DOI: http://dx.doi.org/10.18203/2349-3291.ijcp20204038

Immunization status of children aged 1-5 years attending tertiary care center and reasons for partial or non-immunization

Babitha Rexlin G., Suresh Placode Manikandan

Abstract


Background: Immunization is a reliable evidence-based approach to eradicate deadly infectious diseases. National family health survey (NHFS4) data reveals that immunization after 1 year of age dropped in Kanyakumari district, Tamil Nadu, India.  

Methods: Our aim was to determine immunization status and reasons for partial or non-immunization of children aged 1 to 5 years in Kanyakumari district from April 2019 to March 2020. It’s a prospective and descriptive hospital-based study. Here 613 children were split-up in three categories based on ministry of health and family welfare (MOHFW) guidelines as fully, partially or unimmunized. The samples were analysed with IBM. SPSS statistics software 23.0 Version.

Results: Of the 613 children 5 were excluded from the study due to contraindications to immunizations. Of the 608 children 529 (87%) were fully immunized, 79(13%) were partially immunized and none were unimmunized. Among partially immunized, 2 parents lacked information (2.5%), 26 parents lacked motivation (32.9%), 45 parents faced obstacles (57%) and 6 parents had other reasons (7.6%). 2 parents who lacked information were migrant laborers, illiterates and the children were home delivered. In the partial immunization, chi-square and regression analysis revealed that for female gender the p-value was 0.001, OR 2.084 with 95% confidence interval (CI) (1.347 to 3.226), for parental education the p-value was 0.0005, OR 1.561 with 95% CI (1.034 to 2.335) and for home delivery the p value was 0.0005, OR 1.564 with 95% CI (1.006 to 2.432).  

Conclusions: The study determines that factors associated with partial immunization are female children, illiterate/less educated parents and home delivery.  


Keywords


Children, Immunization, Partial immunization

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References


World Bank. 1993. World Development Report 1993: Investing in Health. New York: Oxford University Press. Available at: https://openknowledge.worldbank.org/handle/10986/5976. Accessed on 20 May 2020.

Universal Immunization Programme (UIP), National Health Portal of India. Available online: Available at: https://www.nhp.gov.in/universal-immunisation-programme. Accessed on 15 May 2020.

UNICEF and Ministry of Health and Family Welfare, Govt. of India. Coverage Evaluation Survey Report 2009.

National Health Mission. Ministry of Health and Family Welfare, Govt. of India, Mission Indradhanush Operational Guidelines. 2015.

Ministry of Health and Family Welfare, Immunization Last Updated: 03 May 2019. Available at: https://main.mohfw.gov.in /Organisation/Departments-of-Health-and-Family-Welfare/immunization. Accessed on 12 May 2020.

International Institute for Population Sciences, Mumbai, Ministry of Health and Family Welfare, Govt. of India. District Level Household Survey-4 State fact sheet Tamil Nadu Report 2012-13.

International Institute for Population Sciences, Mumbai, Ministry of Health and Family Welfare, Govt. of India. National Family Health Survey-4 Report 2015-16

Sample Registration System 2018. Available at: https://censusindia.gov.in/vitalstatistics/SRS_Report_2018.pdf. Accessed on 5 May 2020.

Murhekar MV. Resurgence of diphtheria in India. J Infec. 2020;80(2),232-54.

Priya KP, Kumar SS, Kannan A, Muralidharan UA. Child with complicated diphtheria in this vaccine era: a case report. Int J Scienti Study. 2017;4(12):256-7.

Sangal L, Joshi S, Anandan S, Balaji V, Johnson J, Satapathy A, et al. Resurgence of diphtheria in North Kerala, India, 2016: Laboratory supported case-based surveillance outcomes. Frontiers Pub Health. 2017;5:218.

Krishnan S, Kizhakkekarammel P, George K, Johnson J, Kurukanari R, Raveendran G. Re-emergence of diphtheria in Malappuram district, North Kerala, India. J Acade Clini Microbiolo. 2018;20(1):37.

Murhekar MV, Kamaraj P, Kanagasabai K, Elavarasu G, Rajasekar TD, Boopathi K, et al. Coverage of childhood vaccination among children aged 12-23 months, Tamil Nadu, 2015, India. Ind J Med Resea. 2017;145(3):377.

Departments of Health and Family Welfare, Immunization Handbook for Medical Officers, 2017. Available at: https://main.mohfw.gov.in /Organisation/Departments-of-Health-and-Family-Welfare/immunization/immunization-handbook-medical-officers2017. Accessed on 5 May 2020.

Lahariya, C. A brief history of vaccines and vaccination in India. Ind J Medi Resea. 2014;139(4):491.

Tikmani SS, Soomro T, Ali SS. Vaccination status and factors for non-vaccination in children at a tertiary care hospital. Int J Vacc Rese. 2017;2(1):1.

Agrawal SC Kumari A. Immunization status of children and its decline with age: a hospital-based study of 1000 children at a teaching hospital in western Uttar Pradesh. Ind J Comm Health. 2014;26(1),50-5.

Mathew JL. Inequity in childhood immunization in India: a systematic review. Ind Pediat. 2012;49(3):203-23.

Mugada V, Chandrabhotla S, Kaja DS, Machara SG. Knowledge towards childhood immunization among mothers and reasons for incomplete immunization. J App Pharm Sci. 2017;7(10):157-61.

Maharani A, Kuroda Y. Determinants of immunization status among 12-to 23-month-old children in Indonesia (2008-2013): a multilevel analysis. BMC Public Health. 2018;18(1):1-11.

Madhavi N, Manikyamba D. Evaluation of immunization status and factors responsible for drop outs in primary immunization in children between 1-2 years: a hospital-based study. Pediatr Rev Int J Pediatr Res. 2016;3:332.

Kumar D, Aggarwal A, Gomber S. Immunization status of children admitted to a tertiary-care hospital of north India: reasons for partial immunization or non-immunization. J Health Populat Nutrit. 2010;28(3):300.

Khan QH, Sinha T, Shrivastatva PK, Brahmapurkar KP, Brahmapurkar VK. Assessment of immunization status among children aged 12–23 months, at an urban slum area of Jagdalpur city, Bastar. Healthline J. 2015;6:55-60.

Upadhye JV, Marathe SM, Mandlik MR, Upadhye AJ, Upadhye JJ. Awareness and practices of parents about immunization of children in the age group 2-5 years. Int J Contempor Pediatr. 2018;5(5):1909.

Rathod MS, Pawar MP, Lone D, Dixit JV, Doibale MK. Immunization status and reasons for partial immunization in children attending tertiary care hospital in marathwada region-a cross sectional study. Scien. 2019;23(3):51-7.