DOI: https://dx.doi.org/10.18203/2394-6040.ijcmph20220373
Published: 2022-02-28

Immunization coverage in children of 24-35 months of age group in rural field practice areas of medical college, Visnagar, Gujarat, India: a cross sectional study

Maulik D. Joshi, Dhruv P. Nimbalkar, Nilesh Thakor

Abstract


Background: Immunization plays a crucial role in reducing childhood morbidity and mortality, and higher coverage rates are needed to maintain the expected benefits. Objective was to assess immunization coverage in children of 12-23 months of age group in rural field practice areas of Medical College, Visnagar, Gujarat, India.

Methods: Using the purposive sampling method, a cross sectional community based study was conducted in rural field practice areas of Nootan Medical College and Research Center, Visnagar during June 2021 to December 2021. All 214 children of 24-35 months age group of the areas were included after taking verbal informed consent of their parents or guardians. Vaccination status of the children was verified using the immunization card. Analysis of study was done by using appropriate statistical software.

Results: Total 1934 households were surveyed. There were 214 children in the 24-35 months age group. Mamta card or immunization record was available with 145 (67.8%) mothers of 24-35 months age group of children. Maximum coverage was seen for bacille Calmette-Guerin (BCG) (96.7%) followed by pentavalent/RVV/OPV first dose (95.8%). Measles-Rubella (MR) 2nd dose coverage was 84.6%. Overall, 75.7% of the children in the 24-35 months age group were completely immunized while only 6 children were unimmunized. Dropout rate proportion for pentavalent 1st dose to pentavalent 3rd dose was 3.44% while for BCG first dose to MR second dose was 12.51%.

Conclusions: Complete immunization coverage in children of 24-35 months of age group in rural field practice areas of Medical College, Visnagar was 75.7%.


Keywords


Immunization, Vaccination, Coverage, Immunization status, 24-35 months

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References


Sheth JK, Trivedi KN, Mehta JB, Oza UN. Assessment Of Vaccine Coverage By 30 Cluster Sampling Technique In Rural Gandhinagarh, Gujarat. Nat J Comm Med. 2012;3(2):496-501.

Bhatt GS, Mehariya VM, Dave RK, Mahavadiya M, Rana M, Sharma R, Kumar P. Immunization coverage in rural and urban field practice areas of a medical college of Gujarat. Nat J Comm Med. 2015;6(3):398-404.

Chaudhari CC, Gunjana G, Modi KK, Patel MP, Thakker NR, Thakor N. Immunization status of 24-35 months old children in urban slums of Ahmedabad, Gujarat, India: a cross sectional study. Int J Contemp Pediatr. 2017;4(2):548.

International Institute for Population Sciences (IIPS) and Macro International. 2019-20. National Family Health Survey (NFHS-5), India, 2019-20: Gujarat Fact sheet, Mumbai: IIPS. Available at: http://rchiips.org/nfhs/NFHS-5_FCTS/Gujarat.pdf. Accessed on 09 December 2021.

International Institute for Population Sciences (IIPS) and Macro International. 2019-20. National Family Health Survey (NFHS-5), India, 2019-20: India Fact sheet, Mumbai: IIPS. Available at: http://rchiips.org/nfhs/NFHS-5_FCTS/India.pdf. Accessed on 09 December 2021.

Govani KJ, Sheth JK, Bala DV. Immunization status of 12-23 months children in rural Ahmedabad. Healthline J. 2013;4(1):38-42.

Gupta PK, Pore P, Patil U. Evaluation of Immunization Coverage in the Rural Area of Pune, Maharashtra, Using the 30 Cluster Sampling Technique. J Family Med Prim Care. 2013;2(1):50-4.

Yadav S, Mangal S, Padhiyar N, Mehta JP, Yadav BS. Eval-uation of immunization coverage in urban slums of Jam-nagar city. Indian J Community Med. 2006;31:300–1.

Punith K, Lalitha K, Suman G, Pradeep BS, Jayanth Kumar K. Evaluation of Primary immunization coverage of in-fants under universal immunization programme in an ur-ban area of Bangalore city using cluster sampling and Lot quality assurance sampling techniques. Indian J Community Med. 2008;33:151–5.

Chopra H, Singh AK, Singh JV, Bhatnagar M, Garg SK, Bajpai SK. Status of routine immunization in an urban area of Meerut. Indian J Community Health. 2007; 19:19–22. Available at http://www.iapsmu puk.org/journal/in-dex.php/IJCH/article/view/273/ 131. Accessed on: 16 June 2021.

Rajaat Vohra, Anusha Vohra, Pankaj Bhardwaj, Jyoti Pra-kash Srivastava, and Pratibha Gupta. Reasons for failure of immunization: A cross-sectional study among 12-23-month-old children of Lucknow, India. Adv Biomed Res. 2013;2:71

Khargekar NC, Khargekar VC, Shingade PP. Immunization status of children under 5 years in a tribal area, parol, thane district. Nat J Comm Med. 2015;6(4):522-7.

Nath B, Singh JV, Awasthi S, Bhushan V, Kumar V, Singh SK. A study on determinants of immunization coverage among 12-23 months old children in urban slums of Lucknow district, India. Indian J Med Sci. 2007;61:598-606.

Kar M, Reddaiah VP, Kant S. Primary immunization status of children in slum areas of south Delhi - The chal-lenge of reaching the urban poor. Indian J Comm Med. 2001;26:151-4.

Kadri AM, Singh A, Jain S, Mahajan RG, Trivedi A. Study on immunization coverage in urban slums of Ahmada-bad city. Health Population: Perspectives and Issues. 2010;33:50-4.