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. 2024 Mar 29;19(3):e0297385.
doi: 10.1371/journal.pone.0297385. eCollection 2024.

Post-campaign coverage evaluation of a measles and rubella supplementary immunization activity in five districts in India, 2019-2020

Jeromie Wesley Vivian Thangaraj  1 , Christine Prosperi  2 , Muthusamy Santhosh Kumar  1 , Alvira Z Hasan  2 , V Saravana Kumar  1 , Amy K Winter  3 , Avi Kumar Bansal  4 , Sanjay L Chauhan  5 , Gagandeep Singh Grover  6 , Arun Kumar Jain  7 , Ragini N Kulkarni  5 , Santanu Kumar Sharma  8 , Biju Soman  9 , Itta K Chaaithanya  10 , Sanchit Kharwal  11 , Sunil K Mishra  11 , Neha R Salvi  10 , Nilanju P Sarmah  12 , Sandeep Sharma  4 , Adarsh Varghese  9 , R Sabarinathan  1 , Augustine Duraiswamy  1 , D Sudha Rani  1 , K Kanagasabai  1 , Abhishek Lachyan  10 , Poonam Gawali  10 , Mitali Kapoor  10 , Saurabh Kumar Chonker  13 , Lucky Sangal  14 , Sanjay M Mehendale  15 , Gajanan N Sapkal  16 , Nivedita Gupta  17 , Kyla Hayford  2 , William J Moss  2   3 , Manoj V Murherkar  1
Affiliations

Post-campaign coverage evaluation of a measles and rubella supplementary immunization activity in five districts in India, 2019-2020

Jeromie Wesley Vivian Thangaraj et al. PLoS One. .

Abstract

Background: In alignment with the Measles and Rubella (MR) Strategic Elimination plan, India conducted a mass measles and rubella vaccination campaign across the country between 2017 and 2020 to provide a dose of MR containing vaccine to all children aged 9 months to 15 years. We estimated campaign vaccination coverage in five districts in India and assessed campaign awareness and factors associated with vaccination during the campaign to better understand reasons for not receiving the dose.

Methods and findings: Community-based cross-sectional serosurveys were conducted in five districts of India among children aged 9 months to 15 years after the vaccination campaign. Campaign coverage was estimated based on home-based immunization record or caregiver recall. Campaign coverage was stratified by child- and household-level risk factors and descriptive analyses were performed to assess reasons for not receiving the campaign dose. Three thousand three hundred and fifty-seven children aged 9 months to 15 years at the time of the campaign were enrolled. Campaign coverage among children aged 9 months to 5 years documented or by recall ranged from 74.2% in Kanpur Nagar District to 90.4% in Dibrugarh District, Assam. Similar coverage was observed for older children. Caregiver awareness of the campaign varied from 88.3% in Hoshiarpur District, Punjab to 97.6% in Dibrugarh District, Assam, although 8% of children whose caregivers were aware of the campaign were not vaccinated during the campaign. Failure to receive the campaign dose was associated with urban settings, low maternal education, and lack of school attendance although the associations varied by district.

Conclusion: Awareness of the MR vaccination campaign was high; however, campaign coverage varied by district and did not reach the elimination target of 95% coverage in any of the districts studied. Areas with lower coverage among younger children must be prioritized by strengthening the routine immunization programme and implementing strategies to identify and reach under-vaccinated children.

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Conflict of interest statement

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Figures

Fig 1
Fig 1. Measles-rubella campaign vaccine coverage by district and age group.
Survey weighted coverage estimates. Bars represent 95% confidence intervals.
See this image and copyright information in PMC

References

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