Audit of Vaccination of Newborns in Labour Room of Tehsil Headquarter Hospital Ferozewala

Abstract

Background: In Pakistan, Hepatitis B and polio remain serious public health concerns. National guidelines recommend immediate vaccination of newborns to prevent these diseases. However, compliance with these guidelines has been suboptimal at Tehsil Headquarter Hospital Ferozewala, necessitating a thorough audit and re-audit to address the gaps.

Objective: To evaluate the effectiveness of implemented interventions aimed at improving vaccination rates for Hepatitis B and OPV in newborns, and to ensure compliance with national health standards.

Methods: An initial audit was conducted over two months, followed by a re-audit after implementing specific recommendations. Data collection involved a retrospective review of medical records and vaccination registers to assess the administration of vaccines, parental consent, and documentation practices.

Results: Initial compliance rates were 80% for Hepatitis B and 88% for OPV. Following interventions, these rates improved significantly in the re-audit, with Hepatitis B vaccinations at 98% and OPV at 100%. Parental consent improved from 65% to 94%, and documentation compliance reached 100%.

Conclusion: The implementation of targeted interventions significantly improved vaccination rates and compliance with documentation practices. These findings underscore the importance of continuous monitoring and quality improvement initiatives in achieving health standard compliance.