title: Factors associated with dropout between Bacille Calmette Guerin (BCG) and measles vaccination in a village development committee of a district.
abstract: BACKGROUND
  The Expanded Programme on Immunization is one of the first priorities of the Government of Nepal. The high national dropout rate (11.3%) demonstrates that immunization opportunities are lost as approximately one of every nine children in contact with immunization services are slipping "out of the system" before the age of 12 months. This study is an attempt to explore the situation of the enhancing factors for dropout.
  
  
  OBJECTIVE
  The main objective of the study was to identify the reasons of dropout between BCG and Measles vaccination in Kapan Village Development Committee (VDC) of Kathmandu district.
  
  
  METHODS
  This was a descriptive study. of children ranging from 12 to 23 months of age residing in Kapan VDC. (N=81) mothers were interviewed to obtain the information.
  
  
  RESULTS
  The study revealed that Magar/Gurung in the area were found to dropout more (78.6%). Female children were more likely to dropout than male children. About 70% of children dropout were from labor class, and/or illiterate families. Majority of the mothers (42.5 %) said that the child was ill so they did not go for routine vaccination. However, 50.7% of dropout children received quality care. These findings were corroborated with the findings of key informant interview.
  
  
  CONCLUSIONS
  The major reason of dropout of measles vaccine was found to be the perceived contraindication regarding the immunization.
authors.affiliation: Department of Community Medicine and Public Health (DCMPH), Institute of Medicine (IoM), Kathmandu, Nepal. prem_basel@ yahoo.com
authors.forename: P L
authors.initials: PL
authors.lastname: Basel
authors.forename: I B
authors.initials: IB
authors.lastname: Shrestha
mesh_terms: D001500:BCG Vaccine; D003153:Community Health Services; D003256:Community Participation; D004522:Educational Status; D005260:Female; D019538:Health Care Surveys; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D017589:Immunization Programs / Q000706:statistics & numerical data*; D007223:Infant; D008297:Male; D008458:Measles Vaccine; D009390:Nepal; D010349:Patient Compliance / Q000706:statistics & numerical data; D010352:Patient Dropouts / Q000523:psychology* / Q000706:statistics & numerical data*; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D013223:Statistics as Topic
chemical_list: D001500:BCG Vaccine; D008458:Measles Vaccine