Vol. 4, Issue 8 (2018)
Factors determining poor immunization coverage in Gwalior district
Author(s): Dr. Roop Sharma, Dr. Jyoti Sharma
Abstract: Introduction: Childhood immunization is a cost effective public health intervention to reduce morbidity and mortality associated with infectious diseases. This study was done to find the reasons for poor immunization coverage in Gwalior district in India. Methods: The study was conducted in 600 children under 5 years of age over a period of 6 months attending 2 paediatric hospitals and 2 paediatric clinics situated in different areas of Gwalior. Mothers of children who were not immunized as per age were interviewed to find factors behind incomplete immunization, using a semi structured questionnaire. Results: Only 41.5 % of children were found to be fully immunized as per World Health Organization norms. The main reasons reported were lack of awareness of parents regarding importance of vaccines (23%), sickness of child (17.9%), far location of immunisation centre (8.8%) and family problems (8.5%). About one tenth of mothers gave no reason for poor immunization of their children and a small minority had fear of side effects and religious reasons. Conclusion: Sustained efforts are required to raise the awareness of the community about importance of immunization.
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