Abstract of Dissertation

Keyword : Immunization Coverage; Universal Immunization programme; Communicable diseases

Objective : • To assess the Immunization status of 12-23 months old children. • To analyze the association between the birth order of children and their Immunization status.

Background : Communicable diseases prove to be a leading cause of mortality and morbidity among children. Many infectious diseases can be prevented through vaccination thus immunization is one of the cost-effective measures for child survival.

Methodology : A Retrospective cross-sectional study was done in 3 months by 30x 7 cluster sampling. Inclusion criteria: children up to 2 yrs of age and children of immigrated families are included in the study. Exclusion criteria: Children who were younger than 12 months and over 2 years were excluded from the study and also the children of emigrated families.

Findings : In the present study, it is estimated that out of total 210 children 136 (65%) children are fully immunized in rural parts of Porbandar while as “per NFHS 4 Report of 2015-16 about 76.4% children from rural pockets are fully immunized. This study also says that only 35% of children are partially immunized. Also, the individual coverage of vaccines then the highest coverage i.e. 99.5% each is observed in BCG, Pentavalent1 and OPV1 vaccines. Importantly, the coverage of hepatitis B vaccine is least in the district (~68%) Adding to this, as far as dropout rates of individual vaccines is concerned, the maximum dropout rate (3.8%) has been observed each in between Pentavalent 1stto measles 1st dose and between BCG to Measles 1st dose. Through study, it can be interpreted from the data that as the birth order keeps on increasing the adherence of the parents to get the child fully immunized decreases. Number of Children of the 1st birth order is fully immunized (approximately 53%) than from the second (27%) and 3 birth order (20%). A similar trend can be observed in partially immunized children too.

Recommendations : The study highlights that though the immunization coverage in the area is better than the state’s average, further improvement is needed because it still lags behind the UIP target of 100% coverage. We identified substantial dropout rate which shows the need for effective surveillance and tracking system.”