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MGM Journal of Medical Sciences

Article Details

2016 | April-June | Issue2
Original Article
A Study of Reasons for Nonimmunization among Children attending the Services of a Rural Hospital in Raigad District, Maharashtra
Sunila Sanjeev, Prasad Waingankar, Seema Anjenaya, BS Lohare
Author Affiliation
Sunila Sanjeev : MGM Medical College and Hospital, Navi Mumbai, Maharashtra, India

Prasad Waingankar : MGM Medical College and Hospital, Navi Mumbai, Maharashtra, India

Seema Anjenaya : MGM Medical College and Hospital, Navi Mumbai, Maharashtra, India

BS Lohare : Navi Mumbai, Maharashtra, India

10.5005/jp-journals-10036-1090

ABSTRACT

Introduction: Immunization is a cost-effective public health intervention to decrease childhood morbidity and mortality. According to the 3rd National Family Health Survey (NFHS-3), 43.5% children aged 12 to 23 months were fully vaccinated. The 3rd District Level Household & Facility Survey (DLHS-3) showed 69% full-immunization coverage in Maharashtra with major regional variations. Rural Hospital, Panvel (Raigad), is in a peri-urban area providing health services to a mix of urban, rural, and migrant population. The study was conducted in this hospital with the aim to understand why people seeking health services for secondary prevention refrain from complying with routine immunization services.

Objectives: To assess the reasons for partial and nonimmunization of the children and the knowledge regarding routine immunization.

Materials and methods: All children who completed 1 year but below 5 years of age, attending the Rural Hospital, Panvel, during a period of 1 month from October 16 to November 15, 2014, were screened and those who were not fully immunized for the age were included in the study. Sociodemographic background, immunization status, reasons for partial and nonimmunization, and knowledge about routine immunization data were collected by personal interview using a prestructured, pretested questionnaire after obtaining informed consent.

Results: Out of 303 children, 57 (18.8%) were found to be either partially immunized (47; 15.5%) or nonimmunized (10; 3.3%). The lack of knowledge (36%), lack of priority for immunization (33%), and poor communication by the health worker (21%) were the major reasons. 42% of the mothers were aware about the severity of the vaccine preventable diseases. However, 80% did not have the correct knowledge regarding the immunization schedule.

Conclusion: The opportunities to vaccinate are still being missed and consolidated efforts to improve the active involvement of mother in the immunization activity are required.

Keywords: Child immunization, Maharashtra, Nonimmunization, Rural hospital.

How to cite this article: Sanjeev S, Waingankar P, Anjenaya S, Lohare BS. A Study of Reasons for Nonimmunization among Children attending the Services of a Rural Hospital in Raigad District, Maharashtra. MGM J Med Sci 2016;3(2):57-61.

Source of support: MGMIHS

Conflict of interest: None

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