QUALITY OF IMMUNIZATION SERVICE DELIVERY ASSESSED THROUGH RI MONITORING SYSTEM IN GOALPARA DISTRICT OF ASSAM
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2015, Vol 4, Issue 36
Abstract
Since the launch of UIP in the year 1985, it has passed through various changes, modification and introduction of newer initiatives. All these efforts are initiated with a view to increasing the immunization coverage as well as improving the quality of services. To enhance the coverage of routine immunization, it is crucial that quality of immunization services is monitored, gaps in it are identified and addressed. Hence it is tried to assess the quality of immunization service delivery at session sites and to assess the knowledge of the ANM. This analysis is a part of the routine immunization monitoring process done in Goalpara district of Assam during the period from 2009- 2012. Results shown here are from 2010-11 and based on data collected through monitoring of 38 session sites. By analysing these data some strong and some weak areas were identified. Strong domains were maintenance of cold chain system, availability of logistics. Other sub areas where practice was found to be good are use of appropriate AD syringes for vaccination and disposable syringes for reconstitution in all session sites, availability of hub cutter with all ANM, vaccine reconstituted just before immunization, use of correct diluent, reconstituted vaccine used within 4 hr, appropriate use of 0.5ml and 0.1ml syringe and correct selection of sites for vaccination. Weak areas observed under injection safety were not using hub cutter immediately after injection in spite of its availability with the ANM hence recapping the needles and another point is touching the needle with finger. In many sessions time of reconstitution was not written on the vial. Record keeping was another area which needs improvement.
Authors and Affiliations
Chinmayee Barthakur
Keywords
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- EP ID EP159031
- DOI 10.14260/jemds/2015/900
- Views 82
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