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An In Vitro Model for Measuring Immune Responses to Malaria in the Context of HIV Co-infection
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Immunisation status and its predictors among children of HIV-infected people in Kolkata

Pinaki Sensarma1, Subhasis Bhandari, V Raman Kutty

  • 1Achutha Menon Centre for Health Science Studies, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India.

Health & Social Care in the Community
|July 21, 2012
PubMed

Insights

This study found that 73% of children exposed to HIV in Kolkata were fully immunized by 12 months, similar to the general population. Key predictors for complete immunization included maternal antenatal care and education.

Area of Science:

  • Public Health
  • Pediatrics
  • Epidemiology

Background:

  • Universal immunisation programs are recommended by WHO and UNICEF for diseases like tuberculosis, polio, and measles.
  • Information on immunisation coverage for HIV-exposed children in India is limited.
  • The study addresses a critical gap in understanding child health outcomes within vulnerable populations.

Purpose of the Study:

  • To determine the proportion of HIV-exposed children fully immunised by 12 months in Kolkata.
  • To identify predictors associated with complete immunisation in this population.
  • To inform targeted interventions for improving child immunisation rates.

Main Methods:

  • A community-based cross-sectional survey was conducted in the Kolkata Metropolitan Area.
  • Data were collected from 256 caregivers of HIV-exposed children using a pre-structured interview schedule.
  • Multiple logistic regression analysis was employed to identify significant predictors of complete immunisation.

Main Results:

  • 73.0% of HIV-exposed children achieved complete immunisation by 12 months, a rate comparable to the general child population.
  • Maternal antenatal care, maternal post-primary education, and child's religion (Hindu/Christian) were significant predictors.
  • Children not belonging to scheduled castes, tribes, or other backward classes also showed higher complete immunisation rates.

Conclusions:

  • Antenatal care and maternal education are crucial for ensuring complete child immunisation.
  • Targeted efforts are needed to improve immunisation coverage among Muslim communities and socially disadvantaged groups.
  • Empowering women through education can lead to long-term improvements in child health outcomes.

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