ABSTRACT
Background: Only 62% (NFHS-4) of the infants in India are fully immunized which is much less than the desired goal of achieving 85% coverage. To accelerate the process of immunization by covering 5% and more children every year, the Mission Mode has been adopted to achieve target of full coverage by 2020. Mission Indradhanush will target all children under the age of two years and pregnant women with all available vaccines.Methods: It is a cross sectional study done in 3 randomly selected districts of Indore division. The beneficiaries selected were children <2 years and pregnant women. The selection of beneficiaries was done by exit interview technique. Data collection was done by using pre-designed, semi-structured questionnaire which assess the awareness and satisfaction level of the beneficiaries.Results: About 88% were aware about the immunization. Overall 78% beneficiaries agreed that vaccination is compulsory, 62% agreed that vaccination schedule should be followed, 30% beneficiaries considered that vaccination was harmful. Most of the beneficiaries were satisfied with behaviour of the health provider, with all key messages given by health provider.Conclusions: Most common reasons found for drop out or left out were, fear of side effects due to vaccination followed by lack of awareness regarding session sites. Satisfaction level was found relatively low regarding difficulty in finding the place where vaccination was done and distance of session sites.
ABSTRACT
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 evaluate process of mission Indradhanush immunization program 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 and 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: All the planned session being held as per micro plan (100%). Due lists of beneficiaries were present at all sites but not updated at 6 (10%) session sites. Mobilizers were present at 58 (96.67%) session sites. ANMs were giving all 4 key messages at 86.67% of session sites. 115 (95.8%) caregivers told source of information was home visits of ASHA/AWW. 66(55.00%) mothers were aware about when to come for next visit and 70 (58.33%) aware about which vaccines were given on MI session day.Conclusions: All the session sites had micro plan and due list, which is major achievement and positive sign of successful implementation of mission Indradhanush. Availability of vaccines and other logistics were also up to the mark. Over all implementation process was satisfactory and according to operational guidelines of MI.