Immunization in urbanized villages of Delhi

Indian J Pediatr. 2007 Feb;74(2):131-4. doi: 10.1007/s12098-007-0004-3.

Abstract

Objective: To assess the immunization coverage of BCG, DPT, OPV, Measles, MMR and Hepatitis B vaccines in two urbanized villages of East Delhi and study the factors affecting the coverage.

Methods: Children of age 24-47 months were selected using systematic random sampling. Information on socio-demographic factors and immunization status was obtained by house-to- house visit. Immunization coverage of all vaccines was computed and analysis of association between immunization coverage and socio-demographic factors was done.

Results: The coverage levels were 82.7% for BCG, 81.5% for DPT/OPV 1, 76.8% for DPT/OPV 2, 70.7% for DPT/OPV 3 and 65.3% for measles vaccine. It was 41.4% and 41.6% for DPT booster and MMR vaccine. Higher education of mother (OR=1.96) and father (OR=1.80), father's occupation (OR=1.86), residential status (OR=1.76), place of birth (OR=2.64) and presence of immunization card (OR=5.8) were significant determinants for complete immunization on univariate analysis. On regression analysis mother's education (OR=1.43), presence of immunization card OR=2.05 and place of birth (OR=3.80) remained significant.

Conclusion: Immunization evaluation surveys have shown a wide variation across regions, states and different strata of the society.

MeSH terms

  • Analysis of Variance
  • BCG Vaccine / administration & dosage
  • Chi-Square Distribution
  • Child, Preschool
  • Communicable Disease Control / organization & administration*
  • Cross-Sectional Studies
  • Developing Countries
  • Diphtheria-Tetanus-Pertussis Vaccine / administration & dosage*
  • Educational Status
  • Female
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Immunization Programs / organization & administration*
  • India
  • Infant
  • Logistic Models
  • Male
  • Program Evaluation
  • Risk Assessment
  • Socioeconomic Factors
  • Urban Health*
  • Urban Population
  • Vaccination / standards
  • Vaccination / trends*

Substances

  • BCG Vaccine
  • Diphtheria-Tetanus-Pertussis Vaccine