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Indian Journal of Community Medicine

Assessment of Pulse Polio Activity in East Delhi: A Parent Based Enquiry

Author(s): P. Nair, S.K. Bhasin, A.T. Kannan

Vol. 31, No. 4 (2006-10 - 2006-12)

The present study was conducted in the Pulse Polio Booths of East Delhi on National Immunization Day 10.10.2004 by Medical Undergraduate Students of University College of Medical Sciences to explore the parent perspectives of the Intensified Pulse Polio Program along with assessment of routine immunization status of children. An attempt was also made to determine a quality of house to house activity in the last IPPI round using recall method. Children aged 18 to 36 months were taken as study subjects. The child was considered fully immunized if it had received BCG, 3 doses of OPV & DPT, Measles and DPT/OPV Booster. After training medical students were then posted randomly in Immunization posts spread over whole of East Delhi.

A total of 297 parents of children over 18 months were interviewed. Among their children 222 (74.7%) were fully immunized, 64 (21.5%) partially immunized and 11 (3.8%) had not received any immunization at all. BCG Scar was present in 244 (82.2%) of the children. While 130 (43.8%) parents were aware of the next IPPI date, 167 (56.2%) had no knowledge of it. 118 (39.7%) respondents were unsure of when polio would be eradicated while 15.8%, 23/9%, and 10.4% felt it would be eradicated in 3 years, 5 years, and 10 years respectively. 10.1% parents felt that Polio would never be eradicated. Most respondents i.e. 210 (70.7%) knew that routine doses of OPV were as important as NID doses and should not be missed.

More than four fifths i.e. 247 (83%) parents were aware of the house to house activity that follows the booth day while 50 (17%) were totally ignorant about it. Among those aware of house of house immunization 206 (83%) could recollect that the house to house team had visited their residence in the last round. Out of 206 respondents, 174 (84.4%) were sure that the team was carrying the vaccine carrier while 151 (73.3%) remembered the team members checking the children finger before immunizing them. More than half i.e. 171 (83%) of the respondents recollected that a mark was put on the house while 42 (20.3%) were sure that the house to house team left no mark on the door. Among 171 parents who noticed the house mark, 92 (53.8%) replied that the mark was P and 23 (13.4%) that the mark was X while 56 (32.8%) did not remember by recalling. There were 89 (52%) parents who remembered that the arrow and the date was also mentioned below the mark while 26 (15%) were sure that no date and arrow was mentioned with the house mark.

Poor house to house activity in East Delhi may be due to high rise buildings where house to house activity has always been difficult due to security reasons. Besides East Delhi as the largest proportion of slum clusters where H-H activity may have been insufficient. Another worrying aspect was that 7.7% of the children did not receive polio drops in the last round while 8% recalled the X mark outside their house, which throws light on the fact that team may not have re-visited the X houses for X-P conversion, thinking, that the child would have been immunized elsewhere. Polio is a disease deemed for eradication and lot of planning goes into each round of IPPI activity. Training, supervision and monitoring are aspects which need greater emphasis to improve to give feasible work load to the vaccinators by drawing efficient micro-plans to prevent them from taking short cuts that affect the quality of the activity.

P. Nair, S.K. Bhasin, A.T. Kannan
Deptt. of Community Medicine, UCMS, Delhi-110 095.
E-mail: [email protected]
Received: 28-4-05

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