Understanding and Addressing Childhood Immunization Coverage in Urban Slums

Indian Pediatrics, Volume 42, 2005

11 Pages Posted: 31 Mar 2016 Last revised: 8 May 2016

See all articles by Siddharth Agarwal

Siddharth Agarwal

Urban Health Resource Centre; Dept. of International Health, JHBSPH

Arti Bhanot

Independent; Urban Health Resource Centre

Geetanjali Goindi

Independent

Date Written: July 17, 2005

Abstract

The National Population Policy (2000) aims at complete protection of all children against vaccine preventable diseases by 2010. Urban poor, many residing in slums, comprise about one-fourth of India’s 285 million urban population. 60% of the children aged 12-23 months in urban India are fully immunized; coverage among urban poor children is a dismal 43%. The inter-state variations of immunization coverage in urban areas, reveals a service coverage gap which calls for a rethink on resource allocation and strengthening processes to improve immunization coverage amongst urban poor. Debilitating environmental conditions and high population density in slums expedite disease transmission. Comparisons of urban-rural disease incidence indicate a particular urban risk for vaccine preventable diseases. This paper attempts to understand the current scenario and challenges in improving immunization coverage in urban slums; immunization being one of the most successful public health interventions of the past century. It also discusses possible mechanisms for effectively reaching the often left-out urban poor. Coordinated activities by the multitude of providers, accurate information based outreach, effective monitoring and community enablement to demand quality services are critical for improving utilization of immunization services by a heterogeneous urban poor population.

Keywords: Immunization, Monitoring, Outreach, Urban slums

JEL Classification: I00, I10, I12, I18, I19, I30, I31, I38, I39, J13, J18, L30, L31, R20, R23

Suggested Citation

Agarwal, Siddharth and Bhanot, Arti and Goindi, Geetanjali, Understanding and Addressing Childhood Immunization Coverage in Urban Slums (July 17, 2005). Indian Pediatrics, Volume 42, 2005, Available at SSRN: https://ssrn.com/abstract=2755321

Siddharth Agarwal (Contact Author)

Urban Health Resource Centre ( email )

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New Delhi, Delhi 110029
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911126199771 (Phone)

HOME PAGE: http://uhrc.in/name-CmodsDownload.html

Dept. of International Health, JHBSPH ( email )

Wolfe Street
Baltimore, MD 21205
United States

Arti Bhanot

Independent ( email )

Urban Health Resource Centre ( email )

136, Humayunpur, First Floor
Safdarjung Enclave
New Delhi, Delhi 110029
India

Geetanjali Goindi

Independent ( email )

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