Coverage evaluation of mission indradhanush immunization program in Urban and Rural Communities of Ahmedabad District of Gujarat
Priyank Algotar, Rajendra Gadhvi, Niti Talsania
Background: Mission Indradhanush has been launched in December 2014 as a special drive to vaccinate all unvaccinated and partially vaccinated children. This study was conducted with an aim to know vaccines coverage after Mission Indradhanush immunization program was launched in Urban and Rural communities of Ahmedabad District, Gujarat. Methods: Community based cross-sectional study carried out at places such as Urban slums with migration, Nomadic sites, Brick kilns, Construction sites, Underserved & hard to reach areas from July 2015 to July 2017. Cluster sampling method has been used, adapted from WHO 30-cluster sampling. Thirty (30) clusters were selected using probability proportional to the population size (PPS). Each PHC/UHC was taken as one cluster. Results: Out of total 210, proportion of appropriately immunized children according to their respective age was 67.14% (141) & fully immunization coverage (FIC) rate in children age group 12-23 months was 74.60% (94). Completely missed children rate was 9.52% (12). Coverage of birth dose of oral polio (OPV0) was highest 86.19% (181) with and coverage of birth dose of Hepatitis B (HepB0) was lowest 43.33% (99) with. BCG coverage was 85.71%, OPV1, 2, and 3coverage was 83.00%, 81.57% and 80.55% respectively. Penta1, 2 and 3coverage was 80.00%, 76.84% and 75.00% respectively. Measles1 coverage was 74.65%. DPT boostercoverage was 57.50% and Measles2 coverage was 55.00%. Conclusions: Present study found that around 5% children in age group 0-23 months received any vaccine for the first time in life. It was the group which usually missed by routine immunization and never contacted before Mission Indradhanush was launched. Due to Mission Indradhanush this 5% brought for vaccination and it was positive change. On another side 8.3% children did not receive any due vaccine in MI. Full immunization coverage rate was around 10-12% higher than National average coverage rate and around 25% higher than NFHS-4 (2015-16) Gujarat data. Significantly, males & children residing in urban communities aged 0-23 months were more likely to be immunized than females & rural communities.