Comparative evaluation of intensive pulse polio immunization in district Valsad in the year 2007 and 2008

Chudasama, Rajesh K

doi:10.4103/0019-5359.42485

Cited by 2 publications

(2 citation statements)

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“…Table 3 shows that competency deficiencies (assessed in this study by proportion of prematurely vaccinated children) affect both the public and private health sectors in India, but are most marked amongst the typically less technically qualified staff (including volunteers) who work in Sub-health centres, Pulse Polio and Anganwadi centers [25,26]. Age-inappropriate vaccination for measles is a major health risk for affected children.…”

Section: Resultsmentioning

confidence: 99%

Age-appropriate vaccination against measles and DPT-3 in India – closing the gaps

2013

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BackgroundIn 2010, India accounted for 65,500 (47%) of the 139,300 measles-related deaths that occurred globally. Data on the quality of age-appropriate measles vaccination in rural India is sparse. We explored the following issues: (i) What proportion of Indian children were appropriately vaccinated against measles at 9 months of age, and DPT-3 at 4 months? (ii) Which health facilities administered measles vaccine to children prior to 9 months of age and DPT-3 prior to 14 weeks?MethodsWe analyzed data from the 2008 Indian District Level Health Survey (DLHS-3) to determine the extent of age-appropriate measles and DPT-3 vaccinations. Among 192,969 households in the dataset, vaccination cards with detailed records were available for 18,670 children aged between 12 and 23 months.ResultsAmong this cohort, 72.4% (13,511 infants) had received the first dose of measles vaccine. Only 30% of vaccinated infants received the measles vaccine at the recommended age of 9 months. Similarly, only 31% of infants in the cohort received DPT-3 vaccine at the recommended age of 14 weeks. About 82% of all prematurely vaccinated children were vaccinated at health sub-centres, ICDS and Pulse Polio centres.ConclusionsAge-inappropriate vaccination impacts adversely on the effectiveness of India’s measles immunisation program due to sub-optimal seroconversion, if premature, and increased vulnerability to vaccine preventable diseases, if delayed. Capacity building approaches to improve age-appropriate vaccination are discussed.

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Section: Resultsmentioning

confidence: 99%

Age-appropriate vaccination against measles and DPT-3 in India – closing the gaps

2013

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“…Other studies have evaluated elements of the polio program in India, [8-11] but have not examined vaccination operations at mass transit sites. We conclude that the analysis of program data can guide interventions to both increase the proportion of children reached with vaccine and help monitor vaccination coverage.…”

Section: Discussionmentioning

confidence: 99%

Improving polio vaccination during supplementary campaigns at areas of mass transit in India

Shah

Talyan²,

Vibhour³

et al. 2010

BMC Public Health

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BackgroundIn India, children who are traveling during mass immunization campaigns for polio represent a substantial component of the total target population. These children are not easily accessible to health workers and may thus not receive vaccine. Vaccination activities at mass transit sites (such as major intersections, bus depots and train stations), can increase the proportion of children vaccinated but the effectiveness of these activities, and factors associated with their success, have not been rigorously evaluated.MethodsWe assessed data from polio vaccination activities in Jyotiba Phule Nagar district, Uttar Pradesh, India, conducted in June 2006. We used trends in the vaccination results from the June activities to plan the timing, locations, and human resource requirements for transit vaccination activities in two out of the seven blocks in the district for the July 2006 supplementary immunization activity (SIA). In July, similar data was collected and for the first time vaccination teams also recorded the proportion of children encountered each day who were vaccinated (a new monitoring system).ResultsIn June, out of the 360,937 total children vaccinated, 34,643 (9.6%) received vaccinations at mass transit sites. In the July SIA, after implementation of a number of changes based on the June monitoring data, 36,475 children were vaccinated at transit sites (a 5.3% increase). Transit site vaccinations in July increased in the two intervention blocks from 18,194 to 21,588 (18.7%) and decreased from 16,449 to 14,887 (9.5%) in the five other blocks. The new monitoring system showed the proportion of unvaccinated children at street intersection transit sites in the July campaign decreased from 24% (1,784/7,405) at the start of the campaign to 3% (143/5,057) by the end of the SIA, consistent with findings from the more labor-intensive post-vaccination coverage surveys routinely performed by the program.ConclusionsAnalysis of vaccination data from transit sites can inform program management changes leading to improved outcomes in polio immunization campaigns. The number of vaccinated children encountered should be routinely recorded by transit teams and may provide a useful, inexpensive alternative mechanism to assess program coverage.

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Comparative evaluation of intensive pulse polio immunization in district Valsad in the year 2007 and 2008

Cited by 2 publications

References 1 publication

Age-appropriate vaccination against measles and DPT-3 in India – closing the gaps

Age-appropriate vaccination against measles and DPT-3 in India – closing the gaps

Improving polio vaccination during supplementary campaigns at areas of mass transit in India

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