MISSION INDRADHANUSH: Mission Indradhanush was launched in 2014 to cover all those children who have been partially vaccinated or not vaccinated during routine immunization rounds. The objective of Mission Indradhanush is to increase full immunization coverage in India to at least 90% children by 2020. Four rounds have been implemented so far.

  • Till 22nd August, 2017 more than 2.53 crore children and around 68.43 lakhs pregnant women have been immunized under Mission Indradhanush which was launched to reach the unreached.
  • Around 72.99 lakh Vitamin A doses have been distributed along with 68.16lakh ORS packets and 2.3 crore Zinc tablets.
  • A total of 528 districts have been covered in the four phases of Mission Indradhanush. During the three phases and ongoing fourth phase of Mission Indradhanush, as on 22nd August 2017, around 2.53 crore children were reached of which 66.16 lakhs children were fully immunized. Further, 68.43 lakhs pregnant women were also vaccinated with Tetanus Toxoid.
  • The first two phases of Mission Indradhanush led to an increase of 6.7% in the full immunization coverage across the country as per the report of Integrated Child Health & Immunization Survey (INCHIS).

INTENSIFIED MISSION INDRADHANUSH

India is now aiming to achieve 90% full immunization coverage of its children by December 2018. In order to achieve this ambitious Intensification of Mission Indradhanush in 170 districts including 52 districts of north-eastern states and 17 urban areas has been launche by our Prime Minister Sh. Modi ji on 6th October, 2017.             Intensified Misison Indradhanush is being built upon as an improvisation of Misison Indradhanush where attempts have been made to address the challenges encountered in previous phases of Mission Indradhanush.

NEW VACCINES

  • Inactivated Polio Vaccine (IPV): In concurrence with the World Polio End Game strategy, IPV was introduced in November 2015 in six states and expanded throughout the country by June 2016. Till August 2017, around 2.79 crore doses of IPV have been administered to children since its introduction.
  • tOPV to bOPV switch: India has switched from tOPV to bOPV on 25 April, 2016 wherein tOPV has been completely replaced by bOPV in both polio campaigns and Routine Immunization.
  • Rotavirus Vaccine: This vaccine was launched in March 2016 in four states of Andhra Pradesh, Haryana, Himachal Pradesh and Odisha, to reduce the burden of diarrhea caused by Rotavirus. It has been expanded to five more states namely Assam, Madhya Pradesh, Rajasthan, Tripura and Tamil Nadu. Approximately 88.73 lakh doses of Rotavirus vaccine have been administered to children since its introduction till August 2017.
  • Rubella vaccine as Measles Rubella (MR) vaccine: MR vaccination campaign targeting children from 9 months up to 15 years of age, was launched on 5th February 2017 in five states viz. Karnataka, Tamil Nadu, Goa, Lakshadweep & Puducherry where subsequent to completion of campaign the MR vaccine has been introduced in routine immunization replacing measles containing vaccine 1 & 2 at 9-12 months and 16-24 months of age. A total of 3.3 crore children were vaccinated in MR campaign in these states giving a coverage of 97%. • The next phase for 8 states/UTs has started in August’17 with vaccination ongoing in 7 states/UTs namely Andhra Pradesh, Chandigarh, Daman & Diu, Dadra & Nagar Haveli, Telangana, Kerala and Himachal Pradesh where around 2.39 crore children have been vaccinated as on 9th October 2017.
  • Adult JE vaccine: . Japanese Encephalitis vaccination in children was introduced in 2006. However, the vaccine was expanded in adult population of districts with high disease burden of adult JE in 2015. A total of 35 districts have been identified for adult JE vaccination in the states of Assam, Uttar Pradesh & West Bengal. Adult JE vaccination campaign has been completed in 31 districts during which 3.29 crore adults were vaccinated with JE vaccine
  • Pneumococcal Conjugate Vaccine (PCV): This vaccine is provided to reduce child deaths due to pneumonia – which is a major cause of child mortality. It has been launched on 13th May, 2017 in 3 states i.e. Himachal Pradesh (12 districts), Uttar Pradesh (6 districts) and Bihar (17 districts) in the first phase. Till August 2017, around 1.74 lakh children have been covered under it.

RASHTRIYA BAL SWASTHYA KARYAKRAM (RBSK)

This initiative launched in February 2013 entails provision for Child Health Screening and Early Intervention Services through early detection and management of 4 Ds i.e. Defects at birth, Diseases, Deficiencies, Development delays including disability and free management of 30 identified health conditions including surgery at tertiary health facilities. Children between 0-18 years of age are expected to be covered in a phased manner across the country. About 59.2 Crore children have been screened under this programme, till February 2017.

Children that are screened are referred to higher facilities for free treatment including surgeries for conditions like congenital heart disease, cleft lip and correction of club foot etc. Till February 2017 a total of 1.27 Crore children have received treatment under the programme.

Pradhan Mantri Surakshit Matritva Abhiyan-PMSMA

  • The program aims to provide assured, comprehensive and quality antenatal care, free of cost, universally to all pregnant women on the 9th of every month. PMSMA guarantees a minimum package of antenatal care services to women in their 2nd / 3rd trimesters of pregnancy at designated government health facilities.
  • The programme follows a systematic approach for engagement with private sector which includes motivating private practitioners to volunteer for the campaign; developing strategies for generating awareness and appealing to the private sector to participate in the Abhiyan at government health facilities.
  • The Pradhan Mantri Surakshit Matritva Abhiyan has been rolled out in all States/ UTs.