Improper coverage of the immunization facilities among various regions indicate out the need of assessing knowledge, attitude and practice (KAP) with regard to immunization among the vaccine handlers of the immunization session sites. Objective: Assessing the immunization services and knowledge of the vaccinator at various immunization session sites of the district Etawah. Setting: The study was conducted among Auxiliary Nurse Midwife (ANM) at vaccination (session) site of all Community Health

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... enters (CHCs) and Primary Health Centers (PHCs) in district Etawah. Data pertaining to the various observations of the immunization sites was collected using a semistructured questionnaire. Result: In the present study it has been observed that most of the ANMs at the immunization sites of the district of Etawah, were found to be adequately educated and trained for maintaining vaccine at the sites. Moreover, most of the immunization sites in the district were found to have proper logistics and immunization services as well as proper condition of the vaccine vials. Most of the vaccine handlers were reported to have proper knowledge on vaccination procedures. Conclusion: Although most of the participants are trained once or twice but there are some specific sectors where the participants are needed to be informed and trained.