Table 1.

Non-participatory observations at health facility.

Observations	Overall observations
	Favorable	Unfavorable and needs attention
Pre-immunization	•Session sites clean and arranged •Proper sitting arrangement •Vaccines appropriately stored •Uninterrupted electric supply •Proper cold chain	•Session started late •Conditioning of ice packs not performed •Emergency medicines not available •Adverse Effect Following Immunization (AEFI) safety kit
During-immunization	•Child received appropriate vaccines •Appropriate injection site and route •Appropriate diluent •Sufficient time to beneficiary/care taker	•Vaccinators touched or recap the needle •Removing of air bubbling from AD syringes •Cleaning of injection sites with spirit •Post injection, applying pressure over injection site •Real time reporting and recording not done
Post-immunization	•Mothers told to wait (15–30 min) after the immunization of their kids •Immunization recorded on health card and handed over to mothers	•Mothers/care takers not told about next dose •Safety i.e. possibility of fever, pain, etc. not communicated to the beneficiaries •Prophylaxis for fever or pain not given •Improper discarding of used vials and syringes