Timeliness of Childhood Vaccination and its Decisive Factors in Bihar: A Community-Based Study
Introduction: The effectiveness of immunisation depends on its timely administration. With delay, the duration of susceptibility of child and chances of disease outbreak is increased. In developing countries, it is further aggravated by poor socioeconomic status and inadequate health care facility....
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2020-02-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://jcdr.net/articles/PDF/13506/43169_CE[Ra1]_F(SL)_PF1(PC_OM)_PN(SL).pdf |
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| author | CM Singh Abhisek Mishra Neeraj Agarwal Pallavi Lohani Arshad Ayub Shradha Mishra |
| author_facet | CM Singh Abhisek Mishra Neeraj Agarwal Pallavi Lohani Arshad Ayub Shradha Mishra |
| author_sort | CM Singh |
| collection | DOAJ |
| description | Introduction: The effectiveness of immunisation depends on its timely administration. With delay, the duration of susceptibility of child and chances of disease outbreak is increased. In developing countries, it is further aggravated by poor socioeconomic status and inadequate health care facility. No data for timeliness of vaccination available of Bihar. Aim: To study the timeliness of vaccination, drop-out rates and the association of timeliness of vaccination with demographic characteristics of household. Materials and Methods: A cross-sectional study was conducted in the month of January and February, 2019, on 12- 23 months old children in 59 low-performing blocks of Bihar. Cluster-random sampling was done for selection of villages and house order was calculated for selection of children. Data collection was done using mobile-based application. Timeliness and median age at vaccination was calculated and association was calculated using chi-square. Results: Although, vaccination coverage was high, only 20% were vaccinated timely. Timely vaccination was maximum for Bacillus-Calmette Guerin (BCG); 75% and Measles Containing Vaccine (MCV); 86% and low for first dose of Penta (35%). Timely vaccination was associated with male gender, urban setting, birth at health care facility and low birth order. The study reports 5.8% drop-out rate for BCG-MCV series. Conclusion: Along with vaccination coverage, its timeliness should also be improved. Strengthening of health care facility must be ensured to improve timeliness. |
| first_indexed | 2024-12-10T21:46:46Z |
| format | Article |
| id | doaj.art-9c2f3d6d9f5a4c31bc02ab9c90eac615 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-10T21:46:46Z |
| publishDate | 2020-02-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-9c2f3d6d9f5a4c31bc02ab9c90eac6152022-12-22T01:32:21ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2020-02-01142LC05LC0910.7860/JCDR/2020/43169.13506Timeliness of Childhood Vaccination and its Decisive Factors in Bihar: A Community-Based StudyCM Singh0Abhisek Mishra1Neeraj Agarwal2Pallavi Lohani3Arshad Ayub4Shradha Mishra5Professor, Department of Community and Family Medicine, All India Institute of Medical Sciences, Patna, Bihar, India.Assistant Professor, Department of Community and Family Medicine, All India Institute of Medical Sciences, Patna, Bihar, India.Professor and Head, Department of Community and Family Medicine, All India Institute of Medical Sciences, Patna, Bihar, India.Senior Resident, Department of Community and Family Medicine, All India Institute of Medical Sciences, Patna, Bihar, India.Senior Resident, Department of Community and Family Medicine, All India Institute of Medical Sciences, Patna, Bihar, India.Senior Resident, Department of Community and Family Medicine, All India Institute of Medical Sciences, Patna, Bihar, India.Introduction: The effectiveness of immunisation depends on its timely administration. With delay, the duration of susceptibility of child and chances of disease outbreak is increased. In developing countries, it is further aggravated by poor socioeconomic status and inadequate health care facility. No data for timeliness of vaccination available of Bihar. Aim: To study the timeliness of vaccination, drop-out rates and the association of timeliness of vaccination with demographic characteristics of household. Materials and Methods: A cross-sectional study was conducted in the month of January and February, 2019, on 12- 23 months old children in 59 low-performing blocks of Bihar. Cluster-random sampling was done for selection of villages and house order was calculated for selection of children. Data collection was done using mobile-based application. Timeliness and median age at vaccination was calculated and association was calculated using chi-square. Results: Although, vaccination coverage was high, only 20% were vaccinated timely. Timely vaccination was maximum for Bacillus-Calmette Guerin (BCG); 75% and Measles Containing Vaccine (MCV); 86% and low for first dose of Penta (35%). Timely vaccination was associated with male gender, urban setting, birth at health care facility and low birth order. The study reports 5.8% drop-out rate for BCG-MCV series. Conclusion: Along with vaccination coverage, its timeliness should also be improved. Strengthening of health care facility must be ensured to improve timeliness.https://jcdr.net/articles/PDF/13506/43169_CE[Ra1]_F(SL)_PF1(PC_OM)_PN(SL).pdfsurvival ratetimely immunisationvaccination coverage |
| spellingShingle | CM Singh Abhisek Mishra Neeraj Agarwal Pallavi Lohani Arshad Ayub Shradha Mishra Timeliness of Childhood Vaccination and its Decisive Factors in Bihar: A Community-Based Study Journal of Clinical and Diagnostic Research survival rate timely immunisation vaccination coverage |
| title | Timeliness of Childhood Vaccination and its Decisive Factors in Bihar: A Community-Based Study |
| title_full | Timeliness of Childhood Vaccination and its Decisive Factors in Bihar: A Community-Based Study |
| title_fullStr | Timeliness of Childhood Vaccination and its Decisive Factors in Bihar: A Community-Based Study |
| title_full_unstemmed | Timeliness of Childhood Vaccination and its Decisive Factors in Bihar: A Community-Based Study |
| title_short | Timeliness of Childhood Vaccination and its Decisive Factors in Bihar: A Community-Based Study |
| title_sort | timeliness of childhood vaccination and its decisive factors in bihar a community based study |
| topic | survival rate timely immunisation vaccination coverage |
| url | https://jcdr.net/articles/PDF/13506/43169_CE[Ra1]_F(SL)_PF1(PC_OM)_PN(SL).pdf |
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