Delivery point immunization in tertiary care hospital in Eastern India and challenges
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20191467Keywords:
Vaccine, Hep B, Birth dose, Delivery point immunizationAbstract
Background: Hepatitis B is a major public health problem. The efficiency of the vaccine decreases as the time period between the birth and first dose increases. “WHO recommends that all infants should receive their first dose of Hep B vaccine as soon as possible after birth, preferably within 24 hrs. In India the birth dose/ 0 dose coverage was 45% on 2015. Prior to initiation of “Delivery Point Immunization” the birth dose Hep B was 35%. During the course of this programme the challenges and problems faced has been addressed in this study.
Methods: It is a prospective observational study for a period of 15 months conducted by postpartum programme department in O&G department. It includes all the babies delivered in the department.
Results: After the integration of delivery point immunization with JSY (Janani Surakhya Yojana) programme, the 0 dose hep B coverage was 72%.The coverage of BCG and 0dose OPV remained 89.48%.The most modifiable cause due to which babies were not received 0 dose Hep B vaccine was due to ignorance 36.19% and babies not received due to SNCU (Sick Newborn Care Unit) admission was 36.06%.
Conclusions: Initiation of delivery point immunization has definitely increased the 0 dose hep B vaccine coverage. Integration with other maternal and child health programme had further increased the coverage. Though significant percentage of people know about the at birth immunization but are ignorant about the timing of 0 dose hep B vaccine.
References
WHO Hepatitis –B Vaccine. WHO Position Paper, Weekly Epidemiological Record, 2009,84(40):405-20.
Hepatitis–B virus infection: epidemiology & vaccination. Epidemiologic Rev. 2006,28(1):112-25.
Preventing mother-to- child transmission of Hepatitis–B: Operational field guidelines for delivery of the birth dose of hepatitis –B vaccine. Manila, World Health Organization, WHO Regional Office for the Western Pacific, 2006.
Resolution WHA 63.18: Viral Hepatitis. In sixty third World health Assembly, Geneva, 2010. Geneva, World Health Organization,1986.
WHO press releases, achieving measles and Hepatitis –B targets requires redoubling of efforts. In sixtieth session of the Regional Committee for the Western Pacific, China, Hong Kong SAR, World Health Organization, 2009.
Practices to improve coverage of Hepatitis B birth dose vaccine. WHO/IVB/12.11 – 2012.
WHO Immunization Practices Advisory Committee meeting 12-13, April 2011: Report and Recommendations. Geneva, World Health Organization, 2011: 1-17.
Verma R, Khanna P, Prinja S, Rajput M, Chawla S, Bairwa M. Hep –B vaccine in national immunization schedule: A preventive step in India. J Human Vaccines. 2011;7(12):1387-8.
WHO-2015– Preventing Perinatal Hepatitis –B virus Transmission. A guide for introducing and strengthening Hep-B birthdose vaccination. www.who.int/immunization/documents
Hepatitis B birth dose vaccination in India. WHO-Country office for India. World Hepatitis Day 2016. Available at: www.searo.who.int/mediacentre/ events. Accessed on 3 February 2019.
Childs L, Roesel S, Tohme RA. Status and Progress of hepatitis B control through vaccination in the South-East-Asia REGION, 1992-2015. Vaccine. 2018;36(1):6-14.
WHO/ Global health sector strategy on Viral Hepatitis 2016-20. Available at: https://apps.who .int/bitstream/handle Accessed on 3 February 2019.
Global compliance with Hep- B vaccine birth dose and factors related to timely schedule. Review. 2017. Available at: www.who.int/sage/meetings/ 2017/october/presentations. Accessed on 3 February 2019.
