Innovative Methods to Overcome Barriers and Improve Immunization Coverage: A Comparative Study in Two Wards of Ahmedabad City
Journal Title: Healthline - Year 2018, Vol 9, Issue 2
Abstract
Introduction: Immunization is one of the most cost effective public health interventions since it provides direct and effective protection against preventable morbidity and mortality. Objectives: To identify the challenges and barriers associated with immunization coverage. Also to implement innovative strategies to overcome these challenges before session of Intensified Mission Indradhanush (IMI) and compare the coverage levels in areas with versus without use of innovative methods. Method: Two slum areas were selected from the South zone of Ahmedabad Municipal Corporation (AMC) and out of those one was from UHTC of AMC MET Medical College which was the intervention area in this study. Families with incomplete immunization of children <2 years were included in the study. In intervention area, personal visit by investigator, one to one health education, mobile reminders and support of local influencers was taken to increase the coverage. Data of both the areas were collected in a pre-designed and pre-tested proforma and analysed. Qualitative analysis of reasons for not accepting immunization services was also carried out. Results: Coverage of BCG, fIPV 1, OPV1 and Pentavalent-1 was 100% in both the areas. Coverage of OPV2 and Pentavalent-2 was 100% and 57% in intervention and non-intervention areas respectively. Overall coverage of all other vaccines was more in the UHC Isanpur which was the intervention area. Further even in the non-intervention area, more experience of ASHA was significantly associated with better coverage. Qualitative analysis revealed not informed about IMI round, fears and religious beliefs etc. as reasons for not accepting immunization services. Conclusion: Personal visits, Involvement of community leader, Motivation and mobile reminders about the round of IMI was highly effective in improving coverage of IMI from due list.
Authors and Affiliations
Shraddha Patel, Sheetal Vyas
Keywords
Related Articles
- EP ID EP497815
- DOI -
- Views 54
- Downloads 0
Effect of different maternal factors on birth weight in the Odhav ward of Ahmedabad Municipal Corporation – A Case Control Study
Aims and objectives: To study the effect of various maternal risk factors associated with outcome of LBW Study Design: Case control study Methodology: The case-control study was conducted in the Od...
A study on assessment of nutritional and immunization status of under-five children in urban slums of Jamnagar city, Gujarat
Background: Malnutrition is very rampant in India. About 47 per cent of under-five children are malnourished. Malnutrition is a leading cause of childhood mortality and morbidity as well as permanent impairment of physic...
A study on taboos and misconceptions associated with pregnancy among rural women of Surendranagar district
Background: Poor maternal nutrition, especially in rural settings, adversely affects pregnancy and birth outcomes. In many local communities, pregnant women have food taboos with consequent depletion of vital nutr...
Kala-azar elimination efforts in India: A chronicle and challenges
Kala-azar (KA), the dreadly visceral form of Leishmaniasis is fatal if untreated. India alone accounts for 50% of the global burden. Though India’s endeavours against KA date back to 1991, KA control and eliminatio...
Assessment of Immunization Status among Children aged 12-23 months, at an Urban Slum Area of Jagdalpur City, Bastar
[b]Introduction : [/b]Urban slums are high risk areas vulnerable for communicable diseases transmission, including paediatric age group communicable diseases such as T.B., Diphtheria, Pertussis, Tetanus, Measles and Poli...