"Background: Immunization coverage indicates functionality of health program. Partial/ non-immunization will have different reasons for so also for rural and urban areas. Objective of the study was conducted to find out proportions of fully/ partially/ not immunized children, identify/ compare reasons for partial/ non-immunization and suggest corrective measures.
Methods: Based on sample size calculated as per District Level Household Survey 3, study included 1749 and 1102 children (2 35 months) in urban and rural areas respectively. House to House Monitoring Format for Routine Immunization (WHO) was used with suitable modifications and data was analysed using Microsoft excel.
Results: Among 2851 children, vaccination card was available with 45.3% (urban) and 32.8% (rural). Proportions of fully immunized children (12 23 months) were 86.4% (urban) and 83.4% (rural) and those not vaccinated at all were 2.3% (urban) and 1.6% (rural). DPT/ OPV booster coverage (24 35 months) were 87.5% (urban) and 74% (rural) were main hurdles in completing immunization. Reasons for missing doses were sickness of child, no felt need, fear of adverse effects following immunization (AEFI), unawareness about session site etc.
Conclusions: Coverage was better than the national surveys still the causes for no/ partial vaccinations need to be addressed through specific interventions to take the coverage to cent percent."