{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T08:50:34Z","timestamp":1789203034965,"version":"build-2803163510"},"reference-count":29,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,2,3]],"date-time":"2022-02-03T00:00:00Z","timestamp":1643846400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,2,3]],"date-time":"2022-02-03T00:00:00Z","timestamp":1643846400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Public Health"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Following the 2015 earthquake, a measles-rubella (MR) supplementary immunization activity (SIA), in four phases, was implemented in Nepal in 2015\u20132016. A post-campaign coverage survey (PCCS) was then conducted in 2017 to assess SIA performance and explore factors that were associated with vaccine uptake.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>A household survey using stratified multi-stage probability sampling was conducted to assess coverage for a MR dose in the 2015\u20132016 SIA in Nepal. Logistic regression was then used to identify factors related to vaccine uptake.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Eleven thousand two hundred fifty-three households, with 4870 eligible children provided information on vaccination during the 2015\u20132016 MR SIA. Overall coverage of measles-rubella vaccine was 84.7% (95% CI: 82.0\u201387.0), but varied between 77.5% (95% CI: 72.0, 82.2) in phase-3, of 21 districts vaccinated in Feb-Mar 2016, to 97.7% (CI: 95.4, 98.9) in phase-4, of the last seven mountainous districts vaccinated in Mar-Apr 2016. Coverage in rural areas was higher at 85.6% (CI: 81.9, 88.8) than in urban areas at 79.0% (CI: 75.5, 82.1). Of the 4223 children whose caregivers knew about the SIA, 96.5% received the MR dose and of the 647 children whose caregivers had not heard about the campaign, only 1.8% received the MR dose.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>The coverage in the 2015\u20132016 MR SIA in Nepal varied by geographical region with rural areas achieving higher coverage than urban areas. The single most important predictor of vaccination was the caregiver being informed in advance about the vaccination campaign. Enhanced efforts on social mobilization for vaccination have been used in Nepal since this survey, notably for the most recent 2020 MR campaign.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12889-021-12475-0","type":"journal-article","created":{"date-parts":[[2022,2,3]],"date-time":"2022-02-03T16:04:12Z","timestamp":1643904252000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Who gets vaccinated in a measles-rubella campaign in Nepal?: results from a post-campaign coverage survey"],"prefix":"10.1186","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7324-9198","authenticated-orcid":false,"given":"M. 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Study participants were made aware about confidentiality of their information and also voluntary and anonymity nature of the survey. Confidentiality and anonymity of the participants was maintained strictly. No persons <\u200916\u2009years were interviewed. Informed consent was sought following these steps:Step 1: Interviewer read out and explained the purpose of the study from NHRC approved consent form in Nepali.Step 2: Interviewer and interviewee discussed and the interviewer clarified issues, if any. To be doubly sure, the interviewer asked the interviewee to explain back the same to interviewer.Step 3: Once the interviewer is convinced that the interviewee understood the purpose of the survey and interviewee has agreed to be interviewed, the interviewee was requested to sign the consent form (if literate) or thumb impression (if illiterate).Step 4: The interviewer also signed the form to attest that the consent form was administered with due process.Step 5: Interview started. If consent not given, interview stopped.These steps were included in the protocol approved by the ethical committee at NCHR.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"221"}}