Process evaluation of routine immunization in rural areas of Anand District of Gujarat.

Abstract

Abstract: Objective: To evaluate the process components of routine immunization such as planning of immunization sessions, cold-chain and logistic management, community mobilization, appropriate technique of vaccination etc. in district Anand, Gujarat. Study Design: Cross-sectional observational study. Study setting: Sub-centre or Aanganwadi where immunization sessions are conducted and Primary Health Centres. Methods: Total 88 immunization sessions were evaluated in 44 PHCs. With the help of pre-tested structured questionnaire information was gathered. Results: Almost 46 percent of session sites did not have list of beneficiaries for active mobilization. In nearly 78.4 % of sessions, number of mobilizer present during immunization session was one and/or two. Only 50 percent of session sites had all vaccines available. 93.2 % of Primary Health Centres had no written plan for supervision of immunization sessions. Out of 44 PHC, in 29.6 % of PHCs, sessions were not conducted as per micro-plan on the date of visit. . Conclusion: All ASHA / Aanganwadi workers should mobilize infants from their respective area if village has more than one AWW/ASHA. There is need to send BCG vaccine at all session sites irrespective of wastage concerns. Problem of Vacant post of FHW or FHW on leave/deputation should be dealt with.