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

Hindus to be 'sent' to Kashmir? Despite Israeli settlements, peace eludes the region

By Anand K Sahay*
Curfew, news and communications blackout, transportation shut-down... News reports from Kashmir are worrying. So are the views relayed through the media, especially television. Old-fashioned repression seems to be consorting comfortably with expressions of concern “for our Kashmiri brethren”. We are looking at Orwell’s 1984 in the making.

Dholera 'inundated': Gujarat govt tries selling low lying area as top smart city site

Counterview Desk
Even as the Dholera Special Investment Region Regional Development Authority (DSIRDA) of the Gujarat government was busy organising a junket for Gujarat-based journalists for the area sought to be sold as an ideal special investment region (SIR) for industrialists, well-known farmers' activist Sagar Rabari has wondered why no investor has so far agreed to put in money in an area situated in Ahmedabad district along the Gulf of Khambhat.

Congress' anti-democratic laws led to Modi govt's 'Constitutional' changes: Scholars

Counterview Desk
A large number of academics* said to be belonging to several Indian and international institutions, even as taking strong exception to the Narendra Modi government's alleged move to amend the Constitution through "illegitimate" means, have taken strong exception to their colleagues in academia who we have become "all too accustomed to adopting a calculated silence in the face of such indignities."

Savarkar 'opposed' Bhagat Singh's, Netaji's dream of India, supported British war efforts

By Shamsul Islam*
In a shocking development, the student wing of the RSS put the busts of martyrs Bhagat Singh and Subhash Chandra Bose with Savarkar's on one pedestal at the University of Delhi late in the night on August 20, 2019. Bhagat Singh sacrificed his life for a socialist-democratic-secular republic and Netaji raised Azad Hind Fauj (INA) consisting of people of all religions and regions for armed liberation of India.

UN experts object to GoI move to 'reinforce' trend of prosecution, eviction of tribals

Counterview Desk
In a report sent to the Government of India, three United Nations (UN) special rapporteurs, expressing "concerns" over the failure to ensure "adequate" implementation of the India Forest Rights Act (FRA), have regretted that the Government of India has not cared to reply their previous communications on this.

Modi's Gujarati mind? Why govt move to 'sell-off' defence PSUs isn't in national interest

By Sandeep Pandey*
The Standing Committee on Defence, 2017-18, of the 16th Lok Sabha highlights the idea of Buy Indian-IDDM (Indigenously Designed Developed and Manufactured). The Committee expressed concern over the import content of equipments produced and developed by Defence Research and Development Organisation (DRDO), Ordnance Factories (OFs) and defence Public Sector Undertakings (PSUs) because of the dependence it creates for military hardware on foreign suppliers.

Central Gujarat effluent channel 'releasing' highly polluted industrial wastewater: PM told

Counterview Desk
Senior environmentalists of the Paryavaran Suraksha Samiti (PSS), Vadodara, Rohit Prajapati and Krishnakant, in an open letter to the Prime Minister, the Gujarat chief minister, the Gujarat chief secretary, and senior Government of India and Gujarat government officials dealing with environment, pollution and climate change have said that the authorities’ response their pleas to take action against the leakages and flow of polluted wastewater from the effluent channels of Central Gujarat industrial areas has met with complete inertia.

Can't go to court with RTI information, rule Ahmedabad authorities: Kankaria accident

By Pankti Jog*
In a shocking reply to an application filed by me, the Ahmedabad Municipal Corporation (AMC) authorities have said that the information provided under the Right to Information (RT) Act should be used in court or in a judicial process. The Act is known to be a major tool that enables citizens to seek certified copies of documents, records from any public authority of state and Central government within 30 days, as per provisions of the Act.

RTI Act holy cow for Govt of India? Official insists, don't ask why, when, what, where

By Pankti Jog*
The Government of India appears to have begun treating the Right to Information (RTI) Act as a holy cow. Its officials seem to believe that the Act is a sacred law, under which people shouldn't be questioning its functioning. One recalls what Prime Minister Narendra Modi said while addressing an RTI convention in 2015: “Why should government wait for people to ask information, we will have all information out in the domain, we have nothing to hide."

As submergence stares Narmada valley, Patkar says: With powerful in throne, we're helpless

Counterview Desk
Well-known anti-dam organization, Narmada Bachao Andolan (NBA), plans to begin its “Resist Illegal Submergence in Narmada Valley” satyagraha on August 21 at Jantar Mantar, Delhi, amidst news that the situation in the valley is “critical”, with two persons having already died in flood-related incidents in the upstream of the Sardar Sarovar dam.