Maternal knowledge regarding vaccination in India was assessed. Key findings include: - Over half of mothers were only aware of two vaccines - BCG and OPV. Knowledge of other vaccines was poor. - The most commonly known advantage of vaccination reported by 56% of mothers was that their child would not become disabled. - About 10% of mothers were not aware of any vaccination centers. Hospitals, Anganwadis and Balwadis were the most commonly known centers. - Education level, source of knowledge like schools and health personnel, and mass campaigns influence maternal awareness, highlighting the need for improved immunization programs and health education outreach.

1. 62 >!< INDIAN JOURNAL OF APPLIED RESEARCH
.,.
r<essder.tial area -j!~!Jmbef !'!!
IIJrbdn 092~
Ruf.ll 1108 rS<n
Rclioiof· •
Hindu 10961481
r-Ali~litn 1054 llJl >
ijuddhi~t
1:~[~il
.
others :sna.. Chtistian) I
Sccoeconcmlc status
Above ...overtv line 100[2 !:>11 !Below vertv liOO 11.J.S f69' •
Litoru of mother •
l!litcrat-0 ,034 (17) •
SSC and belo·11 124'~ •
&l;g~ ,042 !Zll
Ace of mQ;hees
IP.~~ Il:!2n i~ ~·r~ 11<14 !5?!
25- 3S yrs f(l')O (45' •
fl..to;@ than 35 vrs I •
0ccuo<Jtion .of mOthers (
Hcuse:•Nila. 11'.!2 rMl •1Vo1kir'1(1 l<MS 1341
Results
Table 1 - SO(iocle-mographic d;t13 of motho" ~ c-
fant$ ·
V1~S conducted·;..1 ~dia:ricOl'D at ()MC Akola.. oaa c>-
teener, s-ertec from June 2Q1~ •/•/ith help of ~ ·~
ser-u semctured, pre-tested (1dt:St.ioof~:,tire~ mo!~ ...
'lntervieweri. lt1others those •1erc havit'lg_ in=a'lts af'Wj ~
verbal ~O:lSE:,f"li ·Nere included in $ludy. Those WOO ~ 1
"•d{<- excluded. Babies Of HIV p,osiliv;.> n1otbers.- e-e S?"'.
<•lis!y si<$( infants ·11ere excluded. Health .6ss~~l .,..H i- -..
oblc for the holp of 1nothttfs tc urtS'"1<1r que~ons - ;x;ai.
!~ogu2ge. Wotlte/S Ve(4!requested re reply a..' ~ -;po
k11-owl0091=t; Fur <lulu iH}iJl}"<>iS· appropriate -statisr.a.. e-e-o-
o.ch. v1ere uiec.
Material and Methods
Prl!St:?nt hospituJ based uoss~:wr.·li~nul Uu:.triplive ~lJdy
low mater~· literacy sod lq-.ovdedge ,e9e(din9 veccioes
end imirUJiz:ation schedule ·~r~ associated v1iih low i1nfnu-
nasnon covera9e )"··'i. t~lass carr1pzi9n; •ere ul"def!.iken-
rn recent years particularly for pulse pol!o lmmun!Uftlon.
braWba&s .of mass canipaigns like beliefs in "Society that
''acci11ation services v1ill be delivered at home, redt;JO:ng
rate of immunii:Stion cove<age t:l and ·red>Ji;ing e:P1 acdvi-
ti$S. fv1ate<nal h<t"&hh OOoc~tion is a key ·t.o success of l,llP
and uodors!andlog of so6ooultwJIbehavior required for
bett~r vcceinafion pr09r~11u·1¢ ~nC :1t1ategi~.s.{'>.it.l,Poof met·
ternel kno•u!Efd9'e likely to results in incon1pl~tP. i(funonim-
tlon coverage i'n ::hikJren!11-'11• So the context of present
st·.1cy wes Cone ·t.c dasess metemal kric.,.jedge of irr.mt;.1n·~
1rition, VA<£Jn"A~ used, v;ir.rintttinn (.eniP.r.<. and t1d•;;rr.agP.!i-
of vaccine, ·
lntroductl6n
Vaccina.tion covei:age In lod'a is f~;r from complete in spite
n-f the. fact that. Univer~al lm11.J1"1i::a!ion Programme (U{P~
s:arted i, f978 :1J. Natio-tel F.:=..mily Heahh SurYey 3(Nl-HS~
3) reported veccinencn ,~.,v~r.:13~ of 43.~% 1::_ The Unlce:
f.'O_•('r<i9i?' Fv:.lu(ltioo ~lll'.''~1 lnr ~~.'!r 7n.:)9 f.~O•Ne.ri -Mt
the coverage had improved tc 61% Ill. In bet>Nee-n 2009-
2013, 1hc1e was 1t.." incrcooo in covctago every yc;;.r, n(1I.
i)CCep~.abletor Ul(9~t o1 ILoll c0•1er.::i~~ by 2020. Mission In·
<l1fldl:iJ:)ush was tau·1'-i1eO l?}t tln,uu Heelth Mi;:Uf.lfy irl Dl!-1.·
2014 tc rncreese iruJ;luni2c-tion in p~rly pedorrning dis-
triersacross India througha nn.di uo campalgn to achieve
.a full co..,er.age by 2020 ~. Such a needed action Viii adc
burden to existing health system, Fer success cf UfP &
oetter coveeeqeto ;;chieve ~IC 'F1.11ly immu.ni1edch:ld) rate
el-eve 90%, stre:i9thet1ir,9 of health ~yste:n·1.prO'idin9 Irn-
--nunilationservices needed :SI.
Study of Maternal knowledge regarding
immunization at tertiary care center in maharashtra
Medical ScienceRES':ARCH PAPER

2. INDIAN JOURNAL OF APPLIED RESEARCH II< 63
A supar1i~.ial Afluv.1edge of the- schedule <!(1d lac« uf rno-
lil/iltiun lor (:Q1·1pW-l•ng lhe scli~dula or UIP haU lad t:) ;,
lorge nurnoer of the auldren oe!n9 par:ially rmmuniz~d. A
con1pl€te program-roe of UIV ~hou!d :>e focused invoh:mg
locnl resources In a simple languag:i neaded for il better
cover:1;91:: Heal!h profes~cnak aod pol C'J makers ne>ed ro
imp!erne1t JIP In a better rna("!tlle.- 10 p!a.n and e>;.eo.n:e
the "'SEC" {!nf(lrri"lation1 EOuca:liOfl find Cornmun~tion )
initkiti)m. <!rJtTtpfi:.,tG- p-ogro~o,g of lll~ SN:>u!d b<t i"flc~.,red
1.hrough OOahh edt1ca1io11 .of t1'1others lc>r inqe;as1u9 fully
in1n'1Ufli.t<::d li"lildil!-n in o ctirnrr'lunity. lovolvtriion: ol .;.'cty
pd<:>sibli' ~our~ cf ini-cxn1~~on !or mothers - school, heol:h
pep;ouru,•l ,1ne.dil a:id falmlly. Is 1,..,pcrtant for be.tl9r p~r-
<'eplior;,
Conclusion
Av;i.lrtu1E:1s~ JJ11on9st. rnc;nhers .nte.rviewed aboJt 11au:ines
U-;;ed 1ri un1'er~I 11rm1..-niza1ion programme '111ar. ooor. Ma-
1orit1 of 1bern .,,,ere fl'+'rlff; of onl>r t•r•o v.,:;cines - ~CG and
()f'V. n My .cfli1d ····Illil'Ot 9e· di$abi;il)' ....,.(!~ ih~ Miiin 'id....an-
ta9,e k<l011n to morli~'!'.. M::iy !'>e :i mh.°i'& c~mpaigo o:·puls.e
pcf,o 1mm.Joi;;ation s responsible forthis ~nSl~r. tfosp-:r9!,
Ar.ganvn1cli arid l:Jal"'V.'ldi w~~e kJ•Ow•'I to ff"K>th~ as v&~i-
nafi()n r,er:n*'s.. Hr:~ U cdur.<ltiol') I$ ir''f'X>'(;jflt ror ~fl.h~nc-
in9 rnararn~I pe-rception and knovdodgo of Immunization.
l'l ou· .st>Jdy, Kho-NIP,dg~ Ahou:-<:fyotnrs "•herev,;cc'nntion
fac;.ltitie$ vle{e 3Va!!.abte V3S. ~OC•d. About 90% ot :.vr·(l"lcth
e.<1' (l•1ar-e <$: tl'I le::Jsl <>n~ Ct'fltrt..' ...,,her'°' 11ac<:inc~ a-re aivcn.
Si"'lilar fnd O!) ·.f:is t10l(>d by Murthy G V~t al (1989)1111 In
their-stvc!y.
25-% qi our rnothen. inte:ryie.v1fX:i "''ere no; awnre :of a
::ingle. <:1rl•<1ot-..l<)C of .)ny V!l(Cinl?l' usOO in UIP (>ut of 7!~¥.
rnothe~ •1.t;io ha0- cold advanrag-0 ol J, 'OCcine- , • my chiTd
•w,ll 11<>' 9(·t cli$.!lbil1ly" w..:iG lhC' l'nain 1~~t.!l¢ (S-6%) M<'n·
junath et al (2003V1:-.1 ·ri thei1 ·study ulso ncted "polio pm-
'/ertUun" V.•c;s ~.lie ,-1ost QftEifl kn9•.vn benej1t ro mothers
interviel/.•ed. M.~Y be pulse polio .:.amp.~·gn invo vi'lfl media.
ii:. (e~pon~ih!~:or rhi$"~!'IO•/edge-"
~Aary oi ocJr 1r.06;::rs (abo~Jl /./-2'~J were a.;;;re: of only
•3C:G ~.-.ci.nr;ol po1i-~, •,;r.r.i11~. KRowleclg<i for -n;lii:tr v;i•.c:ina~
!ffi~d rn VJP ..,•as ve(J poor -Stm1lar ;:>bservatfQnvias n9ted
by Manjunath et al (2003Y15l, Kn.:i·.~~d9~of ;10...a·nt,19e$,
Mmes of vaccino prC•ontabk• di&C.-1!.C•s and .y.:.hcdule of
o;.;ttCifl_9ti011 ,•,'3f:·1~f)' podr ill th~::.Wey 1.iv•'ll: .;# Pil<llli 1R;.-
j~s(htH'l M,M.Anga.di et e1I (2013)"fl.atso nentio'rHxJ sirr1l-
lo1 lu1:Jff'Q u1 U11apin s~udy. ii~.(~% o-: the 1esp°'1<lf'r:ib ~1
O~upot co1.1ld not e:en name one 'laccine prever.nibfedis-
ease.
Table 5- 2~% of ~'omenoould not te'I even a singJe...-advao-
fu~ of v;.ioc:.in.1t;ot1."l'1y &uld '"ill not gel disabiUty" 'as
ltoG rnost <:omOOJ) ans••'t1by l'!lotht;irt. ~56%~.
Advar.t.;~ Numb<>r (%)
No d<sabifoty (A) 11~ ($6)
Will not gf!t rii~a~~(B) 014 (07)
so1l··A •a 020 (10)
No ddv<1ftl~g~ 004 (07)
Not~"are 050 (l~)
Tabl• 5, Awaren&s.s of -advantage of vacdnes
T('bl!'! ~t- 10% o~ mothers were not eware- of a even u single
vacd~~~tioncenter.Hospital, Angar"1V1ad1 and balv1ad1 'Nere
rr.a.:~ cenlt?r$knc•Nnto motners.
v·~,5Fill£1~c:.r:centre- Number %)
Subc.en:re 13
HospluiJ ~"I IC, l~i I, ·Gt:1c, -
Pr1vcite· 'lOS01Lll:I)
90
Anq~n•1nos• Ualv1at;11 42
~chool u
Nol i'!v1ar.a 10
i;.1blQ 3 S"IOv•$ aoo 11 lv;o th:rd of morn had !lcn-:>vA~rlon of
onty two vaccioo SCG and OPV, OPT {36%i, HepatitW.a
f.21%) end me;;,"Sle1= (23%} wee kno"m to very fCw1rnotho:.•1:;,
18% ot V/Or'fl;!n· coulc net 0<.11n& a.sinqle vaccine,
vaccmes Number (%)
B(G 138 (69)
-
OPV 132 (66)
DPT 072 (36)
Hf;-p B 042 (2"1)
r'le.)s.les l).06•(<>)
N<>ov.·O;o 11;.oul ~ry one O'.l6(13)__
·-
I 't.:ble 2 .shows thut schccl u<lllLJlivu (31%) ..:nd h-'..:.:hh per
SO"'lflSI {30'%}v/cro rnain sooece oftnov.·ledg~ for mctbees.
_ <),JI cf 100 women 9% (38} v.~·e ha•fin9 no or very f~-.v
koQ1A'l.f!Qge about vacctnuticu,
Table lo Awqt'ene-s.1 about vaccines included in UIP
Sbu1'CQ oi knc>Niedge Numbers(%)
School 62 (31)
Hc-.'trfh pof$.(1nn~ 6C (30)
Fa;n:ly 36 (1S)
r..1<1di~ o~ (:;2;
N<: ~n<>•ul~dg~ about- .,..,ac:c:1ne·s. ,.38(19)
I
»...,····;.")I'"' ·~x·· ·.·.··..:~··.... .__,.-..1.--;- •. ,..... _;..,. • ·~ }."' • ·• • ..... -••,-, ·.·,.;.·.·.·.·,·.;.<:_.~.&:'"" ·: ...-..;~:.....~·:-")I'0<'.l;<,,.,,,.v :·!t.':·:Y:i:,,.,,,,,,.,.·:,::'-:~,-.,.,.. "~,,_., c•I~ - 1.z1:.,.~,,..·.··6f'i"''s1«<i<:o·••~"'-s· ·
;.~~x*-7~·--::-~-·.;.;.;.:.:..;.;.:..:;.•· -:-:- ·-;.-~..~(-· !'.'3-.;..,'!I. - ~~''-'".-·-· ••-;.z:~~,.,;-.-.J.-!{.~,,."1~ ·"=S?~'-.U!--
table 1 shews ttia;. 46% r1c1h~r{; ....ere il}}:~ing in 1.1tb~n Discussion
and rerna<nirv::i 54% were rfl'.'lffa rural ·"'"~ Aajorityc! moth- Arror<i"rJ I<> NFHS :s. nnf)! 44(.1'; o~ (!iildr~ in 1 -/ )'~·"''
ees t.:~!m'.~ed tc H·rtd!J 1Ch:;JIOll (48%) lol!Cw('C by tJL1&llMS zge grv1,,p had fe(C!v~d b.;1su.: 1ffll...1un12at..on whi~l'l rs mJ<li
(?1'.'k',),r..lo~t rri the women 69% (138) z.rlent:hn9 OPD were ;<.;.~:;-:; thur ocl)ic·vn9 .85% .:ove1a:~e )Y Schoo cduccticn
hl"ll:->r>!J to H1>1 socio-erorsocmc ~roup. 62% tem.ales were {31. %) O:l)d health oersonnel (30%) W'I:? "r<:J/.Jf sccrces
s~tldie-ct up to or ess ';han ~P.:{lior secondary eCucationa~ oj kr1•.)wt~tJge ~or o~r mothers. Singh et .al {1994)1'' else
tc-cl. fv1~.xi·1tv1n·ft/~JS oi ..vcmen S2% (lt'l-1) W(He be· 'lf£-ntoned !ieahh worker a5 a '"r.,'t1or source o{ nfosme-
rcnf:)~ to oge grooo belov1 26 yea·rr.. r~ost of mothe~ 'l•er~ non in ::tnoth?.r !iot1,.1d)'. ANt.., a.nd oafci:nedic:/11wc-kers were-
I
hcusewves (6'6%), the major .$01lf'tt<! of ir,-fnr"1"1al·io1·1ae.<:oriJi"lg lo Bholana~h
et al (200S)IHI (.:lS% Sl%), fvl.M.Ari_g.-idi ot .31 (20131141 11
I
Table 2..so.urcoof knowled9e· e stc,Jd>J at Bjepur K;:.o~t1l~J<.,a Hcnt;Or'i~d l<'.1n) ly mcmbess
i42 B~) ar)d bcehh ~crsonnel (5-1.6%) es '7!e m<>JOr scorce
c/ink~rTJ1a:i·cr1 l"t).
RESEARCH PAPER

3. •