Lok Sabha Question No. 3353 (UNSTARRED), answered on 2019-07-12
Subject: Universal Immunization Programme
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Amol Ramsing Kolhe, Heena Vijaykumar Gavit, Kuldeep Rai Sharma, Subhash Ramrao Bhamre, Supriya Sadanand Sule, Sunil Dattatray Tatkare

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

LOK SABHA UNSTARRED QUESTION NO. 3353 TH

TO BE ANSWERED ON 12 JULY, 2019

## UNIVERSAL IMMUNIZATI ON PROGRAMME

3353. DR. AMOL RAMSINGKOLHE:DR. HEENA GAVIT:

SHRI KULDEEP RAISHARMA:

DR. SUBHASH RAMRAOBHAMRE:

SHRIMATI SUPRIYASULE:

SHRI SUNIL DATTATRAY TATKARE:

Will the Minister of HEALTH ANDFAMILY WELFARE be pleased to state:

- (a)  whether  Government  has  taken steps  to  effectively  implement  Universal Immunization Programme (UIP) especially in tribal and remote areas of the country, if so, the details thereof;
- (b) the details of vaccines administered under the said programme in the tribal and remote areas during each of the last three years and the current year,State /UT-wise;
- (c) whether the Government periodically assess the progress achieved under UIP in the country and if so, the details thereof;
- (d) whether the Government has take nnote of the fact that a majority of children have not been covered under UIP and if so,the details and the reasons thereof along with necessary steps taken in this regard;
- (e) whether the Government has introduced pneumonia vaccine under this programme, and if so, the number of States/UTs covered; and
- (f) the other steps taken/being taken by the Government to ensure complete989 990immunization of all the children in the country?

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

(SHRI ASHWINI KUMAR CHOUBEY)

- (a)Under  Universal  Immunization Programme,  free  vaccination  is  carried  out  in  entire country  including  tribal  and  remote  areas.  Special  immunization  drives  like  Mis Indradhanush,  Intensified Mission  Indradhanush, Gram Swaraj Abhiyaan (GSA), Extended GSA have been conducted to reach left out and hard to reach children living in remote an inaccessible geographical areas, including forested and tribal areas.

(b) All the vaccines under Universal Immunization Programme are also provided in the tr and remote areas. Vaccines provided nationwide are Bacillus Calmette Guerin (BCG), Oral Polio  Vaccine  (OPV),  Hepatitis  B  vaccine,  Pentavalent  vaccine,  Inactivated  Poliov Vaccine  (IPV),  Measles  Rubella  (MR)  vaccine,  Diphtheria,  Pertussis  &  Tetanus  (DPT vaccine, Tetanus and adult diphther ia (Td) vaccine and at sub national level are Rotavirus Vaccine  (RVV),  Pneumococcal  Conjugate  Vaccine  (PCV)  and  Japanese  Encephalitis  (JE) vaccine. State wise details are in Annexure.

(c) Periodic assessment of achievement under Universal Immunization Programme (UIP) is carried  out  through  monitoring  vaccination  coverage  data  reported  by  all  state  in Management Information System (HMIS). As per HMIS the full immunization coverage in 2017- 18  is  86.7%.  Regular  feedback    is  provided  to  states/UTs  on the  progress  and achievement made under the Immunization programme.

(d) The main for reasons children remaining partially immunized or not immunized are l of  awareness  for  benefit  of  Immunization,  apprehensions  of  Adverse  Effect  Followi Immunization (A EFI), child travelling, refusal for vaccination and operational gaps. S immunization  drives  like  Mission  Indradhanush,  Intensified  Mission  Indradhanush,  Gr Swaraj Abhiyaan (GSA), Extended GSA have been conducted to reach left out and drop ou child ren.

(e) Yes,  the  Government  has  introduced  vaccines  against  Pneumonia  1.  Haemophilus Influenza type b (Hib) containing Pentavalent vaccine introduced nationwide to protec child against Haemophilus influenza B pneumonia and 2. Pneumococcal Conjugate Vac cine (PCV) introduced in five states (Madhya Pradesh, Bihar, Himachal Pradesh, 18 distric Rajasthan, 19 districts of Uttar Pradesh) to protects the child against pneumonia ca Streptococcus pneumoniae.

(f)The steps undertaken by the Government to increase immunization coverage are:

1. Strengthening routine immunization along with special immunization drives li Mission Indradhanush, Intensified Mission Indradhanush, Gram Swaraj Abhiyaan (GSA), Extended GSA to cover the left out or partially immuniz ed children
2. Concurrent monitoring and regular review of routine immunization programme.
3. Incentives to ASHA for mobilization of children to immunization session site also for ensuring complete immunization within first year, second year and f year o f life of the child.
4. Incentive to ASHA for organisation of Village Health and Nutrition Day (VHND)
5. Ensuring robust supply chain management system.

## State wise vaccines provided under Universal Immunization Programme during last 3 years

|   S. No. | Vaccines                                                                                                                                                                                                                      | States/UTs                                                                                                                                                                                                                                                                             |
|----------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|        1 | BCG, Oral Polio Vaccine (OPV), Hepatitis B vaccine, Pentavalent vaccine, Inactivated poliovirus vaccine (IPV), Measles Rubella (MR) vaccine, Tetanus and adult diphtheria (Td), Diphtheria, Pertussis & Tetanus (DPT) vaccine | In all 36 S tates/UTs                                                                                                                                                                                                                                                                  |
|        2 | Rotavirus vaccine                                                                                                                                                                                                             | In 15 states i.e Andhra Assam, Haryana, Himachal Pradesh, Jharkhand, Madhya Pradesh, Odisha, Rajasthan, Nadu, Tripura, Uttar Pradesh, Manipur, Daman & Diu, Bihar Sikkim                                                                                                               |
|        3 | Pneumococcal conjugate vaccine                                                                                                                                                                                                | In 5 states i.e Bihar, Pradesh, Madhya Pradesh, Uttar Pradesh (19 districts) & (18 districts)                                                                                                                                                                                          |
|        4 | Japanese Encephalitis vaccine                                                                                                                                                                                                 | In 231Japanese Encephalitis endemic districts across 21 These states are Andhra Arunachal Pra desh, Assam, Chhattisgarh, Goa, Haryana, Jharkhand, Karnataka, Kerala, Maharashtra, Manipur, Meghalaya, Nagaland, Odisha, Tamil Nadu, Telangana, Uttar Pradesh, Uttarakhand West Bengal. |