Dr Peeyush Kariwal
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Transcript of Dr Peeyush Kariwal
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