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Dr S K Kaushal

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  • 1. Rapid Appraisal of Routine Immunization Coverage in a Newly Formed District of
    Uttar Pradesh
    Dr S K Kaushal
    SN Medical College
    Agra
  • 2. Introduction
    • Immunization has been one of the most significant , cost effective stimulatory public health interventions.
    • 3. Universal immunization programme was introduced in India, in 1985, with aim to complete the primary immunization for all children in the country by the time children became one year old.
    • 4. As per DLHS-3(2007-08) only 30.3% of children are fully immunized in Uttar Pradesh
    Introduction
  • 5. The coverage in Uttar Pradesh not uniform as high as 78.2% in Kanpur Nagar to as low as 23.6% in Etah district.
    The study district Kanshi Ram Nagar was created in April 2008 by separating it from the Etah district, which is also badly affective by Polio.
    As there is no data available regarding immunization status the study was planned with following objective.
  • 6. Objectives
    To assess the primary immunization status and dropout rate
    To find out reasons for immunization default
    To study the difference, if any between high risk and low risk block
  • 7. Community based, observational, cross-sectional study carried out in May 2010.
    Children between the ages of 12-23 months of either sex were included.
    Study was carried in two blocks, namely Patiyali and Amanpurof Kanshi Ram Nagar district.
    Material & Methods
  • 8. ‘30’ cluster sampling technique was used to collect data.
    A total of 210 children from 30 clusters were taken from each block.
    For collection of data standard format as used for monitoring of Routine Immunization progamme by monitors under NRHM , were used.
    The schedule were filled by interns and PG student of the department
  • 9. Status of immunization card
  • 10. Parents informed about RI day By
  • 11. Dose wise coverage of various vaccines
  • 12. Drop out rates of vaccines among study group Children
  • 13. Primary immunization status of Children
  • 14. Religion wise primary immunization status of children
  • 15. Sex wise primary immunization status
  • 16. Reasons for immunization default
  • 17. Nearly half of the children found fully immunized however most of remaining were partially immunized. The common reasons for immunization defaults were found to be, poor cooperation of health worker and unawareness towards need of immunization in community.
    Conclusions
  • 18. Thank You