Barriers of Newborn Vaccination Coverage among Institutional Deliveries: A Mixed-method Study from Sonepat, Haryana
Introduction: World Health Organisation (WHO) recommends the administration of three vaccines soon after birth, namely Hepatitis B Virus (HBV) vaccine, Bacillus Calmette-Guerin (BCG), and Oral Polio Vaccine (OPV). Various studies reported that early administration of these vaccines have a marked ben...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2022-07-01
|
| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://www.jcdr.net/articles/PDF/16556/57117_CE_[Nik]_F(KR)_PF1(SC_SS)_PFA(SC_KM)_PN(KM).pdf |
| _version_ | 1797905029426839552 |
|---|---|
| author | Ramesh Kumar Verma Annu Kadyan |
| author_facet | Ramesh Kumar Verma Annu Kadyan |
| author_sort | Ramesh Kumar Verma |
| collection | DOAJ |
| description | Introduction: World Health Organisation (WHO) recommends the administration of three vaccines soon after birth, namely Hepatitis B Virus (HBV) vaccine, Bacillus Calmette-Guerin (BCG), and Oral Polio Vaccine (OPV). Various studies reported that early administration of these vaccines have a marked beneficial impact on infant survival. As birth is the most reliable point of healthcare contact worldwide and effective vaccination at birth would provide early protection for newborns. Hence, expanding and improving the available means of neonatal vaccination is an unmet medical need and a public health priority.
Aim: To determine left-out vaccination rate for birth doses and the barriers of newborn vaccination coverage among institutional deliveries, in Sonepat District, Haryana.
Materials and Methods: A mixed-method study (qualitative and quantitative) was conducted in rural tertiary healthcare institute and two secondary (district hospital Sonepat and sub-divisional hospital Gohana) public healthcare facilities of district Sonepat during 1st June 2019 to 31st July 2019. Records of live births that occurred during the study duration at selected facilities were taken to find out the left-out vaccination rate for birth doses. Focus Group Discussions (FGDs) of staff nurses posted at immunisation clinic, labour room, obstetrics and gynecology and paediatrics department were carried out to find the barriers of newborn vaccination.
Results: Total 1943 live births occurred at selected public healthcare facilities during the study duration. Vaccination coverage of birth doses recorded among 1381 (71.1%) neonates and 562 (28.9%) were left-out. Barriers for newborn vaccination were non availability, vaccine at birth places, training and skill to administer vaccine by staff, human resource constraints, and socio-demographic factors.
Conclusion: This study provided a roadmap to develop a vision for strengthening newborn vaccination coverage among institutional deliveries. |
| first_indexed | 2024-04-10T09:58:34Z |
| format | Article |
| id | doaj.art-23fac95eabff45c483072941b899126e |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-04-10T09:58:34Z |
| publishDate | 2022-07-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-23fac95eabff45c483072941b899126e2023-02-16T10:59:36ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2022-07-01167LC01LC0510.7860/JCDR/2022/57117.16556Barriers of Newborn Vaccination Coverage among Institutional Deliveries: A Mixed-method Study from Sonepat, HaryanaRamesh Kumar Verma0Annu Kadyan1Associate Professor, Department of Community Medicine, Bhagat Phool Singh Government Medical College for Women, Khanpur Kalan, Sonepat, Haryana, India.Intern, Department of Community Medicine, Bhagat Phool Singh Government Medical College for Women, Khanpur Kalan, Sonepat, Haryana, India.Introduction: World Health Organisation (WHO) recommends the administration of three vaccines soon after birth, namely Hepatitis B Virus (HBV) vaccine, Bacillus Calmette-Guerin (BCG), and Oral Polio Vaccine (OPV). Various studies reported that early administration of these vaccines have a marked beneficial impact on infant survival. As birth is the most reliable point of healthcare contact worldwide and effective vaccination at birth would provide early protection for newborns. Hence, expanding and improving the available means of neonatal vaccination is an unmet medical need and a public health priority. Aim: To determine left-out vaccination rate for birth doses and the barriers of newborn vaccination coverage among institutional deliveries, in Sonepat District, Haryana. Materials and Methods: A mixed-method study (qualitative and quantitative) was conducted in rural tertiary healthcare institute and two secondary (district hospital Sonepat and sub-divisional hospital Gohana) public healthcare facilities of district Sonepat during 1st June 2019 to 31st July 2019. Records of live births that occurred during the study duration at selected facilities were taken to find out the left-out vaccination rate for birth doses. Focus Group Discussions (FGDs) of staff nurses posted at immunisation clinic, labour room, obstetrics and gynecology and paediatrics department were carried out to find the barriers of newborn vaccination. Results: Total 1943 live births occurred at selected public healthcare facilities during the study duration. Vaccination coverage of birth doses recorded among 1381 (71.1%) neonates and 562 (28.9%) were left-out. Barriers for newborn vaccination were non availability, vaccine at birth places, training and skill to administer vaccine by staff, human resource constraints, and socio-demographic factors. Conclusion: This study provided a roadmap to develop a vision for strengthening newborn vaccination coverage among institutional deliveries.https://www.jcdr.net/articles/PDF/16556/57117_CE_[Nik]_F(KR)_PF1(SC_SS)_PFA(SC_KM)_PN(KM).pdfbirth dose vaccinationinstitutional birthsleft-out vaccination ratepublic healthcare facilities |
| spellingShingle | Ramesh Kumar Verma Annu Kadyan Barriers of Newborn Vaccination Coverage among Institutional Deliveries: A Mixed-method Study from Sonepat, Haryana Journal of Clinical and Diagnostic Research birth dose vaccination institutional births left-out vaccination rate public healthcare facilities |
| title | Barriers of Newborn Vaccination Coverage among Institutional Deliveries: A Mixed-method Study from Sonepat, Haryana |
| title_full | Barriers of Newborn Vaccination Coverage among Institutional Deliveries: A Mixed-method Study from Sonepat, Haryana |
| title_fullStr | Barriers of Newborn Vaccination Coverage among Institutional Deliveries: A Mixed-method Study from Sonepat, Haryana |
| title_full_unstemmed | Barriers of Newborn Vaccination Coverage among Institutional Deliveries: A Mixed-method Study from Sonepat, Haryana |
| title_short | Barriers of Newborn Vaccination Coverage among Institutional Deliveries: A Mixed-method Study from Sonepat, Haryana |
| title_sort | barriers of newborn vaccination coverage among institutional deliveries a mixed method study from sonepat haryana |
| topic | birth dose vaccination institutional births left-out vaccination rate public healthcare facilities |
| url | https://www.jcdr.net/articles/PDF/16556/57117_CE_[Nik]_F(KR)_PF1(SC_SS)_PFA(SC_KM)_PN(KM).pdf |
| work_keys_str_mv | AT rameshkumarverma barriersofnewbornvaccinationcoverageamonginstitutionaldeliveriesamixedmethodstudyfromsonepatharyana AT annukadyan barriersofnewbornvaccinationcoverageamonginstitutionaldeliveriesamixedmethodstudyfromsonepatharyana |