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Immunisation status of children in BIMARU states

P Singh1, R J Yadav

  • 1Institute for Research in Medical Statistics, ICMR, New Delhi, India.

Indian Journal of Pediatrics
|July 14, 2001
PubMed

Insights

Immunisation coverage for children in Bihar, Madhya Pradesh, Rajasthan, and UP is significantly lower than the national average, with maternal literacy being a key factor. Targeted interventions in rural and underserved areas are crucial for improving vaccination rates.

Area of Science:

  • Public Health
  • Pediatrics
  • Epidemiology

Background:

  • Childhood immunisation is critical for disease prevention.
  • The Universal Immunisation Programme (UIP) aims to provide comprehensive vaccination coverage.
  • Regional disparities in immunisation coverage necessitate targeted assessments.

Purpose of the Study:

  • To evaluate the immunisation status of children in select Indian states (Bihar, Madhya Pradesh, Rajasthan, UP).
  • To identify factors influencing immunisation coverage, including maternal literacy and village characteristics.
  • To provide data for improving the Universal Immunisation Programme.

Main Methods:

  • Utilized a modified WHO 30 cluster survey methodology.
  • Included data collection on child's sex, parental literacy, and village accessibility.
  • Surveyed 30 districts, 900 villages, and 6300 children across the four states.

Main Results:

  • Overall immunisation coverage with BCG, DPT, OPV, and Measles vaccines was 48% in the studied states, compared to 63% nationally.
  • These states accounted for approximately 70% of non-immunised children nationwide.
  • Lower coverage rates were observed in children of illiterate mothers and in small, inaccessible villages.

Conclusions:

  • Maternal literacy is a critical determinant for the success of the Universal Immunisation Programme.
  • Information, Education, and Communication (IEC) strategies should target rural mothers.
  • Special focus and targeted interventions are required for underserved areas, including tribal and remote villages, to improve immunisation coverage and reduce drop-out rates.

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