Urban immunization: a story of meticulous policy implementation

Meena Kakeri, Rakesh Balaji Waghmare


Background: Vaccination of under 5 children is a crucial process for making child disease free against vaccine preventable diseases. Intensified mission Indradhanush focus on improving immunization coverage to ensure full immunization to more than 90% by December 2018 instead of earlier set target of 2020.

Methods: This cross sectional study aimed to assess the full immunization and reasons for partial or no immunization in children less than two years of age in a metropolitan overcrowded area. Total 246 children were enrolled after applying complete enumeration method of sampling. Parents were interviewed by home to home visit and data recorded through immunization card/recall method.

Results: 142 (87.65%) children were found fully immunized. The vaccine wise coverage was 100% for BCG, 95.1% for pentavalent and OPV third dose and 91.1% for measles vaccines. Father’s education was significantly associated with partial immunization. Fear, unawareness, H/O AEFI, inconvenient timings are the major reasons for partial immunization.

Conclusions: The target of mission Indradhanush is to achieve 90% by December 2018 is on the verge of fulfillment in this study area. As the age of the child gets increases the adherence for subsequent vaccination decreases. Emphasis should be given on Fathers education and community awareness regarding importance of Vaccination.


Full immunization, Urban immunization, Reasons, Mission Indradhanush

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UNICEF Immunization Introduction. Available at: Accessed on 13 January 2018.

Singh P, Yadav RJ. Immunization status of children in India. Indian Pediatr. 2000;37:1194–9.

Nath B, Singh JV, Awasthi S, Bhushan V, Kumar V, Singh SK. A study on determinants of immunization coverage among 12-23 months old children in urban slums of Lucknow district, India. Indian J Med Sci. 2007;61:598–606.

Report of Integrated Child Health & Immunization Survey (INCHIS). Available at: in/integrated-child-health-immunization-survey-inchis-report-rounds-1-2. Accessed on 3 February 2018.

NFHS-4 Fact Sheets. Available at: Accessed on 13 January 2018.

Vohra R, Vohra A, Bhardwaj P, Srivastava JP, Gupta P. Reasons for failure of immunization: A cross-sectional study among 12-23-month-old children of Lucknow, India. Advanced Biomed Res. 2013;2:71.

Sharma S, Kohli C, Sharma N, Mehra D. Incomplete Immunization Coverage in Delhi: Reasons and Solutions. Primary Health Care. 2016;6:240.

WHO/UNICEF estimates of national immunization coverage, July 2017 revision Available at: Accessed on 2 January 2018.

MOHFW statistics for Maharashtra State. Available at: Demographic%20and%20Vital%20Indicators/SRS%20Bulletins/SRS%20Bulletin%202017%20for%20the%20Year%20%202016.pdf. Accessed on 13 January 2018.

NFHS-4 Report for Maharashtra State. Available at: Maharashtra.pdf. Accessed on 13 January 2018.

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 Population Nutr. 2010;28(3):300-4.