A Study on parental preferences for single shot DPT and Hepatitis B Combination vaccine Vs separate DPT and Hepatitis B vaccine in coastal Karnataka

Avabratha, Shreedhara and Bashith, Abdul and Shenoy, Varadaraj and Khan, Habeeb and Rai, Sanjeev and *, Bhagyalakshmi K (2012) A Study on parental preferences for single shot DPT and Hepatitis B Combination vaccine Vs separate DPT and Hepatitis B vaccine in coastal Karnataka. Karnataka Paediatric Journal, 27 (3 & 4). pp. 120-124.

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Abstract

India has an intermediate endemicity for hepatitis B virus. The Govt of India recently incorporated the Hepatitis B Vaccine (HBV) in the National Immunisation schedule. At present HBV and DPT are administered separately to both the thighs of infants coming for primary immunisation. A combination vaccine (DPT+HBV) is currently available at a marginal cost which can be administered as a single shot. This study was undertaken to know whether combination (DPT+HBV) vaccine is preferred over separate DPT and HBV which is administered free of cost, and if so the reasons for that. This is a retrospective study of data from vaccination records of one year (Aug 2009 to July 2010) in Fr.Muller Medical College hospital , Mangalore, in coastal Karnataka, India. Primary vaccination visits involving DPT and HBV were included. Infants who received DPT + HBV combination vaccine costing Rs. 100 and those who received them separately (free Govt supplied) were enrolled. Later 150 parents were interviewed and reasons for opting for particular vaccine were recorded. Data was analysed statistically by Z test for proportions , 2 test and binomial test. A total of 1030 vaccination visits were included in the study. Infants were in the age group of 6 weeks to 5 months. A total of 821(79.7%) doses of (DPT+HBV) combination vaccine were administered in comparison to 209(20.3%) doses of separate DPT and HBV. No gender bias was observed in choosing the type of vaccine. A statistically significant (Z=26.92, p<0.0001) preference for single shot vaccine over the free 2 shots vaccines was observed. Single shot and less pain were the main reasons. Conclusions: Though the Govt has initiated free DPT and HBV, due to the disadvantage of extra shot parents prefer single shot combination vaccine by bearing the cost. There is a need for introducing combination (DPT+ HBV) vaccine by the Government.

Item Type: Article
Uncontrolled Keywords: Hepatitis B vaccine, Combination vaccine, Single shot, Preference
Subjects: Medicine > KMC Mangalore > Physiology
Depositing User: KMCMLR User
Date Deposited: 10 May 2013 06:43
Last Modified: 10 May 2013 06:43
URI: http://eprints.manipal.edu/id/eprint/95000

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