Immunization Coverage among Children Aged 12-23 Months in Surajgarha Block, Lakhisarai District, Bihar: A Cluster Sampling Survey
Keywords:
Immunization Coverage, WHO Cluster sampling, Gap in Immunization CoverageAbstract
Introduction: The DLHS survey has identified that the immunization coverage is less than 50% in Bihar state. This study was carried out to determine immunization coverage rate and to assess factors determining immunization coverage, including factors both affecting provision and utilization of governmental immunization service among children aged 12- 23 months in Surajgarha block, Lakhisarai district, Bihar.
Methodology: The WHO 30 cluster sampling method and the standard WHO questionnaire was used. In each cluster, 7 children have enrolled in this study a total of 210 children. Selection of children in each village was done by the nearest door to door method. Immunization was validated by card. BCG was also validated by the presence of BCG scar.
Result: Full immunization coverage as per card was 30.47% and exclusively by history was 16.7%. Total immunization coverage (as per card and history) was 47.14%. The BCG coverage, DPT coverage, Polio coverage and Measles coverage through card and history was 63.8% and 21.4%; 53.3% and 19.5%; 46.7% and 18.1%; and 48.6% and 18.6% respectively.
Conclusion: The immunization coverage wasvery low in Surajgarha block of Lakhisarai district Bihar. Therefore, need to improve the health services, both from the utilizer side and provider side.
References
Universal Immunization Programme. In: Wikipedia [In-ternet]. 2018. Available from: https://en.wikipedia.org/w/ in-dex.php?title=Universal_Immunization_Programme&oldid=830385735
Datar A, Mukherji A, Sood N. Health infrastructure & immunization coverage in rural India. Indian J Med Res. 2007 Jan;125(1):31–42.
Salmon DA. Measuring Immunization Coverage among Preschool Children: Past, Present, and Future Opportuni-ties. Epidemiol Rev. 2006 Jun 1;28(1):27–40.
Ryman TK, Trakroo A, Ekka JB, Watkins M. Contribution of Immunization Weeks toward improving coverage, ac-cess to services, and completion of recommended child-hood vaccinations in Assam, India. Vaccine. 2012 Mar 28;30(15):2551–5.
DLHS State Report Bihar 2007-08.pdf [Internet]. [cited 2018 Apr 26]. Available from: http://www.nipccd-earchive. wcd.nic.in/sites/default/files/PDF/DLHS%20State%20Report%20Bihar%202007-08.pdf
Goel S, Dogra V, Gupta SK, Lakshmi PV, Varkey S, Pra-dhan N, et al. Effectiveness of Muskaan Ek Abhiyan (the smile campaign) for strengthening routine immunization in bihar, India. Indian Pediatr. 2012 Feb;49(2):103–8.
Gargano LM, Thacker N, Choudhury P, Weiss PS, Pazol K, Bahl S, et al. Attitudes of pediatricians and primary health center physicians in India concerning routine im-munization, barriers to vaccination, and missed opportu-nities to vaccinate. Pediatr Infect Dis J. 2012 Feb;31(2):e37-42.
Immunization_coverage_cluster_WHO_2005.pdf [Inter-net]. [cited 2018 Apr 26]. Available from: http://www.rho.org/ files/rb4/Immunization_coverage_cluster_WHO_2005.pdf
Henderson RH, Sundaresan T. Cluster sampling to assess immunization coverage: a review of experience with a simplified sampling method. Bull World Health Organ. 1982;60(2):253–60.
Kaushal R, Kaushal S, Gupta S, Joshi A, Joshi S. Review of ANC services & Immunization coverage in Raisen district of Madhya Pradesh -. Natl J Community Med. 2015;6(2):278–82.
Kadarkar KS, Velhal GD. Lots Quality Coverage Survey Technique for Assessment of Determinants of Immunization Coverage in Urban Slum of Mumbai -. Natl J Community Med. 2016;7(3):165–70.
Sharma B, Mahajan H, Velhal GD. Immunization Coverage: Role of Sociodemographic Variables. Adv Prev Med [Internet]. 2013 [cited 2014 Mar 18];2013. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3872377/
Nath B, Singh JV, Awasthi S, Bhushan V, Kumar V, Singh SK. A study on determinants of immunization cov-erage among 12-23 months old children in urban slums of Lucknow district, India. Indian J Med Sci. 2007 Nov; 61(11): 598–606.
Linkages between Maternal Education and Child-hood Immunization in India [Internet]. [cited 2018 Apr 27]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/ PMC3495071/
Brenner RA, Simons-Morton BG, Bhaskar B, Das A, Clemens JD, NIH-D.C. Initiative Immunization Working Group. Prevalence and predictors of immunization among inner-city infants: a birth cohort study. Pediatrics. 2001 Sep; 108(3): 661–70.
Bobo JK, Gale JL, Thapa PB, Wassilak SG. Risk fac-tors for delayed immunization in a random sample of 1163 children from Oregon and Washington. Pediatrics. 1993 Feb; 91(2): 308–14.
Immunization coverage in rural and urban... (PDF Download Available) [Internet]. [cited 2018 Apr 28]. Available from: https://www.researchgate.net/publication/ 283350122_immunization_coverage_in_rural_and_urban_field_practice_areas_of_a_medical_college_of_gujarat
Interventions for improving coverage of childhood immunisation in low- and middle-income countries [In-ternet]. [cited 2018 Apr 28]. Available from: https://www.ncbi.nlm. nih.gov/pmc/articles/PMC4981642/
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
The authors retain the copyright of their article, with first publication rights granted to Medsci Publications.