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Factors Affecting Low Immunization Coverage among Children in Uttar Pradesh, India

Last modified: 2018-08-07


Background: Uttar Pradesh, the most populous state of India has week demographic and health indicators. One such indicator is Infant Mortality Rate. According to National Family Health Survey (NFHS-4), the IMR of UP is 78. One of the reasons for high IMR is low immunization coverage among children. NFHS-4 shows that only 51% children aged 12-23 months were fully immunized.

Objectives: To examine socio-economic and demographic factors causing low immunization.

Data and Methods: Unit level information on 5157 children aged 12-59 months taken from NFHS-3 conducted during 2005-06 has been used. Fully immunized children are those who have received BCG, measles and three doses each of DPT and Polio vaccines. Covariates were examined using logistic regression model including variables found significant in bi-variate analysis. Further Categorical Principal Component Analysis (CATPCA) was applied to propose some factors responsible for low immunization coverage.

Results: Mother’s education (OR: 3.75, CI: 2.29-6.15) and ANC visits (OR: 15.77, CI: 10.73-23.19)   came out to be most dominant factors affecting partial & non-immunization among children respectively.