Skip to main content

Advertisement

SpringerLink
Log in

Client satisfaction with immunization services in urban slums of Lucknow district

  • Original Article
  • Published:
The Indian Journal of Pediatrics Aims and scope Submit manuscript

Abstract

Objective

To assess the satisfaction of parents with the immunization services and its association with their sociodemographic characteristics.

Methods

The study was a part of the coverage evaluation survey conducted using the WHO 30 cluster sampling methodology in the Urban slums of Lucknow district, north India. Analysis for a total of 388 respondents of completely or partially immunized children, was done to assess the level of satisfaction and its determinants.

Results

The overall satisfaction was more than 90% in the respondents of both the categories of the children, however the difference between the satisfaction rates was found to be significant. Also the satisfaction with accessibility (p<0.04) and information given by the health worker (p<0.00) differed significantly between completely and partially immunized. Most of the sociodemographic factors were not found to have a significant association with the satisfaction related to different parameters of the immunization services.

Conclusion

The dissatisfaction regarding the various aspects of immunization services emphasizes the imperative need to take urgent intervention, for the achievement of goal of universal immunization.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Maciosek MV, Coffield AB, Edwards NM, Flottemesch TJ, Goodman MJ, Solberg LI. Priorities among effective clinical preventive services: results of a systematic review and analysis. Am J Prev Med 2006; 31: 52–61.

    Article  PubMed  Google Scholar 

  2. Maternal and Child Health Programme. Ministry of Health and Family Welfare. Available from http://mohfw.nic.in/reports/Annual%20Report%201992-93/chap-VI.pdf

  3. Prislin R, Dyer JA, Blakely CH, Johnson CD. Immunization status and sociodemographic characteristics: the mediating role of beliefs, attitudes, and perceived control. Am J Public Health 1998; 88: 1821–1826.

    Article  PubMed  CAS  Google Scholar 

  4. Gust DA, Strine TW, Maurice E et al. Underimmunization among children: effects of vaccine safety concerns on immunization status. Pediatrics 2004; 114: e16–e22.

    Article  PubMed  Google Scholar 

  5. Bennett P, Smith C. Parents attitudinal and social influences on childhood vaccination. Health Educ Res 1992; 7: 341–348.

    Article  PubMed  CAS  Google Scholar 

  6. Williams SJ, Calnan M. Key determinants of consumer satisfaction with general practice. Fam Pract 1991; 8:237–242.

    Article  PubMed  CAS  Google Scholar 

  7. Uttar Pradesh, Census of India. 2001. Available from http://www.censusindia.gov.in/Tables_Published/SCST/dh_sc_up.pdf

  8. Henderson RH, Sundaresan T. Cluster sampling to assess immunization coverage: a review of experience with a simplified sample method. Bull World Health Organ 1982; 60: 253–260.

    PubMed  CAS  Google Scholar 

  9. National Family Health Survey-2, India (1998–99). International Institute of Population Sciences; Mumbai, 2000.

  10. Lwanga SK, Lemeshow S. Sample size determination in Health studies: a practical manual. Geneva; World Health Organization, 1991.

    Google Scholar 

  11. Manjunath U, Pareek RP. Maternal Knowledge and perception about the routine immunization programme: a study on a semi urban area in Rajasthan. Indian J Med Sci 2003; 57: 158–163.

    PubMed  CAS  Google Scholar 

  12. Barale A, Malaspina S, Rivetti D, Demicheli V, Moiraghi RA. Satisfaction of parents or accompanying persons with vaccination services for children and youngsters being vaccinated. Ann Ig 2004; 16: 179–186.

    PubMed  CAS  Google Scholar 

  13. Ashley HS, Cynthia SM, Donna MS, Bernard G. Parental satisfaction with early pediatric care and immunization of young children the mediating role of age-appropriate wellchild care utilization. Arch Pediatr Adolesc Med 2007; 161: 50–56.

    Article  Google Scholar 

  14. Ghosh A, Singh LL. Child immunization in rural West Bengal (India): A multilevel analysis”. Paper presented at: 2004 Annual Meeting Programme of the Population Association of America.Boston Massachusetts 2004; 1–3.

  15. Ugadhe SN, Zodpey SP, Deshpandey SG, Jain D. Factors responsible for delayed immunization among children under 5 years of age. J Indian Med Assoc 2000; 98: 4–5, 14.

    Google Scholar 

  16. Yadav RJ, Singh P. Immunization status of children and mothers in the state of Madhya Pradesh. Indian J Community Med 2004; 29: 147–148.

    Google Scholar 

  17. Singh MC, Badole CM, Singh MP. Immunization coverage and the knowledge and practice of mothers regarding immunization in rural area. Indian J Pub Hlth 1994; 38: 103–107.

    CAS  Google Scholar 

  18. Salmoso S, Rota MC, Ciofi ML, Tozzi AE. Infant immunization coverage in Italy: estimates by simultaneous EPI cluster surveys of regions. Bull World Health Organ 1999; 77: 843–851.

    Google Scholar 

  19. Homer CJ, Fowler FJ, Gallagher PM et al. The consumer assessment of health plan study (CAHPS) survey of children’s health care. Jt Comm J Qual Improv 1999; 25: 369–377.

    PubMed  CAS  Google Scholar 

  20. Balraj V, Mukundan S, Samuel R, John TJ. Factors affecting immunization coverage levels in a district of India. Int J Epidemio 1993; 22: 1146–1153.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Community Medicine, King George’s Medical University, Lucknow, India

    Bhola Nath, Jai V. Singh, Vidya Bhushan & Shivendra K. Singh

  2. Department of Pediatrics, King George’s Medical University, Lucknow, India

    Shally Awasthi

  3. Department of Project Director, JHU-KGMU Collaborative Projects, Lucknow, India

    Vishwajeet Kumar

Authors
  1. Bhola Nath
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Jai V. Singh
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Shally Awasthi
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Vidya Bhushan
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Shivendra K. Singh
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Vishwajeet Kumar
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Bhola Nath.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Nath, B., Singh, J.V., Awasthi, S. et al. Client satisfaction with immunization services in urban slums of Lucknow district. Indian J Pediatr 76, 479–483 (2009). https://doi.org/10.1007/s12098-009-0070-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12098-009-0070-9

Key words

Search

Navigation