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Declining trend in routine UIP coverage.

S Dasgupta1, D Pal, R N Sinha

  • 1Department of Community Medicine, NRS Medical College, Calcutta.

Indian Journal of Public Health
|March 29, 2002
PubMed
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Routine immunization coverage in West Bengal declined significantly between 1997-99, with urban areas showing drastic drops. High dropout rates and poor antigen-specific coverage highlight urgent needs for improved Universal Immunization Program (UIP) services.

Area of Science:

  • Public Health
  • Epidemiology
  • Vaccination Programs

Background:

  • Routine Universal Immunization Program (UIP) coverage is crucial for child health.
  • Assessing UIP status in West Bengal and specific urban areas is vital for public health interventions.
  • Understanding coverage trends and challenges is essential for disease prevention.

Purpose of the Study:

  • To evaluate the UIP coverage status in West Bengal and three selected municipal corporations.
  • To assess UIP coverage in high-risk polio areas during 1998-99.
  • To identify trends in antigen-wise coverage and dropout rates.

Main Methods:

  • Retrospective analysis of UIP coverage data from 1997-98 and 1998-99.
  • Inclusion of data from West Bengal state, Calcutta, Howrah, and Siliguri municipal corporations.

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  • Focus on 'high risk' areas reporting polio cases in 1998.

    • Main Results:

    • State-wide UIP coverage declined from 54.3% (1997-98) to 48.1% (1998-99).
    • Urban UIP coverage dropped significantly, ranging from 29.6%-47.1% in 1998-99.
    • High dropout rates (30.1%-54.2%) and poor DPT3, OPV3, and Measles coverage were observed.

    Conclusions:

    • Routine immunization services in West Bengal experienced a significant decline during the study period.
    • Poor performance in urban areas and high dropout rates necessitate urgent remedial actions.
    • Further investigation into potential impacts of Pulse Polio Immunization (PPI) on routine UIP is recommended.