An evaluation of primary immunization coverage among 12-23 months children in an urban area of western Maharashtra: a community based cross sectional study
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20240618Keywords:
Cluster sampling, Immunization, Immunization coverage, Urban areasAbstract
Background: Infectious diseases are major cause of morbidity and mortality in children. One of the most cost effective and easy methods for the child survival is immunization. Objective was to determine the immunization coverage and find out the various factors and its reasons for partial or non-immunization of child.
Methods: A cross-sectional study was carried out for the assessment of immunization coverage in the field practice area of the urban health training center using WHO 30×7 clusters sampling method during March 2021 to October 2022. A total of seven children aged 12-23 months were interviewed from each cluster on pretested, predesigned schedule, thus giving us the sample size of 210. Chi square test was applied for statistical analysis.
Results: A total of 210 children aged 12-23 months were included in the study. It was found that 158 (75.24%) of the children were found to be fully immunized. While 49 (23.34%) and 3 (1.42%) nonimmunized respectively. Most common reason for partial and non-immunization of children was found to be obstacles and lack of motivation on the part of parents. There is only statistically significant association between education of mothers and immunization status of children.
Conclusions: Increasing the knowledge and understanding of the caretakers of the young children abouts the essentiality and benefits of routine immunization would be a strong step forward in achieving the goals.
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References
Kadri AM, Singh A, Jain S, Mahajan R, Trivedi A. Study on immunization coverage in urban slums of Ahmadabad city. HPPI. 2010;33(1):50-4.
Park K. Park’s textbook of Preventive and Social Medicine. 21st edn. Jabalpur: Banasura’s Bhanot Publishers; 2009.
Nath B, Singh JV, Awasthi S, Bhushan V, Kumar V, Singh SK. A study on determinants of immunization coverage among 12-23 months old children in urban slums of Lucknow district, India. Indian J Med Sci. 2007;61:589-609.
NRHM Gujarat (DSHS). Routine immunization 2009-10. NRHM report by Gujarat state. 2010;212.
Kishore J. J Kishore’s National Health Programs of India. 9th edn. New Delhi: Century Publications; 2011.
Luman E, Worku A, Berhane Y, Martin R, Cains L. Comparison of two survey methodologies to assess vaccination coverage. Int J Epidemiol. 36(3):633-41.
International institute for population sciences (IIPS). National Family Healthy Survey (NFHS 3), 2005-06: Maharashtra, Mumbai: IIPS; 2007.
Rafiq M, Bilquees S, Masoodi M. Coverage evaluation survey of immunization programme in hilly and plain areas of field practice area of government medical college, Srinagar. JK Pract. 2004;11(2):149-58.
Nath A. India’s progress toward achieving the Millennium Development Goals. Indian J Community Med. 2011;36:85-92.
National immunization programme module-‘Evaluate Vaccination Coverage’ Published by Ministry of Health and Family Welfare, Government of India, New Delhi; 1989.
Yaday S, Mangal S, Padhiyar N, Mehta JP, Yaday BS. Evaluation of immunization coverage in urban slums of Jamnagar city. Indian J Community Med. 2006;31(4):300-2.
Datta A, Mog C, Das S, Datta S. Across-sectional study to assess the immunization coverage among 12-23 months old children in a rural area of Tripura. Int J Med Sci Public Health. 2017;6(2):394.
International institute of Population sciences, National Family Health Survey (NFHS 4) 2015-16 fact Sheet for Maharashtra State NFHS. Available at: http://rchiips.org/nfhs/pdf/NFHS4/HR-FactSheet.pdf. Assessed on 5 July 2018.
National Family Health Survey-5 (NFHS) 2019-20, Ministry of Health and Family Welfare, Government of India state fact sheet Maharashtra, IIPS. Available at: http://www.rchiips.org/index.shtml. Accessed on 21 June 2023.
National Family Health Survey-5 (NFHS) 2019-20, Ministry of Health and Family Welfare, Government of India state fact sheet Maharashtra, IIPS: HYPERLINK. Available at: http://www.rchiips.org/index.shtml. Accessed on on 21 June 2023.
Jariwala PD. Study on identification of determinants of childhood immunization uptake in the urban slum population of Nadiad city of district Kheda, Gujarat. Int J Manage Soc Sci. 2015;03(06):114-37.
Gupta PK, Pore P, Patil U. Evaluation of immunization coverage in the rural area of Pune, Maharashtra, Using the 30 Cluster Sampling Technique. J Fam Med Prim Care. 2013;2(1):50-4.
Ahuja R, Rajpurohit AC, Ahuja R. Gender inequalities in immunization of children in a rural population of Barabanki, Uttar Pradesh. Ind J Community Health. 2014;26(4):370-3.
Baliga SS, Katti SM, Mallapur MD. Immunization coverage in urban areas of Belgaum city- a cross sectional study. Int J Med Sci Public Health. 2014;3:1262-5.
Kumar S, Prabhu S, Jose AP, Bhat S, D Souza O, Narayana V. Assessment of under-five immunization coverage among the population of slum areas in Mangalore taluk, India. Int J Community Med Public Health. 2017;4:781-6.
Bhonsla SK, Bhardwaj A, Mittal A, Singla G, Garg S, Rani S. Determinants of immunization coverage among 12-23 months children: a study from Haryana. Indian J Community Health. 2019;31(1):78-83.
Jutand M, Salamon R. Lot quality assurance sampling: methods and applications in public health. Rev Epidemiol Sante Purlieu. 2000;48:401-8.
Singhal G, Mathur HN, Dixit M, Khandelwal A. Factors affecting immunization among children of rural population of block Malpura, district Tonk, Rajasthan, India. Int J Community Med Public Health. 2016;3:641-6.
Parmar R, Prajapati N, Shringarpure K. Vaccination coverage of children in tribal Narmada district of Gujarat: a cross sectional study. Int J Community Med Public Health. 2020;7:609-14.
WHO. Expanded Programme on Immunization. Immunization policy; global programme for vaccines and immunization. WHO: Geneva; 1996.
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