Immunization coverage and its associated factors among children residing in project affected population’s resettlement colonies in urban slum of Mumbai, Maharashtra, India

Naresh Gill; Ravikant Singh; Aniket Mondal; Balaram Jadhav

doi:10.18203/2394-6040.ijcmph20162042

Authors

Naresh Gill Department Community Medicine, D.Y. Patil Medical College, Kolhapur, Maharashtra, India
Ravikant Singh Doctors for You, Mumbai, Maharashtra, India
Aniket Mondal Doctors for You, MRVC Health Centre, Bldg no-22, Maharashtra, India
Balaram Jadhav Public Health Consultant, Doctors for You, Hiranandani, Lallubhai Compound, Mankhurd, Mumbai, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20162042

Keywords:

Primary immunization, PAP, Universal immunization program, WHO’s 30 cluster sampling

Abstract

Background: With the rapid urbanization and numerous infrastructure projects going on in cities, large number populations are affected by these development projects. Such Projects Affected People (PAP) is resettled in colonies where critical health services are often lacking. Immunization is one such preventive and promotive health services, which is often cited as one of the greatest public health achievement of 20^th century and has resulted in dramatic decrease in morbidity and mortality due to vaccine preventable diseases. However, effective protection against these vaccine preventable diseases requires 90-95% immunization coverage. This study was conducted to assess the immunization coverage in PAP resettlement area of urban slum in Mumbai and associated responsible factors.

Methods:Immunization coverage was assessed with the help of the WHO’s 30cluster sampling method with a sample size of 210 children in the 12-23 months age group.

Results: 90% children were completely immunized. The immunization coverage was highest for BCG (98.1%) and least for measles (90%). The most common reason for noncompliance was child’s illness at the time of scheduled vaccine dose.

Conclusions: The Universal Immunization Programme (UIP) goal of 85% immunization coverage can be achieved by community based awareness activities, supplemented by patient friendly immunization services at the health centre.

Metrics

Metrics Loading ...

References

CDC. Ten great public health achievement-United States, 1900–1999. Morbidity and Mortality Weekly Report. 1999;48:241-3,.

Ministry of Health, The National Childhood Immunisation Coverage Survey 2005, Ministry of Health, Wellington, New Zealand, 2007.

Ministry of Health and family welfare government of India, “Introduction, Child Health, Maternal Health,” in National Family Health Survey (NFHS-III). Volume I, International Institute for Population Sciences Publishers, 2005-2006

Mathew JL. Inequity in childhood immunization in India: a systematic review." Indian pediatrics. 2012;49(3):203-23.

The module for mid-level for managers: the EPI coverage survey WHO/IV B/08.07. 2008, http://www.who.int/ immunization/ documents/ mlm/ en/ index.html.

Sharma S. Immunization coverage in india, institute of economic growth, university enclave, New Delhi, India. http://www.iegindia.org/ workpap/ wp283.pdf.

Kadri AM, Singh A, Jain S, Mahajan RG, Trivedi A. Study on immunization coverage in urban slums of Ahemdabad City. Health and population: Perspectives and Issues. 2010;33(1):50-4.

Singh P, Yadav RJ. Immunization status of children of India. Indian Pediatrics. 2000;37:1194-9.

Yadav S, Mangal S, Padhiyar N, Mehta JP, Yadav BS. Evaluation of immunization coverage in urban slums of Jamnagar city. Indian Journal of Community Medicine. 2006;31(4).

Bhavsar S, Mahajan H, Kulkarni R. Assessment of the nutritional status and immunization coverage of Anganwadi children in Rafiq nagar Mumbai. Public Health Research. 2012;2(6):229-34.

Kar M, Reddaiah VP, Kant S. Primary immunization status of children in slum areas of South Delhi. Indian Journal of Community Medicine. 2001;26(3)161.

Nath B, Singh J, Awasthi S, Bhushan V, Kumar V, Singh S. A study on determinants of immunization coverage among 12–23 months old children in urban slums of Lucknow district, India. Indian Journal of Medical Sciences. 2007;61(11):598-606.

Vikram K. Linkage between maternal education and childhood immunization in India, Soc Sci Med. 2012;75(2):331-39.

Bobo JK, Gale JL, Thapa PB, Wassilak SGF. Risk factors for delayed immunization in a random sample of 1163 children from Oregon and Washington,” Pediatrics. 1993;91(2):308-14.

Brenner RA, Simons-Morton BG, Bhaskar B, Das A, Clemens JD. “Prevalence and predictors of immunization among inner-city infants: a birth cohort study,” Pediatrics. 2001;108(3):661-70.