ISSN: XXXX-XXXX (Online) XXXX-XXXX (Print)

A cross sectional study on evaluation of routine immunization sessions in ganjam district of Odisha, India

Author(s): Dr. Srikanta Patra1, Dr. Monali Kar2, Dr. Sourav Parida3, Dr. D Shobha Malini4, Dr. Sonali P Patra5, Prof. D.M. Satapathy6
1Senior Resident, Department of Community Medicine, MKCG Medical College, Berhampur.
2Assistant Professor, Department of Community Medicine, IMS & SUM Hospital, Bhubaneswar.
3Junior Resident, 3rd year, Department of Community Medicine, MKCG Medical College, Berhampur.
4Associate Professor, Department of Community Medicine, MKCG Medical College, Berhampur.
5MBBS IMS & SUM Hospital, SOA University, Bhubaneswar.
6Prof & HOD, Department of Community Medicine, MKCG Medical College, Berhampur.
Copyright © Dr. Srikanta Patra, Dr. Monali Kar, Dr. Sourav Parida, Dr. D Shobha Malini, Dr. Sonali P Patra, Prof. D.M. Satapathy. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction: Immunization is the most effective preventive measure in reducing mortality and morbidity due to communicable diseases. The success of a universal immunization program depends on the proper conduction of session sites, which in turn relies on proper planning, availability of logistics, and the competence of the manpower involved. This study aims to evaluate the session sites based on the aforementioned aspects.
Methods: This cross-sectional study was conducted across 24 randomly selected immunization sessions in 8 districts of Ganjam district. Data on resources-logistics readiness, sociodemographic profile, knowledge, and practice of the Auxiliary Nurse Midwives (ANMs) regarding various aspects of immunization were collected using two structured questionnaires. The collected data were compiled and analyzed using SPSS ver. 17.
Results: A total of 24 immunization sessions were observed in 8 blocks of Ganjam district. Immunization sessions were held according to the microplan at all sites, while beneficiary due lists were found at 18 (75%) sites. Only 6 (25%) sites had at least one vial from each vaccine. The date and time of opening the vial were recorded at 17 (70.8%) sites. Beneficiaries were advised to wait for 30 minutes at 11 (45.8%) sites, while 4 key messages were given by 15 (62.5%) of ANMs. Most ANMs were able to correctly interpret the Vaccine Vial Monitor (VVM) and were aware of which vaccines follow the open vial policy.
Conclusion: Adequate manpower was available at almost all sites, while unavailability of vaccines and logistics was observed at a few sites. The knowledge and practice of vaccinators can be improved through periodic hands-on training.

Keywords: Immunization; Vaccine; ANM; Odisha.