Lok Sabha Question No. 381 (STARRED), answered on 2019-07-19
Subject: Vaccination Programmes
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Rekha Arun Verma

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

## LOK SABHA STARRED QUESTION NO. 381 TO BE ANSWERED ON THE 19 TH JULY , 2019 VACCINATION PROGRAMM ES

## †*381. SHRIMATI REKHA VERMA:

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

- (a) whether a large number of children have not been vaccinated in the early of their lives particularly in rural areas of the country;
- (b) if so, the details thereof along with the percentage of children covered under various  vaccination  programmes  being  implemented  by  the  Government  during each of the last three years and the current year, State/UT - wise;
- (c) the steps taken/being taken by the Government to promote awareness amo communities  regarding  the  benefits  of  vaccination  campaigns  and  ensure vaccination of all children across the country;
- (d) the average number of children dying of various d iseases  as  a  result  of  not being covered in vaccination campaigns implemented for these diseases during said period, State/UT - wise; and
- (e)  whether  the  Government  has  introduced/proposes  to  introduce  low - cost indigenous rotavirus vaccine as a part of its Universal Immunisation Programme and if so, the details thereof along with the progress made in this regard?

## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE (DR. HARSH VARDHAN)

(a) to ( e):  A statement is laid on the Table of the House

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 381* FOR 19 TH JULY , 2019

(a ) As per the coverage data available from 190 selected low coverage distri under Intensified Mission Indradhanush, full immunization coverage increased 18.5% from latest available survey i.e. National Family Health Survey - 4  (2015 16), according to which full immunization coverage was 62.0% in the country the said survey ,full immunization coverage in rural areas was 61.3%, as compare to 63.9% in urba n areas.

(b) The  State/Union  Territory  wise  full  immunization  coverage  as  per  Hea Management Information System during each of the last three years and curr year is given at Annexure 1.

( c) Steps taken to promote awareness among communities regarding the benefits of vaccination and ensure full vaccination of all children across the country ar

- Mission  Indradhanush  (MI)  was  launched  by  the  Government  of  India  in December  2014  with  the  aim  to  increase  full  immunization  coverage  o children.  A total  of  six  phases  of  Mission  Indradhanush  have  been completed covering 554 districts across the country since then. It wa implemented as one of the flagship schemes under Gram Swaraj Abhiyan (16,850 villages across 541 districts) and Extended Gram Swaraj Abhiyan (48,929 villages across 117 aspirational districts). During  various  phases  of  Mission  Indradhanush,  a  total  of  3.39  cr children  and  87.18  lakh  pregnant  women  have  been  vaccinated,  as  o

28 th March 2019.

- Awareness generation through electronic and print media like radio sp television, posters, hoardings etc.
- Inter  personal  communication  by  front  line  health  workers  like  Auxil Nurse Midwives (ANMs) and Accredited Social Health Activists (AS HAs).
- Utilizing social media platforms like Twitter, Whatsapp etc.
- Social  mobilization  by  Accredited  Social  Health  Activists  (ASHAs)  an other community workers.
- Incentives to ASHAs for mobilizing the children to the session site an ensuring full i mmunization to the child.

(d) State/UT - wise deaths due to vaccine preventable diseases (Measles, Diphther Pertussis,  Neonatal  Tetanus  and  Japanese  Encephalitis)  for  the  three  yea given at Annexure 2.

(e) Yes, the Government of India has intr oduced indigen ous Rotavirus vaccine in March 2016  as  a  part  of  its  Universal  Immunisation  Programme  in  a  phase manner,  as  per  the  recommendations  of  National  Technical  Advisory  Group  o India  (NTAGI).  At  present , Rotavirus  vaccine  has  been  introduced  in  1 8  states (Andhra Pradesh, Haryana, Himachal Pradesh, Jharkhand, Odisha, Assam, Tripur Rajasthan, Tamil Nadu, Madhya Pradesh, Uttar Pradesh, Manipur, Daman & Diu, Gujarat,  Bihar,  Sikkim,  Arunachal  Pradesh  and  Chhattisgarh)  where  around crore doses of rotavirus vaccine have been administered to children till May 20 The  Rotavirus  vaccination  programme  has  been  included  in  the  Universa Vaccination Programme from this year.

## Annexure 1

## Details of children covered under Universal Immunization Programme, State/UT- wise

|                      |             | 2016-2017                        | 2016-2017   | 2017-2018                        | 2017-2018    | 2018-2019                        | 2018-2019                                                   | 2019-2020   |
|----------------------|-------------|----------------------------------|-------------|----------------------------------|--------------|----------------------------------|-------------------------------------------------------------|-------------|
| States               |             | No. of Children fully Vaccinated | FIC* (%)    | No. of Children fully Vaccinated | FIC* (%)     | No. of Children fully Vaccinated | FIC* (%)                                                    | 2019-2020   |
| 1 A                  | & N Islands | 4926                             | 82.10       | 3861                             | 77.22        | 4249 91.32                       | Final data to become available at end of the Financial year |             |
| Andhra Pradesh       | 765538      |                                  | 90.49       | 840593                           | 99.36        | 846935 101.43                    |                                                             | 2           |
| Arunachal Pradesh    | 18079       |                                  | 66.96       | 17751                            | 65.74        | 18887 69.95                      |                                                             | 3           |
| Assam                | 636368      |                                  | 89.63       | 582777                           | 82.43        | 595599 94.69                     |                                                             | 4           |
| Bihar                | 2683190     |                                  | 97.04       | 2606323                          | 91.80        | 2858441 97.39                    |                                                             | 5           |
| Chandigarh           | 15806       |                                  | 83.19       | 16012                            | 84.27        | 18249 114.06                     |                                                             | 6           |
| Chhattisgarh         | 546876      |                                  | 89.07       | 528788                           | 85.56 567009 | 92.20                            |                                                             | 7           |
| Dadra & Nagar Haveli | 8211        |                                  | 74.65       | 8228                             | 91.42        | 8386 92.15                       |                                                             | 8           |
| Daman & Diu          | 3930        |                                  | 78.60       | 3962 79.24                       | 5314         | 132.85                           |                                                             | 9           |
| Delhi                | 300125      |                                  | 102.08      | 307645 94.37                     | 298300       | 94.10                            |                                                             | 10          |
| Goa                  | 16878       |                                  | 76.72       | 20962                            | 99.82        | 19708 89.58                      |                                                             | 11          |
| Gujarat              | 1163084     |                                  | 85.90       | 1174665                          | 90.92        | 1156814 89.68                    |                                                             | 12          |
| Haryana              | 439819      |                                  | 79.25       | 497884                           | 88.28        | 493679 92.62                     |                                                             | 13          |
| Himachal Pradesh     | 104305      | 87.65                            |             | 89931                            | 78.20 101694 | 89.21                            |                                                             | 14          |
| Jammu & Kashmir      | 208360      |                                  | 97.82       | 217803                           | 102.25       | 204933 98.05                     |                                                             | 15          |
| Jharkhand            | 794745      |                                  | 98.24       | 805502                           | 98.47        | 747613 92.30                     |                                                             | 16          |
| Karnataka            | 933183      |                                  | 80.66       | 1050504                          | 92.88        | 1054412 93.64                    |                                                             | 17          |
| Kerala               | 454799      |                                  | 88.14       | 495624                           | 97.37        | 463420 93.62                     |                                                             | 18          |
| Lakshadweep          | 1051        |                                  | 105.10      | 1002                             | 100.20       | 1024 102.40                      |                                                             | 19          |
| Madhya Pradesh       | 1515819     |                                  | 79.40       | 1493409                          | 76.98        | 1611360 83.02                    |                                                             | 20          |
| Maharashtra          | 1864806     |                                  | 94.52       | 1857101                          | 95.38        | 1825376 94.78                    |                                                             | 21          |
| Manipur              | 43938       |                                  | 97.64       | 39195                            | 89.08        | 34977 87.44                      |                                                             | 22          |
| Meghalaya            | 67302       |                                  | 92.19       | 56425                            | 77.29 42033  | 57.58                            |                                                             | 23          |
| Mizoram              | 17876       |                                  | 99.31       | 16155                            | 89.75        | 15704 87.24                      |                                                             | 24          |
| Nagaland             | 20682       |                                  | 64.63       | 17121                            | 53.50        | 14097 60.66                      |                                                             | 25          |

| Sl. No .   |               | 2016-2017                        | 2016-2017   | 2017-2018                        | 2017-2018   | 2018-2019                        | 2018-2019   | 2019-2020   |
|------------|---------------|----------------------------------|-------------|----------------------------------|-------------|----------------------------------|-------------|-------------|
| Sl. No .   | States        | No. of Children fully Vaccinated | FIC* (%)    | No. of Children fully Vaccinated | FIC* (%)    | No. of Children fully Vaccinated | FIC* (%)    |             |
| 26         | Odisha        | 678818                           | 83.70       | 471099                           | 58.09       | 692322                           | 87.30       |             |
| 27         | Puducherry    | 12881                            | 58.55       | 15220                            | 69.18       | 14928                            | 74.64       |             |
| 28         | Punjab        | 413136                           | 93.05       | 400325                           | 90.98       | 373911                           | 95.47       |             |
| 29         | Rajasthan     | 1418713                          | 80.02       | 1431520                          | 80.11       | 1400496                          | 85.02       |             |
| 30         | Sikkim        | 7835                             | 71.23       | 7494                             | 68.13       | 7628                             | 69.35       |             |
| 31         | Tamil Nadu    | 850874                           | 75.70       | 839325                           | 75.28       | 936583                           | 98.85       |             |
| 32         | Telangana     | 858658                           | 133.96      | 565817                           | 88.96       | 604690                           | 95.83       |             |
| 33         | Tripura       | 46408                            | 81.42       | 45474                            | 79.78       | 46732                            | 86.54       |             |
| 34         | Uttar Pradesh | 4732336                          | 84.04       | 4726492                          | 83.43       | 5022753                          | 88.74       |             |
| 35         | Uttarakhand   | 177511                           | 92.94       | 166753                           | 88.23       | 182943                           | 102.78      |             |
| 36         | West Bengal   | 1448852                          | 99.65       | 1396177                          | 95.69       | 1391440                          | 95.11       |             |
|            | All India     | 232,75,718                       | 88.66       | 228,14,919                       | 86.71       | 236,82,639                       | 91.76       |             |

Note:Latest data reported by states/UTs as on 17.07.2019. Data reconciliation, a routine exercise, is underway. Calculation is based on birth cohort reported by States/UTs

## Deaths due to Vaccine Preventable Diseases -2016-18.

## State/UT wise Deaths due to Measles in India, 2016 to 2018 **

| Sr. No   | State/UT          |   2016 |   2017 |   2018 (P) |
|----------|-------------------|--------|--------|------------|
| 1        | Andhra Pradesh    |      0 |      0 |          0 |
| 2        | Arunachal Pradesh |      0 |      0 |          0 |
| 3        | Assam             |      0 |      0 |          0 |
| 4        | Bihar             |      9 |      0 |          1 |
| 5        | Chhattisgarh      |      0 |      0 |          0 |
| 6        | Goa               |      0 |      0 |          0 |
| 7        | Gujrat            |      0 |      0 |          0 |
| 8        | Haryana           |      0 |      0 |          0 |
| 9        | Himachal Pradesh  |      0 |      0 |          0 |
| 10       | Jammu Div.        |      0 |      0 |          0 |
|          | Kashmir Div.      |      0 |      0 |          0 |
| 11       | Jharkhand         |      0 |      0 |          0 |
| 12       | Karnataka         |      0 |      0 |          0 |
| 13       | Kerala            |      0 |      0 |          0 |
| 14       | Madhya Pradesh    |      2 |      0 |          2 |
| 15       | Maharashtra       |      7 |      2 |          2 |
| 16       | Manipur           |      0 |      0 |          0 |
| 17       | Meghalaya         |      0 |      0 |          0 |
| 18       | Mizoram           |      0 |      0 |          1 |
| 19       | Nagaland          |      0 |      1 |          0 |
| 20       | Odisha            |      0 |      0 |          0 |
| 21       | Punjab            |      0 |      0 |          0 |

| 22   | Rajasthan     |   0 |   0 |   3 |
|------|---------------|-----|-----|-----|
| 23   | Sikkim        |   0 |   0 |   3 |
| 24   | Tamil Nadu    |   0 |   0 |   0 |
| 25   | Telengana *   |   0 |   0 |   0 |
| 26   | Tripura       |   0 |   0 |   0 |
| 27   | Uttarakhand   |   0 |   0 |   0 |
| 28   | Uttar Pradesh |   1 |   2 |   0 |
| 29   | West Bengal   |   5 |  18 |   8 |
| 30   | A & N Islands |   0 |   0 |   0 |
| 31   | Chandigarh    |   1 |   1 |   1 |
| 32   | D & N Haveli  |   0 |   0 |   1 |
| 33   | Daman & Diu   |   0 |   0 |   0 |
| 34   | Delhi         |   8 |   4 |  12 |
| 35   | Lakshadweep   |   0 |   0 |   0 |
| 36   | Puducherry    |   0 |   0 |   0 |
|      | Total         |  33 |  28 |  34 |

Note:

(P) Provisional

- *Telangana State was formed in 2014
- ** Source: Central Bureau of Health Intelligence (CBHI)

State/UT wise Deaths due to Diphtheria in India, 2016 to 2018**

| Sr. No   | State/UT          |   2016 |   2017 |   2018 (P) |
|----------|-------------------|--------|--------|------------|
| 1        | Andhra Pradesh    |      0 |      2 |          5 |
| 2        | Arunachal Pradesh |      0 |      0 |          0 |
| 3        | Assam             |      0 |      0 |          0 |
| 4        | Bihar             |      6 |      4 |          2 |
| 5        | Chhattisgarh      |      0 |      1 |          0 |
| 6        | Goa               |      0 |      0 |          0 |
| 7        | Gujrat            |      1 |      0 |          0 |
| 8        | Haryana           |      0 |      0 |          0 |
| 9        | Himachal Pradesh  |      0 |      0 |          0 |
| 10       | Jammu Div.        |      0 |      0 |          0 |
|          | Kashmir Div.      |      0 |      0 |          0 |
| 11       | Jharkhand         |      0 |      0 |          0 |
| 12       | Karnataka         |      6 |      2 |          1 |
| 13       | Kerala            |      2 |      4 |          1 |
| 14       | Madhya Pradesh    |      0 |      1 |          0 |
| 15       | Maharashtra       |      4 |      1 |          0 |
| 16       | Manipur           |      0 |      0 |          0 |
| 17       | Meghalaya         |      0 |      3 |          0 |
| 18       | Mizoram           |      0 |      0 |          0 |
| 19       | Nagaland          |      0 |      0 |          0 |
| 20       | Odisha            |      0 |      0 |          0 |
| 21       | Punjab            |      0 |      0 |          0 |
| 22       | Rajasthan         |      8 |      6 |          6 |

| 23   | Sikkim        |   0 |   0 |   0 |
|------|---------------|-----|-----|-----|
| 24   | Tamil Nadu    |   0 |   0 |   2 |
| 25   | Telengana *   |   0 |   0 |   0 |
| 26   | Tripura       |   0 |   0 |   0 |
| 27   | Uttarakhand   |   0 |   0 |   0 |
| 28   | Uttar Pradesh |   0 |   0 |   1 |
| 29   | West Bengal   |   8 |   6 |   2 |
| 30   | A & N Islands |   0 |   0 |   0 |
| 31   | Chandigarh    |   6 |   6 |   4 |
| 32   | D & N Haveli  |   0 |   0 |   0 |
| 33   | Daman & Diu   |   0 |   0 |   0 |
| 34   | Delhi         | 135 | 113 | 156 |
| 35   | Lakshadweep   |   0 |   0 |   0 |
| 36   | Puducherry    |   0 |   0 |   0 |
|      | Total         | 176 | 149 | 180 |

## Note:

- (P) Provisional
- *Telangana State was formed in 2014

** Source: Central Bureau of Health Intelligence (CBHI)

State/UT wise Deaths due to Pertussis (Whooping Cough) in India, 2016 to 2018 **

| Sr.No   | State/UT          |   2016 |   2017 |   2018 (P) |
|---------|-------------------|--------|--------|------------|
| 1       | Andhra Pradesh    |      0 |      0 |          0 |
| 2       | Arunachal Pradesh |      0 |      0 |          0 |
| 3       | Assam             |      0 |      0 |          0 |
| 4       | Bihar             |      0 |      0 |          0 |
| 5       | Chhattisgarh      |      0 |      4 |          0 |
| 6       | Goa               |      0 |      0 |          0 |
| 7       | Gujrat            |      0 |      0 |          0 |
| 8       | Haryana           |      0 |      0 |          2 |
| 9       | Himachal Pradesh  |      0 |      0 |          0 |
| 10      | Jammu Div.        |      0 |      0 |          0 |
|         | Kashmir Div.      |      0 |      0 |          0 |
| 11      | Jharkhand         |      0 |      0 |          0 |
| 12      | Karnataka         |      0 |      0 |          0 |
| 13      | Kerala            |      0 |      0 |          0 |
| 14      | Madhya Pradesh    |      1 |      0 |          0 |
| 15      | Maharashtra       |      0 |      0 |          0 |
| 16      | Manipur           |      0 |      0 |          0 |
| 17      | Meghalaya         |      0 |      0 |          0 |
| 18      | Mizoram           |      0 |      0 |          0 |
| 19      | Nagaland          |      0 |      0 |          0 |
| 20      | Odisha            |      0 |      0 |          0 |
| 21      | Punjab            |      0 |      0 |          0 |
| 22      | Rajasthan         |      0 |      0 |          0 |

| 23   | Sikkim        |   0 |   0 |   0 |
|------|---------------|-----|-----|-----|
| 24   | TamilNadu     |   0 |   0 |   0 |
| 25   | Telengana     |   0 |   0 |   0 |
| 26   | Tripura       |   0 |   0 |   0 |
| 27   | Uttarakhand   |   0 |   0 |   0 |
| 28   | Uttar Pradesh |   1 |   4 |   0 |
| 29   | West Bengal   |   1 |   1 |   0 |
| 30   | A & N Islands |   0 |   0 |   0 |
| 31   | Chandigarh    |   0 |   1 |   4 |
| 32   | D & N Haveli  |   0 |   0 |   0 |
| 33   | Daman & Diu   |   0 |   0 |   0 |
| 34   | Delhi         |   0 |   0 |   2 |
| 35   | Lakshadweep   |   0 |   0 |   0 |
| 36   | Puducherry    |   0 |   0 |   0 |
|      | Total         |   3 |  10 |   8 |

## Note:

- (P) Provisional
- *Telangana State was formed in 2014

** Source: Central Bureau of Health Intelligence (CBHI)

State/UT wise Deaths due to Neonatal Tetanus in India, 2016 to 2018 **

| S. No.   | State/UT         |   2016 |   2017 |   2018 (P) |
|----------|------------------|--------|--------|------------|
| 1        | AndhraPradesh    |      0 |      3 |          1 |
| 2        | ArunachalPradesh |      0 |      0 |          0 |
| 3        | Assam            |      0 |      0 |          0 |
| 4        | Bihar            |      4 |      0 |          0 |
| 5        | Chhattisgarh     |      0 |      0 |          0 |
| 6        | Goa              |      0 |      0 |          0 |
| 7        | Gujarat          |      0 |      0 |          0 |
| 8        | Haryana          |      0 |      0 |          0 |
| 9        | HimachalPradesh  |      0 |      0 |          0 |
| 10       | JammuDiv.        |      0 |      0 |          0 |
|          | KashmirDiv.      |      0 |      0 |          0 |
| 11       | Jharkhand        |      0 |      0 |          0 |
| 12       | Karnataka        |      0 |      0 |          0 |
| 13       | Kerala           |      0 |      0 |          0 |
| 14       | MadhyaPradesh    |      1 |      0 |          0 |
| 15       | Maharashtra      |      0 |      0 |          0 |
| 16       | Manipur          |      0 |      0 |          0 |
| 17       | Meghalaya        |      0 |      1 |          3 |
| 18       | Mizoram          |      0 |      0 |          0 |
| 19       | Nagaland         |      0 |      0 |          0 |
| 20       | Odisha           |      0 |      0 |          0 |
| 21       | Punjab           |      0 |      0 |          0 |
| 22       | Rajasthan        |      1 |      0 |          0 |
| 23       | Sikkim           |      0 |      0 |          0 |

| 24   | Tamil Nadu   |   0 |   0 |   0 |
|------|--------------|-----|-----|-----|
| 25   | Telangana    |   0 |   0 |   0 |
| 26   | Tripura      |   1 |   0 |   0 |
| 27   | Uttarakhand  |   0 |   0 |   0 |
| 28   | UttarPradesh |   1 |   2 |   0 |
| 29   | WestBengal   |   1 |   0 |   0 |
| 30   | A&N Islands  |   0 |   0 |   0 |
| 31   | Chandigarh   |   0 |   0 |   0 |
| 32   | D&NHaveli    |   0 |   0 |   0 |
| 33   | Daman&Diu    |   0 |   0 |   0 |
| 34   | Delhi        |   1 |   1 |   0 |
| 35   | Lakshadweep  |   0 |   0 |   0 |
| 36   | Puducherry   |   0 |   0 |   0 |
|      | Total        |  10 |   7 |   4 |

Note:

- (P)Provisional
- *Telangana State was formed in 2014

** Source: Central Bureau of Health Intelligence (CBHI)

State/UT wise Deaths Due to Jap anese Encephalitis, 2016 -2018**

|   S. No. | State/UT          |   2016 |   2017 |   2018 (P) |
|----------|-------------------|--------|--------|------------|
|        1 | Andhra Pradesh    |      0 |      0 |          0 |
|        2 | Arunachal Pradesh |      0 |      0 |          0 |
|        3 | Assam             |     92 |     87 |         94 |
|        4 | Bihar             |     25 |     11 |         11 |
|        5 | Chhattisgarh      |      0 |      0 |          0 |
|        6 | Goa               |      0 |      0 |          0 |
|        7 | Gujarat           |      0 |      0 |          0 |
|        8 | Haryana           |      0 |      1 |          0 |
|        9 | Himachal Pradesh  |      0 |      0 |          0 |
|       10 | J&K               |      0 |      0 |          0 |
|       11 | Jharkhand         |      5 |      1 |          0 |
|       12 | Karnataka         |      0 |      2 |          5 |
|       13 | Kerala            |      0 |      0 |          2 |
|       14 | Madhya Pradesh    |      0 |      0 |          0 |
|       15 | Maharashtra       |      1 |      0 |          1 |
|       16 | Manipur           |      1 |     10 |          3 |
|       17 | Meghalaya         |      4 |      4 |          6 |
|       18 | Mizoram           |      0 |      0 |          0 |
|       19 | Nagaland          |      0 |      2 |          0 |
|       20 | Odisha            |     42 |      0 |          0 |
|       21 | Punjab            |      0 |      1 |          0 |
|       22 | Rajasthan         |      0 |      0 |          0 |
|       23 | Sikkim            |      0 |      0 |          0 |

| 24   | Tamil Nadu      |   0 |   2 |   0 |
|------|-----------------|-----|-----|-----|
| 25   | Telangana*      |   0 |   0 |   0 |
| 26   | Tripura         |   1 |   0 |   0 |
| 27   | Uttarakhand     |   0 |   0 |   0 |
| 28   | Uttar Pradesh   |  73 |  93 |  25 |
| 29   | West Bengal     |  39 |  40 |  35 |
| 30   | A&N Islands     |   0 |   0 |   0 |
| 31   | Chandigarh      |   0 |   0 |   0 |
| 32   | D&N Haveli      |   0 |   0 |   0 |
| 33   | Daman & Diu     |   0 |   0 |   0 |
| 34   | Delhi           |   0 |   0 |   0 |
| 35   | Lakshadweep     |   0 |   0 |   0 |
| 36   | Puducherry      |   0 |   0 |   0 |
|      | All India Total | 283 | 254 | 182 |

Note:

- (P) Provisional
- *Telangana State was formed in 2014

** Source: Central Bureau of Health Intelligence (CBHI)