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National Family Health Survey-3 reported low full-immunization coverage rates in Andhra Pradesh, India: who is to be blamed?

Background National Family Health Surveys (NFHS), the Indian counterpart of Demographic and Health Surveys, are the most recognized surveys in India and provide reliable measures of RCH indicators. But NFHS-3 figures on full immunization coverage rate for the state of Andhra Pradesh (AP) is very low...

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Published in:Journal of Public Health Vol. 33; no. 4; pp. 489 - 496
Main Authors: Chandran, S. Anil, Ramachandra, Srikrishna S., Sekhar, P. Satya
Format: research tables/charts Journal Article
Published: Oxford University Press / USA Dec2011
Online Access:View this record in EBSCOhost
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      pub: Oxford University Press / USA
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        atl: National Family Health Survey-3 reported low full-immunization coverage rates in Andhra Pradesh, India: who is to be blamed?
      aug:
        au:
          Chandran, S. Anil
          Ramachandra, Srikrishna S.
          Sekhar, P. Satya
        affil: Public Health Foundation of India, Indian Institute of Public Health , Hyderabad , India
      sug:
        subj:
          Immunization Epidemiology
          Survey Research Evaluation
          Immunization In Infancy and Childhood
          Secondary Analysis
          India
          Questionnaires Evaluation
          Data Analysis Software
          Research Methodology Evaluation
          Documentation
          Human
          Child
          Child: 6-12 years
      ab: Background National Family Health Surveys (NFHS), the Indian counterpart of Demographic and Health Surveys, are the most recognized surveys in India and provide reliable measures of RCH indicators. But NFHS-3 figures on full immunization coverage rate for the state of Andhra Pradesh (AP) is very low compared with seven other major surveys on immunization carried out around the same time period. Methods The objective is to analyse factors responsible for low full-immunization coverage rate reported by NFHS-3 in AP. Data from three waves of NFHS and other surveys on immunization were used for analysis. Results Although full immunization coverage rate did not increase, other related indicators have shown an improvement between the second and third waves of NFHS. The full immunization coverage rate was significantly higher among card seen category as compared with card not seen category. Conclusions Low full immunization coverage rate in AP as reported by NFHS-3, in all likelihood cannot be totally attributed to poor performance of the immunization programme. Probable reasons are issues related to methodological and logistic processes in NFHS, which include collection of data from a wider age group, differences in data collection methods, commitment levels and skill sets of investigator, fatigue factor and low percentage of cards seen by investigator.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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