Quality assessment of immunization services at Village Health and Nutrition Day (VHND) in the rural areas of Rajkot district, Gujarat, India

Abstract

Immunization has been one of the most significant, cost-effective and stimulatory public health interventions. There is also increasing need to ensure that providers stick to service delivery protocols so as to achieve desired health outcomes. Therefore present study aimed at assessment of quality of immunization services. This was a cross-sectional study with multi-stage sampling method which was carried out in rural areas of Rajkot district. Total 14 Village Health and Nutrition Day (VHND) session sites were observed. Results showed the following: Almost all the essential instruments were available at all session sites. Date and time of reconstitution was written on all BCG (Bacille Calmette Guerin) and measles vaccine vials. Route of administration and site of administration were correct for all vaccines. Information regarding possible side effects was given to only 5% of mothers for DPT (Diphtheria, Pertussis, Tetanus) vaccine, 16% for BCG vaccine and none for measles vaccination. None of the mothers were given all four key messages. It may be concluded that quality of immunization services was good regarding the technique of immunization but lacking in communicating the four key messages after vaccination and giving information about possible side effects of vaccine to the mothers.