Delivery point immunization in tertiary care hospital in Eastern India and challenges
Keywords:Vaccine, Hep B, Birth dose, Delivery point immunization
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.
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