Reasons for non-immunization of children in an urban, low income group in North India
Mathew, J.L.; Babbar, H.; Yadav, S.
Tropical Doctor 32(3): 135-138
2002
ISSN/ISBN: 0049-4755 PMID: 12139150 DOI: 10.1177/004947550203200305Document Number: 245206
A study was undertaken in July to September 2000 on 500 children under the age of 5 years belonging to a low income group. All were attending the paediatrics outpatient department of a large teaching hospital in New Delhi, India. Only 25% were found to have received complete primary immunization as per the National Immunization Schedule (bacille Calmette-Guerin at birth, 3 doses of diphtheria, pertussis and tetanus and oral poliovirus vaccine (OPV) at 6, 10 and 14 weeks and measles vaccine at 9 months). The major reasons for non-immunization of the children were: migration to a native village (26.4%); domestic problems (9.6%); the immunization centre was located too far from their home (9.6%); and the child was unwell when the vaccination was due (9%). Twelve percent of mothers could not give any reason for non-immunization. In addition to the migration of children to rural areas, the other significant finding was an indirect effect of intensive OPV administration as part of polio eradication initiative. The lack of awareness and fear of side effects constituted a small minority of reasons for non-immunization.