Coverage & missed opportunity for Japanese encephalitis vaccine, Gorakhpur division, Uttar Pradesh, India, 2015: Implications for Japanese encephalitis control
Background & objectives: Japanese encephalitis (JE) is an important aetiology of acute encephalitis syndrome in Gorakhpur division, Uttar Pradesh, India. Two doses of JE vaccine ( first during 9-12 months and second during 16-24 months of age) are administered under the Universal Immunization Pr...
Main Authors: | , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Wolters Kluwer Medknow Publications
2017-01-01
|
Series: | Indian Journal of Medical Research |
Subjects: | |
Online Access: | http://www.ijmr.org.in/article.asp?issn=0971-5916;year=2017;volume=145;issue=1;spage=63;epage=69;aulast=Murhekar |
id |
doaj-16f3e6c838c044c3abf5bc3c17e2835c |
---|---|
record_format |
Article |
spelling |
doaj-16f3e6c838c044c3abf5bc3c17e2835c2020-11-24T23:34:48ZengWolters Kluwer Medknow PublicationsIndian Journal of Medical Research0971-59162017-01-011451636910.4103/ijmr.IJMR_712_16Coverage & missed opportunity for Japanese encephalitis vaccine, Gorakhpur division, Uttar Pradesh, India, 2015: Implications for Japanese encephalitis controlManoj V MurhekarChinmay OakPrashant RanjanK KanagasabaiSatish ShindeAshok Kumar PandeyMahima MittalMilind GoreSanjay M MehendaleBackground & objectives: Japanese encephalitis (JE) is an important aetiology of acute encephalitis syndrome in Gorakhpur division, Uttar Pradesh, India. Two doses of JE vaccine ( first during 9-12 months and second during 16-24 months of age) are administered under the Universal Immunization Programme. We conducted surveys to estimate the coverage of JE vaccine and magnitude of missed opportunity for vaccination (MoV) for JE in Gorakhpur division. Methods: To estimate the JE vaccine coverage, cluster surveys were conducted in four districts of Gorakhpur division by selecting 30 clusters by probability proportional to size method in each district, seven children aged 25-36 months were selected from each cluster and their mothers were interviewed about JE vaccination. To estimate the magnitude of MoV, exit surveys were conducted in vaccination clinics in selected health facilities, mothers were interviewed about the vaccination status of their children and vaccines administered to the child on the day of interview. Results: A total of 840 children were surveyed, 210 from each district. The coverages of one and two doses of JE vaccine in Gorakhpur division were 75 per cent [95% confidence interval (CI): 71.0-78.9] and 42.3 per cent (95% CI: 37.8-46.8), respectively. Facility-based exit survey indicated that 32.7 per cent of the eligible children missed JE vaccine. Interpretation & conclusions: The survey results showed that three of the four children aged 25-36 months in Gorakhpur division had received at least one dose of JE vaccine. The coverage of second dose of JE vaccine, however, was low. Failure to administer vaccination simultaneously was the most common reason for MoV for JE vaccine. Training vaccinators about correct vaccination schedule and removing their misconception about administering vaccines simultaneously would substantially improve JE vaccine coverage in Gorakhpur.http://www.ijmr.org.in/article.asp?issn=0971-5916;year=2017;volume=145;issue=1;spage=63;epage=69;aulast=MurhekarGorakhpur - India - Japanese encephalitis - vaccine - vaccine coverage |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Manoj V Murhekar Chinmay Oak Prashant Ranjan K Kanagasabai Satish Shinde Ashok Kumar Pandey Mahima Mittal Milind Gore Sanjay M Mehendale |
spellingShingle |
Manoj V Murhekar Chinmay Oak Prashant Ranjan K Kanagasabai Satish Shinde Ashok Kumar Pandey Mahima Mittal Milind Gore Sanjay M Mehendale Coverage & missed opportunity for Japanese encephalitis vaccine, Gorakhpur division, Uttar Pradesh, India, 2015: Implications for Japanese encephalitis control Indian Journal of Medical Research Gorakhpur - India - Japanese encephalitis - vaccine - vaccine coverage |
author_facet |
Manoj V Murhekar Chinmay Oak Prashant Ranjan K Kanagasabai Satish Shinde Ashok Kumar Pandey Mahima Mittal Milind Gore Sanjay M Mehendale |
author_sort |
Manoj V Murhekar |
title |
Coverage & missed opportunity for Japanese encephalitis vaccine, Gorakhpur division, Uttar Pradesh, India, 2015: Implications for Japanese encephalitis control |
title_short |
Coverage & missed opportunity for Japanese encephalitis vaccine, Gorakhpur division, Uttar Pradesh, India, 2015: Implications for Japanese encephalitis control |
title_full |
Coverage & missed opportunity for Japanese encephalitis vaccine, Gorakhpur division, Uttar Pradesh, India, 2015: Implications for Japanese encephalitis control |
title_fullStr |
Coverage & missed opportunity for Japanese encephalitis vaccine, Gorakhpur division, Uttar Pradesh, India, 2015: Implications for Japanese encephalitis control |
title_full_unstemmed |
Coverage & missed opportunity for Japanese encephalitis vaccine, Gorakhpur division, Uttar Pradesh, India, 2015: Implications for Japanese encephalitis control |
title_sort |
coverage & missed opportunity for japanese encephalitis vaccine, gorakhpur division, uttar pradesh, india, 2015: implications for japanese encephalitis control |
publisher |
Wolters Kluwer Medknow Publications |
series |
Indian Journal of Medical Research |
issn |
0971-5916 |
publishDate |
2017-01-01 |
description |
Background & objectives: Japanese encephalitis (JE) is an important aetiology of acute encephalitis syndrome in Gorakhpur division, Uttar Pradesh, India. Two doses of JE vaccine ( first during 9-12 months and second during 16-24 months of age) are administered under the Universal Immunization Programme. We conducted surveys to estimate the coverage of JE vaccine and magnitude of missed opportunity for vaccination (MoV) for JE in Gorakhpur division.
Methods: To estimate the JE vaccine coverage, cluster surveys were conducted in four districts of Gorakhpur division by selecting 30 clusters by probability proportional to size method in each district, seven children aged 25-36 months were selected from each cluster and their mothers were interviewed about JE vaccination. To estimate the magnitude of MoV, exit surveys were conducted in vaccination clinics in selected health facilities, mothers were interviewed about the vaccination status of their children and vaccines administered to the child on the day of interview.
Results: A total of 840 children were surveyed, 210 from each district. The coverages of one and two doses of JE vaccine in Gorakhpur division were 75 per cent [95% confidence interval (CI): 71.0-78.9] and 42.3 per cent (95% CI: 37.8-46.8), respectively. Facility-based exit survey indicated that 32.7 per cent of the eligible children missed JE vaccine.
Interpretation & conclusions: The survey results showed that three of the four children aged 25-36 months in Gorakhpur division had received at least one dose of JE vaccine. The coverage of second dose of JE vaccine, however, was low. Failure to administer vaccination simultaneously was the most common reason for MoV for JE vaccine. Training vaccinators about correct vaccination schedule and removing their misconception about administering vaccines simultaneously would substantially improve JE vaccine coverage in Gorakhpur. |
topic |
Gorakhpur - India - Japanese encephalitis - vaccine - vaccine coverage |
url |
http://www.ijmr.org.in/article.asp?issn=0971-5916;year=2017;volume=145;issue=1;spage=63;epage=69;aulast=Murhekar |
work_keys_str_mv |
AT manojvmurhekar coveragemissedopportunityforjapaneseencephalitisvaccinegorakhpurdivisionuttarpradeshindia2015implicationsforjapaneseencephalitiscontrol AT chinmayoak coveragemissedopportunityforjapaneseencephalitisvaccinegorakhpurdivisionuttarpradeshindia2015implicationsforjapaneseencephalitiscontrol AT prashantranjan coveragemissedopportunityforjapaneseencephalitisvaccinegorakhpurdivisionuttarpradeshindia2015implicationsforjapaneseencephalitiscontrol AT kkanagasabai coveragemissedopportunityforjapaneseencephalitisvaccinegorakhpurdivisionuttarpradeshindia2015implicationsforjapaneseencephalitiscontrol AT satishshinde coveragemissedopportunityforjapaneseencephalitisvaccinegorakhpurdivisionuttarpradeshindia2015implicationsforjapaneseencephalitiscontrol AT ashokkumarpandey coveragemissedopportunityforjapaneseencephalitisvaccinegorakhpurdivisionuttarpradeshindia2015implicationsforjapaneseencephalitiscontrol AT mahimamittal coveragemissedopportunityforjapaneseencephalitisvaccinegorakhpurdivisionuttarpradeshindia2015implicationsforjapaneseencephalitiscontrol AT milindgore coveragemissedopportunityforjapaneseencephalitisvaccinegorakhpurdivisionuttarpradeshindia2015implicationsforjapaneseencephalitiscontrol AT sanjaymmehendale coveragemissedopportunityforjapaneseencephalitisvaccinegorakhpurdivisionuttarpradeshindia2015implicationsforjapaneseencephalitiscontrol |
_version_ |
1725527612891070464 |