Cross sectional study to assess immunization knowledge and practice among families of children between 0 -5 years in rural areas of Punjab, India


  • Mandeep Singh Khurana Department of Pediatrics, Sri Guru Ram Das Institute of Medical Sciences and Research, Amritsar, Punjab India
  • Supriya Malik Department of Pediatrics, Sri Guru Ram Das Institute of Medical Sciences and Research, Amritsar, Punjab India
  • Sunita Arora Department of Pediatrics, Sri Guru Ram Das Institute of Medical Sciences and Research, Amritsar, Punjab India



Children, Knowledge, Practices, Universal immunization programme, Vaccination


Background: Immunization is the single most cost effective and efficient intervention to reduce the burden of childhood mortality and morbidity worldwide. Vaccines under universal immunization programme (UIP) are provided free of cost but still the current coverage of fully immunized children is quite low. Main reason identified for poor coverage included illiteracy, lack of knowledge and poverty.

Methods: It is a cross sectional study carried out in rural area of Punjab from March 2014-March 2015. Total 500 families with 500 children between age 0-5 years were selected randomly. Study involved one to one, interview according to a pretested structured questionnaire prepared in a vernacular language Punjabi and English too.

Results: Total 500 children were included in the study out of which 230 (46%) were female and 270 (54%) were male. Maximum coverage to BCG vaccination (77.2%) and minimum for measles vaccine (56.2%) was observed. 55% of children were completely immunized, 28.8% were partially immunized and 16.2% were not immunized. Most common reason given by families for non\partial immunization was lack of knowledge, family issues and sickness of child.

Conclusions: It is concluded from present study that the main reason for partial\non-immunization was lack of knowledge of families about vaccination. Considering incomplete knowledge and inappropriate practices the policy makers and medical profession require to put in much more efforts to sensitise families about importance regarding immunization in preventing diseases and their consequent morbidity and mortality. 


Brundtland, G. World Health Organization Report on Infectious Diseases [Internet]. 2010 [cited 22 july 2010]. Available at 1 text.html

Schiffman M, Castle PE, Jeronimo J, Rodriguez AC, Wacholder S. Human Papillomavirus and cervical cancer. Lancet. 2007;370(9590):890-907.

Aggarwal RK. Routine immunization: India’ s Achilles’ heel. Indian Pediatr. 2008;45:626-8.

Park K. Park’ s Text book of Preventive and Social Medicine. 19th ed. Jabalpur: Banarsidas Bhanot. Chapter 2, Principal of Epidemiology and Epidemiologic Methods. 2007:98-9.

Singh MC, Badole CM, Singh MP. Immunization coverage and the knowledge and practice of mother regarding immunization in rural India. Indian J Public Health. 1994;38:103-7.

Jain SK, Chawla U, Gupta N, Gupta RS, Venkatesh S, Lal S. Child survival and safe motherhood programme in Rajasthan. India J Pediatr 2006;73:43-7.

Rasina SK, Sachdev TR. Pulse polio programme: An overview of parent’s perception. J Commun Dis. 2000;32:275-83.

Bhatia V, Swami HM, Rai SR, Gulati S, Verma A, Prashar A. Immunization status in children. Indian J Pediatr. 2004;71:313-5.

Singh P, Yadav RJ. Immnization status of children of India. Indian Pediatr. 2000;37:1194-9.

Weeks M, Stengalss R. Beyond Immunization to Disease Control. Child Survival BASICS Quartely Techincal Newsletter. 1996;3:8-9.

Chhabra P, Nair P, Gupta A, Sandhir M, Kannan AT. Immunization in Urbanized Villages of Delhi. Indian J Pediatr. 2007;74(2):131-4.

Abrol A, Galhotra A, Agarwal N, Goel B, Goel NK. Immunization status in a slum in Chandigarh (UT) India: a perspective to enhance the service. Internet J Health. 2009;8(2):1-5.

National Family Health Survey (NFHS-3), 2005-06: Indian: Volume I, 2007. 2007 [cited 2010July 6]. Available at NFHS -3% 20 Data/VOL-1National % 20 Family% 20 Health %20Survey%202005-06%20India%20Report%20%20Volume %20I%20(6863K).pdf

Kar K, Reddaiah VP, Kant S. Primary Immunization status of children in slum areas of South Delhi- The challenge of reaching urban poor. Indian J Community Med. 2001;26(3):151-4.

Manjunath U, Prateek RP. Maternal knowledge and perception about the routine immunization programme- a study in a semi urban area in Rajasthan. India J Med Sci. 2003;57:158-63.

Cutts F, Diallo S, Zell E, Rhodes P. Determinants of Vaccination in Urban population in Conkary, Guinea. Int J Epidemiol. 1991;20(4):1099-106.

Dalal A Silveria MP. Immunization status of children in Goa. Indian Pediatr. 2005;42:401-2






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