Skip to main content

WHO: "Model" Gujarat's immunization coverage 73%, national average 79%; 17 of 21 major states perform better

By Rajiv Shah
Prime Minister Narendra Modi’s home state, Gujarat, which he propagated as the “model” for other states to follow, is facing a major challenge on the health front: If the World Health Organization (WHO) is to be believed, Gujarat’s immunization coverage of one-year olds is one of the worst among Indian states – 72.8% as against the national average of 78.8%.
Worse, out of 21 major Indian states, Gujarat’s immunization coverage is better than just three states – Assam, Uttar Pradesh and Rajasthan. Even Bihar, Jharkhand and Chhattisgarh and Jharkhand, known for extremely poor performance in social sector, have a better immunization coverage among the one-year olds than Gujarat, 80.6%, 82.2% and 91.7%, respectively.
A study of 10 countries, Afghanistan, Chad, Democratic Republic of the Congo, Ethiopia, India, Indonesia, Kenya, Nigeria, Pakistan and Uganda, the 92-page WHO report, “Explorations of inequality: childhood immunization”, released this month, seeks to analyze how things stand in each of these countries against the backdrop of the United Nations 2030 Agenda for Sustainable Development, which resolved to combat inequalities within and among countries.
Analyzing DTP3 (which stands for three doses of diphtheria, tetanus and pertussis vaccines) immunization coverage, the report states, in India, the “coverage was equal in boys and girls and female- and male-headed households, and there was little difference between coverage in urban and rural areas”.
However, it notes gaps when one takes into account factors like mother’s education level (less-educated subgroups showing lower coverage) and wealth quintiles (poorer quintiles showing lower coverage).“DTP3 immunization coverage tended to be lower among children of mothers aged 35–49 years, children belonging to scheduled tribes and children in certain subnational regions”, the report says, adding, “There was a weak, although significant, association for mother’s age at birth and mother’s caste/tribe as well as for place of residence.”
WHO continues, “Children with highly educated mothers aged 20–49 years who belonged to the richest 20% of the population had a 5.3 times higher chance of being vaccinated, compared with children born to teenaged mothers with no education, in the poorest 20% of the population.”
The report notes, “Sex-related inequality was non-existent, as male and female children presented the same level of coverage (79%)”, adding, “Looking at mother’s characteristics, the coverage of DTP3 immunization was the same for the 15–19 years and 20–34 years subgroups (79%), while coverage was lower in the 35–49 years subgroup (70%).”
Further, it says, “The gap between the no education subgroup and the subgroup with more than secondary education was 18 percentage points.”
WHO report
Then, the report says, “There were small differentials in DTP3 coverage by mother’s caste/tribe: Coverage was higher among those in the scheduled caste, other backward class or other subgroups (coverage around 80%), whereas coverage was lower in the scheduled tribe subgroup (74%).”
It adds, “Coverage across subnational regions varied markedly. Nagaland and Arunachal Pradesh had the lowest coverage at 53%, whereas 9 out of the 36 regions reported coverage of 90% or higher”.
The report believes, given this framework, key challenges for India’s health policy for better immunization activities include “weak health information systems and low capacity for monitoring and evaluation (resulting in a lack of evidence for planning and research activities); and human resource shortages in management, research and operations at all levels.”
---
Download report HERE

Comments

TRENDING

'Wedding of the century': What does Mukesh Ambani want to prove by such extravaganza?

By NS Venkataraman*  Mukesh  Ambani,   a renowned Indian industrialist who is said to be the richest person in India and  one of the richest persons in the world,   has just now conducted the wedding celebration of  his son in Mumbai,   with unheard level of lavishness in India.

A Hindu alternative to Valentine's Day? 'Shiv-Parvati was first love marriage in Universe'

By Rajiv Shah*   The other day, I was searching on Google a quote on Maha Shivratri which I wanted to send to someone, a confirmed Shiv Bhakt, quite close to me -- with an underlying message to act positively instead of being negative. On top of the search, I chanced upon an article in, imagine!, a Nashik Corporation site which offered me something very unusual. 

Swami Vivekananda's views on caste and sexuality were 'painfully' regressive

By Bhaskar Sur* Swami Vivekananda now belongs more to the modern Hindu mythology than reality. It makes a daunting job to discover the real human being who knew unemployment, humiliation of losing a teaching job for 'incompetence', longed in vain for the bliss of a happy conjugal life only to suffer the consequent frustration.

'28% rise in sedition cases': Top global NGO alliance rates India's civil space 'repressed'

By Rajiv Shah Rating India's civic space as repressed , Civicus, a global civil society alliance, in its new report submitted to the UN Human Rights Committee (UNHRC) on the state of civic space in the country has said that the use of sedition law against the Modi government’s critics continues. "Under the government of Prime Minister Narendra Modi, sedition cases have increased by 28 per cent with over 500 cases against more than 7,000 people", it says.

'Modi govt's assault on dissent': Foreign funds of top finance NGO blocked

By Rajiv Shah  In a surprise move, the Ministry of Home Affairs, Government of India, has cancelled the foreign funding license of the well-known advocacy group, Centre for Financial Accountability (CFA), known for critically examining India's finance and banking sectors from human rights and environmental angle.

How US is using Tibetans to provoke conflict with China 'ignoring' India

By Lobsang Tenzin*  On July 12, US President Joe Biden signed the Resolve Tibet Act, and Tibetans cheered for it, believing that the law promotes a resolution of the dispute between Tibet and China. Is this true? First, let's look at the issue of the ownership of Tibet. 

How embracing diversity enriched my life, brought profound sense of joy

By Mike Ghouse*  If you can shed the bias towards others, you'll love the connections with every human that God or his systems have created. This gives a sense of freedom and brings meaning and joy to life. Embracing and respecting how people dress, eat, and practice their beliefs becomes an enriching experience.

Post-poll mob lynching spree, bulldozer justice: NAPM seeks united resistance

Counterview Desk  Condemning what it calls "the horrific spree of mob lynchings across the country after the Lok Sabha election results", India's premier civil society network, National Alliance of People’s Movements (NAPM), has called for "united resistance" against "hateful communal politics, mob lynching of religious minorities and caste-based oppression".

Maharashtra govt's proposed bill may be used against 'dissenting' journalists, writers, filmmakers, artists

Counterview Desk  The People’s Union for Civil Liberties (PUCL), Maharashtra, strongly objecting to what it calls “repressive and unconstitutional” Maharashtra Special Public Security Bill 2024, has demanded the proposed law be scrapped in its entirety. In its Statement of Objects and Reasons for the Bill, PUCL noted,  the broad and non-descript label of ‘urban naxal’ has been used, which is actually a “common slur used for any citizen who expresses their opposition to state policy or is not aligned with right-wing majoritarian views."