DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20201984

Coverage evaluation of the universal immunization program in Imphal-East district of Manipur: a cross-sectional study

Dayananda Ingudam, Heisnam Kulabidhu Singh, Longjam Usharani Devi

Abstract


Background: For the state of Manipur, the evaluated coverage among children as per NFHS-2, NFHS-3 and NFHS-4 were 42.3%, 46.8% and 65.9% respectively. But with the introduction of Mission Indradhanush in December 2014 which aimed in achieving the full immunization coverage to all eligible children over the next five years through special catch-up drives might have helped in improving the coverage. Hence, some improvement is expected by now. To ascertain the current status, the study was taken up. The current study was conducted to evaluate the primary vaccination coverage among children aged 12-23 months. The study also aimed to determine any association between important background characteristics with the vaccination status.

Methods: A cross-sectional study was conducted in Imphal East District, Manipur during May 2017 to April 2020 among mothers having 12-23 months old children. 1,309 eligible study-women were selected by using multi-stage sampling technique. Data on their background characteristics, immunization status of the children and vaccination-related details were collected by using a pre-tested interview schedule.

Results: The full immunization rate among children was found to be 93%. There was significant association between the immunization status and important background characteristics like place of delivery, order of birth, family income and mother’s educational status.

Conclusions: Present study indicated that the full immunization coverage of the district was higher than the national and regional coverage findings. Place of delivery, order of birth, family income and mothers’ low educational status were found to be significantly associated with full immunization coverage.


Keywords


Coverage evaluation, Fully immunized, Oral polio vaccine, Pentavalent vaccine

Full Text:

PDF

References


Immunization programme UNICEF. Available at: https://www.Unicef.org> immunization. Accessed on 23 March 2019.

Immunization Handbook for Medical Officers (2017): Ministry of Health and Family Welfare, Govt. of India. Available at: http://mohfw.gov.in>basic page> immunization. Accessed on 22 March 2019.

Immunization handbook for health workers. Ministry of Health and Family Welfare Govt. of India; 2018.

International Institute for Population Sciences, Mumbai. National fact Sheet, National Family Health Survey-2 (1998-1999) Report. Ministry of Health and Family Welfare, Govt. of India.

International Institute for Population Sciences and Macrointernational, Mumbai. National Fact sheet, National Family Health Survey-3 (2005-06) Report. Ministry of Health and Family Welfare, Govt. of India.

International Institute for Population Sciences and Macrointernational, Mumbai. National Fact Sheet, National Family Survey-4 (2015- 20) Report. Ministry of Health and family Welfare, Govt. of India.

Travasso C. “Mission Indradhanush” targets India’s unvaccinated children. BMJ. 2015;350:h1688.

Gupta PK, Pore P, Patil U. Evaluation of immunization coverage in the rural area of Pune, Maharashtra, using the 30 cluster sampling technique. J Fam Med Primary Care. 2013;2:50-4.

Malkar VR, Khadilakar H, Lakde RN, Joge US, Choudhari SG. Assessment of sociodemographic factors affecting immunization status of children in age group of 12-23 months in a rural area. Indian Medical Gazette. 2013:164-9.

Murugesan D, Ramasubramanian R. A study on immunization coverage of 12-23 months children in urban areas of Kanchipuram district, Tamil Nadu. Int J Community Med Public Health. 2017;4(11):4096-100.

Herliana P, Douiri A. Determinants of immunization coverage of children aged 12-59 months in Indonesia: a cross-sectional study. BMJ Open 2017;7(12):e015790.

Muhammad A, Soliman SM, Ahmed AI. Factors Affecting Vaccination Coverage among Children Under Five Years at Kumbotso Local Government Kano State Nigeria. IOSR J Nurs Health Sci. 2017;6(4):1-8.

Punith K, Lalitha K, Suman G, Pradeep BS, Jayanta Kumar K. Evaluation of primary immunization coverage of infants under universal immunization program in an urban area of Bangalore city using cluster sampling and lot quality assurance sampling techniques. Indian J Community Med. 2008;33:151-5.

Vohra R, Bhardwaj P, Srivastava JP, Gupta P, Vohra A. Immunization coverage and its determinants among 12-23 months old children of Lucknow. Muller J Medical Sci Res. 2013;4:90-5.

Swami HM, Thakur JS, Bhatia SP, Bhatia V, Bhan VK. Coverage evaluation survey of pulse polio immunization in chandigarh. Indian J Community Med. 2000;25(2):83.

Ughade SN, Zodpey SP, Desh pande SG, Jain D. Factors responsible for delayed immunization among children under 5 years of age. J Indian Med Assoc. 2000;98:4-5.

Ray SK, Dasgupta S, Dobe M, Biswas R, Mehta P, Baishya AC. IPHA. An evaluation of routine immunization coverage in some district of West Bengal and Assam. Indian J Public Health 2004;48:82-7.

Chhabra P, Nair P, Gupta A, Sandhir M, Kannan AT. Immunization urbanized villages of Delhi. Indian J Pediatr. 2007;74(2):131-4.

Singh P, Yadav RJ. Immunization status of children in BIMARU states. Indian J Pediatr. 2001;68(6):495-500.

Subbiah P, Rajagopal A, Chavada VK, Vasudevan KP. A retrospective study on timeliness of vaccination among children aged 0-23 months in a rural area of Pondicherry. Int J Community Med Public Health. 2019;6(5):2127-32.

Dalal A, Silveira MP. Immunization status of children in Goa. Indian J Pediatr. 2005;42:401-2.

Nayak MS, Naidu SA, Madhavi BD, Sreegiri S. Assessment of immunization coverage among children of 12-23 months age group in the field practice area of Andhra Medical College, Visakhapatnam, Andhra Pradesh. IOSR J Dent Med Sci. 2015;14(7):6-9.