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Year : 2015 | Volume : 3 | Issue : 3 | Page : 174 - 181  


Original Articles
Operationalizing Intensification of Routine Immunization: a simulation, interventional pilot study in four selected rural health Sub-Centres and one urban health Sub centre – experiences from Jharkhand; North India

Narayana Holla V1; Vijaya Kiran M2

1Associate professor, Department of Community Medicine, KVG Medical College and Hospital, Sullia, Karnataka

2Professor and Head, Department of Community Medicine, Malla Reddy Medical College for Women (MRMCW), Hyderabad

Corresponding Author:

Dr. Narayana Holla V

Email: narayana_holla@yahoo.co.in

Abstract:

Government of India (GOI) declared 2012-13 as the year of Intensification of Routine Immunization (IRI) for rapidly raising the coverage in needy states/districts and blocks depicted by DPT3 coverage as per DLHS 3 2007-08. This simulation pilot study was conducted with the objective of operationalizing one of the key strategies of conducting 4 Immunization Weeks (IWs) in 4 successive months and to share the operational impact for statewide application in Jharkhand. Method comprised intervention with enumeration format for enumerating cum line-listing and 4 in 1 format for preparing subcentre level micro-plan blended with supportive supervision, data collection/analysis/providing technical assistance and feedback.

Results were encouraging with significant rise in vaccination coverage: in the rural area, BCG coverage rose from 89 to 98%, DPT 3 from 75 to 99%, Measles 1st dose from 78 to 93%, DPT Booster from 58 to 86%, OPV booster from 44 to 85% and Measles 2nd dose from 41 to 84%. In the urban area all three rose to 68%; DPT booster from 33%, OPV booster from 19% and Measles 2nd dose from 12%.

Key words: Intensification of routine immunization�� Simulation study





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