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Abstract
EVALUATION OF VACCINE ADHERENCE AND ROLE OF A CLINICAL PHARMACIST IN PAEDIATRIC VACCINATION
Dr. Shiv Dinesh Dyarapogu*, Dr. Ayaz Khan Pattan, Dr. Artham Lavanya, Dr. S. Tejaswini,
Dr. M. Sireesha, Dr. S. P. Srinivas Nayak*
ABSTRACT
Background: Immunization is one of the decisive factors in preventing various life threatening diseases. Vaccines have thrived as one of the most successful healthy intervention on that have diminished the occurrence of various infectious diseases and improved the quality of life in the population. Although the vaccine coverage has been gradually increasing, the average total immunization coverage is far less than desired outcome. Objective: The objective of our study were to enhance the quantity of vaccine delivered in the paediatric care setting, to improve Awareness of vaccination at community level by a more active involvement of clinical pharmacist on vaccination errors and missed opportunities in paediatric care setting, to analyse the extent of knowledge, attitude and practice of parents to minimize vaccination errors and avoid vaccine misconception thereby improving vaccine adherence. Results: It is a prospective observational study was conducted on 253 paediatric subjects upto 3years of age for a period of six months in a secondary care hospital, Hyderabad. The study was divided into Pre- intervention and post-intervention phases and was performed using a KAP questionnaire. The socio- demographic details were collected by using data collection form and their knowledge, Attitude and practice levels were assessed by using KAP questionnaire regarding child vaccination. Out of 253 subjects were enrolled in the study, the percentage distribution of the respondents age showed that the age group of 25-29 were predominant. The respondents with single child were observed to be more with a frequency of 132 out of 253 who received complete awareness about vaccination. Majority of the respondents were under graduates which was the main reason for lack of knowledge on immunization. Of the total 253 study population, male child were 128(50.50%) and female child were 125(49.40%). In the study, the majority of the children were neonates (103) which is 40.71%. majority of children were immunized with polio (75.49%) and least was varicella (3.55%). Of the total population, delayed or missed vaccine was 72 out of 253 i.e. 28.40% which was observed in both the genders. Missed vaccine opportunities were mostly observed for PCV, Rotavirus, and MMR. Conclusion: This study lead to optimal disease prevention through vaccination in multiple population groups while maintaining high levels of Safety and the clinical pharmacist’s interventions certainly will be helpful in providing education on immunization and improving immunization rates in the underdeveloped and developing countries. KAP questionnaire can be used in future researches on immunization and allow for better understanding of relation between mothers knowledge and immunization of children.
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