Volume : 09, Issue : 10, October – 2022
Title:
08.EPI COVERAGE UNDER FIVE YEARS OF AGE IN PERIURBAN AREA
Authors :
Muhammad Izhar*, Ziyad Ahmad#, Muhammad Iftikhar*, Sheila Ali*, Osama Ali Khan*, Awal Rehman*, Muhammad Zeeshan Ahmed*, Bacha Hussain*, Azra Fida*, Arsalan Hakim*, Mubasir*.
Abstract :
Background: Immunization is the most simple and effective way of protecting our children from serious illnesses. The aim of this study was to determine the proportion of children under 5 years of age getting immunized according to the EPI schedule and to assess the knowledge and attitude of parents regarding immunization.
Methodology: This was a cross sectional descriptive study conducted in BHU Palosi which is a peri urban of Peshawar, Pakistan in 2021.A non-probability convenient sampling technique was used. Children under 5 years of age both male and female were included. Data was collected from the parents of about 200 children by interviews using a self-structured questionnaire. The data was analyzed using SPSS. Descriptive statistics were displayed and chi square test used to assess association.
Results: In our results 184(92%) children out of 200 were vaccinated and 16(8%) were unvaccinated. Literacy rate of the parents was assessed and it was found that 159 fathers were literate and 41 were illiterate. 93% of the total literate fathers vaccinated their children while 39% of the total illiterate fathers vaccinated their children. Moreover 139 parents believed that vaccination is safe for their children while 61 were not sure regarding its safety still vaccination rate was 89 % and 93 % respectively among both categories. Vaccination centre was accessible to 87% of the participants while 13 % of the parents said that its tough for them to reach to the vaccination centre. Total 192 parents were aware at the time of birth of their children that vaccination is important for their children, among them 178 vaccinated their children (92%). While 8% weren‘t aware that vaccination is important, still 6 of them vaccinated their children.
Recommendations: In order to increase the vaccination rate in the peri urban areas, the number of BHUs should be increased and made accessible according to the population size and area. Regular awareness campaigns should be held and differences should be shown to the residents in the form of pictures, between vaccinated and unvaccinated children in case of potential future diseases. Accountability of vaccination centers is also necessary in order to ensure that all vaccines reach the targeted audience effectively.
Cite This Article:
Please cite this article in Muhammad Izhar et al, EPI Coverage Under Five Years Of Age In Periurban Area., Indo Am. J. P. Sci, 2022; 09(10).
Number of Downloads : 10
References:
1. World Health Organization. Immunization Coverage. Fact Sheet No. 378. 2013. [Last accessed on 2015 Nov 01]. Available from: http://www.who.int/mediacentre/factsheets/fs378/en/
2. World Health Organization. Weekly Epidemiological Record. No. 44. 2012. [Last accessed on 2015 Nov 01]. Available from: http://www.who.int/wer/2012/wer8744.pdf?ua=1.
3. Factors associated with non-utilization of child immunization in Pakistan: evidence from the Demographic and Health Survey 2006-07. Bugvi AS, Rahat R, Zakar R, Zakar MZ, Fischer F, Nasrullah M, Manawar R BMC Public Health. 2014 Mar 6; 14():232.
4. Shahab F, Hussain H, Gul H. Vaccination status and causes of under vaccination in paediatric patients admitted at Khyber teaching hospital Peshawar. J Postgrad
Med Inst. 2013;27:439–44.
5. Strategies intended to address vaccine hesitancy: Review of published reviews. Dubé E, Gagnon D, MacDonald NE, SAGE Working Group on Vaccine Hesitancy. Vaccine. 2015 Aug 14; 33(34):4191203.
6. WHO, UNICEF, World Bank. State of the World’s Vaccines and Immunization. 3rd ed. Geneva: World Health Organization; 2009
7. Bureau of Statistics. Pakistan standards of living measurement survey 2014–15. Islamabad: Statistics Division, Government of Pakistan; 2015.
8. Risk Manag Healthc Policy. 2020; 13: 111–124. Published online 2020 Feb 12. doi: 10.2147/RMHP.S211170 PMCID: PMC7024803 PMID: 32104117
9. Expanded programme on immunization. Keja K, Chan C, Hayden G, Henderson RH. World Health Stat Q. 1988;41(2):59-63.PMID: 3176515
10. Keja K, Chan C, Hayden G, Henderson RH. Expanded programme on immunization. World Heal Stat Q. 1988;41:59–63.
Adhikary M, Haque R, Tanira S. Determinants of child immunization under expanded programme on immunization (EPI) in a rural setting of Bangladesh. J Dhaka Med Coll.2015;22(2):201–6. https://doi.org/10.3329/jdmc.v22i2.21543.
11. Afzal N, Zainab B. Determinants and status of vaccination in Bangladesh. Dhaka Univ J Sci. 2012;60(1):47–51. https://doi.org/10.3329/dujs.v60i1.10336
12. Alva S, Desia S. Maternal education and child health: is there a strong causal relationship? Demography. 1998;35:71–81.
13. 14. Hull BP, Hendry AJ, Dey A, Beard FH, Brotherton JM, McIntyre PB. Immunisation coverage annual report, 2014. Commun Dis Intell Q Rep. 2017 Mar 31;41(1):E68-90.
14. Rita Barradas Barata,1 Manoel Carlos Sampaio de Almeida Ribeiro,1 Jose´ Ca´ssio de Moraes,1 Brendan Flannery,2, Socioeconomic inequalities and vaccination coverage: results of an immunisation coverage survey in 27 Brazilian capitals, 2007e2008, J Epidemiol Community Health 2012;66:934e941. doi:10.1136/jech-2011-200341.
15. Torun SD, Bakırcı N. Vaccination coverage and reasons for non-vaccination in a district of Istanbul. BMC public health. 2006 Dec;6(1):1-8.
16. Ali, A. H. M., Abdullah, M. A., Saad, F. M., & Mohamed, H. A. A. (2020). Immunisation of children under 5 years: mothers‘ knowledge, attitude and practice in Alseir locality, Northern State, Sudan. Sudanese Journal of Paediatrics, 20(2): 152-162.
17. Angela G, Zulfiqar B, Lulu B, Aly GS, Dennis JG R, Anwar H, et al: Pediatric disease burden and vaccination recommendations: understanding local differences. Int J Infect Dis. 2010, 30 (30): 1019-1029.
18. Etana, B., Deressa, W. Factors associated with complete immunization coverage in children aged 12–23 months in Ambo Woreda, Central Ethiopia. BMC Public Health 12, 566 (2012).
19. Ndiritu, M., Cowgill, K.D., Ismail, A. et al. Immunization coverage and risk factors for failure to immunize within the Expanded Programme on Immunization in Kenya after introduction of new Haemophilus influenzae type b and hepatitis b virus antigens. BMC Public Health 6, 132 (2006).
20. Adokiya, M.N., Baguune, B. & Ndago, J.A. Evaluation of immunization coverage and its associated factors among children 12–23 months of age in Techiman Municipality, Ghana, 2016. Arch Public Health 75, 28 (2017
21. T Maki, Z., M Abdalsaid, E., & A Alhilfi, R. (2017). Immunization coverage and its determinants in children aged 12-23 months in Basrah. The Medical Journal of Basrah University, 35(2), 84-90.
22. S. K. LWANGA1 & N. ABIPROJO2; Immunization coverage surveys: methodological studies in Indonesia; Bulletin of the World Health Organization, 65 (6): 847-853 (1987
23. Rahman, M., & Obaida-Nasrin, S. (2010). Factors affecting acceptance of complete immunization coverage of children under five years in rural Bangladesh. Salud pública de méxico, 52, 134-140.
24. Adhikary M, Haque R, Tanira S. Determinants of child immunization under expanded programme on immunization (EPI) in a rural setting of Bangladesh.
Journal of Dhaka Medical College. 2013;22(2):201-6.
25. Rasheed, M., Akram, U., Asif, N., Ahmed, K., Zafar, S., & Mumtaz, S. (2014). Expanded Programme of Immunization (EPI) status among children of factory workers. JIsb Med Dental Coll, 2, 62-6.
26. Ahmad, R., Alvi, S. S., Hassan, M., Kamin, M., Malik, M., Sarwar, L., … & Iqbal, S. (2011). Availability of expanded programme of immunization services provided to children in a rural Pakistani village. JPMA. The Journal of the Pakistan Medical Association, 61(4), 415-418.
27. Tikmani, S. S., Soomro, T., & Ali, S. A. (2017). Vaccination Status and Factors for Non-Vaccination in Children at a Tertiary Care Hospital. International Journal of Vaccine Research, 2(1), 1.
28. Zarak, M. S., Agha, S. M., Sana, H., Haq, N. U., Kakar, S., Nasim, A., … &
Siddique, W. (2018). ASSESSMENT AND KNOWLEDGE ABOUT POLIO VIRUS IN UNION COUNCIL QUETTA CANTT. ASSESSMENT, 5