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Scholars Journal of Applied Medical Sciences | Volume-8 | Issue-10
An Assessment of Primary Immunization and Factors Affecting Coverage – A Study on Hospitalised Children in Meghalaya
Jaideep V. Patel, Santanu Deb, Palash R. Gogoi, Prasenjit Paul, Sabrina Yesmin, Lima Sangla, Pramod Paharia
Published: Oct. 21, 2020 | 118 104
DOI: 10.36347/sjams.2020.v08i10.022
Pages: 2331-2336
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Abstract
Introduction: The need of the vaccines is felt the most in India, which accounts for 20% of the world’s child population, and responsible for 24% of all under-five deaths globally. There are pockets of low immunization coverage areas even after putting so many efforts by Government of India for full immunization coverage which means there are many barriers to achieve the desired results. The present study focuses on finding prevalence of fully immunized, partially immunized or un-immunization status as well as those barriers so that a way out to full immunization coverage can be obtained. Aim: To find out the primary immunization coverage status and factors associated with incomplete immunization in first year of life in hospitalized children between 1 to 5 years of age. Materials and Methods: This is a hospital-based cross-sectional study involving 92 children admitted in tertiary care teaching hospital of Meghalaya, India for the calendar year 2019. An interviewer-administered structured questionnaire constructed from a review of available literature on immunization coverage and influencing factors in immunization coverage was used to obtain the required data. Results: 92 cases were enrolled in the study. Out of total cases, 63(68.5%) were fully immunized, 18(19.6%) were partially immunized and 11(12%) were unimmunized. 27(29.3%). Females were 27(29.3%) and males 65(70.6%) (p = 0.04). Full primary immunization status was highest (70.6%) when distance of nearest health centre was closer to residence (10km) (p = 0.64), when maternal age was between 20-35 years, with class 1 socioeconomic status (Revised BG Prasad) (79.2%) (p = 0.049), with Urban residents(77.8%) (p = 0.8), with joint family (73.1%) (p = 0.04). Reason for drop out from full primary immunization was highest due to lack of knowledge of immunization schedule (27.6%) followed by lack of awareness (24.1%) and forgotten date (7.2%). Conclusion: Fully immunized cases were more and has increased with .......