Immunization coverage in the district Sirmaur, Himachal Pradesh, India: evaluation using the 30 x 7 cluster sampling technique

Authors

  • Anupam Parashar Department of Community Medicine, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India
  • Anmol Gupta Department of Community Medicine, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India
  • Narender Mahajan Department of Community Medicine, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India
  • Vijay Barwal Department of Community Medicine, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India
  • Devender Verma Department of Community Medicine, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India
  • Amit Sachdeva Department of Community Medicine, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India
  • Shishupal Thakur Department of Community Medicine, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20163921

Keywords:

30X 7 cluster sampling technique, Coverage evaluation, Full immunization

Abstract

Background: Immunization plays an important role in reducing morbidity and mortality in children. Despite all the efforts put in by government for 100% immunization coverage, it was only 53.1% in District Sirmaur among children aged 12-23 months as per District level Health Survey -4. The objectives were to assess the primary immunization coverage among children in District Sirmaur of Himachal Pradesh as compared to NFHS-3 and DLHS-4.

Methods: A cross-sectional study was conducted in District Sirmaur using the World Health Organization's 30 X 7 cluster sampling method for evaluation of immunization coverage during the period October 2015- January 2016.

Results: A total of 210 children aged 12-23 months were covered for the evaluation, of which 95.20% of the children were fully immunized. However, immunization card was available with 77.14% of them. Zero dose of OPV was given to only 47.62% children and BCG scar was present in 82.38% of the study participants. The most common cause for partial immunization was being ‘unaware of need for immunization.

Conclusions: Majority of the children ages 12-23 months were fully immunized. The key to further improvement is to monitor drop out at any stage of vaccination before completion of full course of immunization.

Metrics

Metrics Loading ...

References

District Statistical office, Nahan, Distt. Sirmaur (H.P.) [Internet]. [Cited 2016 April 09]. Available at: http://hpsirmaur.nic.in/fact1.htm#Geographical Area.

World Health Organization: Report on immunization, Geneva, Switzerland, 2016. [Cited 2016 April 11]. Available at: http://www.who.int/ mediacentre/factsheets/fs378/en/.

Unicef India: Immunization status in India, 2016. [Cited 2016 April 11] Available at: http:// unicef.in/ Whatwedo/ 3/ Immunization# sthash. iwOzktO1.dpuf.

National Family Health Survey-3 (NFHS-III) 2005-06 (2007). Ministry of Health and Family Welfare, Government of India, International Institute for Population Sciences, Mumbai. [Cited 2015 October 24] Available at: http://rchiips.org/ nfhs/ pdf/ India.pdf.

National Family Health Survey-3 (NFHS-III) 2005-06 (2007). Ministry of Health and Family Welfare, Government of India, International Institute for Population Sciences, Mumbai. State Report of Himachal Pradesh. [Internet]. [Cited 2015 October 24]. Available at: http://rchiips.org/ nfhs/ pdf/ Himachal%20Pradesh.pdf.

District Level Household and Facility Survey (DLHS-4) 2012-13, (2013). Ministry of Health And Family Welfare, Government of India, International Institute for Population Sciences, Mumbai. State Report of Himachal Pradesh. [Internet]. [Cited 2015 October 26] Available at: http://rchiips.org/ pdf/ dlhs4/report/HP.pdf.

World Health Organization: The Immunization coverage cluster survey - Reference manual (2008): WHO/IVB/04.23, pages53-62. [Internet]. [Cited 2015 October 02] Available at: http://apps.who.int/iris/bitstream/10665/70184/7/WHO_IVB_08.07_eng.pdf.

Rapid survey on children 2013-14. Ministry of women and child development, Government of India. [Internet].[Cited 2016 April 25] Available at: http://wcd.nic.in/issnip/StateFact%20sheet_RSOC%20_02-07-2015.pdf.

Chandran SA, Srikrishna S, Ramchandra P, Satya Sekhar. National Family Health Survey -3 reported low full-immunization coverage rate in Andhra Pradesh, India: who is to be blamed. J Public Health. 2011;33(4):489-95.

Dhanawade SS, Kumbhar SG, Gore AD, Patil VN. Scar formation and tuberculin conversion following BCG vaccination in infants: A prospective cohort study. J Family Med Prim Care. 2015;4:384-7.

Rani SH, Vijayalaksmi V, Sunil K, Lakshmi KA, Suman LG, Murthy KJ. Cell Medicated Immunity in Children with Scar-Failure following BCG Vaccination. Indian pediatrics. 1998;35(3):123-7.

Downloads

Published

2016-12-22

How to Cite

Parashar, A., Gupta, A., Mahajan, N., Barwal, V., Verma, D., Sachdeva, A., & Thakur, S. (2016). Immunization coverage in the district Sirmaur, Himachal Pradesh, India: evaluation using the 30 x 7 cluster sampling technique. International Journal Of Community Medicine And Public Health, 3(11), 3117–3122. https://doi.org/10.18203/2394-6040.ijcmph20163921

Issue

Section

Original Research Articles