Lok Sabha Question No. 1035 (UNSTARRED), answered on 2020-02-07
Subject: Immunisation Coverage
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Gaurav Gogoi

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

## LOK SABHA UNSTARRED QUESTION NO. 1035 TO BE ANSWERED ON 7 th FEBRUARY, 2020

## IMMUNISATION COVERAG E

## 1035. SHRI GAURAV GOGOI:

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

(a)  whether  the  Government  has  been  able  to  identify reasons  for  a  low  immunization coverage across the country;

(b)  if  so,  the  details  thereof  along  with  the  percentage of  immunization  coverage  in  the country, State/ UT - wiseand the plans of the Government for mitigating the identified reasons;

(c)  whether  the  Government  has  maintained  data  on deaths  resulting  due  to  a  failure  of immunization; and

- (d) if so, the details thereof?

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

(a)& (b) : The immunization coverage in the country is at  92.2% (as per HMIS for Apri 2019 to Dec 2019). However there are still pockets of low coverage.  T he reasons for low immunization coverage identified are: (i) lack of awareness ofbenefit of Immunization, (ii) apprehensions of Adverse Effect Following Immunization (AEFI), (iii) travelling of children , (iv) refusal for vaccination and (v) operational gap s.  To mitigate the identified reasons of low  immunization  coverage,  strategic  interventions  like  advocacy,  social  mobiliza community engagement, inter personal communication at family level and media engagement are undertaken.

Hence,  special vaccination drives  like  Mission  Indradhanush,  Intensified  Mission Indradhanush, Gram Swaraj Abhiyaan (GSA), Extended GSA have been carried out to reach theleft out and drop out children from vaccination .

The State/UT - wisepercentage of immunization cove rage is placed at Annexure 1.

(c)& (d) : Yes,  theState/ Union  Territory  wise  details  of  deaths  due  to  Vaccine preventable diseases are placed at Annexure 2.

## Annexure 1

Full Immunization Coverage (Apr - Dec 2019)

| Sr No.   | State/ UTs           |   Full Immunization Coverage (%) |
|----------|----------------------|----------------------------------|
| 1        | A & N Islands        |                             64   |
| 2        | Andhra Pradesh       |                             93.4 |
| 3        | Arunachal Pradesh    |                             67.5 |
| 4        | Assam                |                             86.8 |
| 5        | Bihar                |                             96.4 |
| 6        | Chandigarh           |                            104.7 |
| 7        | Chhattisgarh         |                             90.8 |
| 8        | Dadra & Nagar Haveli |                             92.7 |
| 9        | Daman & Diu          |                             61.3 |
| 10       | Delhi                |                            103   |
| 11       | Goa                  |                             89.8 |
| 12       | Gujarat              |                             87.2 |
| 13       | Haryana              |                            102.5 |
| 14       | Himachal Pradesh     |                             88   |
| 15       | Jammu & Kashmir      |                            105.1 |
| 16       | Jharkhand            |                             96.6 |
| 17       | Karnataka            |                             91.7 |
| 18       | Kerala               |                             92.6 |
| 19       | Lakshadweep          |                             69.4 |
| 20       | Madhya Pradesh       |                             90   |
| 21       | Maharashtra          |                            102   |
| 22       | Manipur              |                             96   |
| 23       | Meghalaya            |                             86.2 |
| 24       | Mizoram              |                             76.2 |
| 25       | Nagaland             |                             69.9 |
| 26       | Odisha               |                             79.8 |
| 27       | Puducherry           |                             56.8 |
| 28       | Punjab               |                             95.1 |
| 29       | Rajasthan            |                             75.8 |
| 30       | Sikkim               |                             61.4 |
| 31       | Tamil Nadu           |                             84.8 |
| 32       | Telangana            |                             93.8 |
| 33       | Tripura              |                             90.4 |
| 34       | Uttar Pradesh        |                             93.7 |
| 35       | Uttarakhand          |                             99.1 |
| 36       | West Bengal          |                             97.7 |
|          | All India            |                             92.2 |

Source: HMIS portal data, downloaded on 27th January 2020

Annexure 2 Number of Deaths due to Vaccine Preventable Diseases

| S. N o.   | State/UT          |   Neonatal Tetanus | Neonatal Tetanus   |   Diphtheria | Diphtheria   | Pertussis   | Pertussis   | Measles   | Measles   | Japanese Encephalitis   | Japanese Encephalitis   |
|-----------|-------------------|--------------------|--------------------|--------------|--------------|-------------|-------------|-----------|-----------|-------------------------|-------------------------|
| S. N o.   | State/UT          |               2017 | 2018*              |         2017 | 2018*        | 2017        | 2018*       | 2017      | 2018*     | 2017                    | 2018*                   |
| 1         | Andhra Pradesh    |                  3 | 1                  |            2 | 5            | 0           | 0           | 0         | 0         | 0                       | 0                       |
| 2         | Arunachal Pradesh |                  0 | 0                  |            0 | 0            | 0           | 0           | 0         | 0         | 0                       | 0                       |
| 3         | Assam             |                  0 | 0                  |            0 | 0            | 0           | 0           | 0         | 0         | 87                      | 94                      |
| 4         | Bihar             |                  0 | 0                  |            4 | 2            | 0           | 0           | 0         | 1         | 11                      | 11                      |
| 5         | Chhattisgarh      |                  0 | 0                  |            1 | 0            | 4           | 0           | 0         | 0         | 0                       | 0                       |
| 6         | Goa               |                  0 | 0                  |            0 | 0            | 0           | 0           | 0         | 0         | 0                       | 0                       |
| 7         | Gujarat           |                  0 | 0                  |            0 | 0            | 0           | 0           | 0         | 0         | 0                       | 0                       |
| 8         | Haryana           |                  0 | 0                  |            0 | 0            | 0           | 2           | 0         | 0         | 1                       | 0                       |
| 9         | Himachal Pradesh  |                  0 | 0                  |            0 | 0            | 0           | 0           | 0         | 0         | 0                       | 0                       |
| 10        | Jammu & Kashmir   |                  0 | 0                  |            0 | 0            | 0           | 0           | 0         | 0         | 0                       | 0                       |
| 11        | Jharkhand         |                  0 | 0                  |            0 | 0            | 0           | 0           | 0         | 0         | 1                       | 0                       |
| 12        | Karnataka         |                  0 | 0                  |            2 | 1            | 0           | 0           | 0         | 0         | 2                       | 5                       |
| 13        | Kerala            |                  0 | 0                  |            4 | 1            | 0           | 0           | 0         | 0         | 0                       | 2                       |
| 14        | Madhya Pradesh    |                  0 | 0                  |            1 | 0            | 0           | 0           | 0         | 2         | 0                       | 0                       |
| 15        | Maharashtra       |                  0 | 0                  |            1 | 0            | 0           | 0           | 2         | 2         | 0                       | 1                       |
| 16        | Manipur           |                  0 | 0                  |            0 | 0            | 0           | 0           | 0         | 0         | 10                      | 3                       |
| 17        | Meghalaya         |                  1 | 3                  |            3 | 0            | 0           | 0           | 0         | 0         | 4                       | 6                       |
| 18        | Mizoram           |                  0 | 0                  |            0 | 0            | 0           | 0           | 0         | 1         | 0                       | 0                       |
| 19        | Nagaland          |                  0 | 0                  |            0 | 0            | 0           | 0           | 1         | 0         | 2                       | 0                       |
| 20        | Odisha            |                  0 | 0                  |            0 | 0            | 0           | 0           | 0         | 0         | 0                       | 0                       |
| 21        | Punjab            |                  0 | 0                  |            0 | 0            | 0           | 0           | 0         | 0         | 1                       | 0                       |
| 22        | Rajasthan         |                  0 | 0                  |            6 | 6            | 0           | 0           | 0         | 3         | 0                       | 0                       |
| 23        | Sikkim            |                  0 | 0                  |            0 | 0            | 0           | 0           | 0         | 3         | 0                       | 0                       |
| 24        | Tamil Nadu        |                  0 | 0                  |            0 | 2            | 0           | 0           | 0         | 0         | 2                       | 0                       |
| 25        | Telangana         |                  0 | 0                  |            0 | 0            | 0           | 0           | 0         | 0         | 0                       | 0                       |
| 26        | Tripura           |                  0 | 0                  |            0 | 0            | 0           | 0           | 0         | 0         | 0                       | 0                       |
| 27        | Uttarakhand       |                  0 | 0                  |            0 | 0            | 0           | 0           | 0         | 0         | 0                       | 0                       |
| 28        | Uttar Pradesh     |                  2 | 0                  |            0 | 1            | 4           | 0           | 2         | 0         | 93                      | 25                      |
| 29        | West Bengal       |                  0 | 0                  |            6 | 2            | 1           | 0           | 18        | 8         | 40                      | 35                      |
| 30        | A & N Islands     |                  0 | 0                  |            0 | 0            | 0           | 0           | 0         | 0         | 0                       | 0                       |
| 31        | Chandigarh        |                  0 | 0                  |            6 | 4            | 1           | 4           | 1         | 1         | 0                       | 0                       |
| 32        | D & N Haveli      |                  0 | 0                  |            0 | 0            | 0           | 0           | 0         | 1         | 0                       | 0                       |
| 33        | Daman & Diu       |                  0 | 0                  |            0 | 0            | 0           | 0           | 0         | 0         | 0                       | 0                       |
| 34        | Delhi             |                  1 | 0                  |          113 | 156          | 0           | 2           | 4         | 12        | 0                       | 0                       |
| 35        | Lakshadweep       |                  0 | 0                  |            0 | 0            | 0           | 0           | 0         | 0         | 0                       | 0                       |
| 36        |                   |                  0 | 0                  |            0 |              |             |             |           |           |                         | 0                       |
|           | Puducherry India  |                  7 | 4                  |          149 | 0 180        | 0 10        | 0 8         | 0 28      | 0 34      | 0 254                   | 182                     |

(

Data Source: National Health Profile 2019 )

Data is provisional for 2018