A cross sectional study to assess the awareness and satisfaction level among the beneficiaries regarding Mission Indradhanush in selected districts of Indore division

Anand Kumar Patidar, Aaditya Kumar Khatri, Bhagwan Waskel, Sanjay Dixit


Background: Only 62% (NFHS-4) of the infants in India are fully immunized which is much less than the desired goal of achieving 85% coverage. To accelerate the process of immunization by covering 5% and more children every year, the Mission Mode has been adopted to achieve target of full coverage by 2020. Mission Indradhanush will target all children under the age of two years and pregnant women with all available vaccines.

Methods: It is a cross sectional study done in 3 randomly selected districts of Indore division. The beneficiaries selected were children <2 years and pregnant women. The selection of beneficiaries was done by exit interview technique. Data collection was done by using pre-designed, semi-structured questionnaire which assess the awareness and satisfaction level of the beneficiaries.

Results: About 88% were aware about the immunization. Overall 78% beneficiaries agreed that vaccination is compulsory, 62% agreed that vaccination schedule should be followed, 30% beneficiaries considered that vaccination was harmful. Most of the beneficiaries were satisfied with behaviour of the health provider, with all key messages given by health provider.

Conclusions: Most common reasons found for drop out or left out were, fear of side effects due to vaccination followed by lack of awareness regarding session sites. Satisfaction level was found relatively low regarding difficulty in finding the place where vaccination was done and distance of session sites.


Awareness, Satisfaction, Mission Indradhanush

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Vashistha VM, Kumar P. 50 years of immunization in India: Progress and Future. Indian Pediatr. 2013;50:11-18.

National Family Health Survey-II (1998-99), Jammu and Kashmir. International Institute for Population Sciences, Mumbai. Maryland, USA: 2002: 129.

Mission Indradhanush-vikaspedia health/NRHM/National health programmme. Accessed 15 August 2019.

Keshavamurthy HR. Director in Press Information Bureau, Kolkata. Mission Indradhanush to put vaccination efforts on high speed; 2015.

UNICEF. Global immunization data; World Health Organization (WHO): 2011.

Session site communication monitoring tool for routine immunization and Mission Indradhanush (Prepared by MoHFW), 2016. Available at Accessed 16 July 2019.

Mereena, Sujatha R. A study on knowledge and attitude regarding vaccines among mothers of under five children attending pediatric OPD in a selected hospital at Mangalore. J Nurs Health Sci. 2014;3(5):39-46.

Kapoor R, Vyas S. Awareness and knowledge of mothers of under-five children regarding immunization in Ahmedabad. Healthline. 2010;1(1):12-15.

Ravishankar K, Kumar VM. Knowledge, attitude and practices of rural mothers with children under five years of age about vaccination: a non-experimental study. 2015;3;88-93.

Joseph J, Devarashetty V, Reddy SN, Sushma M. Parent’s knowledge, attitude, and practice on childhood immunization. Int J Basic Clin Pharmacol. 2015;4(6):1201-7.

Nisar N, Muddasir M. Knowledge, attitude and practices of mothers regarding immunization of one year old child at Mawatch goth, Kemari town, Karachi. Pakistan J Med Sci. 2010;26:183-6.

Patel TA, Pandit NB. Why infants miss vaccination during routine immunization sessions? Study in a rural area of Anand district Gujrat. Indian J Public Health. 2011;55(4):321-3.

Agrawal A, Hanspal R. To study the knowledge regarding immunization schedule among parents and the source of information regarding vaccination. Int J Paedtr Res. 2016;3:871-6.

Khargekar NC, Khargekar VC. Immunization status of children under 5 years in a tribal area, Parol, Thane District. ScopeMed. 2015;6(4):522-7.

Singh MC, Badole CM, Singh MP. Immunization coverage and the knowledge and practice of mothers regarding immunization in rural area. Indian J Public Health. 1994;38(3):103-7.

Sharma S, Kohli C, Sharma N, Mehra D. Incomplete immunization coverage in Delhi: reasons and solutions. Primary Health Care. 2016; 6:240.

El Gammal HA. Maternal satisfaction about childhood immunization in primary health care center, Egypt. Pan Afr Med J. 2014;18:157.