scholarly journals Immunization status of 24-35 months old children in urban slums of Ahmedabad, Gujarat, India: a cross sectional study

2017 ◽  
Vol 4 (2) ◽  
pp. 548
Author(s):  
Chintu C. Chaudhari ◽  
Geet Gunjana ◽  
Khushboo Kiritbhai Modi ◽  
Manali Prashantkumar Patel ◽  
Nisarg Rajivbhai Thakker ◽  
...  

Background: Immunization is one of the most cost effective methods of preventing childhood diseases and needs to be sustained with higher coverage for desired benefits. Objective of the study was to assess immunization coverage in children of 24-35 months of age group in urban slums of Ahmedabad city, India.Methods: Using the purposive sampling method, a cross sectional community based study was conducted in urban slum area (Vadaj area) of Ahmedabad city during July-November 2014. All 214 children of 24-35 months age group of the area were included after taking verbal informed consent of their parents or guardians. Vaccination status of the children was verified using the Immunization card. In conditions where the Immunization card was not available, the mother/parents were asked about the site of vaccinations to confirm the vaccines being given. Analysis of study was done by using appropriate statistical software. Results: Total 936 households were surveyed. There were 214 children in the 24-35 months age group. Mamta card or immunization record was available with 145 (73.6%) mothers of 24-35 months age group of children. Vaccination coverage in the age group of 24-35 months old children was maximum for BCG and OPV first dose (96.7%) followed by Pentavalent first dose (95.8%) and OPV second dose (95.3%). Overall, 75.7% of the children in the 24-35 months age group were completely immunized while only 6 children were unimmunized. Dropout rate percentage for Pentavalent 1st dose to pentavalent 3rd dose was 3.44% while for BCG to second dose of measles was 19.75%.Conclusions: Complete immunization coverage was 75.7% which was better than the national surveys still the causes for no/ partial vaccinations need to be addressed. 

Author(s):  
Anuradha Kizhatil ◽  
Reshma . ◽  
Harsha Chollankil Hariharan ◽  
Alexander John ◽  
Ann Mary Thomas ◽  
...  

Background: Immunization is one of the most cost-effective interventions averting countless childhood deaths and protecting millions of children from disability and illness. The objective of the current study was to assess the immunization coverage and associated factors among children aged 12-23 months and 5-7 years in Paravur Taluk of Ernakulam district, Kerala.Methods: A community based cross sectional study was done. Cluster sampling method of WHO was used for evaluation of immunization coverage.300 children in the age group of 12–23 months and 300 children in the age group 5-7 years were selected from each of the 30 clusters. Crude coverage details for each vaccine were estimated using percentages. Bivariate analysis was conducted to identify independent predictors of immunization coverage.Results: Among the children 12-23 months old, eleven (3.7%) children were partially immunized, while everybody had received at least one vaccine. The proportion of children fully immunized was 96.3%. Among the children 5-7 years old 55 (18.3%) were partially immunized. Belonging to Muslim religion, fathers’ occupation i.e. who were labourers/unskilled workers, mother’s education less than 12th standard and not possessing the mother and child protection card were found to be factors associated with partial immunization.Conclusions: This study shows that full immunization has not reached all children.


Author(s):  
Sreedevi C.

Background: Immunization is an important cost effective tool for preventing the morbidities and mortalities caused by vaccine preventable diseases. The objectives of this study were to assess the universal immunization programme coverage of children of 12–23 months of age in Kozhikode district and to study the factors associated with immunization coverage.Methods: A cross sectional study was conducted in 30 randomly selected electoral wards of Kozhikode district which were selected using multi stage cluster sampling technique during April 2013 to May 2014.Results: 469 children were studied from 30 clusters. 75.5% was fully immunized while 1.5% was unimmunized. Dropout rate for DPT 3 to Measles was the highest accounting to 20.2%. Most common reason for failure of immunization among unimmunized was that the parents didn’t feel the need (57.1%) and for partially immunized was the illness of the child (27.8%) followed by lack of awareness of the time of immunization (22.2%). Religion, early age of the mother at marriage and first delivery and high birth order were significantly associated with a higher proportion of partially immunized while higher education of the parents (>12th standard), health worker’s home visit in the first year of the child and presence of immunization card were significantly associated with a high full immunization coverage (p<0.05).Conclusions: Immunization coverage of 75.5% is far behind the target to be achieved. 1.5% of the children didn’t get any of the vaccinations. It is very important to increases the coverage to prevent the re-emergence of vaccine preventable diseases.


Author(s):  
Shivani Sinha ◽  
Sanjay Kumar ◽  
Sanjay Kumar Chaudhary ◽  
Setu Sinha ◽  
Varsha Singh ◽  
...  

Background: Vaccines are safe, simple and one of the most cost-effective way to save and improve the lives of children. The World Health Organization launched the Global Programme of Immunization in 1974 and Government of India launched the same in India on 1st January, 1978, with a view to provide protection to the children against disease and to reduce infant mortality rate.Methods: A hospital based cross sectional study was carried out in the immunization clinic of a tertiary care hospital (IGIMS) of Patna district. The study unit were children of age group 0 to 12 months attending the immunisation clinic of IGIMS Patna. The study was conducted from January 2017 to December 2017, for a period of 12 months.Results: About 40% of children were fully immunized, about 73.3% were having immunization card.Conclusions: Immunizations is one of the biggest public health achievements of the last century, saving millions of lives and preventing illness and lifelong disability in millions more. Many childhood diseases which is now preventable by vaccines often resulted in hospitalization, death or lifelong consequences only a few decades ago. Without immunizations, serious outbreaks of many of the diseases we are now protected from can reoccur. There is a need to create awareness regarding the importance of vaccination, as well as the consequences of partial immunization, parents views must also be taken into consideration when the programme is planned, especially those with a lower educational level.


Author(s):  
Q. H. Khan ◽  
Garima Arora ◽  
Susheel Kumar Nalli

Background: Nutritional status is the best indicator of the child health. Malnutrition has both short and long term adverse ramifications. As per NFHS III 47% children are stunted in the state of Chhattisgarh. However still many communities in the tribal dominated and naxal affected state may remain affected, hence the study was planned to identify the nutritional status of children and find out its determinant.Methods: Present cross-sectional study was conducted among 12-59 months children in the urban slum of Jagdalpur city, Bastar region of Chhattisgarh. Predesigned and pretested questionnaire was administered to the caregiver of the child, information on socio-demographic characteristics was obtained and anthropometric measurements were taken. Statistical Analysis: all frequencies were derived for completeness of data. WHO Anthro Software version 3.1.0 was used to classify the malnutrition status. Chi-square test was applied to find association between dependent variables.Results: Out of 225 children 53.3% were boys and 46.7% were girls. The overall prevalence of underweight stunting and wasting was 28.4%, 41.3%, and 19.1% respectively.Conclusions: Prevalence of underweight has reduced in the district over a period of years. However high level of stunting, a sign of chronic hunger points towards the pivotal role of socio-demographic and behavioral practices prevalent in the district. Interaction with health system in the form of ANC, institutional delivery and safeguarding effective 100% immunization coverage has shown preventive effect.


Author(s):  
Ambika R. Bhaskar ◽  
Mridula Solanki

Background: Immunization is one of the most cost-effective interventions to prevent the suffering that comes from avoidable sickness, disability and death. Outreach immunization services ensure that immunization is available to children who are unable to access a general practice in a timely fashion for their immunization events. Effective supervision and monitoring will help in improving quality and coverage of immunization.Methods: This was an observational cross-sectional study conducted in the rural field practice area of a tertiary care hospital. 50 outreach sessions held in various outdoor places including Anganwadi were supervised and monitored using checklist. 110 mothers and 20 stakeholders were interviewed. Immunization records were assessed.Results: Outreach immunization sessions were found to be of good quality. 89% children were fully immunized. ANMs and ASHAs were of the opinion that outreach session has significantly raised immunization coverage. 75.4% mothers had knowledge about services provided by outreach sessions.Conclusions: There was increase in immunization coverage due to outreach sessions. There is need for adequate supervision on safety injection practices and regular timely incentive to ASHA.


Author(s):  
Daniel A. Saji ◽  
Mahesh B. Jajulwar ◽  
Anita G. Shenoy

Background: Obesity is perhaps the most prevalent form of malnutrition. As a chronic disease, prevalent in both developed and developing countries, and affecting both children and adults. In India due urbanization and modernization people are moving into urban centres and along with increasing wealth, concerns about an obesity epidemic in India are growing. The present study was carried out to assess the demographic distribution and prevalence of overweight and obesity in adults in an urban slum. Methods: The cross sectional study includes 350 adult populations from the Shivaji Nagar (Govandi) urban slum of the Mumbai city in India and study was carried out over a period of one year from August 2014 to July 2015. Results: Our study showed that most of subjects are in the age group of 38-57. Sex distribution was relatively equal with 44% males and 56% females. Majority of the population were Muslims. Majority of the subjects (50.6%) belong to class III, (26.9%). 32.3% subjects were obese and 8.6% were overweight according to BMI (basal metabolic index) while merely 6.6% were overweight according to WHR (waist to hip ratio). Thus BMI was found to be a better indicator than WHR for measuring obesity. Conclusions: From the present study it was seen that age group of the subjects, socio economic class, and level of education had a significant relationship with BMI, whereas sex of the subjects had non-significant relationship with BMI. 


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