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Daily immunization services: A moral duty, not an empty slogan
Arvind Gupta1, R G Holla2, Rakesh Gupta3
1Senior Consultant and Head, Dept of Pediatrics, Asian Institute of Medical Sciences, Faridabad, Delhi, India.
Insights
Daily immunization clinics significantly increased childhood vaccination rates and clinic attendance by offering more vaccine options and convenient schedules. This comprehensive approach improved overall healthcare service utilization for children.
Area of Science:
- Pediatrics
- Public Health
- Immunology
Background:
- Childhood immunization services in military hospitals were limited to twice weekly, restricting vaccine availability to Universal Immunization Programme (UIP) vaccines.
- This restricted schedule and vaccine offering led to missed vaccinations and was insufficient for achieving 100% immunization coverage.
- A new initiative, CHOICE (Comprehensive child Healthcare, OPD services and Immunization Clinic Everyday), was implemented in two hospitals.
Purpose of the Study:
- To compare the effectiveness of a restricted, weekly immunization schedule with a comprehensive, daily immunization program.
- To evaluate the impact of the CHOICE initiative on vaccine delivery rates and clinic attendance.
Main Methods:
- A retrospective study was conducted comparing two vaccine delivery systems.
- System 1: Restricted approach offering only UIP vaccines weekly.
- System 2: Comprehensive approach offering UIP and optional vaccines daily under pediatrician supervision.
Main Results:
- The comprehensive daily immunization approach led to a significant and progressive increase in immunization clinic attendance.
- Delivery rates for all vaccines, especially combination vaccines, markedly improved.
- The workload per immunization session decreased concurrently with increased attendance.
Conclusions:
- Daily immunization services represent a superior method for delivering vaccines to children.
- The CHOICE program demonstrated a substantial increase in clinic attendance and improved utilization of hospital services.
- Implementing daily immunization clinics enhances vaccine accessibility and public health outcomes for pediatric populations.
Background:
Immunization services in Armed Forces hospitals are provided once or twice a week leading to children missing important vaccines. Vaccines offered are restricted to vaccines provided under the Universal Immunization Programme (UIP). This system is inadequate to meet the challenge of providing 100% immunization to children in a station. Two large service hospitals were selected for provision of daily immunizations under the 'CHOICE' banner (Comprehensive child Healthcare, OPD services and Immunization Clinic Everyday), which was conducted under the supervision of the Pediatrician. The immunization delivery before and after institution of the daily immunization program was compared.
Method:
This retrospective study compares the vaccine delivery rate of two systems, namely a restricted approach providing UIP vaccines on a weekly basis and a comprehensive approach providing both UIP as well as optional vaccines on a daily basis.
Results:
There was a significant increase in attendance at the immunization clinic, which was progressive over the years with the comprehensive approach. The delivery rates of all vaccines increased, in particular the combination vaccines. The workload per immunization session showed a concomitant decrease.
Conclusion:
Daily immunization is a better method of vaccine delivery to children, leading to a marked increase in attendance at the immunization clinic and utilization of hospital services.
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