Lok Sabha Question No. 3009 (UNSTARRED), answered on 2019-12-06
Subject: Failure of Immunization Programme
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Soyam Babu Rao, Ganesan Selvam, Dhanush M Kumar

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

## LOK SABHA UNSTARRED QUESTION NO. 3009 TO BE ANSWERED ON 6 TH DECEMBER, 2019

## FAILURE OF IMMUNIZAT ION PROGRAMME

## 3009. SHRI SOYAM BAPU RAO: SHRI SELVAM G.: SHRI DHANUSH M. KUMAR:

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

- (a) whether the schemes launched by the Government to promote immunization coverage in t country has failed to meet the objectives;
- (b) if s o, the details thereof and the reasons therefor;
- (c) the steps taken by the Government to overcome the difficulties in the implementation scheme;
- (d)  whether  there  is  any  improvement  in  the  related  indices  like  increase  in  immuni coverage or decrease in the incidence of diseases after the implementation of the scheme the details thereof, State/UT - wise;
- (e)  whether  the  Government  has assessed  the  progress  achieved  periodically  under  Universal Immunization Programme in the country and if so, the details thereof; and
- (f)  whether  the  Government  is  undertaking  any  other  policies  for  promoting  unive immunization, if so, the details th ereof?

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

## (SHRI ASHWINI KUMAR CHOUBEY)

- (a) & (b):    It is not correct that immunization coverage in the country has failed to meet the objectives . The immunization coverage in the country is steadily improving over the years per Health Management Information System (HMIS) 2018 - 19  Full  Immunization  coverage  is 87.00%.
- (c):        The  immunization  coverage  is  not  uniform  across  the  country.  To  rapi dly  build - up immunization  coverage  s pecial  immunization  drives  like  Mission  Indradhanush,  Intensified Mission Indradhanush, Gram Swaraj Abhiyaan (GSA), Extended GSA has beenconducted to reach out  to left  out children and  hard  to  reach  children  living  in  r emote & inaccessible geographical areas and pregnant mothers with vaccines .
- (d):    The full immunization coverage is improving over the years. The State/UTs wis immunization coverage for last three years is given in annexure 1 . The State/ UT wise d etails of vaccine preventable diseases burden are given at annexure- II .

(e): The Governmenthas been regularly reviewing the immunization program through various mechanisms.  Some  of  these  are  (i)  Immunization  programme review  with  State/UTs,  (ii) reviewed and feedback of HMIS, concurrent monitoring data with the states/ UTs for corre measure (iii) Regular video conference with state at all level to discuss program impleme gap  (iv)  Cold  chain  review  (v)  suppo rtive  supervision  including    concurrent  monitoring feedback  of  the  programme  to  State/UTs  (iv)  National  Program  Coordination  Committee (NPCC) reviews etc.

(f) In addition to above Government of India is also undertaking a wareness generation through elec tronic and print media throughradio, television, posters, hoardings etc. , strengthening i nter personal communication & social mobilization by front line health workers like Auxillary Nur Midwives  (ANMs)  and  Accredited Social  Health  Activists  (ASHAs)  and other  community workers  for  demand  generation  and  empowering  the  community,  regular  u tilizing of social media platforms like Twitter, WhatsApp 's etc.

State/UTs wise Full immunization coverage (%) for three years as per HMIS

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

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

## Annexure 2

State/UT wise Cases due to Vaccine Preventable Diseases -2017-18.

| S. no   | State/UT          | Neonatal Tetanus   | Neonatal Tetanus   | Diphtheria   | Diphtheria   | Pertussis   | Pertussis   | Measles   | Measles   | Japanese Encephalitis   | Japanese Encephalitis   |
|---------|-------------------|--------------------|--------------------|--------------|--------------|-------------|-------------|-----------|-----------|-------------------------|-------------------------|
| S. no   | State/UT          | 2017               | 2018(P)            | 2017         | 2018(P)      | 2017        | 2018(P)     | 2017      | 2018(P)   | 2017                    | 2018(P)                 |
| 1       | Andhra Pradesh    | 14                 | 2                  | 6            | 67           | 1           | 187         | 65        | 184       | 1                       | 0                       |
| 2       | Arunachal Pradesh | 0                  | 0                  | 0            | 0            | 15          | 34          | 318       | 35        | 5                       | 0                       |
| 3       | Assam             | 0                  | 0                  | 3162         | 9083         | 4142        | 4689        | 1040      | 2361      | 604                     | 509                     |
| 4       | Bihar             | 69                 | 5                  | 39           | 14           | 207         | 123         | 211       | 500       | 74                      | 70                      |
| 5       | Chhattisgarh      | 0                  | 8                  | 1            | 0            | 724         | 852         | 15        | 10        | 0                       | 0                       |
| 6       | Goa               | 0                  | 0                  | 0            | 0            | 0           | 0           | 14        | 15        | 0                       | 3                       |
| 7       | Gujarat           | 0                  | 0                  | 28           | 5            | 7           | 4           | 1312      | 869       | 0                       | 0                       |
| 8       | Haryana           | 2                  | 0                  | 10           | 100          | 117         | 164         | 212       | 352       | 4                       | 0                       |
| 9       | Himachal Pradesh  | 0                  | 0                  | 0            | 0            | 1           | 0           | 255       | 26        | 0                       | 0                       |
| 10      | Jammu Div.        | 0                  | 0                  | 0            | 0            | 3           | 0           | 30        | 110       | 0                       | 0                       |
|         | Kashmir Div.      | 0                  | 0                  | 0            | 0            | 25          | 102         | 1488      | 2039      |                         |                         |
| 11      | Jharkhand         | 102                | 2                  | 20           | 3            | 4995        | 3372        | 520       | 452       | 29                      | 66                      |
| 12      | Karnataka         | 1                  | 2                  | 168          | 63           | 621         | 1368        | 426       | 246       | 26                      | 35                      |
| 13      | Kerala            | 0                  | 1                  | 126          | 47           | 60          | 73          | 584       | 306       | 1                       | 5                       |
| 14      | Madhya Pradesh    | 30                 | 14                 | 43           | 72           | 6219        | 1646        | 664       | 433       | 0                       | 0                       |
| 15      | Maharashtra       | 6                  | 9                  | 141          | 32           | 724         | 332         | 2511      | 1963      | 27                      | 6                       |
| 16      | Manipur           | 0                  | 0                  | 0            | 28           | 7           | 0           | 409       | 483       | 186                     | 57                      |
| 17      | Meghalaya         | 28                 | 59                 | 5            | 2            | 1346        | 779         | 311       | 219       | 48                      | 90                      |
| 18      | Mizoram           | 0                  | 0                  | 0            | 2            | 0           | 5           | 286       | 197       | 0                       | 0                       |
| 19      | Nagaland          | 0                  | 0                  | 0            | 0            | 2           | 13          | 83        | 597       | 10                      | 1                       |
| 20      | Odisha            | 38                 | 1                  | 0            | 1            | 638         | 559         | 883       | 199       | 79                      | 143                     |
| 21      | Punjab            | 0                  | 0                  | 0            | 84           | 0           | 0           | 0         | 3         | 1                       | 0                       |
| 22      | Rajasthan         | 20                 | 32                 | 435          | 583          | 800         | 745         | 729       | 1067      | 0                       | 0                       |
| 23      | Sikkim            | 0                  | 0                  | 0            | 0            | 10          | 0           | 248       | 69        | 0                       | 0                       |
| 24      | Tamil Nadu        | 0                  | 0                  | 0            | 4            | 0           | 0           | 135       | 39        | 127                     | 147                     |
| 25      | Telangana         | 0                  | 25                 | 17           | 89           | 802         | 594         | 315       | 0         | 11                      | 20                      |
| 26      | Tripura           | 0                  | 0                  | 6            | 16           | 12          | 3           | 130       | 285       | 90                      | 59                      |
| 27      | Uttarakhand       | 0                  | 0                  | 0            | 28           | 269         | 295         | 201       | 156       | 0                       | 0                       |
| 28      | Uttar Pradesh     | 14                 | 2                  | 22           | 59           | 1068        | 982         | 803       | 1349      | 693                     | 323                     |
| 29      | West Bengal       | 9                  | 18                 | 611          | 351          | 1029        | 895         | 3910      | 4886      | 165                     | 140                     |
| 30      | A & N Islands     | 0                  | 0                  | 0            | 0            | 0           | 0           | 1         | 15        | 0                       | 0                       |
| 31      | Chandigarh        | 0                  | 1                  | 20           | 30           | 26          | 54          | 22        | 47        | 0                       | 0                       |
| 32      | D & N Haveli      | 1                  | 0                  | 0            | 0            | 914         | 76          | 46        | 10        | 0                       | 0                       |
| 33      | Daman & Diu       | 0                  | 0                  | 0            | 0            | 1           | 18          | 4         | 1         | 0                       | 0                       |
| 34      | Delhi             | 3                  | 0                  | 560          | 957          | 2           | 42          | 422       | 1371      | 0                       | 0                       |
| 35      |                   | 0                  | 0                  | 0            | 0            | 0           | 0           | 0         | 0         | 0                       | 0                       |
|         | Lakshadweep       |                    |                    |              |              |             |             |           |           |                         | 0                       |
| 36      | Puducherry India  | 0 337              | 0 181              | 1 5421       | 0 11720      | 0 24787     | 0 18006     | 15 18618  | 1 20895   | 0 2181                  | 1674                    |

Data Source: CBH