Abstract:

Background: Immunization is considered as one of the key interventions for protection of children against life threatening conditions that are preventable. In India, nearly 8.9 million are missed for full immunization every year. The study was conducted to assess the reasons for partial immunization of below two years children in Raipur district of Chhattisgarh.

Methodology: Out of all villages and urban wards, randomly one urban and one rural area were selected. A community based cross-sectional study was done with 300 children aged below two years. Simple random sampling (using revolving pen) was used to select the first household for the survey. The immunization status of the child was assessed by vaccination card and by mother's recall where vaccination card was not available.

Results: Chhattisgarh has increased its full immunization coverage from 58% in 2002-04 to 76.4%. overall 67% (135/203) children were fully immunized. In urban areas, 74% (74/100) children were fully immunized whereas in rural areas 59% (61/103) children were fully immunized. Dropout rate for BCG to measles rubella vaccine in urban areas was 5%, while, it was 7% in rural areas. Two most common reasons came out to be unaware of missed dose (38%) and fear of adverse event following immunization (28%).

Conclusion: Immunization program has not only failed in achieving its target but is lagging far behind the desired coverage goal. More awareness should be generated among the people immunize their children.

Keywords: Below two years children, immunization, reasons for partial immunization, drop out, full immunization.

References:

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