Thangaraj, Jeromie Wesley Vivian and Prosperi, Christine and Kumar, Muthusamy Santhosh and Hasan, Alvira Z. and Kumar, V. Saravana and Winter, Amy K. and Bansal, Avi Kumar and Chauhan, Sanjay L. and Grover, Gagandeep Singh and Jain, Arun Kumar and Kulkarni, Ragini N. and Sharma, Santanu Kumar and Soman, Biju and Chaaithanya, Itta K. and Kharwal, Sanchit and Mishra, Sunil K. and Salvi, Neha R. and Sarmah, Nilanju P. and Sharma, Sandeep and Varghese, Adarsh and Sabarinathan, R. and Duraiswamy, Augustine and Rani, D. Sudha and Kanagasabai, K. and Lachyan, Abhishek and Gawali, Poonam and Kapoor, Mitali and Chonker, Saurabh Kumar and Sangal, Lucky and Mehendale, Sanjay M. and Sapkal, Gajanan N. and Gupta, Nivedita and Hayford, Kyla and Moss, William J. and Murherkar, Manoj V. and Dwivedi, Laxmi Kant (2024) Post-campaign coverage evaluation of a measles and rubella supplementary immunization activity in five districts in India, 2019–2020. PLOS ONE, 19 (3). e0297385. ISSN 1932-6203
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Abstract
Background
In alignment with the Measles and Rubella (MR) Strategic Elimination plan, India conducted a mass measles and rubella vaccination campaign across the country between 2017 and 2020 to provide a dose of MR containing vaccine to all children aged 9 months to 15 years. We estimated campaign vaccination coverage in five districts in India and assessed campaign awareness and factors associated with vaccination during the campaign to better understand reasons for not receiving the dose.
Methods and findings
Community-based cross-sectional serosurveys were conducted in five districts of India among children aged 9 months to 15 years after the vaccination campaign. Campaign coverage was estimated based on home-based immunization record or caregiver recall. Campaign coverage was stratified by child- and household-level risk factors and descriptive analyses were performed to assess reasons for not receiving the campaign dose. Three thousand three hundred and fifty-seven children aged 9 months to 15 years at the time of the campaign were enrolled. Campaign coverage among children aged 9 months to 5 years documented or by recall ranged from 74.2% in Kanpur Nagar District to 90.4% in Dibrugarh District, Assam. Similar coverage was observed for older children. Caregiver awareness of the campaign varied from 88.3% in Hoshiarpur District, Punjab to 97.6% in Dibrugarh District, Assam, although 8% of children whose caregivers were aware of the campaign were not vaccinated during the campaign. Failure to receive the campaign dose was associated with urban settings, low maternal education, and lack of school attendance although the associations varied by district.
Conclusion
Awareness of the MR vaccination campaign was high; however, campaign coverage varied by district and did not reach the elimination target of 95% coverage in any of the districts studied. Areas with lower coverage among younger children must be prioritized by strengthening the routine immunization programme and implementing strategies to identify and reach under-vaccinated children.
Item Type: | Article |
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Subjects: | Eprint Open STM Press > Biological Science |
Depositing User: | Unnamed user with email admin@eprint.openstmpress.com |
Date Deposited: | 01 Apr 2024 07:57 |
Last Modified: | 01 Apr 2024 07:57 |
URI: | http://library.go4manusub.com/id/eprint/2091 |