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Why infants miss vaccination during routine immunization sessions? Study in a rural area of Anand District, Gujarat

Tushar A Patel1, Niraj B Pandit

  • 1Department of Community Medicine, Pramukh Swami Medical College, Karamsad, Guajrat, India. trushar_9@yahoo.com

Indian Journal of Public Health
|February 3, 2012
PubMed

Insights

Immunization session efficiency in Gujarat was 66.7%, with missed vaccines often due to lack of reminders or vaccine unavailability. Addressing these healthcare system barriers is crucial for improving childhood vaccination rates.

Area of Science:

  • Public Health
  • Pediatrics
  • Health Services Research

Background:

  • Routine childhood immunization is vital for preventing infectious diseases.
  • Assessing immunization session efficiency and identifying barriers is essential for program improvement.

Purpose of the Study:

  • To evaluate the efficiency of immunization sessions in a rural Indian setting.
  • To determine the primary reasons for vaccine-prevented childhood illnesses.
  • To identify factors associated with missed vaccinations.

Main Methods:

  • A cross-sectional, house-to-house survey was conducted among caregivers of infants under one year in Anand District, Gujarat.
  • Data collected post-immunization session focused on session efficiency and reasons for missed vaccines.
  • Statistical analysis, including odds ratios, was used to identify associated factors.

Main Results:

  • Immunization session efficiency was found to be 66.7%.
  • Key reasons for missed vaccinations included lack of prior reminders (32.9%), maternal forgetfulness (26.6%), and vaccine unavailability (15%).
  • Higher birth order and mother's residence at the father's home were significantly associated with missed vaccinations.

Conclusions:

  • Significant healthcare system barriers, such as inadequate reminders and vaccine stock-outs, impede optimal immunization coverage.
  • Interventions targeting reminder systems and ensuring vaccine availability are necessary to improve immunization program effectiveness.
  • Addressing socio-demographic factors like birth order may also enhance vaccination uptake.

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