Lok Sabha Question No. 3087 (UNSTARRED), answered on 2021-08-06
Subject: Immunization of Children
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Su Thirunavukkarasar

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

## LOK SABHA UNSTARRED QUESTION NO. 3087 TO BE ANSWERED ON 06 TH  AUGUST, 2021

## IMMUNIZATION OF CHILDREN

## 3087. SHRI THIRUNAVUKKARASAR SU:

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

- (a) whether the Government is aware that about 40% of children under five years age in the country are not fully vaccinated as per the report of National Statistical Organisation (NSO);
- (b) if so, the details thereof, State/UT-wise and vaccine-wise;
- (c) whether any steps are being taken by the Government to attain universal immunization;
- (d) if so, the details thereof; and
- (e) if not, the reasons therefor?

## ANSWER

## THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (DR. BHARATI PRAVIN PAWAR)

(a) & (b) National Statistical Organization (NSO) has conducted a recall based survey in 201718. The survey reports that full immunization of children in the age-group 0-5 years as 59.2%. The full immunization of 0- 5 years age is an average of 5 years data and also contains ineligible children of 0-1 year for full immunization. As per National Family Health Survey- 5(2019-20) data  of  22  states  /UTs,  which  has  been  recently  published,  indicates  that  18  states/UTs  have shown  an  increase  in  Full  Immunization  Coverage  as  compared  to  National  Family  Health Survey- 4 data(2015-16) (State/UT wise details at Annexure). More than two-third of children are fully immunized in most of the States and UTs. In almost three-fourths of districts, 70% or more children aged 12-23 months are fully immunized against childhood diseases.

(c) to (e) Continuous efforts are being made by the Government to attain universal immunization by  strengthening  routine  immunization  with  interventions  like  robust  microplanning,  regular reviews, effective inter personal communication, community engagement and social mobilization involving various stakeholders.

Special vaccination drives like Mission Indradhanush, Intensified Mission Indradhanush, Gram Swaraj Abhiyaan (GSA), Extended GSA have been carried out to reach the left out and drop out children  from  vaccination.  During  such  immunization  intensification  drives,  interventions  like head count survey, robust microplanning, social mobilization, community engagement etc.  are emphasized. Under the  various  phases  of  Mission  Indradhanush,  3.86  crore  children  and  96.8 lakh pregnant women have been vaccinated so far, across the country.

Funds  under  National  Health  Mission  Flexipool  are  allocated  to  carry  out  activities  under Routine  Immunization  like  microplanning,  alternate  vaccine  delivery,  review  and  monitoring, supportive  supervision,  cold  chain  maintenance,  community  mobilization  etc.  The  details  of funds released to states/UTs for Routine Immunization are as follows:

| Funds Released (in Rs. Crore)   |   17-18 |   18-19 |   19-20 |   20-21 |
|---------------------------------|---------|---------|---------|---------|
|                                 |  233.16 |  277.58 |   279.9 |  282.75 |

State/UT wise details of Full Immunization Coverage (%)

| S. no.   | States/UTs          | NFHS-4 (2015-16)   | NFHS-5 (2019-20)   |
|----------|---------------------|--------------------|--------------------|
| 1.       | A&N Island          | 73.2               | 77.8               |
| 2.       | Andhra Pradesh      | 65.3               | 73                 |
| 3.       | Arunachal Pradesh   | 38.2               | -                  |
| 4.       | Assam               | 47.1               | 66.4               |
| 5.       | Bihar               | 61.7               | 71                 |
| 6.       | Chandigarh          | 79.5               | -                  |
| 7.       | Chhattisgarh        | 76.4               | -                  |
| 8.       | Delhi               | 66.2               | -                  |
| 9.       | Dadra Nagar &Haveli | 43.2               | 94.9               |
|          | Daman &Diu          | 66.3               |                    |
| 10.      | Goa                 | 88.4               | 81.9               |
| 11.      | Gujarat             | 50.4               | 76.3               |
| 12.      | Haryana             | 62.2               | -                  |
| 13.      | Himachal Pradesh    | 69.5               | 89.3               |
| 14.      | Jammu &Kashmir      | 75.1               | 86.2               |
| 15.      | Jharkhand           | 61.9               | -                  |
| 16.      | Karnataka           | 62.6               | 84.1               |
| 17.      | Kerala              | 82.1               | 77.8               |
| 18.      | Ladakh UT           | -                  | 88.2               |
| 19.      | Lakshadweep         | 89.0               | 86.1               |
| 20.      | Madhya Pradesh      | 53.6               | -                  |
| 21.      | Maharashtra         | 56.3               | 73.5               |
| 22.      | Manipur             | 65.9               | 68.8               |
| 23.      | Meghalaya           | 61.5               | 63.8               |
| 24.      | Mizoram             | 50.5               | 72.5               |
| 25.      | Nagaland            | 35.7               | 57.9               |
| 26.      | Odisha              | 78.6               | -                  |
| 27.      | Punjab              | 89.1               | -                  |
| 28.      | Pudducherry         | 91.3               | -                  |
| 29.      | Rajasthan           | 54.8               | -                  |
| 30.      | Sikkim              | 83.0               | 80.6               |
| 31.      | Tamil Nadu          | 69.7               | -                  |
| 32.      | Telangana           | 68.1               | 79.1               |
| 33.      | Tripura             | 54.5               | 69.5               |
| 34.      | Uttar Pradesh       | 51.1               | -                  |
| 35.      | Uttarakhand`        | 57.7               | -                  |
| 36.      | West Bengal         | 84.4               | 87.8               |

NFHS: National Family Health Survey