ASSESSMENT OF UTILIZATION OF ESSENTIAL IMMUNIZATION SERVICES AMONG CHILDREN UNDER 2 YEARS IN AN URBAN SLUM OF BHUBANESWAR, ODISHA

Authors

  • AMIT KUMAR Consultant, ICMR-National Institute of Epidemiology, Raipur, Chhattisgarh, India. https://orcid.org/0000-0001-5353-3415
  • IPSA MOHAPATRA Department of Community Medicine, Kalinga Institute of Medical Sciences, Odisha, India.
  • KRISHNA MISHRA Department of Community Medicine, Kalinga Institute of Medical Sciences, Odisha, India. https://orcid.org/0000-0002-4962-6069

DOI:

https://doi.org/10.22159/ajpcr.2023.v16i1.46194

Keywords:

Immunization service, Immunization status, Urban slum, 12-23months

Abstract

Objectives: The study was planned with the objectives to assess the under-two immunization coverage and to identify determinants and reasons for non-utilization.

Methodology: It was a cross-sectional study which was undertaken in urban slums under field practice area of a medical college, over a span of 4 months among 100 mothers with children 12–23 months of age. Descriptive statistics was used and Fisher’s exact test as the test of association; taking p<0.05 as statistically significant.

Results: Mean age of the children was 17.63 months±3.43.72% were fully immunized, 28% partially, and none in unimmunized category. Mother’s literacy status (p=0.03) and father’s literacy status (p=0.0001) were found to be significantly associated with the immunization status of the child. The immunization coverage based on card and history was – BCG (93%), OPV1 (88%), OPV2 (86%), OPV3 (82%), pentavalent 1 (88%), pentavalent 2 (84%), pentavalent 3 (82%), and measles (84%). Waiting time (85.71%) and lack of adequate information (67.86%) were reasons cited for partial immunization.

Conclusion: The overall immunization coverage was good with none unimmunized. The literacy status of the parents played a major role in determining the immunization status of the children. Waiting time and lack of information were some of the identified barriers.

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References

International Institute for Population Sciences. National Family Health Survery (NFHS-4). Mumbai: International Institute for Population Sciences; 2015-2016. Available from: https://www.rchiips.org/nfhs/ NFHS-4Reports/India.pdf [Last accessed on 2017 Dec???].

World Health Organization. World Health Organization Vaccination Coverage Cluster Surveys: Reference Manual. Version 3. Geneva: World Health Organization; 2015. Available from: https://www.who. int/immunization/monitoring_surveillance/Vaccination_coverage_ cluster_survey_with_annexes.pdf

Singh S, Sahu D, Agrawal A, Vashi MD. Barriers and opportunities for improving childhood immunization coverage in slums: A qualitative study. Prev Med Rep 2019;14:100858. doi: 10.1016/j. pmedr.2019.100858, PMID 30997325

Singh CM, Mishra A, Agarwal N, Ayub A, Mishra S, Lohani P. Gender discrimination and other factors affecting full immunization coverage (FIC) in 59 low performing blocks of Bihar. Indian J Community Health 2020;32:101-7. doi: 10.47203/IJCH.2020.v32i01.020

Mohapatra I, Kumar A, Mishra K. A study on awareness and utilization of mission Indradhanush in an urban slum of Bhubaneswar. J Family Med Prim Care 2018;7(6):1294-9. doi: 10.4103/jfmpc.jfmpc_146_18, PMID 30613514

Choudhary TS, Reddy NS, Apte A, Sinha B, Roy S, Nair NP, et al. Delayed vaccination and its predictors among children under 2 years in India: Insights from the national family health survey-4. Vaccine 2019;37:2331-9. doi: 10.1016/j.vaccine.2019.03.039, PMID 30914221

Kumar S, Prabhu S, Jose AP, Bhat S, Souza OD, Narayana V. Assessment of under-five immunization coverage among the population of slum areas in Mangalore taluk, India. Int J Community Med Public Health 2017;4:781. doi: 10.18203/2394-6040.ijcmph20170758

Bhardwaj AK, Kumar D, Sharma S, Gupta A, Chander V, Sood A. Building evidence for coverage of fully vaccinated children of 12- 23 months of age across districts of North India, 2015. Indian J Community Med 2017;42:197-9. doi: 10.4103/ijcm.IJCM_126_16, PMID 29184317

International Institute for Population Sciences. National Family Health Survey-4. State Fact Sheet Odisha. Mumbai: International Institute for Population Sciences; 2015-2016. Available from: https:// www.nipccdearchive.wcd.nic.in/sites/default/files/pdf/nfhs%204%20 state%20fact%20sheet%20odisha.pdf

Singhal G, Mathur HN, Dixit M, Khandelwal A. Factors affecting immunization among children of rural population of block Malpura, district Tonk, Rajasthan, India. Int J Community Med Public Health 2016;3:641-6. doi: 10.18203/2394-6040.ijcmph20160625

Prusty SK, Panda B, Chauhan AS, Das JK. Factors affecting immunization coverage in urban slums of Odisha, India: Implications on urban health policy. Healthc Low Resour Settings 2013;1:18. doi: 10.4081/hls.2013.e18

Gill N, Singh R, Mondal A, Jadhav B. Immunization coverage and its associated factors among children residing in project affected population’s resettlement colonies in urban slum of Mumbai, Maharashtra, India. Int J Community Med Public Health 2016;3:1783-7. doi: 10.18203/2394-6040.ijcmph20162042

Purohit L, Sahu P, Godale L. Assessment of immunization status of 12-23 month children in urban slums in Solapur; Maharashtra, India. Natl J Community Med 2017;8:568-71.

Datta A, Baidya S, Datta S, Mog C, Das S. A study to find out the full immunization coverage of 12 to 23-month old children and areas of under-performance using LQAS technique in a rural area of Tripura. J Clin Diagn Res 2017;11:LC01-4.

Kulkarni SV, Chavan MK. A study to assess the immunization coverage in an urban slum of Mumbai by lot quality technique. Int J Med Public Health 2013;3:21-5. doi: 10.4103/2230-8598.109315

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;7:165-70.

Verma N, Singh J, Kumari R, Agarwal M, Verma A, Shukla M. Effect of sociodemographic factors on age-appropriate immunization of children in slums of Lucknow, capital of Uttar Pradesh. Int J Med Sci Public Health 2016;5:2264. doi: 10.5455/ijmsph.2016.10042016453

Farzad F, Reyer JA, Yamamoto E, Hamajima N. Socio-economic and demographic determinants of full immunization among children of 12-23 months in Afghanistan. Nagoya J Med Sci 2017;79:179-88. doi: 10.18999/nagjms.79.2.179, PMID 28626253

Phadnis S, Khadka S, Pattanshetty S, Monteiro A. Assessment of immunization coverage among under-five year old children residing in slum settlements in an urban area in coastal Karnataka. Glob J Med Public Health 2015;4:1-7.

Joy TM, George S, Paul N, Renjini BA, Rakesh PS, Sreedevi A. Assessment of vaccine coverage and associated factors among children in urban agglomerations of Kochi, Kerala, India. J Family Med Prim Care 2019;8:91-6. doi: 10.4103/jfmpc.jfmpc_276_18, PMID 30911486

Chaudhari CC, Gunjana G, Modi KK, Patel MP, Thakker NR, Thakor N. Immunization status of 24-35 months old children in urban slums of Ahmedabad, Gujarat, India: A cross sectional study. Int J Contemp Pediatr 2017;4:548-52. doi: 10.18203/2349-3291.ijcp20170707

Anjenaya S, Waingankar P, Sanjeev S, Lohare BS. A study of reasons for non-immunization among children attending the services of a rural hospital in Raigad district, Maharashtra. MGM J Med Sci 2016;3:57-61. doi: 10.5005/jp-journals-10036-1090

Published

07-01-2022

How to Cite

KUMAR, A., I. MOHAPATRA, and K. MISHRA. “ASSESSMENT OF UTILIZATION OF ESSENTIAL IMMUNIZATION SERVICES AMONG CHILDREN UNDER 2 YEARS IN AN URBAN SLUM OF BHUBANESWAR, ODISHA”. Asian Journal of Pharmaceutical and Clinical Research, vol. 16, no. 1, Jan. 2022, pp. 56-60, doi:10.22159/ajpcr.2023.v16i1.46194.

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