PMID- 16444060
OWN - NLM
STAT- MEDLINE
DCOM- 20060718
LR  - 20190722
IS  - 0973-7693 (Electronic)
IS  - 0019-5456 (Linking)
VI  - 73
IP  - 1
DP  - 2006 Jan
TI  - Child survival and safe motherhood program in Rajasthan.
PG  - 43-7
AB  - OBJECTIVE: This study was planned to evaluate the MCH services, particularly 
      immunization in rural areas of the poor-performing state of Rajasthan. METHODS: A 
      community-based, cross-sectional survey using the WHO 30 cluster technique was 
      carried out as a field exercise by participants of 9th Field Epidemiology 
      Training Programme (FETP) course by National Institute of Communicable Diseases 
      (NICD) in rural areas of Alwar district of Rajasthan. RESULTS: Less than one 
      third (28.9%) of children, aged 12-23 months, were fully immunized with BCG, 3 
      DPT, 3 OPV and Measles vaccines; around a quarter (26.5%) had not received even a 
      single vaccine (non immunized), and little less than half (44.5%) were found 
      partially immunized. Around half of the eligible children were vaccinated for BCG 
      (55.9%) and Measles (43.6%). Though nearly two-third (66.8%) were covered with 
      first dose of DPT and OPV, but about one third of these children dropped out of 
      third dose of DPT and OPV for various reasons. National Family Health Survey 
      (NFHS) data also had revealed that BCG coverage was 64.3%; measles was 36.2%; and 
      coverage by DPT 1, 2, 3 and Polio 1,2 and 3 were 64.4%, 57.0%, 46.6% and 77.5%, 
      71.1% and 54.4% respectively in rural areas. The main reasons for drop-out or 
      non-immunization was "lack of information about the immunization programme" 
      (41.3%). Though nearly all (more than 96%) of the children were immunized through 
      Government established centers, but immunization cards/documents were made 
      available only to 27.6% of children. CONCLUSION: The problem of low coverage and 
      high drop-out rate of immunization could be overcome by creating awareness of the 
      program and relevance of 2nd and 3rd doses of DPT and polio vaccines. Increasing 
      community participation through intensive and extensive health education campaign 
      should also be undertaken. Since most of the deliveries were done at home under 
      the supervision of untrained midwives, training programme as well as involving 
      them in IEC activities should be contemplated.
FAU - Jain, S K
AU  - Jain SK
AD  - Division of Reproductive Health and Nutrition,Indian Council of Medical Research, 
      India. guptan@icmr.org.in.
FAU - Chawla, Uma
AU  - Chawla U
FAU - Gupta, Neeru
AU  - Gupta N
FAU - Gupta, R S
AU  - Gupta RS
FAU - Venkatesh, S
AU  - Venkatesh S
FAU - Lal, Shiv
AU  - Lal S
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - India
TA  - Indian J Pediatr
JT  - Indian journal of pediatrics
JID - 0417442
SB  - IM
MH  - Communicable Disease Control/methods
MH  - Communicable Diseases/*mortality/*therapy
MH  - Cross-Sectional Studies
MH  - Health Education/*methods
MH  - Humans
MH  - India/epidemiology
MH  - Infant
MH  - Infant Mortality
MH  - Mass Vaccination/*organization & administration
MH  - Patient Compliance
MH  - Rural Population
MH  - Survival Analysis
EDAT- 2006/01/31 09:00
MHDA- 2006/07/19 09:00
CRDT- 2006/01/31 09:00
PHST- 2006/01/31 09:00 [pubmed]
PHST- 2006/07/19 09:00 [medline]
PHST- 2006/01/31 09:00 [entrez]
AID - 10.1007/BF02758259 [doi]
PST - ppublish
SO  - Indian J Pediatr. 2006 Jan;73(1):43-7. doi: 10.1007/BF02758259.