Coverage evaluation of vaccines using 30×7 cluster survey in rural area of Dhule, Maharashtra

Background: Infectious diseases are a major cause of morbidity and mortality in children. One of the most cost-effective and easy methods for child survival is immunization. The objective of study was to assess the immunization coverage in the rural area of Dhule.Methods: A community based cross-sectional study was conducted by using WHO 30x7 cluster sampling technique in Primary Health Centre, Kheda catchment villages among children aged 12-23 months on the day of survey. The total sample size was found out to be 210. Identification of clusters was done as per WHO manual on 30×7 cluster survey. Interviews were conducted as per a structured interview format in households with eligible children. Data feeding was done in MS Excel sheet.Results: Full immunization coverage (FIC) was found out to be 58.6%. Drop-out rate was calculated to be 22.95%. The main reason for not completing the immunization was unaware to return for subsequent vaccine doses.Conclusions: Coverage evaluation of vaccines was found out to be 58.6%. Drop-out rate is high.

Study of Utilization of Maternal Health Care Services by Rural Women in Tertiary Care Teaching Hospital.

Reproductive and Child Health (RCH) care is an essential component of the primary health care services. The overwhelming reason for the low utilization of government health care is lack of proper facilities, which in turn limits the utilization of the resources available such as the staff. Objectives: This study was conducted to assess the health seeking behavior of rural women for obstetric care in the rural area and the reasons for seeking care and treatment for delivery at urban teaching hospital. Methods: A cross-sectional study was carried out among the rural women admitted in the postnatal ward of Lokmanya Tilak Municipal Medical College & General Hospital, Mumbai during the period of September 2007 to November 2007. A total of 73 rural women were included. A pre-designed and pre-tested questionnaire was used for the study. Data was analyzed by using Statistical Package of Social Sciences (SPSS) 15.0. Results: Out of 73 rural women from the study, 58 (79.5%) women were registered during antenatal period. 49 (67.1%) women were referred directly from the primary health centre to the tertiary health centre, followed by 48 (65.7%) women believed strongly in the health care provided in the tertiary centre. Conclusion: The study concludes that a large number of cases worth treating at the primary care level are also included in reported cases, increasing avoidable patient load at the tertiary care level.