PMID- 37468388
OWN - NLM
STAT- MEDLINE
DCOM- 20230814
LR  - 20230906
IS  - 1873-2518 (Electronic)
IS  - 0264-410X (Linking)
VI  - 41
IP  - 37
DP  - 2023 Aug 23
TI  - Timeliness in the uptake of hepatitis B birth dose among Indian children under 
      age five: A population-based study.
PG  - 5368-5375
LID - S0264-410X(23)00827-7 [pii]
LID - 10.1016/j.vaccine.2023.07.015 [doi]
AB  - OBJECTIVE: To assess the timeliness and risk factors for the delay in the uptake 
      of the hepatitis B birth dose among Indian children aged 0-59 months. Information 
      regarding whether the children received the birth dose and the time of receiving 
      it was recorded based on the vaccination card available at the time of the 
      National Family Health Survey (NFHS). METHODS: Using data from the fourth and 
      fifth round of India's National Family Health Survey (NFHS), the percentage of 
      uptake and timely receipt of the hepatitis B birth dose were obtained by 
      background characteristics and at the sub-national level (state). Multinomial 
      logistic regression analysis was used to examine the risk factors. This study 
      further performed a negative binomial regression estimation to predict the 
      probability of receiving the birth dose at each day within a multivariable 
      framework. RESULTS: It was found that approximately 34 % of the children who 
      received the birth dose and the timing of receiving the birth dose was made 
      available through the vaccination card were administered the dose within 24-hours 
      during 2015-16. However, the percentage increased to 51.91 % during 2019-21. 
      During 2019-21, Ladakh had the highest proportion (85.03 %) of children receiving 
      the dose within 24-hours, followed by Jammu & Kashmir with 78 %, and Arunachal 
      Pradesh with 68 %. Mother's education, economic status of the child's family and 
      region (children belong from) were found to be significant predictors in delay of 
      receiving the birth dose within 24 hours. CONCLUSION: Results indicated a need 
      for targeted interventions to improve the coverage and timeliness in the uptake 
      of this critical vaccine dose in the country. These interventions could include 
      strategies such as strengthening the healthcare system, improving awareness among 
      parents and healthcare providers, addressing logistical challenges in vaccine 
      delivery, and promoting community engagement and education on importance of 
      timely vaccination.
CI  - Copyright (c) 2023 Elsevier Ltd. All rights reserved.
FAU - Das, Sumit Kumar
AU  - Das SK
AD  - All India Institute of Medical Sciences, New Delhi, India.
FAU - Khan, Junaid
AU  - Khan J
AD  - International Institute for Population Sciences, Mumbai, India. Electronic 
      address: statjun@gmail.com.
LA  - eng
PT  - Journal Article
DEP - 20230717
PL  - Netherlands
TA  - Vaccine
JT  - Vaccine
JID - 8406899
RN  - 0 (Hepatitis B Vaccines)
SB  - IM
MH  - Humans
MH  - Child
MH  - Infant
MH  - *Vaccination
MH  - *Hepatitis B/epidemiology/prevention & control
MH  - Risk Factors
MH  - Socioeconomic Factors
MH  - Hepatitis B Vaccines
MH  - Immunization Programs
OTO - NOTNLM
OT  - Hepatitis B birth dose
OT  - National family health survey
OT  - Under-five children
OT  - Vaccination
COIS- Declaration of Competing Interest The authors declare that they have no known 
      competing financial interests or personal relationships that could have appeared 
      to influence the work reported in this paper.
EDAT- 2023/07/20 01:06
MHDA- 2023/08/14 06:41
CRDT- 2023/07/19 21:59
PHST- 2023/05/16 00:00 [received]
PHST- 2023/07/05 00:00 [revised]
PHST- 2023/07/07 00:00 [accepted]
PHST- 2023/08/14 06:41 [medline]
PHST- 2023/07/20 01:06 [pubmed]
PHST- 2023/07/19 21:59 [entrez]
AID - S0264-410X(23)00827-7 [pii]
AID - 10.1016/j.vaccine.2023.07.015 [doi]
PST - ppublish
SO  - Vaccine. 2023 Aug 23;41(37):5368-5375. doi: 10.1016/j.vaccine.2023.07.015. Epub 
      2023 Jul 17.