Beneficiary-related issues: An assessment of several factors (like selleckbio socio-economic status, knowledge, attitude and practice variables, traditional beliefs, vitamin A supplementation, distance from health care facility. etc.) associated with help seeking behavior of mothers of cases and mothers of age and sex matched controls was carried out using in-depth interviews. The pre-tested pre-designed standardized questionnaires in local language for women were administered by trained field workers. Data entry and statistical analysis The odds ratio among women of children exposed and unexposed to selected characteristics was estimated. Data collected was analyzed using univariate analysis after making a variable directory.

Univariate analysis was then performed by converting all continuous variables and categorical variables into dichotomous variables by selecting appropriate coding of 1 for presence of risk factors and 0 for absence of risk factors. Crude odds ratio (OR) and 95% confidence intervals (CI) were calculated. Multiple logistic regression analysis was done to determine the factors associated with measles. Multivariate analysis was performed to identify risk factors. Adjusted odds ratio (AOR) and 95% confidence intervals (CI) were calculated by logistic regression analysis using Epi info Version 3.3.2. RESULTS Topographically and demographically, both blocks are more or less similarly placed, e.g., in both blocks, 25-30% of total poulation are Scheduled Castes (SC), 4-5% are Scheduled Tribes (ST) and 30% are of Other Backward Classes (OBC) categories, while rest of the population is constituted by general category.

In case block, there are 36 sub-centers, five primary health centers, one community health centre with 90% of the man power in position; while in control block, there are 38 sub-centres, five primary health centres and two community health centres with 95% of human resource in position. The median age of the case and control children was 9 years (range 5�C17 years). Thirty-five (51%) cases and controls were ��9 years. The proportion of the males in study areas were high (43, 62.3%) as compared to females (26, 37.7%). Forty-five cases (65.2%) had the nuclear families. Program-related issues The reported measles vaccine coverage by health system authorities for 2006 in Shahpur block was 95% and Nagrota Bagwan block was 94%. Vaccine efficacy was calculated for two affected sub centres, viz., Sailli and Sarah. In Sailli, the total number of cases were 51 with overall attack rate (AR) of 6%; (sex specific AR-male 12%, female 7%); and in Dacomitinib Sarah there were 18 cases with overall AR of 4.