Immunization coverage and its socio-demographic determinants among 12-23 months children in rural areas of district Saharanpur
DOI:
https://doi.org/10.47203/IJCH.2025.v37i05.023Keywords:
Fully Immunized, Partially Unimmunized; , Socio-demographic, Rural, ChildrenAbstract
Introduction: Immunization during the initial 1000 days of life is an important stage of development in children which prevents from vaccine preventable diseases (VPDs). Three million children, many of whom reside in impoverished nations, pass away from VPDs each year. Aims and objectives: To evaluate the immunization status and its social and demographic determinants among children age group 12 to 23 months. Material and methods: A cross-sectional study was undertaken in the rural areas of block Sarsawa of district Saharanpur among 510 children between the age group 12 to 23 months. Data was obtained using a semi structured questionnaire regarding the status of immunization and social and demographic factors in children. SPSS 25.0 was used for analysis. Results: Among study participants, fully immunized children were 90.4%, partially immunized were 9.4% and unimmunized children were 0.2%. About 56.3% were males and 43.7% were females. Children who belonged to general category and OBC had 99% and 91.8% fully immunized compared to SC and ST category (86.7% and 50%). Among children who belonged to upper and upper middle class had 100% full immunization. Conclusion: The findings emphasize the necessity to increase awareness and focused measures to enhance immunization coverage.
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References
IMMUNIZATION AGENDA 2030. [cited 2025 Oct 25]. Available from: https://www.who.int/docs/default-source/immunization/strategy/ia2030/ia2030-document-en.pdf?utm_source=chatgpt.com
Ministry of Health and Family Welfare. Immunization: National Health Mission. nhm.gov.in. 2021 [cited 2025 Oct 25]. Available from: https://nhm.gov.in/index1.php?lang=1&level=2&sublinkid=824&lid=220
Focus on Universal Immunization: Dr. Mansukh Mandaviya launches Intensified Mission Indradhanush (IMI) 4.0 [Internet]. Pib.gov.in. 2022 [cited 2025 Oct 25]. Available from: https://www.pib.gov.in/PressReleaseIframePage.aspx?PRID=1796099
Budu E, Seidu AA, Ahinkorah BO, Agbaglo E, Dadzie LK, Yaya S. Determinants of complete immunizations coverage among children aged 12–23 months in Papua New Guinea. Children and Youth Services Review. 2020; 118:105394.
Farzad F, A Reyer J, Yamamoto E, Hamajima N. Socio-economic and demographic determinants of full immunization among children of 12-23 months in Afghanistan. Nagoya J Med Sci. 2017;79(2):179-188.
Immunization coverage. (n.d.). Who.int. [cited Oct 25, 2025]. Available from https://www.who.int/news-room/fact-sheets/detail/immunization-coverage
Global vaccine action plan 2011-2020. (2013, February 21). Who.int; World Health Organization. [cited Oct 25, 2025]. Available from: https://www.who.int/publications/i/item/global-vaccine-action-plan-2011-2020 .
Dhsprogram.com. [citied Oct 25, 2025], Available from: https://dhsprogram.com/pubs/pdf/OF43/India_National_Fact_Sheet.pdf.
Shrivastwa N, Wagner AL, Boulton ML. Analysis of state-specific differences in childhood vaccination coverage in rural India. Vaccines. 2019;7(1):24.
Francis MR, Nuorti JP, Kompithra RZ, Larson H, Balraj V, Kang G, Mohan VR. Vaccination coverage and factors associated with routine childhood vaccination uptake in rural Vellore, southern India, 2017. Vaccine. 2019;37(23):3078-87.
Murhekar MV, Kamaraj P, Kanagasabai K, Elavarasu G, Rajasekar TD, Boopathi K, Mehendale S. Coverage of childhood vaccination among children aged 12-23 months, Tamil Nadu, 2015, India. Indian Journal of Medical Research. 2017;145(3):377-86.
Vikram K, Vanneman R, Desai S. Linkages between maternal education and childhood immunization in India. Social science & medicine. 2012;75(2):331-9.
Islam T, Mandal S, Chouhan P. Influence of socio-demographic factors on coverage of full vaccination among children aged 12–23 months: A study in Indian context (2015-2016). Human Vaccines & Immunotherapeutics. 2021;17(12):5226-34.
Ministry of Family and Health welfare Government of India. National Family Health Survey (NFHS-5), 2021 [cited Oct 25, 2025]. Available from: https://mohfw.gov.in/sites/default/files/NFHS-5_Phase-II_0.pdf .
Pandey S, Ranjan A, Singh CM, Kumar P, Ahmad S, Agrawal N. Socio-demographic determinants of childhood immunization coverage in rural population of Bhojpur district of Bihar, India. Journal of family medicine and primary care. 2019;8(7):2484-9.
Gupta P, Prakash D, Srivastava JP. Determinants of immunization coverage in Lucknow district. North American journal of medical sciences. 2015;7(2):36.
Dhalaria P, Kapur S, Singh AK, Priyadarshini P, Dutta M, Arora H, et al. Exploring the Pattern of Immunization Dropout among Children in India: A District-Level Comparative Analysis. Vaccines. 2023;11(4):836.
Wani RT, Dar H, Raina ZA. Knowledge, attitude and practices of mothers with children under five years of age about vaccination. Journal of Medical Science and Clinical Research. 2017;5(4):24452.
Ghosh A, Annigeri S, Hemram SK, Dey PK, Mazumder S, Ghosh P. Demography and determinants of incomplete immunization in children aged 1–5 years and vaccine-hesitancy among caregivers: An Eastern Indian perspective. Clinical Epidemiology and Global Health. 2022;17:101155.
Pathak NK, Kumar P. An evaluational study: the perception of mother about routine immunization attending anganwadi centre in urban Hapur, Uttar Pradesh. International Journal of Community Medicine and Public Health. 2020;7(6):2159.
Joseph J, Devarashetty V, Reddy SN, Sushma M. Parents’ knowledge, attitude, and practice on childhood immunization. Int J Basic Clin Pharmacol. 2015;4(6):1201-7.
Mahajan H, Srivastava S, Nagesh S. Immunization coverage in an urban resettlement colony of district Gautam-Budh Nagar, Uttar Pradesh, India using WHO 30×7 cluster sampling technique. Int J Community Med Public Health [Internet]. 2017;4(11):4089-95.
Thapar R, Kumar N, Surendran P, Shahdiya A, Mahendran V, Ramesh R, Shetty DJ, Unnikrishnan B, Mithra P, Holla R, Bhagwan D. Vaccine hesitancy among mothers of under-five children in Coastal South India: a facility-based cross-sectional study. F1000Research. 2021;10:186.
Singh CM, Kaushik A, Jain PK, Kumar S, Srivastava DK, Singh NP, Chandra S, Singh AP. Immunization coverage in Etawah: A border district of Uttar Pradesh. Indian journal of community health. 2012;24(2):134-9.
Eze P, Agu UJ, Aniebo CL, Agu SA, Lawani LO, Acharya Y. Factors associated with incomplete immunisation in children aged 12–23 months at subnational level, Nigeria: a cross-sectional study. BMJ open. 2021;11(6):e047445.
Mahore R, Agarwal AK, Jamra V, Mahore RK. A study to identify factors responsible for low immunization coverage in a high priority district of Madhya Pradesh. National Journal of Community Medicine. 2018;9(07):512-8.
Singh S, Sahu D, Agrawal A, Jeyaseelan L, Nadaraj A, Vashi MD. Coverage, quality, and correlates of childhood immunization in slums under national immunization program of India: A cross-sectional study. Heliyon. 2019;5(9):e02403.
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