Study on Hepatitis B Birth Dose Vaccination Coverage, Promoting the Same in a Private Rural Medical College, Karnataka, South In-dia
Keywords:
Immunization, Newborn, vaccination, HepB, birth dose, Supportive SupervisionAbstract
Introduction: Administration of Hepatitis B vaccine at birth within 24 hrs prevents ~95% of perinatally acquired Hepatitis B Virus infections, averting 15% of total burden. Objectives of this study were to find out the baseline coverage of newborn vaccination especially HepB birth dose and to raise the HepB birth dose coverage in a Private Rural Medical College.
Methodology: Newborn vaccination data of all live births between 01st April 2013 and 31st March 2014 was collected in the ‘Extended Immunogram tool’. Simple, doable promotive measures were operated between the last week of April and 31stAugust 2014.
Results: HepB birth dose vaccination coverage was 56.1%. More infants were born (71.28%) in Private facilities with low coverage (43.35%) than in Govt facilities (28.71%) but with high coverage (87.76%) - p<0.001. HepB birth dose coverage within 24 hrs was 26.5% in the Medical College which rose significantly from 19% in April 2014 to 100% in July/August 2014 through intervention.
Conclusion and recommendation: HepB birth dose coverage can be raised and sustained through simple doable measures. Display of newborn vaccination protocol as job-aid for uniform service delivery is recommended.
References
World Health Organization. Hepatitis B Fact sheet No.204. Available at http://www.who.int/mediacentre/factsheets /fs204/en/. Accessed June 30th, 2014.
World Health Organization. Position paper (October 2009) original English and French versions. Available at http://www.who.int/wer/2009/wer8440.pdf?ua=1. Ac-cessed April 10th, 2014
Hepatitis B vaccines WHO position paper. Available at http://www.who.int/immunization/topics/WHO_position_paper_HepB.pdf. Accessed July 01st,2014.
World Health Organization. World Hepatitis Alliance, An-nual Report and Financial Statement 2013. Available at www.worldhepatitisalliance.org/sites/default/files/resources/documents/Annual%20Report%20Final.pdf. Accessed July 01st, 2014.
Prevention of Hepatitis B in India- World Health Organiza-tion. Available at http://whqlibdoc.who.int/searo/2002/ SEA_Hepat.-5.pdf. Accessed July 01st, 2014.
Hepatitis B – a silent emergency in Senegal. Available at http://www.irinnews.org/report/100054/. Accessed June 30th, 2014.
Hepatitis B Foundation. Hepatitis B Vaccine History. Avail-able at http://www.hepb.org/professionals/hepatitis_b_ vaccine.html. Accessed June 30th, 2014.
Government of India, Ministry of Health and Family Wel-fare, Immunization Division. Strategic framework for Inten-sification of Routine Immunization in India. Coverage Im-provement Plan; 2012-13. p 07.
Holla NV, Chivukula SK, Kaniambady S. Closing the im-munity gap through the strategy of intensification of routine immunization using the offline tool immunogram and sup-portive supervision - experiences from the rural health training centre of KVG medical college, Karnataka, India. Int J Community Med Public Health. 2016;3(12): 3450-5.
World hepatitis day. Available at http://www. worldhepa-titisalliance.org/en/world-hepatitis-day-archive.html. Ac-cessed February 24th, 2015.
World Health Organization. Position paper (October 2010) original English and French versions. Available at http:// www.who.int/wer/2009/wer8440.pdf?ua=1. Accessed April 10th, 2014.
World Health Organization Vaccine-preventable diseases: monitoring system. 2016 global summary, WHO UNICEF estimates time series for India (IND). Available at http://apps.who.int/immunization_monitoring/globalsummary/estimates?c=IND. Accessed December 06th, 2016.
Give birth to the end of Hep B from (3 ways of perinatally acquiring HBV). Available at http://www.immunize. org/protect-newborns/webinar/slides-iac.pdf. Accessed June 30th, 2014.
Lee LA, Franzel L, Atwell J, Datta SD, Friberg IK, Goldie SJ et al. The estimated mortality impact of vaccinations fore-cast to be administered during 2011–2020 in 73 countries supported by the GAVI Alliance. Vaccine 31.2013;2:B61-B72.
Department Of Health and Family Welfare, Government of India. Immunization Handbook for Medical Officers, 2009. New Delhi; 2009. p 19.
Vashishtha VM, Choudhury P, Bansal CP, Yewale VN, Agarwal R. IAP Guide Book on Immunization,2014. Gwali-or: National Publication House; 2014. P 164.
Holla N. Protocol for newborn vaccination, Issue 199. TechNet21 Digest; 2013.
World Health Assembly, Hepatitis Improving the health of patients with viral hepatitis. Available at http://apps.who. int/gb/e/e_wha67.html A67/13. Accessed May 31st, 2015.
World Health Organization. Practices to improve coverage of the hepatitis B birth dose vaccine, Immunization, Vac-cines and Biological: January 2013. Available at www.who. int/vaccines-documents/. Accessed May 31st, 2015.
Thomas AR, Fiore AE, Corwith HL, Cieslak PR, and Margo-lis HS. Hepatitis B vaccine coverage among infants born to women without prenatal screening for hepatitis B virus in-fection: effects of the Joint Statement on Thimerosal in Vac-cines. The Pediatr Infect Dis J. 2004; 23(4): 313-8.
Eriksen EM, Perlman JA, Miller A, Marcy SM, Lee H, Va-dheim C, et al . Lack of Association Between Hepatitis B Birth Immunization and Neonatal Death: A Population-Based Study From the Vaccine Safety Datalink Project. The Pediatr Infect Dis J 2004; 23(7): 656-62.
Centers for Disease Control. Hepatitis B virus: A compre-hensive strategy for eliminating transmission through uni-versal childhood vaccination, Recommendations of the Im-munization Practices Advisory Committee; 1991. p1–20.
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