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• W4385612968 abstract "Coronavirus Disease – 19 Health Management Information System National Family Health Survey-5 Babasaheb V Tandale Yovhan Landge Rupali R Vaidya Salaj Rana Harpreet Singh Nivedita Gupta The COVID-19 pandemic impacted maternal and child health services delivery and utilization adversely as per findings of the analysis of secondary data from the health management information system (HMIS).1Sharma S. Singh L. Yadav J. Gupta U. Singh K.J. Rao M.V.V. Impact of COVID-19 on utilization of maternal and child health services in India: health management information system data analysis.Clin Epidemiol Glob Health. 2023; 21101285https://doi.org/10.1016/j.cegh.2023.101285Abstract Full Text Full Text PDF Scopus (0) Google Scholar However, the number of outreach sessions for immunization services provision showed increasing trends over the period.1Sharma S. Singh L. Yadav J. Gupta U. Singh K.J. Rao M.V.V. Impact of COVID-19 on utilization of maternal and child health services in India: health management information system data analysis.Clin Epidemiol Glob Health. 2023; 21101285https://doi.org/10.1016/j.cegh.2023.101285Abstract Full Text Full Text PDF Scopus (0) Google Scholar The routine immunization coverage and timeliness study reported low uptake among COVID-19-affected under-five children as compared to their unaffected siblings in India. It used the retrospective data from a 2019-21 National Family Health Survey-5 (NFHS-5) nationally representative rounds.2Summan A. Nandi A. Shet A. Laxminarayan R. The effect of the COVID-19 pandemic on routine childhood immunization coverage and timeliness in India: retrospective analysis of the National Family Health Survey of 2019-2021 data.Lancet Reg Health Southeast Asia. 2023; 8100099https://doi.org/10.1016/j.lansea.2022.100099Abstract Full Text Full Text PDF Scopus (5) Google Scholar These studies used the available secondary data for assessing the impacts of the pandemic. We report the findings of our population-based study implemented with a retrospective review of infant vaccination records at health subcentre facilities, along with prospective monitoring of health subcentre-based vaccination sessions in a periurban community in the Pune district in western India. We aimed to track the changes in routine immunization uptake and its timeliness for the assessment of the COVID-19 pandemic impact by comparing the data from pre-pandemic and pandemic periods over 15 months period from January 2020 to March 2021. In our study, 132 (25.9%) of 510 infants received scheduled vaccinations during the pre-pandemic period of three months from January to March 2020. Whereas, only 123 (16.7%) of 735 infants were vaccinated during the same period from January to March 2021. There was a significant decrease in vaccination uptake during the COVID-19 pandemic (p < 0.05). Also, the vaccination session attendance in the first quarter of 2021 was significantly lower than during the same period in the year 2020 (p < 0.05). From April to December 2020, the uptake of routine vaccination showed a significant decline during lockdown periods than the pre-pandemic period (p < 0.05). Among 128 infants vaccinated in the pre-pandemic period, 48 (37.5%, 95% CI 29.1–46.4%) infants were vaccinated on time. Similarly, 42 (37.8%, 95% CI 28.9–47.6) of 111 infants were vaccinated on time from January to March 2021. A study from Rajasthan (India) during January and October 2020 reported that exposed children were significantly less likely to be immunized as compared to unexposed children. First-year immunization coverage decreased to 14% among exposed children.3Jain R. Chopra A. Falézan C. Patel M. Dupas P. COVID-19 related immunization disruptions in Rajasthan, India: a retrospective observational study.Vaccine. 2021 Jul 13; 39 (Epub 2021 Jun 12): 4343-4350https://doi.org/10.1016/j.vaccine.2021.06.022Crossref Scopus (15) Google Scholar As reported by the WHO, routine immunization was the worst-affected service with an estimated 80 million children left unvaccinated during the pandemic. There are studies already reported to understand the impacts of the COVID-19 pandemic in India on child health and immunization services.1Sharma S. Singh L. Yadav J. Gupta U. Singh K.J. Rao M.V.V. Impact of COVID-19 on utilization of maternal and child health services in India: health management information system data analysis.Clin Epidemiol Glob Health. 2023; 21101285https://doi.org/10.1016/j.cegh.2023.101285Abstract Full Text Full Text PDF Scopus (0) Google Scholar,2Summan A. Nandi A. Shet A. Laxminarayan R. The effect of the COVID-19 pandemic on routine childhood immunization coverage and timeliness in India: retrospective analysis of the National Family Health Survey of 2019-2021 data.Lancet Reg Health Southeast Asia. 2023; 8100099https://doi.org/10.1016/j.lansea.2022.100099Abstract Full Text Full Text PDF Scopus (5) Google Scholar However, our study implemented for prospective monitoring of immunization uptake adds value to the evidence by providing population-based data on immunization outreach services. Also, the immunization uptake and timeliness data from our study highlight the need and importance of local data for monitoring immunization services in the population. Thus, vaccination uptake and timeliness in Western India declined significantly during the COVID-19 pandemic. The real-time monitoring of vaccination session attendance could help implement vaccination timely by healthcare staff. These findings could help immunization programme officers to consider various other measures to improve vaccination uptake on time. BVT: Conceptualisation and design, acquisition of data, analysis and interpretation of data, drafting the manuscript, revising the manuscript critically for important intellectual content, and Approval of the version of the manuscript to be published. YL: acquisition of data, analysis and interpretation of data, drafting the manuscript, Approval of the version of the manuscript to be published. RRV: analysis and interpretation of data, drafting the manuscript, Approval of the version of the manuscript to be published. SR: acquisition of data, analysis and interpretation of data, Approval of the version of the manuscript to be published. HS: Conceptualisation and design, revising the manuscript critically for important intellectual content, and Approval of the version of the manuscript to be published. NG: Conceptualisation and design, revising the manuscript critically for important intellectual content, and Approval of the version of the manuscript to be published. Institutional Ethics Committee NIV/IEC/Jan/2020/D-3, January 15, 2020. Indian Council of Medical Research, New Delhi [ICMR/VIR/1/2018/ECD-I]." @default.
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• W4385612968 title "Routine immunization uptake and timeliness impacted in West India during the pandemic" @default.
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