DOI: http://dx.doi.org/10.18203/2349-3933.ijam20163164

Immunization status of 12-23 months children in urban slums of Ahmedabad city, Gujarat, India: a cross sectional study

Chintu C. Chaudhari, Geet Gunjana, Vrunda S. Kelkar, Dwija A. Patel, Sana M. Saiyed, Nilesh Thakor

Abstract


Background: Immunization is one of the most cost effective methods of preventing childhood diseases and needs to be sustained with higher coverage for desired benefits. Objective of the study was to assess immunization coverage in children of 12-23 months of age group in urban slums of Ahmedabad city.

Methods: Using the purposive sampling method, a cross sectional community based study was conducted in urban slum area (Vadaj area) of Ahmedabad city during July-November 2014. All 114 children of 12-23 months age group of the area were included after taking verbal informed consent of their parents or guardians. Vaccination status of the children was verified using the Mamta card. In conditions where the Mamta card was not available, the mother/parents were asked about the site of vaccinations to confirm the vaccines being given. Analysis of study was done by using appropriate statistical software.

Results: Total 936 households were surveyed. There were 114 children in the 12-23 months age group. Mamta card or immunization record was available with 84 (73.6%) mothers of 12-23 months age group of children. Maximum coverage was seen for BCG (96.5%) followed by pentavalent first dose (90.3%). Measles 1st dose coverage was 81.5%.Overall, 80.7% of the children in the 12-23 months age group were fully immunized while only four children were unimmunized. Dropout rate percentage for pentavalent 1st dose to pentavalent 3rd dose was 4.4% while for pentavalent first dose to measles was 8.8%.

Conclusions: Full immunization coverage was 80.7% which was better than the national surveys still the causes for no/partial vaccinations need to be addressed.


Keywords


Coverage, Immunization, Immunization status, Vaccination, 12-23 months

Full Text:

PDF

References


Ministry of Health and Family Welfare, Government of India. Immunization Handbook for Medical Officers. New Delhi: Dept. Health and Family Welfare, Govt. of India, 2009.

Park K. Preventive medicine in obstetrics, pediatrics and geriatrics. In, Textbook of Preventive and Social Medicine, 23rd edition, Jabalpur, Bhanot Publishers; 2015:520-525.

Ministry of Health and Family Welfare, Government of India. Cold Chain: Management for Vaccine Handler. New Delhi: Dept. Health and Family Welfare, Govt. of India, 2003.

International Institute for Population Sciences (IIPS) and Macro International. 2008. National Family Health Survey (NFHS-3), India, 2005-06: Gujarat. Mumbai: IIPS.

International Institute for Population Sciences (IIPS), 2010. District level household and facility Survey (DLHS-3), 2007-08: India. Gujarat:Mumbai: IIPS.

Venkatesh RR, Umerkantha AG, Yuvaraj J. Safe motherhood status in the urban slums of Davangere city. Indian J Community Med. 2005;30:6-7.

Rao BT, Thakur JS. Vulnerability assessment in Slums of Union Territory, Chandigarh. Indian J Community Med. 2007;32:189.

UNICEF and Ministry of Health and Family Welfare, Government of India. 2009 Coverage Evaluation Survey: All India Report.

Gupta PK, Pore P, Patil U. Evaluation of immunization coverage in the rural area of Pune, Maharashtra, Using the 30 Cluster Sampling Techniques. J Family Med Prim Care. 2013;2(1):50-4.

Yadav S, Mangal S, Padhiyar N, Mehta JP, Yadav BS. Evaluation of immunization coverage in urban slums of Jamnagar city. Indian J Comm Med. 2006;31:300-1.

Punith K, Lalitha K, Suman G, Pradeep BS, Kumar JK. Evaluation of primary immunization coverage of infants under universal immunization programme in an urban area of Bangalore city using cluster sampling and Lot quality assurance sampling techniques. Indian J Comm 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 Comm Health. 2007;19:19-22.

Vohra R, Vohra A, Bhardwaj P, Srivastava JP, Gupta P. Reasons for failure of immunization: A cross-sectional study among 12-23-month-old children of Lucknow, India. Adv Biomed Res. 2013;2:71.