To Assess the Immunization Status as Regards BCG, OPV, DPT, Hep B and Measles and Factors A?ecting it in Children (9months- 6years) Attending OPD/IPD Services of Pediatric Department At TMMC&RC, Moradabad

To Assess the Immunization Status in Children (9months- 6years)

Abstract

Introduction: To determine immunization status of children, to study the factors affecting immunization status of children. Subjects and Methods: This was a hospital based cross-sectional observational study. Patients: children who attended the OPD or admitted as in patients (IPD services) during the study period and the documents available with them. Inclusion Criteria: Children in the age group of (9 months6 years) attending Paediatric OPD, Immunization clinic and children admitted in Paediatric ward. Exclusion Criteria: 1. Parents/ caregivers not giving consent. 2. Information of vaccination not available. Statistical Analysis: All the results obtained were subjected to statistical analysis using SPSS software version 24, Fishers Exact test, Chi-square test and Students t test were used for evaluation of level of significance. P- Value of less than 0.05 was taken as significant. Results: In total 360 cases were enrolled in this study. 150 (41.67%) of the children were fully immunized while 150 (41.67%) and 60 (16.66%) of the children were partially immunized and unimmunized respectively. BCG vaccination was done in 76.7 % of the children. DPT1, DPT2, DPT3 were given to 75 percent, 72.2 percent, 58.3 percent of the children respectively. OPV1 OPV2 OPV3 were given in 81.7 percent, 75.3 percent, 61.4 percent of the children respectively. Measles 1 vaccination was done in 62.2 percent of the children. Hep B1, Hep B2, Hep B3 vaccination was done in 75 percent, 72.2 percent, 58.3 percent of the children respectively. Conclusions: immunization status of study subjects was lower than the NFHS4 national and state data. Low parental education, home delivery, daily wager fathers occupation, joint nature of family, low monthly income and increasing birth order were found to be significantly associated with partial/complete unimmunization. The factors such as gender and religion did not have any significant relationship to partial/complete unimmunization. More studies on the same subject will help to find local factors affecting immunization in various areas.