Evaluation Of National Immunization Day (NID) Activities Under Intensified Pulse Polio Immunization Program (IPPI) Feb 2012 in Central Gujarat, India

Authors

  • Manish Rana GMERS Medical College, Sola, Ahmedabad
  • Sanju Gajjar GMERS Medical College, Sola, Ahmedabad
  • Rashmi Sharma GMERS Medical College, Sola, Ahmedabad
  • Anish Sinha NPSP Unit, Gandhinagar
  • Brinda Chudasama GMERS Medical College, Sola, Ahmedabad
  • Pradeep Kumar GMERS Medical College, Sola, Ahmedabad

Keywords:

Polio vaccination, National Immunization Day (NID), Intensified pulse polio immunization program (IPPI)

Abstract

Background: It has been more than 1 year since the last case of wild polio virus occurred in the country and we are at the final phase of polio eradication. It needs to enhance/ sustain all activities of polio eradication. This study was carried out to critically evaluate the various activities undertaken and make the suggestions for improvement during the National Immunization Day (NID) of February 2012 under Intensified Pulse Polio Immunization Program (IPPI) in urban/ rural areas of Ahmedabad, Kheda and Gandhinagar districts of Central Gujarat.

Methodology: External evaluators after a training cum orientation program undertook the evaluation of NID (Feb 2012) in 3 districts of Central Gujarat in identified 20 booths through assessing booth based vaccination and undertaking surveys of house to house activities and at migratory/ transit/ street sites.

Results: (a) Booth based activities: Most booths were accessible and had supply of logistics (IEC materials, stationeries, vaccines, cold chain equipments, marker pens). Understaffing and last minute replacement with untrained staff and non participation of community or nongovernmental organizations (NGOs) were some of the issues. (b) House to house visits: External monitors could detect 7 missed sites with 63 unvaccinated children while the in house health supervisors could not detect any site. False P detection rates were also high for external monitors (5.3%) than in house supervisors (1.3%). (c) Migratory sites: Visit to 118 migratory sites yielded even more children as not vaccinated (16.8%). 21 transit sites showed the inadequacies of program where almost one third of children could not be checked for the vaccination. (d) Street surveys: Street surveys done after completion of NID (Based on finger markings alone) found 12.7% children as not vaccinated.

Conclusions: Present communication aims to explore the problematic issues in achieving vaccination coverage, capacity building of team members and operational/ logistic aspects and provide intensive qualitative inputs.

References

Soudarssanana MB. Pulse Polio Immunization-evolution of the poliomyelitis programme in India using the oral polio vaccine. Indian J Comm Med 1997; 22: 178-83.

Global polio eradication initiative [Internet]. Geneva (Switzerland): Global polio eradication initiative. c2010. Polio this week - As of 02 May 2012; [cited 2012 May 9]; [3 screens]. Available from http://www.polioeradi-cation.org/Dataandmonitoring/Poliothisweek.aspx

NPSP: National polio surveillance Project [Internet]. New Delhi, (India): National polio surveillance Project. [date unknown]. AFP Alert. 2012 June; [cited 2012 June 12]; [4 p] Available from http://www.npspindia.org/AFPAlert.pdf

NPSP: National polio surveillance Project [Internet]. New Delhi, (India): National polio surveillance Project. [date unknown]. Operational Guidelines for Pulse Polio Immunization in India 2006 Feb 22; [cited 2012 June 28]; [101 p] Available from http://www.npspindia.org/ download/IPPI%20Guide%202006.pdf

Aggarwal K, Kannan AT, Neelam S, Kumar P. Study of operational aspect of pulse polio booths during Intensified Pulse Polio Immunization Campaign in assembly segments of East Delhi. J Comm Dis 2002; 34: 215-220

Chudasama RK: Comparative evaluation of intensive pulse polio immunization in district Valsad in the year 2007 and 2008. Indian J Med Sci 2008, 62(8):339-41.

NPSP: Data of NID Feb 2012 round provided by NPSP Gandhinagar unit.

Shah et al. Improving polio vaccination during supplementary campaigns at areas of mass transit in India BMC Public Health 2010, 10:243 Available from http://www.biomedcentral.com/1471-2458/10/243

The Registrar General & Census Commissioner, India [Internet]. New Delhi, (India): Ministry of Home Affairs, Government of India. C2010-11. Census 2011, Gujarat, Population, Decadal Growth Rate, Percentage Share of Total Population and Sex Ratio by Residence [cited 2012 June 28]; [ 17p] Available from http://www.censusindia.gov.in/2011-prov-results/paper2/data_files/Gujrat/7-child29-45.pdf

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Published

2012-12-31

How to Cite

1.
Rana M, Gajjar S, Sharma R, Sinha A, Chudasama B, Kumar P. Evaluation Of National Immunization Day (NID) Activities Under Intensified Pulse Polio Immunization Program (IPPI) Feb 2012 in Central Gujarat, India. Natl J Community Med [Internet]. 2012 Dec. 31 [cited 2024 Mar. 28];3(04):720-4. Available from: https://njcmindia.com/index.php/file/article/view/1803

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