Assessing providers' vaccination behaviors during routine immunization in India

Megan A. Cohen, Lisa M. Gargano, Naveen Thacker, Panna Choudhury, Paul S. Weiss, Manisha Arora, Walter A. Orenstein, Saad B. Omer, James M. Hughes

Research output: Contribution to journalArticlepeer-review


Progress has been made toward improving routine immunization coverage in India, but universal coverage has not been achieved. Little is known about how providers' vaccination behaviors affect coverage rates. The purpose of this study was to identify provider behaviors that served as barriers to vaccination that could lead to missed opportunities to vaccinate. We conducted a study of healthcare providers' vaccination behaviors during clinic visits for children <3 years of age. Information on provider behaviors was collected through parent report and direct observation. Compared with illness visits, parents were eight times more likely to report vaccination status was verified (p<0.001) and three times more likely to report receiving counseling on immunization (p=0.022) during vaccination visits. Training of all vaccination practitioners should focus on behaviors such as the necessity of verifying vaccination status regardless of visit type, stressing the importance of counseling parents on immunization and emphasizing what is a valid contraindication to vaccination.

Original languageEnglish (US)
Pages (from-to)244-249
Number of pages6
JournalJournal of tropical pediatrics
Issue number4
StatePublished - Aug 1 2015
Externally publishedYes


  • Children
  • Disease prevention
  • Health knowledge promotion
  • India

ASJC Scopus subject areas

  • General Medicine


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