High cost is the primary barrier reported by physicians who prescribe vaccines not included in India's Universal Immunization Program.

Abstract:

:Haemophilus influenzae type B (Hib) vaccine, pneumococcal conjugate vaccine (PCV) and rotavirus (RV) vaccine are available in the private market in India, but, except for Hib in eight states, are not included in India's Universal Immunization Program (UIP). Pediatricians were surveyed about administering non-UIP vaccines. Most give these vaccines to some of their patients (73-83%, depending on vaccine), but few give them to all patients (7-18%). High cost was the most frequently cited barrier (93-96%). Only 10-12% of respondents had concerns about the efficacy of PCV or RV vaccine, and concerns about Hib vaccine efficacy or any vaccine safety issues were rare (1-3%). Practice varied by type of healthcare facility, with pediatricians at government hospitals least likely to administer non-UIP vaccines. Support for the inclusion of all three in the UIP was high (83-95%). Including Hib vaccine, PCV and RV vaccine in India's UIP would be supported by pediatricians and help eliminate the current barrier of high cost of these immunizations.

journal_name

J Trop Pediatr

authors

Kahn GD,Thacker D,Nimbalkar S,Santosham M

doi

10.1093/tropej/fmu012

subject

Has Abstract

pub_date

2014-08-01 00:00:00

pages

287-91

issue

4

eissn

0142-6338

issn

1465-3664

pii

fmu012

journal_volume

60

pub_type

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