Lok Sabha Question No. 3035 (UNSTARRED), answered on 2019-12-06
Subject: Coverage under Immunization Programme
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Veena Devi, Krupal Balaji Tumane

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

## LOK SABHA UNSTARRED QUEST ION NO. 3035 TO BE ANSWERED ON 6 TH DECEMBER, 2019

## COVERAG E UNDER IMMUNIZATION PROGRAMME

## 3035. SHRIMATI VEENA DEVI: SHRI KRUPAL BALAJI TUMANE:

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

- (a) whether large number of children particularly in the rural areas of the country have given vaccination in the early years of their life, if so , the details thereof;
- (b) the percentage of children included under various vaccination programmes being run b Government during each of the last three years and the current year, State/UT - wise;
- (c) whether the Government has noted that during the general immunization in the country of  children  are  either  partially  vaccinated  or  fully  deprived  of vaccination,  if  so,  the  details thereof along with the reasons therefor;
- (d)  the  steps  taken/b eing  taken  by  the  Government  to  ensure  complete  vaccination  of  all  th children  across  the  country  under  its  mission  Indradhanush  and  promote  awareness  in community about the benefits of vaccination campaigns;
- (e) the average number of children succu mbing to death from various diseases owing to non -inclusion under vaccination campaigns for the said diseases during the said period; and
- (f)  whether  the  Government  has  launched/proposes  to  launch  low  cost  indigenous  rotavi vaccine as part of its Univ ersal Immunization Programme (UIP), if so, the details thereof and t progress made in this regard?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI ASHWINI KUMAR CHOUBEY)

- (a) : As per National Family Health Survey -4 (NFHS- 4) 2015 - 16, full immunization coverage was 62% at the national level. As per the said survey full immunization coverage in th areas was 61.3%, and 63.9% in urban areas.
- (b) : State/UTs  wise  percentage of  Full  Immunization  Coverage  as  per  Health  System Management Information System (HIMS) during each of the last three years and the current is given at Annexure .

(c) : Full Immunization coverage is 87% as per Health Management Information syst em (HMIS) for 2018 - 19. This translate into 13% (34.16 lakh children) are either partially vaccinated deprived  of  vaccination.  The  main  reasons  for  partial  or  no  immunization  are  Awarenes information gap, apprehension towards Adverse Effects Fol lowing Immunization (AEFI), child travelling, refusal for vaccination etc.

(d) : Following steps has been taken to ensure complete vaccination to of all children acr country  under  Mission  Indradhanush  and  promote  awareness  in  the  community  about the benefits of vaccination campaigns:

- Eight phases of Mission Indradhanush (including Gram Swaraj Abhiyan carried out in 16,8 villages  across  541  districts  and  Extended  Gram  Swaraj  Abhiyan  carried  out  in  48, villages across 117 aspirational districts) have been carried out covering 680 districts acro all 36 States/UTs. During these eight phases of Mission Indradhanush a total of 3.39 children and 87.18 lakh pregnant women have been vaccinated, as on 28th March'19.
- Awareness generati on carried out through electronic and print media like radio, televi posters, hoardings etc.
- Inter personal communication by front line health workers and other community workers Auxiliary Nurse Midwives (ANMs) and Accredited Social Health Activi sts (ASHAs).
- Utilized social media platforms like Twitter, WhatsApp etc.

(e) : The number of children succumbing to death in 2018 from various vaccine preventab diseases as per publish data of Central Bureau of Health Intelligence, Government of Indi are as under:

Measles -34, Diphtheria 180, Pertussis 8, Neonatal Tetanus -4 and Japanese Encephalitis -182

( f) : Government  has  already  launched  indigenous  rotavirus  vaccine  as  part  of  Univers I mmunization  Programme  (UIP).  Rotavirus  vaccine  is  provided  in  all  State/UTs  and  sin introduction 2.35 crore children have received Rotavirus vaccine, till date.

………………

State/UTs wise Full immunization coverage (%) in last three years and current year

| Sl. No.   | State/UTs Name       | Full immunization coverage (%)   | Full immunization coverage (%)   | Full immunization coverage (%)   | Full immunization coverage (%)   |
|-----------|----------------------|----------------------------------|----------------------------------|----------------------------------|----------------------------------|
| Sl. No.   | State/UTs Name       | 2016-17                          | 2017-18                          | 2018-19                          | 2019-20                          |
| 1         | A & N Islands        | 82.10                            | 77.22                            | 84.98                            | 74.79                            |
| 2         | Andhra Pradesh       | 90.49                            | 99.36                            | 101.43                           | 96.58                            |
| 3         | Arunachal Pradesh    | 66.96                            | 65.74                            | 69.99                            | 67.96                            |
| 4         | Assam                | 89.63                            | 82.43                            | 84.36                            | 84.39                            |
| 5         | Bihar                | 97.04                            | 91.80                            | 77.36                            | 95.58                            |
| 6         | Chandigarh           | 83.19                            | 84.27                            | 91.25                            | 105.45                           |
| 7         | Chhattisgarh         | 89.07                            | 85.56                            | 92.20                            | 88.61                            |
| 8         | Dadra & Nagar Haveli | 74.65                            | 91.42                            | 76.24                            | 94.67                            |
| 9         | Daman & Diu          | 78.60                            | 79.24                            | 66.43                            | 62.69                            |
| 10        | Delhi                | 102.08                           | 94.37                            | 94.10                            | 105.08                           |
| 11        | Goa                  | 76.72                            | 99.82                            | 89.58                            | 92.97                            |
| 12        | Gujarat              | 85.90                            | 90.92                            | 89.68                            | 87.55                            |
| 13        | Haryana              | 79.25                            | 88.28                            | 86.76                            | 94.63                            |
| 14        | Himachal Pradesh     | 87.65                            | 78.20                            | 89.21                            | 91.56                            |
| 15        | Jammu & Kashmir      | 97.82                            | 102.25                           | 98.06                            | 103.64                           |
| 16        | Jharkhand            | 98.24                            | 98.47                            | 80.68                            | 95.82                            |
| 17        | Karnataka            | 80.66                            | 92.88                            | 93.64                            | 92.06                            |
| 18        | Kerala               | 88.14                            | 97.37                            | 93.62                            | 93.89                            |
| 19        | Lakshadweep          | 105.10                           | 100.20                           | 102.40                           | 70.94                            |
| 20        | Madhya Pradesh       | 79.40                            | 76.98                            | 75.73                            | 90.85                            |
| 21        | Maharashtra          | 94.52                            | 95.38                            | 94.78                            | 101.70                           |
| 22        | Manipur              | 97.64                            | 89.08                            | 87.44                            | 94.92                            |
| 23        | Meghalaya            | 92.19                            | 77.29                            | 57.58                            | 83.56                            |
| 24        | Mizoram              | 99.31                            | 89.75                            | 87.26                            | 89.07                            |
| 25        | Nagaland             | 64.63                            | 53.50                            | 46.99                            | 71.27                            |
| 26        | Odisha               | 83.70                            | 58.09                            | 87.30                            | 83.28                            |
| 27        | Puducherry           | 58.55                            | 69.18                            | 64.90                            | 59.88                            |
| 28        | Punjab               | 93.05                            | 90.98                            | 85.76                            | 97.10                            |
| 29        | Rajasthan            | 80.02                            | 80.11                            | 78.81                            | 73.21                            |
| 30        | Sikkim               | 71.23                            | 68.13                            | 69.35                            | 53.60                            |
| 31        | Tamil Nadu           | 75.70                            | 75.28                            | 84.53                            | 148.71                           |
| 32        | Telangana            | 133.96                           | 88.96                            | 95.98                            | 54.20                            |
| 33        | Tripura              | 81.42                            | 79.78                            | 86.63                            | 89.18                            |
| 34        | Uttar Pradesh        | 84.04                            | 83.43                            | 88.75                            | 91.62                            |
| 35        | Uttarakhand          | 92.94                            | 88.23                            | 102.78                           | 98.75                            |
| 36        | West Bengal          | 99.65                            | 95.69                            | 95.11                            | 97.83                            |
|           | All India            | 88.66                            | 86.71                            | 87.00                            | 91.63                            |

Data source: HMIS: Status as On: 29 Nov 2019