Lok Sabha Question No. 2942 (UNSTARRED), answered on 2016-12-02
Subject: Universal Immunization Programme
Ministry: HEALTH AND FAMILY WELFARE
Asked by: ABHISHEK SINGH, George Baker, PRAHLAD SINGH PATEL, DUSHYANT CHAUTALA

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 2942 TO BE ANSWERED ON 2 ND DECEMBER, 2016

## UNIVERSAL IMMUNIZATI ON PROGRAMME

## 2942. SHRI ABHISHEK SINGH:

SHRI GEORGE BAKER:

SHRI PRAHLAD SINGH PATEL:

SHRI DUSHYANT CHAUTALA:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

- (a)  whether  the  Government periodically  assess  the  progress  achieved under  Universal Immunization Programme (UIP) in the country and if so, the details thereof;
- (b) the details of the vaccines involved under this programme in the country along with their results, State/UT - wise;
- (c)  the  status  and  achievement  of Mission  Indradhanush  launched  by  the Government  to fully/partia lly  immunise children  under  2  years  of  age  and  pregnant women  from  vaccines preventable diseases, including State - wise data and the selection process of the districts selected under the mission and the launch date of the next phase of Mission Indradhanush;
- (d) whether the Government is aware that a majority of children have not been covered under UIP and if so, the details hereof and the total number of children till now vaccinated under this programme,State - wise including the State of Haryana; and
- (e)whether the Government proposes to introduce pneumonia vaccine under this programme, and if so, the details thereof, State/UT - wise along with the reasons therefor?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE

## (SHRI FAGGAN SINGH KULASTE)

- (a ): Yes,  the  government periodically  assess  the  progress  achieved  under  Univers Immunization Programme (UIP) in the country through desk review of coverage data reported surveys and Health Management Information System (HMIS); and regu lar meetings with State Immunization Officers.
- (b): Under UIP,Government of India is providing vaccination free of cost against ten vac preventable  diseases  i.e.  Diphtheria,  Pertussis,  Tetanus,  Polio,  Measles,  severe  f Childhood  Tuberculosis,  He patitis  B  and  Meningitis  &  Pneumonia  caused  by  Hemophilus Infl uenza type B across the country; Japanese Encephalitis in JE endemic districts and Rotavirus diarrhoea  in  selected  states .  Th State/UT - wise  details  of  the  vaccine  coverage  is  given  at Annexure 1

(c) & (d): Three  phases  of  Mission  Indradhanush  have  been  completed  covering  497 districts  across  35  State/UTs.  During  the  three  phases  of  Mission  Indradhanush,  2.1 children were reached of which 55 lakh children were fully vaccinated. In addi tion, 55.9 lakh pregnant women were also given tetanus toxoid vaccination. The State/UT wise details are at Annexure 2. The selection of districts for Mission Indradhanush is based on the num unvaccinated  and  partially  vaccinated  children  in  th e  district.  The  next  phase  of  Mission Indradhanush is proposed from February 2017 in North - eastern states and from April 2017 in other states.

(e): Yes, the government is introducing Pneumococcal conjugate vaccine (PCV) under UIP i a  phased  manner.  In 2017,  the  vaccine  is  being  introduced  in  parts  of  Bihar ,  parts of  Uttar Pradesh and Himachal Pradesh as per the recommendations of the PCV expert group.

## Annexure 1

State/UT - wise details of coverage of vaccines under UIP asper HMIS* (all data in percent )

| S. No.   | State/UT             |    BCG |   DPT3/ Penta3 |   OPV 3 |   Measles 1 | JE 1 #   |   Full Immunization |   IPV @ | Rotavirus vaccine @ ^   |
|----------|----------------------|--------|----------------|---------|-------------|----------|---------------------|---------|-------------------------|
| 1        | Andhra Pradesh       |  94.4  |          87.13 |   84.52 |       93.42 | 62.04    |               86.53 |   28.07 | 64                      |
| 2        | Arunachal Pradesh    |  67.42 |          70.15 |   60.74 |       65.99 | 55.92    |               63.51 |   26.6  | -                       |
| 3        | Assam                |  89.95 |          86.82 |   85.29 |       88.7  | 79.16    |               87.68 |   42.4  | -                       |
| 4        | Bihar                |  92.48 |          97.74 |   94.17 |      102.52 | 94.96    |              100.95 |   76.3  | -                       |
| 5        | Chhattisgarh         |  86.49 |          83.89 |   83.29 |       86.07 | N/A      |               86.22 |   42.5  | -                       |
| 6        | Goa                  |  85.34 |          89.98 |   88.13 |       98.14 | 90.45    |               90.91 |   82.3  | -                       |
| 7        | Gujarat              |  94.54 |          83.23 |   81.94 |       87.51 | N/A      |               85.91 |   85.4  | -                       |
| 8        | Haryana              | 100.26 |          83.03 |   80.31 |       91.69 | 94.89    |               80.35 |   40.7  | 53                      |
| 9        | Himachal Pradesh     |  82.84 |          85.72 |   85.64 |       92.6  | N/A      |               92.34 |   56.1  | 60                      |
| 10       | Jammu & Kashmir      | 104.51 |          92.85 |   92.6  |       97.26 | N/A      |               92.76 |   74.7  | -                       |
| 11       | Jharkhand            |  92.6  |          91.27 |   88.54 |       99.14 | 55.29    |               97.84 |   29.2  | -                       |
| 12       | Karnataka            |  91.74 |          91.77 |   91.25 |       89.98 | 89.52    |               89.14 |   10.86 | -                       |
| 13       | Kerala               |  83.94 |          83.65 |   82.1  |       86.35 | 9.15     |               84.3  |   41.17 | -                       |
| 14       | Madhya Pradesh       |  73.47 |          71.22 |   70.65 |       78.32 | N/A      |               77.16 |   44.3  | -                       |
| 15       | Maharashtra          | 100.9  |          94.63 |   88.6  |       95.92 | 78.22    |               95.72 |    0.08 | -                       |
| 16       | Manipur              | 103.42 |          99.25 |   94.95 |      100.18 | 100.01   |               96.87 |   55.4  | -                       |
| 17       | Meghalaya            | 112.15 |          99.56 |   94.02 |       92.5  | 54.66    |               87.3  |   23.9  | -                       |
| 18       | Mizoram              | 112.03 |         105.11 |   97.14 |      103.04 | N/A      |               99.4  |    0.3  | -                       |
| 19       | Nagaland             |  81.65 |          70.5  |   65.04 |       71.85 | 60.39    |               68.52 |   22.9  | -                       |
| 20       | Odisha               |  81.54 |          80.75 |   80.11 |       81.3  | N/A      |               81.17 |   16.12 | 67                      |
| 21       | Punjab               |  92.11 |          87.63 |   87.03 |      101.01 | N/A      |              100.23 |   74.9  | -                       |
| 22       | Rajasthan            |  81.33 |          71.91 |   71.34 |       78.59 | N/A      |               77.89 |   25.7  | -                       |
| 23       | Sikkim               |  66.94 |          69.08 |   69.07 |       76.03 | N/A      |               74.92 |   57.6  | -                       |
| 24       | Tamil Nadu           |  80.86 |          80.21 |   80.4  |       83.77 | 79.92    |               80.16 |   20.15 | -                       |
| 25       | Telangana            |  79.71 |          89.71 |   85.29 |       91.5  | 63.88    |               85.83 |   22.31 | -                       |
| 26       | Tripura              |  88.12 |          91.29 |   88.19 |       86.32 | 9.22     |               80.37 |   44.3  | -                       |
| 27       | Uttar Pradesh        |  81.11 |          75.44 |   72.26 |       78.18 | 74.24    |               80.1  |   69.5  | -                       |
| 28       | Uttarakhand          |  85.17 |          87.47 |   86.72 |       96.77 | 105.55   |               94.02 |   42.1  | -                       |
| 29       | West Bengal          |  91.9  |          89.92 |   87.71 |       98.94 | 94.39    |               98.36 |   51.8  | -                       |
| 30       | A & N Islands        |  71.37 |          56.33 |   71.57 |       80.7  | N/A      |               78.03 |   50.1  | -                       |
| 31       | Chandigarh           | 146.52 |          79.93 |   79.79 |       89.8  | N/A      |               89.36 |   51.8  | -                       |
| 32       | Dadra & Nagar Haveli |  79.7  |          68.08 |   67.67 |       76.35 | N/A      |               74.01 |   66.1  | -                       |
| 33       | Daman & Diu          |  69.22 |          65.47 |   65.47 |       79.46 | N/A      |               79.3  |   60.1  | -                       |
| 34       | Delhi                | 101.59 |         100.97 |   99.15 |      111.84 | N/A      |              107.74 |   55.4  | -                       |
| 35       | Lakshadweep          |  83.94 |         113.05 |   98.19 |      108.23 | N/A      |              112.25 |  111.1  | -                       |
| 36       | Puducherry           | 177.93 |          62.99 |   62.71 |       70.39 | N/A      |               69.37 |   43.08 | -                       |
|          | India                |  87.5  |          83.93 |   81.61 |       88.21 | 80.88    |               87.13 |   59.1  | 62                      |

## State/UT- wise details of the coverage of Mission Indradhanush

(All figures in lakhsexcept no. of districts )

| S. No   | State             |   No. of districts |   No. of pregnant women immunize d |   No. of pregnant women completely immunize d |   No. of children immunize d |   No. of children fully immunize d |
|---------|-------------------|--------------------|------------------------------------|-----------------------------------------------|------------------------------|------------------------------------|
| 1       | A &N Islands      |                  2 |                              0     |                                         0     |                        0.001 |                              0     |
| 2       | Andhra Pradesh    |                 13 |                              0.342 |                                         0.184 |                        1.457 |                              0.403 |
| 3       | Arunachal Pradesh |                 16 |                              0.041 |                                         0.017 |                        0.34  |                              0.058 |
| 4       | Assam             |                 26 |                              0.869 |                                         0.458 |                        3.087 |                              0.797 |
| 5       | Bihar             |                 20 |                              2.366 |                                         1.372 |                       10.133 |                              2.477 |
| 6       | Chandigarh        |                  1 |                              0.007 |                                         0.003 |                        0.045 |                              0.009 |
| 7       | Chhattisgarh      |                 19 |                              0.937 |                                         0.499 |                        4.246 |                              1.289 |
| 8       | D&N Haveli        |                  1 |                              0.001 |                                         0     |                        0.005 |                              0.001 |
| 9       | Daman & Diu       |                  1 |                              0.001 |                                         0.001 |                        0.006 |                              0.001 |
| 10      | Delhi             |                  8 |                              1.578 |                                         0.788 |                        9.751 |                              2.76  |
| 11      | Goa               |                  1 |                              0.001 |                                         0     |                        0.008 |                              0.002 |
| 12      | Gujarat           |                 23 |                              1.137 |                                         0.603 |                        4.748 |                              1.534 |
| 13      | Haryana           |                 16 |                              2.51  |                                         1.383 |                        9.524 |                              2.153 |
| 14      | Himachal Pradesh  |                  6 |                              0.025 |                                         0.016 |                        0.113 |                              0.041 |
| 15      | Jammu & Kashmir   |                 11 |                              0.067 |                                         0.038 |                        0.84  |                              0.231 |
| 16      | Jharkhand         |                 13 |                              1.58  |                                         0.825 |                        6.648 |                              1.876 |
| 17      | Karnataka         |                 17 |                              1.328 |                                         0.795 |                        6.114 |                              1.488 |
| 18      | Kerala            |                  9 |                              0.079 |                                         0.04  |                        1.03  |                              0.211 |
| 19      | Madhya Pradesh    |                 38 |                              5.067 |                                         2.677 |                       17.207 |                              4.778 |
| 20      | Maharashtra       |                 28 |                              0.423 |                                         0.24  |                        3.107 |                              0.806 |
| 21      | Manipur           |                  8 |                              0.066 |                                         0.036 |                        0.351 |                              0.086 |
| 22      | Meghalaya         |                  7 |                              0.124 |                                         0.077 |                        0.749 |                              0.129 |
| 23      | Mizoram           |                  7 |                              0.021 |                                         0.011 |                        0.098 |                              0.014 |
| 24      | Nagaland          |                 11 |                              0.046 |                                         0.021 |                        0.297 |                              0.053 |
| 25      | Odisha            |                 23 |                              1.023 |                                         0.522 |                        3.484 |                              0.682 |
| 26      | Puducherry        |                  3 |                              0.001 |                                         0     |                        0.006 |                              0.002 |
| 27      | Punjab            |                 14 |                              0.334 |                                         0.16  |                        1.577 |                              0.436 |
| 28      | Rajasthan         |                 24 |                              3.68  |                                         2.142 |                       14.039 |                              4.083 |
| 29      | Sikkim            |                  2 |                              0     |                                         0     |                        0.001 |                              0     |
| 30      | Tamil Nadu        |                 26 |                              1.449 |                                         0.779 |                        5.99  |                              2.018 |
| 31      | Telangana         |                  9 |                              0.326 |                                         0.17  |                        1.61  |                              0.562 |
| 32      | Tripura           |                  8 |                              0.03  |                                         0.014 |                        0.115 |                              0.023 |
| 33      | Uttar Pradesh     |                 66 |                             28.739 |                                        14.983 |                       95.971 |                             24.181 |
| 34      | Uttarakhand       |                  5 |                              0.536 |                                         0.29  |                        2.02  |                              0.458 |
| 35      | West Bengal       |                 15 |                              0.988 |                                         0.529 |                        4.381 |                              0.964 |
|         | India             |                497 |                             55.857 |                                        29.736 |                      210.253 |                             54.984 |