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Intensified pulse polio immunisation coverage in slums of a metropolitan city: an appraisal
Tutul Chatterjee1, Anima Haldar, Shyama Prasad Mitra
1Department of Community Medicine, Medical College, Kolkata.
Insights
House-to-house visits during India
Area of Science:
- Public Health
- Immunization Programs
- Community Health
Background:
- The study addresses challenges in achieving universal immunization coverage.
- Investigates factors influencing participation in the Intensified Pulse Polio Immunization (IPPI) program in urban slums.
Purpose of the Study:
- To evaluate home-based immunization delivery during IPPI rounds.
- To identify reasons for non-attendance at immunization booths and understand information dissemination channels.
Main Methods:
- House-to-house surveys conducted in two slums near Medical College Kolkata during November-December 2000.
- Interviews with mothers of children who did not receive polio vaccine at designated booths.
- Data collection on demographics, reasons for non-attendance, and information sources.
Main Results:
- 611 children received immunization at home, with infants forming the largest group (30.6%).
- A significant proportion of parents (30.2%) cited 'health workers bringing vaccines to doorsteps' as a reason for booth non-attendance.
- 14.9% of children had not received routine immunizations.
- Medical students were the primary source of information (45.4%) regarding IPPI.
Conclusions:
- Home-based immunization delivery is effective for certain populations during mass campaigns.
- Addressing parental perceptions and improving routine immunization services are crucial for enhancing vaccine uptake.
- Targeted information dissemination through healthcare providers and medical students can improve campaign awareness.
Abstract:
A study was conducted by house-to-house visit during 2nd and 3rd round of IPPI in Nov and Dec 2000 in two slums adjacent to Medical College Kolkata. Total houses visited in these two rounds were 2836 and 611 children were immunised at home. Mothers of 503 children (who did not receive IPPI dose at booth on NIDs) were interviewed. For rest 104 children, mothers were not available during the time of visit. The result showed that infants were the largest group (30.6%) to receive vaccine at home. Majority (84.1%) was permanent residents of the locality. Only 4.2% were Bengali-speaking Hindus while most other were Hindi or Urdu speaking Muslims. "Health workers will bring vaccine at door steps" was the reason of non-attendance at booth by 30.2% parents. No routine immunisation was received by 14.9% children. The source of information regarding IPPI was, 45.4% from medical students, 28.5% from health workers, 15.1% from TV, 5.6% from relatives and neighbours, 3.6% from miking and 1.8% from newspapers respectively.
