1Assistant Professor, Dept of Community Medicine, SMSR, Sharda University, Greater Noida, UP
2Professor, Department of Community Medicine, UCMS & GTBH, Delhi
Online published on 23 January, 2014.
Immunization is probably one of the most cost effective interventions to reduce burden of childhood morbidity and mortality, provided used optimally and judiciously. Lot quality sampling method requires only a small sample size and is easier for health staff to use; it is feasible for routine monitoring.
To assess the immunization coverage among infants and pregnant women in an urban area and to identify the various reasons for incomplete or no immunization.
The study was carried out in Narela. AWC was considered as one LOT. Total fifteen LOT was assessed. For sample size calculation, taking accuracy level ±5% and with 95% confidence level, the sample size required was 384; here high threshold was taken 60% and low threshold was taken 40%. In Lot Quality data collection WHO proforma was used as a tool.
Total infant were 417 and pregnant women were 409. Out of this fully immunized was 64.7% and 6.5%was unimmunized. The most common reasons were either unaware need for immunization or unaware of need to return for next dose. The coverage of various vaccinations like BCG, DPT 3, OPV3, HEPB 3, Measles and TT was 87.5%,82.7%, 84.7%,68.3%,76% and 85.8% respectively out of fifteen LOT, only one Lot need to be reviewed as it was yet to meet the prescribed criteria. While enquired about place of delivery, 36.2% was reported home delivery
Still there is need for health education to step the vaccination coverage to achieve the target of 100%.
Immunization, Coverage, Infants, Pregnant Women, LQAS
