey methodologies have been compare...Background: The World Health Organization (WHO) initiated the Expanded Program on Immunization (EPI) in 1974. It has been widely used in different studies. Along with this, other survey methodologies have been compared to study immunization coverage at different regions. To consider different survey methodologies, one of the most important factors is the cost incurred that survey methodology. A survey method is considered as more efficient or better than the other survey method if the cost incurred in a particular method is less than the other one. Methods: In this study, cost incurred in two stage (30 × 30) cluster sampling and systematic sampling methods have been compared using a cost function for measles vaccine coverage. Measles vaccine coverage data has been taken from the survey “Comparison of Two Survey Methodologies to Estimates Total Vaccination Coverage” sponsored by Indian Council of Medical Research (ICMR), New Delhi. Results: The results show that there are no significant differences between the point estimates of measles vaccine coverage under the considered survey methodologies. But the cost incurred in systematic sampling is more than that of two stage cluster sampling. Conclusion: It can be concluded that systematic sampling survey is costlier than that of two stage cluster sampling for this study population.展开更多
Discrete epidemic models are applied to describe the physical phenomena of spreading infectious diseases in a household. In this paper, an attempt has been made to develop a modified epidemic chain model by assuming a...Discrete epidemic models are applied to describe the physical phenomena of spreading infectious diseases in a household. In this paper, an attempt has been made to develop a modified epidemic chain model by assuming a beta distribution of third kind for the probability of being infected by contact with a given infective from the same household with closed population. This paper emphasizes mainly on developing the probabilities of all possible epidemic chains with one introductory case for three, four and five member household. The key phenomenon towards developing this paper is to provide an alternative model of chain binomial model.展开更多
Background: Immunization averts a large number of children in each year. The burden of vaccine preventable diseases remains high in developing countries compared to developed countries. To overcome from this burden di...Background: Immunization averts a large number of children in each year. The burden of vaccine preventable diseases remains high in developing countries compared to developed countries. To overcome from this burden different types of immunization programs have been implemented. For better immunization coverage in developing countries, considerable progress is to be made to improve the knowledge and awareness regarding importance of vaccines. In this study a compara-tive study of immunization coverage under two sampling methods has been performed. Methods: In this study variance and design effect of proportion of children vaccinated against different types of vaccines (BCG, OPV, DPT, Hepatitis B, Hib, Measles and MMR) are estimated under two stage (30 × 30) cluster and systematic sampling for comparison of these two survey sampling methods. Also the homogeneity of clusters has been tested by using chi-square test. Results: It is observed that BCG, OPV and DPT vaccination coverage is more than 90% whereas Hepatitis B, Measles, Hib and MMR vaccination coverage is between 50% - 64% only. Here systematic random sampling is more complicated than two stage (30 × 30) cluster sampling. Also the result shows that the clusters are homogeneous with respect to proportion of children vaccinated. Conclusion: There is no significant difference between the two survey methodologies regarding the point estimation of vaccination coverage but estimation of variances of vaccination coverage is less in two stage (30 × 30) cluster sampling than that of the systematic sampling. Also the clusters are homogeneous. Very less improvement has been observed in case of fully vaccination coverage than the previous study. From the study it can be said that two stage (30 × 30) cluster sampling will be preferred to systematic sampling and simple random sampling method.展开更多
Through the ages, human life and happiness are affected much by wide spread diseases, an unpredictable phenomenon. And infectious disease spread is one of the most unsolvable problems. How infection evolves, how it sp...Through the ages, human life and happiness are affected much by wide spread diseases, an unpredictable phenomenon. And infectious disease spread is one of the most unsolvable problems. How infection evolves, how it spreads from person to person and mainly which pattern it follows are some questions which are always unanswerable. Out of many techniques, discrete epidemic models like the chain binomial model are ones which are applied to describe the physical phenomena of spreading infectious diseases in a household. In this paper, an attempt has been made to develop a modified epidemic chain model by assuming a beta distribution of third kind for the probability of being infected by contact with a given infection from the same household with closed population. This paper emphasized mainly on developing the probabilities of all possible epidemic chains with two introductory cases for three-, four- and five-member household and three introductory cases for four- and five-member household. The key phenomenon towards developing this paper was to provide an extension of the modified chain binomial model and its possible probabilities.展开更多
Introduction: Low birth weight (LBW) is the dominating risk factor for infant morbidity and mortality. LBW infants were three times more likely than normal birth weight infants to have neuro developmental complication...Introduction: Low birth weight (LBW) is the dominating risk factor for infant morbidity and mortality. LBW infants were three times more likely than normal birth weight infants to have neuro developmental complications and congenital abnormalities. The World Health Organization (WHO) has defined the term Low Birth Weight (LBW) as birth weight less than 2500 grams. Objective: To develop epidemiological model investigating the association between mother’s nutritional status and low birth weight in India. Data and Methods: Third round of the National Family Health Survey (NFHS-3) data collected during 2005-2006 is used for this study. This data provides a comprehensive picture of population and health conditions in India. To check the association between variables coefficient of contingency was calculated and multivariable logistic regression model was applied to check independent effect of covariates. Univariate, bivariate and multivariable logistics regression model has been developed to investigate the association between mother’s nutritional status and low birth weight in India. Adjusted odds ratios were calculated with 95% confidence interval. Conclusion: The prevalence of low birth weight was observed high among those women who were underweight, anemic, never visited for any ANC checkup. Emphasis needs to be given to maternal nutritional factors which are more persistent across India than the impact of other factors on birth weight. This can be done by selectively targeting interventions to improve nutrition.展开更多
This study uses the data from the National Family Health Survey round-2. Using hierarchical linear models the role of community level variables in predicting neonatal deaths at individual level is analyzed. SAS sub-ro...This study uses the data from the National Family Health Survey round-2. Using hierarchical linear models the role of community level variables in predicting neonatal deaths at individual level is analyzed. SAS sub-routine PROC GLIMMIX is used for hierarchical linear modeling. Findings re-enforce the importance of mother’s literacy and tetanus toxid vaccination during pregnancy in predicting neonatal deaths at individual level. At community level, though the magnitude of the presence of either a private doctor, or a visiting doctor, or a village guide, or a traditional health attendant, or the presence of mobile health van unit within community is in an expected direction, the effect is statistically not significant. In order to capture true impact of community level intervention of program success it is imperative that the large demographic surveys should incorporate more and more community level indicators while designing these surveys.展开更多
文摘Background: The World Health Organization (WHO) initiated the Expanded Program on Immunization (EPI) in 1974. It has been widely used in different studies. Along with this, other survey methodologies have been compared to study immunization coverage at different regions. To consider different survey methodologies, one of the most important factors is the cost incurred that survey methodology. A survey method is considered as more efficient or better than the other survey method if the cost incurred in a particular method is less than the other one. Methods: In this study, cost incurred in two stage (30 × 30) cluster sampling and systematic sampling methods have been compared using a cost function for measles vaccine coverage. Measles vaccine coverage data has been taken from the survey “Comparison of Two Survey Methodologies to Estimates Total Vaccination Coverage” sponsored by Indian Council of Medical Research (ICMR), New Delhi. Results: The results show that there are no significant differences between the point estimates of measles vaccine coverage under the considered survey methodologies. But the cost incurred in systematic sampling is more than that of two stage cluster sampling. Conclusion: It can be concluded that systematic sampling survey is costlier than that of two stage cluster sampling for this study population.
文摘Discrete epidemic models are applied to describe the physical phenomena of spreading infectious diseases in a household. In this paper, an attempt has been made to develop a modified epidemic chain model by assuming a beta distribution of third kind for the probability of being infected by contact with a given infective from the same household with closed population. This paper emphasizes mainly on developing the probabilities of all possible epidemic chains with one introductory case for three, four and five member household. The key phenomenon towards developing this paper is to provide an alternative model of chain binomial model.
文摘Background: Immunization averts a large number of children in each year. The burden of vaccine preventable diseases remains high in developing countries compared to developed countries. To overcome from this burden different types of immunization programs have been implemented. For better immunization coverage in developing countries, considerable progress is to be made to improve the knowledge and awareness regarding importance of vaccines. In this study a compara-tive study of immunization coverage under two sampling methods has been performed. Methods: In this study variance and design effect of proportion of children vaccinated against different types of vaccines (BCG, OPV, DPT, Hepatitis B, Hib, Measles and MMR) are estimated under two stage (30 × 30) cluster and systematic sampling for comparison of these two survey sampling methods. Also the homogeneity of clusters has been tested by using chi-square test. Results: It is observed that BCG, OPV and DPT vaccination coverage is more than 90% whereas Hepatitis B, Measles, Hib and MMR vaccination coverage is between 50% - 64% only. Here systematic random sampling is more complicated than two stage (30 × 30) cluster sampling. Also the result shows that the clusters are homogeneous with respect to proportion of children vaccinated. Conclusion: There is no significant difference between the two survey methodologies regarding the point estimation of vaccination coverage but estimation of variances of vaccination coverage is less in two stage (30 × 30) cluster sampling than that of the systematic sampling. Also the clusters are homogeneous. Very less improvement has been observed in case of fully vaccination coverage than the previous study. From the study it can be said that two stage (30 × 30) cluster sampling will be preferred to systematic sampling and simple random sampling method.
文摘Through the ages, human life and happiness are affected much by wide spread diseases, an unpredictable phenomenon. And infectious disease spread is one of the most unsolvable problems. How infection evolves, how it spreads from person to person and mainly which pattern it follows are some questions which are always unanswerable. Out of many techniques, discrete epidemic models like the chain binomial model are ones which are applied to describe the physical phenomena of spreading infectious diseases in a household. In this paper, an attempt has been made to develop a modified epidemic chain model by assuming a beta distribution of third kind for the probability of being infected by contact with a given infection from the same household with closed population. This paper emphasized mainly on developing the probabilities of all possible epidemic chains with two introductory cases for three-, four- and five-member household and three introductory cases for four- and five-member household. The key phenomenon towards developing this paper was to provide an extension of the modified chain binomial model and its possible probabilities.
文摘Introduction: Low birth weight (LBW) is the dominating risk factor for infant morbidity and mortality. LBW infants were three times more likely than normal birth weight infants to have neuro developmental complications and congenital abnormalities. The World Health Organization (WHO) has defined the term Low Birth Weight (LBW) as birth weight less than 2500 grams. Objective: To develop epidemiological model investigating the association between mother’s nutritional status and low birth weight in India. Data and Methods: Third round of the National Family Health Survey (NFHS-3) data collected during 2005-2006 is used for this study. This data provides a comprehensive picture of population and health conditions in India. To check the association between variables coefficient of contingency was calculated and multivariable logistic regression model was applied to check independent effect of covariates. Univariate, bivariate and multivariable logistics regression model has been developed to investigate the association between mother’s nutritional status and low birth weight in India. Adjusted odds ratios were calculated with 95% confidence interval. Conclusion: The prevalence of low birth weight was observed high among those women who were underweight, anemic, never visited for any ANC checkup. Emphasis needs to be given to maternal nutritional factors which are more persistent across India than the impact of other factors on birth weight. This can be done by selectively targeting interventions to improve nutrition.
文摘This study uses the data from the National Family Health Survey round-2. Using hierarchical linear models the role of community level variables in predicting neonatal deaths at individual level is analyzed. SAS sub-routine PROC GLIMMIX is used for hierarchical linear modeling. Findings re-enforce the importance of mother’s literacy and tetanus toxid vaccination during pregnancy in predicting neonatal deaths at individual level. At community level, though the magnitude of the presence of either a private doctor, or a visiting doctor, or a village guide, or a traditional health attendant, or the presence of mobile health van unit within community is in an expected direction, the effect is statistically not significant. In order to capture true impact of community level intervention of program success it is imperative that the large demographic surveys should incorporate more and more community level indicators while designing these surveys.
