COVID-19 Pandemic: A Speed Breaker for Routine Immunisation LC32-LC35
Dr. Ashutosh Joshi,
Postgraduate Resident, Department of PSM/Community Medicine,
Gajra Raja Medical College, Gwalior-474009, Madhya Pradesh, India.
Introduction: Immunisation services are affected by Coronavirus Disease-2019 (COVID-19) pandemic due to lockdown and fear of COVID among public along with problems of workforce management and vaccine supply. All these factors have led to decrease in vaccination coverage. It may further lead to increase in risk of vaccine preventable diseases.
Aim: To assess the overall trend and evaluate the vaccination coverage during COVID-19 pandemic in a tertiary care hospital in Gwalior district.
Materials and Methods: This cross-sectional study was conducted on record based secondary data from the immunisation Out Patient Department (OPD) of the tertiary care hospital Gwalior, Madhya Pradesh, India, for the period of 1st February 2020 to 31st August 2020 was utilised in current study. Data were entered into Microsoft Excel version-2007 and analysed. Frequency, percentage, mean, and standard deviation were calculated as a descriptive measures and graphical presentation to show time trends. The p-value was calculated at 5% level of significance.
Results: In the study, 817 children were included, with mean age of 7.46±13.59 months. Total 61.1% (499) children were male and 38.9% (318) were female. During the study period, all the children were vaccinated for Bacille Calmette-Guerin (BCG) (10.6%) Pentavalent-1 series (36.4%), Pentavalent-2 series (17.4%), Pentavalent-3 series (12.2%), Measles-Rubella (MR-1) (6.5%), Booster-I (11.8%) and Booster-II (5.1%). Delayed vaccination was seen in 51(6.20%) children. The delay was observed for Pentavalent-2 series (43.1%), pentavalent-3 series (51.0%) and MR-1 (5.9%) and the difference is significant at p-value <0.05.
Conclusion: Immunisation services were severely interrupted and completely suspended in April 2020. Certain amount of delay in various doses was also observed. Maintaining routine immunisation is essential in preventing an outbreak of vaccine preventable diseases.