DOI: 10.1177/0974150x261473413 ISSN: 0974-150X

Missed Opportunities of Vaccination Among Children During the COVID-19 Pandemic in India: Mapping the Impact on Sustainable Development Goals Targets 3.2, 3.3, and 3.B

Gurpreet Kaur, Latika Rohilla, Nabaneeta Dash, Sanjay Verma

Background

The COVID-19 pandemic disrupted routine immunization services, creating missed opportunities for childhood vaccination and threatening progress toward Sustainable Development Goal (SDG) targets 3.2, 3.3, and 3.B.

Objectives

To assess the missed routine immunizations among children in India during the pandemic and examine parental experiences of accessing services.

Methods

This cross-sectional study was conducted at a tertiary-level pediatric hospital. Using convenience sampling, parents of all children who had visited the pediatric vaccination room over 3 months, from June to August 2021, for routine immunization services were eligible to participate in this study. Enrollment was done only after written and informed consent was taken from the parents or legal guardians. In-person interviews and an online survey using Google Forms were conducted to collect data as per participants’ convenience.

Results

Of 350 parents approached, 316 participated (response rate, 90.3%). The mean age of the children was 4.01 ± 4.0 years (range: 0–16). Overall, complete vaccination coverage was 62.3% ( n = 197). Coverage was highest for the at-birth Bacillus Calmette-Guérin-oral polio vaccine-hepatitis B dose (285, 90.2%) and lowest for the Td dose at 10 years (17, 54.8%). Government health facilities were preferred by 91% of parents. Reasons for missed vaccinations included child-related health issues (46, 38.6%), COVID-19-related barriers (43, 36.1%), and a lack of awareness or forgetfulness (19, 15.9%).

Conclusion

These missed opportunities may undermine child survival, the control of vaccine-preventable diseases, and equitable access to vaccines, thereby jeopardizing progress toward SDG targets nationally and globally.

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