A longitudinal study of immunization status and reasons for non-vaccination of children in OPD and pediatric ward of a teaching hospital


  • Mir Sumsam Ali Khurram Department of Pediatrics, Deccan College of Medical Sciences, Hyderabad, Telangana State, India
  • Khaja Amer Khan Department of Pediatrics, Deccan College of Medical Sciences, Hyderabad, Telangana State, India




BCG, DPT, Immunization, MMR


Background: The present study was to find out the immunization status of children in the age group of 0-7 years from OPD and those admitted in hospital attached to Deccan College of Medical Sciences with respect to primary immunization (BCG,OPV/DPT 1, 2, 3, measles), 1st booster dosage of OPV, DPT and also primary doses of Hepatits-B vaccine and coverage of vitamin A with measles vaccine. The objectives of this research work were to study factors which influence the immunization status and to know reasons for partial and non-immunization and their follow up over 2 years. Also, to know proportion of vaccine preventable diseases in children under study group.

Methods: An oral questionaire method was adopted for parent of children in the age group 0-7 years to assess their immunization status and social factors influencing immunization coverage. Systemic random sampling method was applied to select 200 chlildren i.e. every 5th child admitted in the age group of 0-7 years was taken for analysis.

Results: The study showed that out of 200 children 115 were fully immunized, 78 were partially immunized and 7 were non- immunized, 66 children among male and 49 among females were fully immunized, & the study shows that males had better immunization than females.

Conclusions: Out of total 200 cases 57.6% were fully immunized, 38 % were partially immunized while 3.5% were unimmunized. Immunization coverage was better in urban children than rural children.


Salhotra VS, Sharma AK. Astudy of universal immunization coverage during last five years in resettlement colonies of Delhi. Indian J comm Med. 1999;24(3): 120-23.

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

Mehra M, Dewan S, Aggarwal S, Garg S. Immunization coverage evaluation survey in rural Narela zone and city zone areas of Delhi. Indian Pediatr. 1990;27(4):342-6.

Bandyopadhy S, Banerjee K, Datta KK, Stephen J. Evaluation of pulse polio immunization in Delhi. Indian J Pediatr. 1996;63(2):133-7.

Singh MC, Badole CM, Singh MP. Immuninazation coverage, knowledge and practice of mothers regarding immunization in rural areas. Indian J Pub Health. 1992;6(3):153-5.

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

Nirapam S.UIP in Sarojini Nagar Block of Lucknow district Indian J. comm Med. 1991;16(2):82-4.

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

Kar M, Reddaiah VP, Kant S. Primary immunization status of children in slum areas of South Delhi-the Challange of Reaching the urban poor. Indian J Comm Med. 2001;26(3):151-4.

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

Sokhey J, Jain DC, Harit AK, Dhariwal AC. Moderate immunization coverage levels in East Delhi. Implication for disease control programmes and introduction of new vaccines. J Trop Pediatr. 2001;47(4):199-203.

Sanguta TCR, Rajesh. Evaluation and impact of various factors affecting universal immunization programme coverage in surat. The Inter Net J Epidemio. 2009:6;2.

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






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