Coverage evaluation of the universal immunization program in Imphal-East district of Manipur: a cross-sectional study

Abstract

Background: For the state of Manipur, the evaluated coverage among children as per NFHS-2, NFHS-3 and NFHS-4 were 42.3%, 46.8% and 65.9% respectively. But with the introduction of Mission Indradhanush in December 2014 which aimed in achieving the full immunization coverage to all eligible children over the next five years through special catch-up drives might have helped in improving the coverage. Hence, some improvement is expected by now. To ascertain the current status, the study was taken up. The current study was conducted to evaluate the primary vaccination coverage among children aged 12-23 months. The study also aimed to determine any association between important background characteristics with the vaccination status.Methods: A cross-sectional study was conducted in Imphal East District, Manipur during May 2017 to April 2020 among mothers having 12-23 months old children. 1,309 eligible study-women were selected by using multi-stage sampling technique. Data on their background characteristics, immunization status of the children and vaccination-related details were collected by using a pre-tested interview schedule.Results: The full immunization rate among children was found to be 93%. There was significant association between the immunization status and important background characteristics like place of delivery, order of birth, family income and mother’s educational status.Conclusions: Present study indicated that the full immunization coverage of the district was higher than the national and regional coverage findings. Place of delivery, order of birth, family income and mothers’ low educational status were found to be significantly associated with full immunization coverage.