Article Text

COVID-19-related disruptions to routine vaccination services in India: a survey of paediatric providers
  1. Anita Shet1,
  2. Baldeep Dhaliwal1,
  3. Preetika Banerjee1,
  4. Kelly Carr1,
  5. Andrea DeLuca2,
  6. Carl Britto3,
  7. Rajeev Seth4,
  8. Bakul Parekh5,
  9. Gangasamudra V Basavaraj5,
  10. Digant Shastri5,
  11. Piyush Gupta5
  1. 1International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA
  2. 2Amputee Coalition of America, Knoxville, Tennessee, USA
  3. 3Infectious Disease Resaerch Unit, St John's National Academy of Health Sciences, Bangalore, Karnataka, India
  4. 4Bal Umang Drishya Sanstha (BUDS), New Delhi, India
  5. 5Indian Academy of Pediatrics, Navi Mumbai, Maharashtra, India
  1. Correspondence to Dr Anita Shet; ashet1{at}


The COVID-19 pandemic has led to disruptions in essential health services globally. We surveyed Indian paediatric providers on their perceptions of the impact of the pandemic on routine vaccination. Among 424 (survey 1) and 141 (survey 2) respondents representing 26 of 36 Indian states and union territories, complete suspension of vaccination services was reported by 33.4% and 7.8%, respectively. In April–June 2020, 83.1% perceived that vaccination services dropped by half, followed by 32.6% in September 2020, indicating slow resumption of services. Concerns that vaccine coverage gaps can lead to mortality were expressed by 76.6%. Concerted multipronged efforts are needed to sustain gains in vaccination coverage.

  • COVID-19
  • data collection
  • epidemiology

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  • Contributors AS, BD and DS conceived the study with contributions from BP, GVB and PG. BP, PB and ADL developed the study instruments and planned and conducted the study. PB, BD and KC managed the data and conducted analysis of the data. CB and RS, along with DS, BP, GVB and PG, provided critical review of the instruments and conducted pilot testing. AS, BD and PB prepared the first draft of the manuscript. All authors reviewed the drafts of this manuscript and approved the final version for submission.

  • Funding This work was supported by the Johns Hopkins Maternal and Child Health Center, India, and the Indian Academy of Pediatrics.

  • Competing interests None declared.

  • Patient and public involvement statement This was a survey of professionals and no patients were involved.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.