Incomplete Immunization Coverage in Delhi: Reasons and Solutions

Abstract

Abstract Background: Immunization is considered as a cost-effective public health intervention to reduce the morbidity and mortality associated with infectious diseases. This study was planned with an objective to find the reasons for defaulters of immunization in an urban resettlement area in Delhi. Methods: The study was conducted over a period of 6 months in four blocks of an urban resettlement colony in Delhi. Children who were not completely immunized as per records were tracked by the research team and caretakers were interviewed to find reasons for incomplete immunization, using a semi structured, pre tested questionnaire. Results: Out of 87 incompletely immunized children, only 44 could be traced. The reasons reported were non availability of vaccine at the centre, long waiting time and poor awareness of parents about importance of immunization despite the fact that most of the parents were literate and employed. However 22.7% were wrongly classified as their immunization was not recorded by the health worker in the centre. Conclusion: Sustained efforts are required to raise the awareness of community about importance of immunization. Workers need to be trained about need for maintaining appropriate records and use the MCTS system.