Immunisation Status of Under Five Children in a Tribal Colony of Northern Kerala
Keywords:Immunization, under five children, Paniyan tribe, Wayanad, Kerala
Background: One of the most cost effective and easy methods for the healthy wellbeing of a child is
immunization. Paniyans is one of the major tribes of Wayanad and are the largest single tribal community.
The sociocultural, political, and topographical uniqueness of the tribal groups in Kerala, their needs of health
care, attitudes, and health-care-seeking behaviors differ from the nontribal population and thus, challenge
the present service-delivery system that has largely been based on the needs and priorities formulated for
the nontribal population.
Methods: This was a cross-sectional study done between November 2018 to January 2019 at Jai Hind
colony, Wayanad district among Paniyan tribes. All the under 5 children in the colony were the study subjects.
The parents were approached individually in their houses and data was collected using a predesigned and
pretested investigator-administered questionnaire. Responses were obtained from a total 21 parents of the
Results: The maximum coverage was for BCG (100%), followed by OPV0 and hepatitis B 0 doses (95.23%
for both) and the least was MR 2 and DPT 1 doses (52.94% for both). Majority of the children (52.38%) were
partially immunized and there were no children (0%) who were non immunized. The most common reason
for partial immunization was unawareness regarding the need for immunization (54.54%).
Conclusions: The proportion of fully immunized children was significantly lower in the study. The maximum
coverage was for BCG and the least was MR2 and DPT1 doses. The most common reasons for partial/no
immunization in the current study was lack of awareness regarding the need for immunization
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