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Delayed vaccination and its predictors among children under 2 years in India: Insights from the national family health survey-4
Authors: Choudhary TS, Reddy NS, Apte A, Sinha B, Roy S, Nair NP, Sindhu KN, Patil R, Upadhyay RP, and Chowdhury R
Source: Vaccine, 37(17): 2331-2339; DOI: 10.1016/j.vaccine.2019.03.039
Topic(s): Child health
Children under five
Immunization
Country: Asia
  India
Published: APR 2019
Abstract: OBJECTIVE: Delayed vaccination increases the susceptibility window for vaccine preventable diseases. Our analysis estimates the proportion of children between 10 and 23 months of age with delayed vaccination in India and the associated socio-demographic, maternal and child related factors. METHODS: We used individual level data from the National Family and Health Survey 4, conducted in 2015-2016. The primary outcome of the study was delayed vaccination for BCG, DPT- 1st dose and Measles. Delayed vaccination for each vaccine was defined as administration of the vaccine dose after 28?days of the minimum recommended age, as per the national immunization schedule in India. We estimated the proportion of children with delayed vaccination for each vaccine and used multivariable logistic regression to explore associated factors. FINDINGS: In the current analysis, 23.1%, 29.3% and 34.8% of children aged 10 to 23?months had delayed vaccination for BCG, DPT-1st dose and Measles respectively. Children from Muslim families (aOR 1.36 for BCG; aOR 1.45 for DPT-1; aOR 1.26 for Measles); birth weight?
Web: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6996155/