IMMUNIZATION STATUS AND REASONS FOR NON IMMUNIZATION IN RURAL

AREAS OF BAREILLY (UP)

Peeyush Kariwal, V. P. ShrotriyaSRMSIMS

Bareilly

IMMUNIZATION

THE BEST AND CHEAPEST WAY TO PREVENT MAJOR CHILDHOOD KILLER DISEASES ESPECIALLY IN COUNTRY LIKE INDIA

AND OFFICIALLY LAUNCHED BY WHO IN MAY 1974 (EPI)

IS NOT GAINING FULL POPULARITY DESPITE LOT OF EFFORTS BY GOVERNMENT AND PRIVATE SECTOR

OBJECTIVE-

To study the immunization status and reason for non immunization in the first two years of life in rural areas of Bareilly.

MATERIAL AND METHOD-

Unit of study: children age group of 12-23 months

WHO thirty cluster methodology was used.

Fill up the immunization schedule of each child aged 12-23 months on pre-design and pre-tested Performa by trained field workers

OBSERVATIONS

Table-1: Vaccine wise Immunization Status

VACCINE

Children who received vaccination

Total (n=767)

BCG 71.7 %

DPT-I 56.3 %

DPT-II 43.4 %

DPT-III 35.6 %

OPV-I 43.8 %

OPV-II 43.7 %

OPV-III 35.7 %

MEASLES 46.1 %

Out of 767 children between 12 - 23 months of age 71.7% were immunized with BCG vaccine. DPT - I, II & III was given to 56.3%, 43.4% & 35.6% children respectively. Coverage of OPV - I, II & III was in 43.8%, 43.7 & 35.7% Children respectively. Measles vaccination was found in 46.1% children.

Table-2: Overall Immunization Status Status Total (n=767)

Fully immunized 29.3 %

Partially immunized 48.5 %

Non immunized 21.9 %

Approximately 29.3% children between 12 – 23 months of age were fully immunized, 21.9% were not immunized and the remaining 48.5% were partially immunized.

Table-3: Booster dose of DPT, OPV and Vit.-A ll & lll

Type of

VaccinationEligible Children

No. Of Children

who received

vaccination

%

DPT Booster 726 111 15.3

OPV Booster 726 109 15.0

Vit. A –II 726 107 14.7

Vit. A –III 726 65 9.0

Out of 726 children between 24 – 35 months of age only 15.3 % & 15.0 % were immunized against DPT & OPV Boosters. 14.7 % & 9.0 % children were administrated the 2nd & 3rd dose of Vitamin-A.

Table-4: Place of immunization

Name of immunizati

on

Place of Immunization

HomeGovt. Health

Clinic

Private

Health

Clinic

Camps

BCG 38.5 % 49.0 % 8.3 % 3.81 %

DPT-1 33.5 % 59.7 % 3.4 % 3.2 %

DPT-2 27.9 % 63.9 % 4.8 % 3.3 %

DPT-3 25.6 % 65.2 % 5.4 % 3.6 %

OPV-1 34.4 % 59.4 % 3.4 % 2.2 %

OPV-2 30.5 % 62.9 % 3.3 % 3.9 %

OPV-3 26.6 % 65.3 % 5.1 % 2.9 %

Measles 30.5 % 62.1 % 3.3 % 3.9 %

Most of immunization for all vaccine were given at Government hospital ranges from BCG (49.0 %) to OPV-lll (65.3) followed by at home ranges from DPT-lll (25.6 %) to BCG (38.5%) Remaining were at private health clinic (3.1-8.3 %) and <4% at camps

Table-5: Reason for non Immunization

S.No Reason for non immunization BCG

(n=217)

DPT-l

(n=335)

OPV-l

(n=331)

Measles

(n=413)

Total

(n=1296)

1 Child was too young 2.8 0.6 0 0 0.6

2 Unaware for the need for

vaccination

50.7 46.3 46.2 47.7 47.5

3 Place & time of

immunization not known

7.8 8.1 8.1 10.2 8.7

4 Fear for side effect 1.8 2.4 2.4 1.7 2.0

5 No faith in immunization 1.4 0.9 0.9 0.9 0.1

6 Service not within reach 35.0 40.3 40.5 36.8 38.3

7 Family Problem 0.5 0.6 0.6 1.5 0.8

8 Child ill 0 0 0 0.2 0.1

9 Don’t know 0 0 1.2 0.9 0.8

The most common reason for non-immunization was unawareness of the need for vaccination (47.5%) and second major reason was unavailability of services within reach (38.3%). Remaining 11.8%, 1.1%, 0.6% & 0.08% reasons were place and time of immunization not known, family problem, fear of side effect, child ill & child was too young respectively.

THE QUESTION IS UNANSWERED- WHO IS RESPONSIBLE ???

THANK YOU