Assessment of timely immunization in an urbanized agglomeration of East Delhi, India

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dc.contributor.authorCherian, Vinuen_US
dc.contributor.authorSaini, Narinder Kumaren_US
dc.contributor.authorSharma, Arun Kumaren_US
dc.date.accessioned2020-05-06T08:39:02Z
dc.date.available2020-05-06T08:39:02Z
dc.date.issued2019-03
dc.description.abstractBackground: The under-5 mortality rate in India has shown a decline in the last few decades. However, there is still a lot of work to be done for our country to achieve sustainable developmental goals. One of the factors contributing to child survival is immunization coverage, but high coverage does not mean timely vaccination. ‘On time’ immunization is an important yet little researched factor shielding a child from susceptibility to vaccine preventable diseases. This study aims at assessing the extent of timely immunization and predictors of intentional delay in vaccination of children.Methods: A cross-sectional study was conducted in East Delhi among caregivers having a child in the age group of 13-24 months. Sample size was calculated at 95% confidence limit and 3.5% absolute precision. The final sample size obtained was 350.Results: The percentage of fully and timely vaccinated children is 67.1%, whereas children fully vaccinated but with a delay of 4 weeks from the recommended age of administration is 19.7%. Partial vaccination was found in 11.2% of children and 2% of children were found to be not vaccinated. The most common reason for delay in immunization was pain at the time of administration leading baby cries and fear of needles (26.1%), followed by bad experience with previous vaccination (11.6%). Fear of side effects (14.5%) and being denied vaccination without card (11.6%) were other reasons.Conclusions: The immunization program should include timely completion of vaccination as a quality indicator. Delayed immunization can lead to epidemics in the community and threaten the goal of elimination of vaccine preventable diseases. Improving timeliness can be successfully achieved if the reasons for delay are taken into account.en_US
dc.identifier.affiliationsDepartment of Community Medicine, 1Dr. Somervell Memorial CSI Medical College, Thiruvananthapuram, Kerala, Indiaen_US
dc.identifier.affiliationsUniversity College of Medical Sciences, New Delhi, Delhi, Indiaen_US
dc.identifier.affiliationsUniversity College of Medical Sciences, New Delhi, Delhi, Indiaen_US
dc.identifier.citationCherian Vinu, Saini Narinder Kumar, Sharma Arun Kumar . Assessment of timely immunization in an urbanized agglomeration of East Delhi, India. International Journal of Community Medicine and Public Health. 2019 Mar; 6(3): 1156-1161en_US
dc.identifier.issn2394-6032
dc.identifier.issn2394-6040
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/201229
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber3en_US
dc.relation.volume6en_US
dc.source.urihttps://dx.doi.org/10.18203/2394-6040.ijcmph20190603en_US
dc.subjectTimely immunizationen_US
dc.subjectImmunization coverageen_US
dc.subjectDelayen_US
dc.titleAssessment of timely immunization in an urbanized agglomeration of East Delhi, Indiaen_US
dc.typeJournal Articleen_US
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