Exploring the Pattern of Immunization Dropout among Children in India: A District-Level Comparative Analysis
The dropout rate is one of the determinants of immunization coverage and program performance, program continuity, and follow-up. The dropout rate refers to the proportion of vaccine recipients who did not finish their vaccination schedules, and it is determined by comparing the number of infants who...
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MDPI AG
2023-04-01
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| Series: | Vaccines |
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| Online Access: | https://www.mdpi.com/2076-393X/11/4/836 |
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| author | Pritu Dhalaria Sanjay Kapur Ajeet Kumar Singh Pretty Priyadarshini Mili Dutta Himanshu Arora Gunjan Taneja |
| author_facet | Pritu Dhalaria Sanjay Kapur Ajeet Kumar Singh Pretty Priyadarshini Mili Dutta Himanshu Arora Gunjan Taneja |
| author_sort | Pritu Dhalaria |
| collection | DOAJ |
| description | The dropout rate is one of the determinants of immunization coverage and program performance, program continuity, and follow-up. The dropout rate refers to the proportion of vaccine recipients who did not finish their vaccination schedules, and it is determined by comparing the number of infants who started the schedule to the number who completed it. It is the rate difference between the first and final dosage or the rate difference between the first vaccination and the last vaccine dropout; thus, it denotes that the first recommended dose of vaccine was received, but that the subsequently recommended dose was missed. In India, immunization coverage has shown significant improvements over the last two decades, but full immunization coverage has remained stagnant at 76.5%, of which 19.9% are partially immunized, and 3.6% are children who have been left out. In India, the Universal Immunization Programme (UIP) is challenged with cases related to dropout in immunization. Although immunization coverage in India is improving, the program is challenged by vaccination dropouts. This study provides an analysis of the determinants of vaccination dropout in India using data from two rounds of the National Family Health Survey. The finding shows that the mother’s age, education, family wealth, antenatal care visit, and place of delivery were some of the variables that significantly contributed to reducing the dropout rate of immunization among children. The findings of this paper show that the dropout rate has reduced over a certain period of time. The overall improvement in the rates of dropout and increase in full immunization coverage could be attributed to various policy measures taken in the last decade in India, which brought structural changes with a positive impact on full immunization coverage and its components. |
| first_indexed | 2024-03-11T04:27:31Z |
| format | Article |
| id | doaj.art-d842426a228f480aa49d9a1705e2d2c1 |
| institution | Directory Open Access Journal |
| issn | 2076-393X |
| language | English |
| last_indexed | 2024-03-11T04:27:31Z |
| publishDate | 2023-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Vaccines |
| spelling | doaj.art-d842426a228f480aa49d9a1705e2d2c12023-11-17T21:42:26ZengMDPI AGVaccines2076-393X2023-04-0111483610.3390/vaccines11040836Exploring the Pattern of Immunization Dropout among Children in India: A District-Level Comparative AnalysisPritu Dhalaria0Sanjay Kapur1Ajeet Kumar Singh2Pretty Priyadarshini3Mili Dutta4Himanshu Arora5Gunjan Taneja6Immunization Technical Support Unit, Ministry of Health & Family Welfare, New Delhi 110070, IndiaJohn Snow India, New Delhi 110070, IndiaImmunization Technical Support Unit, Ministry of Health & Family Welfare, New Delhi 110070, IndiaImmunization Technical Support Unit, Ministry of Health & Family Welfare, New Delhi 110070, IndiaImmunization Technical Support Unit, Ministry of Health & Family Welfare, New Delhi 110070, IndiaKantar Public, New Delhi 110019, IndiaBill & Melinda Gates Foundation, New Delhi 110067, IndiaThe dropout rate is one of the determinants of immunization coverage and program performance, program continuity, and follow-up. The dropout rate refers to the proportion of vaccine recipients who did not finish their vaccination schedules, and it is determined by comparing the number of infants who started the schedule to the number who completed it. It is the rate difference between the first and final dosage or the rate difference between the first vaccination and the last vaccine dropout; thus, it denotes that the first recommended dose of vaccine was received, but that the subsequently recommended dose was missed. In India, immunization coverage has shown significant improvements over the last two decades, but full immunization coverage has remained stagnant at 76.5%, of which 19.9% are partially immunized, and 3.6% are children who have been left out. In India, the Universal Immunization Programme (UIP) is challenged with cases related to dropout in immunization. Although immunization coverage in India is improving, the program is challenged by vaccination dropouts. This study provides an analysis of the determinants of vaccination dropout in India using data from two rounds of the National Family Health Survey. The finding shows that the mother’s age, education, family wealth, antenatal care visit, and place of delivery were some of the variables that significantly contributed to reducing the dropout rate of immunization among children. The findings of this paper show that the dropout rate has reduced over a certain period of time. The overall improvement in the rates of dropout and increase in full immunization coverage could be attributed to various policy measures taken in the last decade in India, which brought structural changes with a positive impact on full immunization coverage and its components.https://www.mdpi.com/2076-393X/11/4/836dropout rateimmunizationindicatorhealthsustainable development goal |
| spellingShingle | Pritu Dhalaria Sanjay Kapur Ajeet Kumar Singh Pretty Priyadarshini Mili Dutta Himanshu Arora Gunjan Taneja Exploring the Pattern of Immunization Dropout among Children in India: A District-Level Comparative Analysis Vaccines dropout rate immunization indicator health sustainable development goal |
| title | Exploring the Pattern of Immunization Dropout among Children in India: A District-Level Comparative Analysis |
| title_full | Exploring the Pattern of Immunization Dropout among Children in India: A District-Level Comparative Analysis |
| title_fullStr | Exploring the Pattern of Immunization Dropout among Children in India: A District-Level Comparative Analysis |
| title_full_unstemmed | Exploring the Pattern of Immunization Dropout among Children in India: A District-Level Comparative Analysis |
| title_short | Exploring the Pattern of Immunization Dropout among Children in India: A District-Level Comparative Analysis |
| title_sort | exploring the pattern of immunization dropout among children in india a district level comparative analysis |
| topic | dropout rate immunization indicator health sustainable development goal |
| url | https://www.mdpi.com/2076-393X/11/4/836 |
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