Published: 2019-06-28

Coverage evaluation of vaccines using 30×7 cluster survey in rural area of Dhule, Maharashtra

Kapil Agrawal, Shashikant N. Nagaonkar, Shweta K. Agrawal


Background: Infectious diseases are a major cause of morbidity and mortality in children. One of the most cost-effective and easy methods for child survival is immunization. The objective of study was to assess the immunization coverage in the rural area of Dhule.

Methods: A community based cross-sectional study was conducted by using WHO 30x7 cluster sampling technique in Primary Health Centre, Kheda catchment villages among children aged 12-23 months on the day of survey. The total sample size was found out to be 210. Identification of clusters was done as per WHO manual on 30×7 cluster survey. Interviews were conducted as per a structured interview format in households with eligible children. Data feeding was done in MS Excel sheet.

Results: Full immunization coverage (FIC) was found out to be 58.6%. Drop-out rate was calculated to be 22.95%. The main reason for not completing the immunization was unaware to return for subsequent vaccine doses.

Conclusions: Coverage evaluation of vaccines was found out to be 58.6%. Drop-out rate is high.


Immunization, Cluster sample, Coverage evaluation, Drop-outs

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Gupta PK, Pore P, Patil U. Evaluation of immunization coverage in the rural area of Pune, Maharashtra, using the 30 cluster sampling technique. J Fam Med Family Care. 2013;2:50-4.

Jatti GM, Bandichhode ST, Nandimath VA, Jadhav SB. An evaluation of primary immunization coverage among 12-23 months old children in an urban area of Western Maharashtra: A community based study. Indian J Child Health. 2017;4(1):85-7.

Goyal S, Kumar V, Garg R. Evaluation of primary immunization coverage among children in a rural block of district Rohtak, Haryana, India. Int J Community Med Public Health. 2017;4:1612-9.

Ministry of Family Health and Welfare, International Institute of Population sciences, Mumbai. District Level Household and Facility Survey-4 State Fact Sheet Maharashtra 2012-13. Available at MH.pdf. Accessed on 3 May 2019.

Pandey LN, Paliwal A, Sharma BN, Choudhary RC, Bhardwaj SL. Evaluation of immunization coverage in the rural area of Jaipur, Rajasthan, using the WHO thirty cluster sampling technique. Int J Med Sci Educ. 2016;3(1):16-24.

World Health Organization, Geneva. Vaccination coverage cluster surveys. Reference manual. Available at monitoring_surveillance/Vaccination_coverage_cluster_survey_with_annexes.pdf.

Malkar VR, Khadilakar H, Lakde RN, 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 Medical Gazette. 2013: 164-169.