Td Vaccination Campaign - Overview from an Urban Slum of Cuttack District of Odisha

  • Asmita Patnaik Department of Community Medicine of SCBMCH, Cuttack, Odisha, India.
  • Biswabara Rout Department of Physiology of, Shree Jagannath Medical College, Puri, Odisha, India.
  • Srabani Pradhan Department of Community Medicine of SLN MC, Koraput, Odisha, India.
  • Tapas Ranjan Behera Department of Community Medicine of SCBMCH, Cuttack, Odisha, India.
Keywords: Monitoring of Immunisation, Session Site Monitoring, Td Vaccination

Abstract

Background: World Health Organization (WHO) has recommended replacement of TT vaccine by Td vaccine since 1998. Based on this and several other recommendations, the Government of India introduced Td vaccination for children aged 10 and 16 years as well as for pregnant women on 14th August 2019.1

Objective: Monitoring of Td vaccination drive campaign and identification of shortcomings in an urban slum of Cuttack, Odisha.

Methodology: A community-based cross-sectional study was carried out by visiting all the session sites on the day of the vaccination drive covering 10 schools and 3 community outreach sessions from 1st to 15 th September 2019. 281 children studying in classes 5th and 10th i.e., aged 10 and 16 years respectively were vaccinated with Td Vaccine during the campaign. Session sites were selected by simple random sampling method and data was collected by interviewing ASHAs and ANMs using a checklist for monitoring of session sites available at the MoHFW website.

Result: All session sites were conducted according to micro-plan. Supervisors visited 16% of session sites during the campaign. All the logistics were available in sufficient quantities at all the session sites. None of the session sites used a zipper pouch for storing the vaccine vials, or tally sheets for marking, or a register for keeping the count of used vials. In 20% of the session sites, recapping of the needle was done by the Multipurpose Health Worker (female).

Conclusion: Although the arrangements for conducting the vaccination drive at session sites including schools were commendable but a few lacunas were observed. Most of the schools did not maintain a register of the absentees for tracking them in the community session sites by the social mobilizers (ASHA). All the observed shortcomings could have been overcome with proper microplanning.

How to cite this article:
Patnaik A, Rout B, Pradhan S, Behera TR. Td Vaccination Campaign - Overview from an Urban Slum of Cuttack District of Odisha. J Commun Dis. 2021;53(4):1-5.

DOI: https://doi.org/10.24321/0019.5138.202167

References

Government of India, Ministry of Health & FW. D.O. No. T-22011/01/2017. [Google Scholar]

NHM [Internet]. Tetanus and adult diphtheria (Td) Operational Guidelines. Introduction of Td vaccine in Universal Immunization Programme of India; 2017, p. 4-5 [cited 2021 May 25]. Available from: https://nhm.gov.in/New_Updates_2018/NHM_Components/Immunization/Guildelines_for_immunization/Td_vaccine_operational_guidelines.pdf Strengthening Td10 and Td16 Vaccine Implementation: Operationalguidelines and Strategic Plan, 2019: Ministry ofHealth and Family Welfare, Govt. of India.

Directorate of Family Welfare, Government of Odisha. Letter No. 3795/19 SMCS 113/09. 2019 Aug 31.

The NEWS Minute [Internet]. India moves to Tetanus-Diphtheria vaccine, instead of only Tetanus, on WHO guidance; 2018 [cited 2021 May 25]. Available from: https://www.thenewsminute.com/article/india-moves-tetanus-diphtheria-vaccine-instead-only-tetanus-who-recommendation-86614

Insertion package leaflet (product information) of Td vaccine.Diphtheria and tetanus Vaccine (Adsorbed) For adults and Adolescents IP, Manufactured by Biological E. Limited, Hyderabad, India. (www.biologicale.com)

Hill Z, Dumbaugh M, Benton L, Källander K, Strachan D, ten Asbroek A. Training for mid-level managers (MLM) - Module 4: Supportive supervision. Global Health Action - WHO. 2008;7:1-34. [Google Scholar]

Algotar PD, Lakshmi N, Yagnik HB, Jain R. Process evaluation of mission Indradhanush immunization program in urban and rural communities of Ahmedabad district of Gujarat. Int J Comm Med Public Health. 2019 Feb;6(2):780-3. [Google Scholar]

Panika RK, Gupta A. Evaluation of session sites of routine immunization program in Damoh district of Madhya Pradesh. Int J Comm Med Public Health. 2018 Dec;5(12):5443-7.

Biradar SM, Biradar MK. Session sites monitoring of routine immunization program in Bijapur district. Int J Life Sci Biotechnol Pharma Res. 2013;2(4):232-6. [Google Scholar]

Patel T, Raval D, Pandit N. Process evaluation of routine immunization in rural areas of Anand district of Gujarat. Healthline J. 2011;2(1):17-20. [Google Scholar]

Published
2021-12-31