DOI: http://dx.doi.org/10.18203/2349-3291.ijcp20193706

Study of immunization status of under: five children in relation to various demographic variables of their mothers

Khushboo Agarwal, Bhag Singh Karnawat, Monika Singh, Pukhraj Garg, Anil Kumar Jain, Kanwar Singh

Abstract


Background: Immunization remains an important public health intervention. On one side morbidity and mortality caused by vaccine-preventable diseases are still high in developing countries, on the other side immunization coverage is still low. Present study aims to assess immunization status of under-five children in relation to various demographic variables of their mothers.

Methods: A total of 530 mothers with children under 5 years attending OPD, immunization clinic or admitted in paediatric ward were included in the study. Maternal demographic variables like age, religion, education, socio economic status, residence, parity and occupation were compared with immunization status of their children.

Results: Most of mothers were housewives (73.77%), primary educated (33.58%), belonged to Hindu religion (47.54%), were of 21-30 years age group (52.64%), residing in urban areas (62.07%) and belonged to middle socio economic status (45.84%). Out of total 530 children 161 (30.37%) were completely immunized as compared to 21.32% who were unimmunized. Boys were marginally more unimmunized (37.32%) than girls (23.04%). Mothers’ education, occupation, parity, religion, residence and socio-economic status significantly influenced immunization status of their children (p<0.05).

Conclusions: Therefore, it is recommended that any strategy formulated to improve vaccination coverage in children of our country should focus to strengthen above mentioned weak links.


Keywords


Immunization, Socio demographic variables, Under five children, Universal Immunization Programme, Vaccine Preventable Diseases

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References


National Family Health Survey (NFHS-4), 2015-16. India. Mumbai: International Institute for Population Sciences (IIPS) and ICF. 2017.

Jheeta M, Newell J. Childhood vaccination in Africa and Asia: the effects of parents’ knowledge and attitudes. Bull World Health Organ. 2008;86(6): 419.

Ramadan HA, Soliman SM, El-kader RG. Knowledge, attitude and practice of mothers toward children's obligatory vaccination. J Nurs Health Sci. 2016;5(4):22-8.

Angadi MM, Jose AP, Udgiri R, Masali KA, Sorganvi V. A Study of Knowledge, Attitude and Practices on Immunization of Children in Urban Slums of Bijapur City, Karnataka, India. J Clin Diagn Res. 2013;7(12):2803-6.

Kar M, Reddaiah VP, Kant S. Primary immunization status of children in slum areas of south Delhi - The challenge of reaching the urban poor. Indian J Community Med. 2001;26(30:151-4

Gupta P, Prakash D, Srivastava JP. Determinants of Immunization Coverage in Lucknow District. N Am J Med Sci. 2015;7(2):36-40.

Pande PR, Yazbeck SA. What’s in a country average? Wealth, gender, and regional inequalities in immunization in India. Soc Sci Med. 2003;57 (11):2075-88.

Prusty RK, Kumar A. Socioeconomic Dynamics of Gender Disparity in Childhood Immunization in India, 1992-2006. PLoS One. 2014;9(8):e104598.

Bhagyalaxmi A, Kedia G, Rawal VS. Study of incidence of measles and vaccination coverage in Ahmedabad urban slums. Indian J Public Health. 2007;51(1):52-3.

Survey of immunization Coverage Annual Report 2016-17, Chapter 4 pg no 37-54. Available at: https://mohfw.nic.in/sites/default/files/4201617.pdf

Luman ET, McCauley MM, Shefer A, Chu SY. Maternal characteristics associated with vaccination of young children. Pediatrics. 2003;111(5):1215-8.

Antai D. Inequitable childhood immunization uptake in Nigeria: a multilevel analysis of individual and contextual determinants. BMC Infect Dis. 2009; 9(1):181.

Omole MK, Owodunni KO. Mothers’ knowledge of immunization programme and factors influencing their compliance at a children hospital in South West Nigeria. J Pharm Biomed Sci. 2012;21(21):1-4

Abdulraheem IS, Onajole AT, Jimoh AAG, Oladipo AR. Reasons for incomplete vaccination and factors for missed opportunities among rural Nigerian children. J Public Health Epidemiol. 2011;3(4):194-203.

Dhadwal D, Sood R, Gupta AK, Ahluwalia SK, Vatsayan A, Sharma R. Immunization coverage among urban and rural children in the Shimla hills. J Commun Dis. 1997;29(2):127-30.

Gaash B, Bhan R, Bashir S. Immunization Status of Infants in a Remote District of Kashmir. Ind J Practic Doct. 2004;1(3):11-2.

Singh P, Yadav RJ. Immunization status of children of India. Indian Pediatr. 2000;37(11):1194-9.

Marks JS, Halpin TJ, Irvin JJ, Johnson DA, Keller JR. Risk factors associated with failure to receive vaccinations. Pediatrics. 1979;64(3):304-9.

Tadesse H, Deribew A, Woldie M. Predictors of defaulting from completion of child immunization in south Ethiopia. BMC Public Heal. 2009;9(1):150.

Onyiriuka AN. Vaccination default rates among children attending a static immunization clinic in Benin City, Nigeria. J Med Biomed Res. 2005;4:71-7.

Dalal A, Silveria MP. Immunization status of children in Goa. Indian Pediatr. 2005;42(4):4012.

Yadav J, Singh P. Immunization status of children and mothers in the state of Madhya Pradesh. Indian J Comm Med. 2004;29(3):147-8.

Ndiritu M, Karen D, Ismail A, Chiphatsi S, Kamau T, Fegan G. Immunization coverage and risk factors for failure to immunization within the Expanded Programme on Immunization in Kenya after introduction of new Haemophilus influenzae type b and hepatitis b virus antigen. BMC Public health. 2006;6(1):132

Munthali AC. Determination of vaccination coverage in Malawi: Evidence from the demographic and health surveys. Malawi Med J. 2007;19(2):79-82.

Bobo JK, Gale JL, Thapa PB, Wassilak SG. Risk Factors for Delayed Immunization in a Random Sample of 1,163 Children from Oregon and Washington. Pediatrics. 1993;91(2):308-14.

Nath B, Singh JV, Awasthi S, Bhushan V, Kumar V, Singh SK. A study on determinants of immunization coverage among 12-23 months old children in urban slums of Lucknow district, India. Indian J Community Med. 2007;32(4):96-100.

Vilas RM, Khadilakar H, Rajesh NL, Umesh SJ, Sonali GC. Assessment of sociodemographic factors affecting immunization status of children in age group of 12-23 months in a rural area. Indian Med Gazette. 2013;147(5):164-9.