The universal immunization programme coverage and determining factors among tribal children under the age of five in the Wayanad district of Kerala, South India
DOI:
https://doi.org/10.18203/2320-6012.ijrms20240842Keywords:
Immunization, Tribal, Kerala, Under-five, WayanadAbstract
Background: Globally an estimated two to three million deaths occur every year in all age groups, from six major vaccine-preventable diseases and accounts for almost a quarter of all deaths in children under the age of five years. As Immunization is one of the most successful and cost-effective methods for preventing infectious diseases, the Indian government initiated a vaccination programme to reduce infant mortality and morbidity owing to vaccine-preventable diseases, and achieve vaccine self-sufficiency. In Kerala, about 1.5% of the total population makes up Scheduled Tribes, a socioeconomic group with continuously poor health indicators.
Methods: Through a community-based cross-sectional study using cluster sampling technique, this study intends to determine the coverage of the universal immunization programme among tribal children (0-59 months), the factors affecting vaccination coverage as well as the reasons for partial immunization in Noolpuzha Panchayat, Wayanad. A semi-structured questionnaire was used to collect information from caregivers/mothers.
Results: Out of 289 study population, 64.4% were fully immunized and 35.6% were partially immunized. Children's age and the father's education were found to affect immunization.
Conclusions: As a lack of knowledge about immunizations and subsequent doses was the primary reason for partial immunization. There is a need to create awareness about the importance of vaccination and the subsequent doses among the tribal people of Wayanad.
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References
Andre FE, Booy R, Bock HL, Clemens J, Datta SK, John TJ, et al. Vaccination greatly reduces disease, disability, death and inequity worldwide. Bull World Health Organ. 2008;86(2):140-6.
Vashishtha VM, Kumar P. 50 years of immunization in India: progress and future. Ind Pediatr. 2013;50:111-8.
Gupta PK, Pore P, Patil U. Evaluation of immunization coverage in the rural area of Pune, Maharashtra, using the 30 cluster sampling technique. J Fami Medi Prim Care. 2013;2(1):50-4.
Gurnani V, Dhalaria P, Haldar P, Aggarwal MK, Singh P, Agarwal A, et al. Comprehensive review of the Universal Immunization Programme (UIP)–Identifying gaps and assist in formulating improvement plan for routine immunization in few states of India. Clin Epidemiol Global Health. 2021;12:100834.
Park K. Park’s textbook of preventive and social medicine. 23rd ed India: Bhanot Publishers; 2015:936.
Summan A, Nandi A, Schueller E, Laxminarayan R. Public health facility quality and child immunization outcomes in rural India: A decomposition analysis. Vaccine. 2022;40(16):2388-98.
Narain JP. Health of tribal populations in India: How long can we afford to neglect? Ind J Med Res. 2019;149(3):313-6.
Wikipedia. Wayanad district. Available at: https://en.wikipedia.org/wiki/Wayanad_district. Accessed 13 December 2023.
Moosan H, Stanley A, Prabhakaran AO, Vijayakumar K, Jayasree AK, Gopakumar S. Comparison of health-care utilization pattern and its correlates among the tribal and nontribal population of Kerala. Ind J Comm Medi. 2019;44(Supp 1):S57-61.
National Family Health Survey. Available at: http://rchiips.org/nfhs/. Accessed 26 April 2023.
Mithrason AT, Vikas A, Thomas AM. Immunisation status of under five children in a tribal colony of Northern Kerala. Ind J Publ Health Res Develop. 2021;12(4).
Khargekar NC, Khargekar VC, Shingade PP. Immunization status of children under 5 years in a tribal area, parol, thane district. Nat J Commu Medi. 2015;6(04):522-7.
Kumar S, Prabhu S, Jose AP, Bhat S, Souza OD, Narayana V. Assessment of under-five immunization coverage among the population of slum areas in Mangalore taluk, India. Int J Community Med Public Health. 2017;4:781.
Angadi MM, Jose AP, Udgiri R, Masali KA, Sorganvi V. A study of knowledge, attitude and practices on immunization of children in urban slums of Bijapur City, Karnataka, India. J Clin Diagn Res JCDR. 2013;7(12):2803-6.
Kar M, Reddaiah V, Kant S. Primary immunization status of children in slum areas of south delhi - the challenge of reaching urban poor. Indian J Community Med. 2001;26.
Cao L, Zheng JS, Cao LS, Cui J, Duan MJ, Xiao QY. Factors influencing the routine immunization status of children aged 2-3 years in China. PloS one. 2018;13(10):e0206566.
Kurane AB, Swathi D. A study of immunization status of children in the age group 2-5 years. Int J Contemp Pediatr. 2018;5(3):922-7.
Manglik CG, N SD. Assessment of immunization status among under five children in rural Mangaluru: a cross sectional study. Int J Community Med Publ Health. 2019;6(9):3866-70.
Kadri AM, Singh A, Jain S, Mahajan RG, Trivedi A. Study on immunization coverage in urban slums of Ahmedabad city. Health and population: Perspectives and Issues. 2010;33(1):50-4.
Kumar D, Sharma KK, Varghese KA. Assessment of immunization of under five children of tribal and non-tribal rural communities in southern Rajasthan. Nat J Commu Medi. 2018;9(08):561-5.
Kesarwani P, Singh N, Keshari SS, Dixit S. Cross sectional study of immunization coverage in urban slum areas of Lucknow region. Int J Community Med Public Health. 2017;4(9):3310.
Tapare VS, Borle PS. Assessment of vaccination performance by lot quality technique in an urban community of Miraj. Ind J Comm Medi. 2006;31(3):181.
Manjunath U, Pareek RP. Maternal knowledge and perceptions aboutthe routine immunization programme-a study in a semiurban area in Rajasthan. Indian J Med Sci. 2003;57(4):158-63.