Lots quality coverage survey technique for assessment of immunization performance and quality in an urban slum of Mumbai

Abstract

Background: The purpose of utilization of lot quality technique is to identify quickly & scientifically the areas with poor performance and provide information for developing strategies to improve service quality. Evaluation of immunization coverage provides evidence whether substantial progress towards achieving immunization targets is being made. This study was conducted to assess immunization coverage and quality of immunization services as per mentioned in WHO’s Lots Quality Survey Technique guide received by the child in view of appropriate age and interval in urban slum of Mumbai . Methods: A cross-sectional, descriptive epidemiological study was carried out in the field practice area of urban health centre of institute during the period of January 2013 to December 2013. Total number of 336 children between age of 12-23 months were selected from 21 Lots by using standard lots quality survey technique. Data was analysed using SPSSv.16 with suitable statistical tests. Results: The overall coverage of immunization in the urban slum area was 75.0% (fully immunized), 22.3% (partially immunized) and 2.7% (unimmunized). The immunization was received in 92.8% of children at inappropriate interval. Out of 21 lots 19 were unprotected. Conclusions: Though the overall coverage of immunization was good in urban slum but still it has pockets of partial or non-immunization. In areas with high immunization coverage Lots Quality technique should be used to detect of poor coverage and quality and to take appropriate action.