TIMELINESS OF CHILDHOOD VACCINE UPTAKE AMONG CHILDREN ATTENDING IMMUNOPROPHYLAXIS CLINIC IN CENTRAL INDIA
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 73
Abstract
BACKGROUND Child survival is dependent on many survival factors including immunisation. Even though, vaccines are provided free of cost at all government healthcare centers, the immunisation coverage in India is very low. Delayed vaccination not only increases the risk of vaccine preventable disease, but also increases the risk of never fully completing the vaccination course. The present study assessed the timeliness of immunisation for children below one year of age and factors influencing the timeliness of vaccination. MATERIALS AND METHODS This cross-sectional study was conducted at the Immunoprophylaxis Clinic (IPC) of a tertiary care hospital. Total 300 children were selected. All mothers/caretakers were interviewed. Chi-square test was used to find the difference between two proportions. Unadjusted odds ratio was calculated for various factors studied. Stepwise logistic regression analysis was done to calculate the adjusted odds ratio. RESULTS The overall delayed vaccination was found in 184 (61.3%) babies while only 116 (38.7%) babies were vaccinated on time without any delay. Education below secondary, lower socioeconomic classes, less than 4 ANC visits, birth order of 1 and 2 and those babies accompanied by other than mothers were significantly higher in “delayed group” when compared to “on time” group and also showed higher odds of 6.955, 8.612, 4.199, 14.248, 4.392, respectively. CONCLUSION In this study, we found that mother’s education, socioeconomic status, number of ANC visits, birth order and accompanied by mother or relatives affect the overall timeliness of immunisation.
Authors and Affiliations
Durgesh Prasad Sahoo, Ashok Rupraoji Jadhao, Jyotsna Sukhdeo Deshmukh, Anchlesh Vinod Tekam, Roshan Umedlal Raut
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