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DOOR TO DOOR BCG VACCINATION |
GVJ Baily: Bull Dev Prev TB 1962, 9, 12-15. |
The objectives of the presentation were to understand
the operational efficiency of the centre type of BCG mass campaign
in India and how the efficiency especially the BCG vaccination coverages
could be improved through adopting a house to house or door to door
approach. The material from three different sources are examined.
Firstly, the reports from the mass campaign showing the reported
coverages in different age groups; secondly, the presence of BCG
scars (as an evidence of vaccination) as seen in an epidemiological
survey done shortly afterwards and finally the coverages as obtained
in an operational study of door to door BCG vaccination.
While the mass campaign reported that 35% of the
total population was tuberculin tested (vaccination coverage reports
were not available) the epidemiological survey showed that shortly
after the mass campaign only about 19% of the children aged 0-9
years had BCG scars, while about 97% were tuberculin negative and
eligible for vaccination. On the other hand in the house to house
campaign 80% of the children aged 0-19 years could be vaccinated.
The major disadvantage of a house to house programme is low
output of work due to time taken up for registration of every household
member. This can be improved by limiting registration to 0-19 years
and by simplifying registration form.
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KEY WORDS: HOUSE TO HOUSE BCG, MASS BCG CAMPAIGN,
OPERTIONAL EFFICIENCY. |