Exploring distraction techniques and parental satisfaction during infant immunization: a pilot study in aspirational district Darrang and non-aspirational districts Karimganj of Assam
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20242166Keywords:
Child health, Immunization, Parent satisfaction, Vaccination, Vaccine hesitationAbstract
Background: In India, the percentage of children aged 12-23 months who have had full immunization coverage (FIC) has increased dramatically from 62% to 76%. UNICEF, 2022. As stated in the WHO report for 2022. Global coverage decreased to 81% in 2021 from 86% in 2019.
Methods: The study’s methodology involved studying how the 4 S’s technique, oral sucrose, and each of them affect parents’ satisfaction and infants’ perception of pain after vaccination in Darrang aspirational and Karimganj non-aspirational districts. Eighty infants were involved in the pilot project, split into four groups of ten infants each.
Results: In the study at Civil Hospital Mangaldoi, group C reported the highest parental satisfaction (mean=3.2) with no dissatisfaction and the lowest mean pain intensity (1.3, SD=0.48). Group A had 100% satisfaction (mean=3.1, SD=0.31), group B had 90% satisfaction (mean=3.0, SD=0.47), and the control group had the lowest satisfaction (30%, mean=2.3, SD=0.67) with 70% dissatisfaction. Group C’s outcomes demonstrate both the highest satisfaction and the least intense, most consistent pain perception among participants.
Conclusions: This study’s conclusion emphasizes how critical it is to overcome vaccine reluctance and enhance immunization experiences by employing efficient pain control strategies. The findings support the implementation of interventions such as sucrose administration and other pharmacological and non-pharmacological approaches to reduce pain associated with vaccinations, particularly in paediatric populations.
Metrics
References
WHO. Immunization coverage. Factsheet. 2022. Available at: https://www.who.int/news-room/fact-sheets/detail/immunization-coverage Accessed on 14 January 2024.
World Immunization Week 2022 calls for fresh impetus to accelerate lifesaving routine immunization for children. (2022, April 22) UNICEF Available at: https://www.unicef.org/india/press-releases/world-immunization-week-2022-calls-fresh-impetus-accelerate-lifesaving-routine, Accessed on 10 January 2024.
Lahariya C. A brief history of vaccines and vaccination in India. Indian J Med Res. 2014;139(4):491-511.
Summan A, Nandi A, Schueller E, Laxminarayan R. Public health facility quality and child immunization outcomes in rural India: a decomposition analysis. Vaccine. 2022;40(16):2388-98.
National Family Health Survey 2019-20 (NFHS-5), International Institute for Population Sciences. Available at: https://main.mohfw.gov.in/ sites/default/files/NFHS-5_Phase-II_0.pdf, Accessed on 16 January 2024.
Park A. This is a baby’s brain on pain. The Times. 2015. Available at: https://time.com/3827167/this-is-a-babys-brain-on-pain/. Accessed on 02 February 2024.
Sahebihag MH, Hosseinzadeh M, Mohammadpourasl A, Kosha A. The effect of breastfeeding, oral sucrose and combination of oral sucrose and breastfeeding in infant’s pain relief during vaccination. Iran J Nurs Midwife Res. 2011;16(1):1.
Taddio A, Appleton M, Bortolussi R, Chambers C, Dubey V, Halperin S, et al. Reducing the pain of childhood vaccination: an evidence-based clinical practice guideline. Cmaj. 2010;182(18):E843-55.
Chattopadhyay D, Kundu P, Gunri S, Bisoi S. Effect of oral sucrose on pain during DPT immunization in older infants. Indian J Public Health. 2011;55(2):136-8.
Holsti L, Grunau RE. Considerations for using sucrose to reduce procedural pain in preterm infants. Pediatrics. 2010;125(5):1042-7.
Report of the SAGE working group on vaccine hesitancy. 2014. Available at: https://www.asset-scienceinsociety.eu/sites/default/files/sage_working_group_revised_report_vaccine_hesitancy.pdf. Accessed on 14 January 2024.