Assessment of immunization status among under five children in a census town of South India

Authors

  • Bharatesh Devendra Basti Department of Community Medicine, 1Melmaruvathur Adhiparasakthi Institute of Medical Sciences and Research, Melmaruvathur, Tamilnadu, India
  • Ravi Marinayakanahalli Rajegowda Department of Community Medicine, P.E.S. Institute of Medical Sciences and Research, Kuppam, Andhrapradesh, India
  • Devi Varaprasad Department of Community Medicine, P.E.S. Institute of Medical Sciences and Research, Kuppam, Andhrapradesh, India
  • Janakiraman Pitchandi Department of Community Medicine, P.E.S. Institute of Medical Sciences and Research, Kuppam, Andhrapradesh, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20193438

Keywords:

Under five children, Immunization status, Urban area, Fully immunized

Abstract

Background: Deaths among children of less than five years are preventable, mostly by vaccination. In India, the coverage still remains low, as low as 44% children between 12 to 23 months age are fully immunized. This study was intended to assess the immunization status of the children between the age group of 12-60 months, and study the possible socio demographic factors influencing it.

Methods: This cross-sectional study was conducted in 16 wards of a census town, selected by Multi-stage simple random sampling, for a period of 4 months among 400 children. Data was collected from the mothers of these children, using structured questionnaire.

Results: Immunization status among these children showed that 32.5% were fully immunized, 52.0% were immunisation update, 14% were partially immunized, and 0.5% was not immunized. Immunization status was highest for BCG and OPV-0 (99%) and least for Measles 2nd dose and DPT booster (52%). Inadequate knowledge about immunization was the most common reason for partial and un-immunization. Multivariate Logistic regression analysis showed that, factors like religion (Hindus had 2.843 odds of being partially immunised than other religions), availability of Immunization card (Those without Immunisation card had 2.025 odds of being partially immunised than those with immunisation card) and place of immunization (Those immunised at private facilities had 1.441 odds of being partially immunised than those at government facilities), were found to be significantly associated with the immunization status of the child.

Conclusions: Government facilities remain the main pillars of immunisation. Coordination with Anganwadi centres is the key. Tracking of the child for subsequent doses of immunisation remains a challenge.

 

References

United Nations Millennium Development Goals. Available at: http://www.un.org/millenniumgoals/ childhealth.shtml. Accessed on 17 July 2019.

World Health Organization. 10 facts on immunization. Available at: http://www.who.int/ features/factfiles/immunization/en/ Accessed on 17 July 2019.

World Health Organization. Health topics: Immunization. Available at: http://www.who.int /topics/immunization/en/. Accessed on 17 July 2019.

World Immunization Week 2016: Close the immunization gap. Available at: http://www.who.int /campaigns/immunization-week/2016/en/ Accessed on 17 July 2019.

WHO Fact Sheet on Immunization coverage. Available at: http://www.who.int/mediacentre/ factsheets/fs378/en/ Accessed on 17 July 2019.

Odomani M, Sagar MV, Ambure O, Mane V. Assessment of primary immunization coverage in children between 12 to 23 months in Bhadravathitaluk, Shimoga district. Int J Med Sci Pub Health. 2014;3:560-3.

Kadarkar KS, Tiwari SR, Velhal GD. Lots quality coverage survey technique for assessment of immunization performance and quality in an urban slum of Mumbai. Int J Community Med Public Health. 2016;3:174-9.

Vashishtha VM, Dogra V, Choudhury P, Thacker N, Gupta SG, Gupta SK. Haemophilus influenza type b disease and vaccination in India: knowledge, attitude and practices of paediatricians. WHO South-East Asia J Public Health. 2013;2:101-5.

Baliga SS, Katti SM, Mallapur MD. Immunization coverage in urban areas of Belgaum city–A cross sectional study. Int J Med Sci Public Health. 2014;3:1262-5.

Universal Immunization Programme (UIP). Updatedon May 05, 2017. Available at: https://www.nhp.gov.in/universal-immunization-programme-uip_pg. Accessed on 17 July 2019.

National Family Health Survey-4 2015 -16. Ministry of Health and Family Welfare.State Fact Sheet Andhra Pradesh. Available at: http://www.indiaenvironmentportal.org.in/files/file/National%20Family%20Health%20Surve%202015- 16%20(NFHS-4)%20-%20state%20fact%20sheet. pdf. Accessed on 17 July 2019.

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

Malkar VR, Khadilakar H, Joge US, Choudhari SG. Assessment of sociodemographic factors affecting immunization status of children in age group of 12-23 months in a rural area. Indian Med Gazette. 2013;147(5):164-70.

Phadnis S , Khadka S, Pattanshetty S, Monteiro A. Assessment of immunization coverage among under-five year old children residing in slum settlements in an urban area in coastal Karnataka. GJMEDPH. 2015;4(5):1-7.

Mutua MK, Murage EK, Ettarh RR. Childhood vaccination in informal urban settlements in Nairobi, Kenya: Who gets vaccinated? BMC Public Health. 2011;11:6.

Jain T, Singh JV, Manjul B, Kumar GS, Harivansh C, Kumar BS, et al. A cross sectional study on the coverage of immunization in the slums of western Uttar Pradesh, India. J Clin Diag Res. 2010;4:3480-3.

Reddy BN. Assessment of immunization status among the children age group between 12-23 months by 15 Cluster Sampling Technique in Rural Area of Tamilnadu. Nat Jou Res Com Med. 2013;2(1):48-52.

Kumar S, Prabhu S, Jose AP, Bhat S, D Souza O, Narayana V. Assessment of under-five immunization coverage among the population of slum areas in Mangalore taluk, India. Int J Community Med Public Health. 2017;4:781-6.

Kurane AB, Swathi D. A study of immunization status of children in the age group 2-5 years. Int J Contem Pediatr. 2018;5:922-7.

Angadi MM, Jose AP, Udgiri R, Masali KA, Sorganvi V. A Study of Knowledge, Attitude and Practices on Immunization of Children in Urban Slums of Bijapur City, Karnataka, India. J Clin Diag Res. 2013;7(12):2803-6.

Sameera KK, Mohammedali MJ. Immunization status of the under fives in an urban area of Malappuram district. J Pre Med Hol Health. 2015;1(1):2-5.

Shashank KJ, Angadi MM. Impact of gender and mother education status on the immunization status of children in rural areas of Bijapur district, Karnataka, India. Int J Community Med Public Health. 2015;2:672-6.

Koppad R, Kumar AS, Chandrashekar SV, Dhananjay KS. A cross sectional study on primary immunization coverage of children between the age group of 12-36 months under the national immunization programme in rural field practice area of Shimoga institute of medical sciences, Shimoga, Karnataka, India. Int J Community Med Public Health. 2016;3:1310-4.

Singhal G, Mathur HN, Dixit M, Khandelwal A. Factors affecting immunization among children of rural population of block Malpura, district Tonk, Rajasthan, India. Int J Community Med Public Health. 2016; 3:641-6.

Bonu S, Rani M, Baker TD. The impact of national polio immunization campaign on levels and equity in immunization coverage: Evidence rural North Indian. Soc Sci Med. 2003;57:1807-19.

Odusanya OO, Alufohai EF, Meurice FP, Ahonkhai VI. Determinants of vaccination coverage in rural Nigeria. BMC Public Health. 2008;8:381.

Kulkarni SV, Chavan MK. A study to assess the immunization coverage in an urban slum of Mumbai by lot quality technique. Int J Med Health. 2013;3(1):21-5.

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Published

2019-07-26

How to Cite

Basti, B. D., Rajegowda, R. M., Varaprasad, D., & Pitchandi, J. (2019). Assessment of immunization status among under five children in a census town of South India. International Journal Of Community Medicine And Public Health, 6(8), 3266–3273. https://doi.org/10.18203/2394-6040.ijcmph20193438

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Original Research Articles