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Hepatitis B vaccination of newborn infants in rural China: evaluation of a village-based, out-of-cold-chain delivery strategy
by
Wang, Lixia
in
Antigens
/ Biological and medical sciences
/ Birth order
/ Births
/ Blood diseases
/ Childbirth & labor
/ Children
/ China
/ Cold
/ Communication
/ General aspects
/ Groups
/ Health care
/ Heat
/ Hepatitis
/ Hepatitis B
/ Hepatitis B - prevention & control
/ Hepatitis B Vaccines - immunology
/ Hepatitis B Vaccines - therapeutic use
/ Hospitals
/ Human viral diseases
/ Humans
/ Immunization
/ Immunization Programs - statistics & numerical data
/ Immunization Schedule
/ Infant
/ Infant, Newborn
/ Infants
/ Infectious diseases
/ Infrastructure
/ Management
/ Medical sciences
/ Midwifery
/ Newborn babies
/ Perinatal
/ Remote areas
/ Rural areas
/ Rural communities
/ Rural Health
/ Serology
/ Storage
/ Temperature
/ Towns
/ Townships
/ Training
/ Vaccines
/ Villages
/ Viral diseases
/ Viral diseases of the respiratory system and ent viral diseases
/ Viral hepatitis
/ Viruses
/ World Health Organization
2007
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Hepatitis B vaccination of newborn infants in rural China: evaluation of a village-based, out-of-cold-chain delivery strategy
by
Wang, Lixia
in
Antigens
/ Biological and medical sciences
/ Birth order
/ Births
/ Blood diseases
/ Childbirth & labor
/ Children
/ China
/ Cold
/ Communication
/ General aspects
/ Groups
/ Health care
/ Heat
/ Hepatitis
/ Hepatitis B
/ Hepatitis B - prevention & control
/ Hepatitis B Vaccines - immunology
/ Hepatitis B Vaccines - therapeutic use
/ Hospitals
/ Human viral diseases
/ Humans
/ Immunization
/ Immunization Programs - statistics & numerical data
/ Immunization Schedule
/ Infant
/ Infant, Newborn
/ Infants
/ Infectious diseases
/ Infrastructure
/ Management
/ Medical sciences
/ Midwifery
/ Newborn babies
/ Perinatal
/ Remote areas
/ Rural areas
/ Rural communities
/ Rural Health
/ Serology
/ Storage
/ Temperature
/ Towns
/ Townships
/ Training
/ Vaccines
/ Villages
/ Viral diseases
/ Viral diseases of the respiratory system and ent viral diseases
/ Viral hepatitis
/ Viruses
/ World Health Organization
2007
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Hepatitis B vaccination of newborn infants in rural China: evaluation of a village-based, out-of-cold-chain delivery strategy
by
Wang, Lixia
in
Antigens
/ Biological and medical sciences
/ Birth order
/ Births
/ Blood diseases
/ Childbirth & labor
/ Children
/ China
/ Cold
/ Communication
/ General aspects
/ Groups
/ Health care
/ Heat
/ Hepatitis
/ Hepatitis B
/ Hepatitis B - prevention & control
/ Hepatitis B Vaccines - immunology
/ Hepatitis B Vaccines - therapeutic use
/ Hospitals
/ Human viral diseases
/ Humans
/ Immunization
/ Immunization Programs - statistics & numerical data
/ Immunization Schedule
/ Infant
/ Infant, Newborn
/ Infants
/ Infectious diseases
/ Infrastructure
/ Management
/ Medical sciences
/ Midwifery
/ Newborn babies
/ Perinatal
/ Remote areas
/ Rural areas
/ Rural communities
/ Rural Health
/ Serology
/ Storage
/ Temperature
/ Towns
/ Townships
/ Training
/ Vaccines
/ Villages
/ Viral diseases
/ Viral diseases of the respiratory system and ent viral diseases
/ Viral hepatitis
/ Viruses
/ World Health Organization
2007
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Hepatitis B vaccination of newborn infants in rural China: evaluation of a village-based, out-of-cold-chain delivery strategy
Journal Article
Hepatitis B vaccination of newborn infants in rural China: evaluation of a village-based, out-of-cold-chain delivery strategy
2007
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Overview
To prevent perinatal transmission of hepatitis B virus (HBV), WHO recommends that the first dose of hepatitis B (HepB) vaccine be given within 24 hours after birth. This presents a challenge in remote areas with limited cold-chain infrastructure and where many children are born at home.
Rural townships in three counties in China's Hunan Province were randomized into three groups with different strategies for delivery of the first dose of HepB vaccine. In group 1, vaccine was stored within the cold chain and administered in township hospitals. In group 2, vaccine was stored out of the cold chain in villages and administered by village-based health workers to infants at home. Group 3 used the same strategy as group 2, but vaccine was packaged in a prefilled injection device. Training of immunization providers and public communication conveying the importance of the birth dose was performed for all groups.
Among children born at home, timely administration (within 24 hours after birth) of the first dose of HepB vaccine increased in all groups after the study: group 1, from 2.4% to 25.2%; group 2, from 2.6% to 51.8%; and group 3, from 0.6% to 66.7%; P < 0.001 in each case. No significant difference in antibody response to vaccine was observed between the groups.
Timely administration of the first dose of HepB vaccine was improved by communication and training activities, and by out-of-cold-chain storage of vaccine and administration at the village level, especially among children born at home.
Publisher
Organisation mondiale de la santé,World Health Organization,The World Health Organization
Subject
/ Biological and medical sciences
/ Births
/ Children
/ China
/ Cold
/ Groups
/ Heat
/ Hepatitis B - prevention & control
/ Hepatitis B Vaccines - immunology
/ Hepatitis B Vaccines - therapeutic use
/ Humans
/ Immunization Programs - statistics & numerical data
/ Infant
/ Infants
/ Serology
/ Storage
/ Towns
/ Training
/ Vaccines
/ Villages
/ Viral diseases of the respiratory system and ent viral diseases
/ Viruses
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