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dc.contributor.authorAibana, Omowunmien_US
dc.contributor.authorFranke, Mollyen_US
dc.contributor.authorTeng, Jessicaen_US
dc.contributor.authorHilaire, Johanneen_US
dc.contributor.authorRaymond, Maxen_US
dc.contributor.authorIvers, Louise C.en_US
dc.date.accessioned2014-03-11T02:49:28Z
dc.date.issued2013en_US
dc.identifier.citationAibana, Omowunmi, Molly Franke, Jessica Teng, Johanne Hilaire, Max Raymond, and Louise C. Ivers. 2013. “Cholera Vaccination Campaign Contributes to Improved Knowledge Regarding Cholera and Improved Practice Relevant to Waterborne Disease in Rural Haiti.” PLoS Neglected Tropical Diseases 7 (11): e2576. doi:10.1371/journal.pntd.0002576. http://dx.doi.org/10.1371/journal.pntd.0002576.en
dc.identifier.issn1935-2727en
dc.identifier.urihttp://nrs.harvard.edu/urn-3:HUL.InstRepos:11879133
dc.description.abstractBackground: Haiti's cholera epidemic has been devastating partly due to underlying weak infrastructure and limited clean water and sanitation. A comprehensive approach to cholera control is crucial, yet some have argued that oral cholera vaccination (OCV) might result in reduced hygiene practice among recipients. We evaluated the impact of an OCV campaign on knowledge and health practice in rural Haiti. Methodology/Principal Findings We administered baseline surveys on knowledge and practice relevant to cholera and waterborne disease to every 10th household during a census in rural Haiti in February 2012 (N = 811). An OCV campaign occurred from May–June 2012 after which we administered identical surveys to 518 households randomly chosen from the same region in September 2012. We compared responses pre- and post-OCV campaign. Post-vaccination, there was improved knowledge with significant increase in percentage of respondents with ≥3 correct responses on cholera transmission mechanisms (odds ratio[OR] 1.91; 95% confidence interval[CI] 1.52–2.40), preventive methods (OR 1.83; 95% CI 1.46–2.30), and water treatment modalities (OR 2.75; 95% CI 2.16–3.50). Relative to pre-vaccination, participants were more likely post-OCV to report always treating water (OR 1.62; 95% CI 1.28–2.05). Respondents were also more likely to report hand washing with soap and water >4 times daily post-vaccine (OR 1.30; 95% CI 1.03–1.64). Knowledge of treating water as a cholera prevention measure was associated with practice of always treating water (OR 1.47; 95% CI 1.14–1.89). Post-vaccination, knowledge was associated with frequent hand washing (OR 2.47; 95% CI 1.35–4.51). Conclusion: An OCV campaign in rural Haiti was associated with significant improvement in cholera knowledge and practices related to waterborne disease. OCV can be part of comprehensive cholera control and reinforce, not detract from, other control efforts in Haiti.en
dc.language.isoen_USen
dc.publisherPublic Library of Scienceen
dc.relation.isversionofdoi:10.1371/journal.pntd.0002576en
dc.relation.hasversionhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC3837010/pdf/en
dash.licenseLAAen_US
dc.titleCholera Vaccination Campaign Contributes to Improved Knowledge Regarding Cholera and Improved Practice Relevant to Waterborne Disease in Rural Haitien
dc.typeJournal Articleen_US
dc.description.versionVersion of Recorden
dc.relation.journalPLoS Neglected Tropical Diseasesen
dash.depositing.authorFranke, Mollyen_US
dc.date.available2014-03-11T02:49:28Z
dc.identifier.doi10.1371/journal.pntd.0002576*
dash.contributor.affiliatedFranke, Molly


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