Lok Sabha Question No. 1139 (UNSTARRED), answered on 2021-12-03
Subject: Vaccination of Children
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Kinjarapu Ram Mohan Naidu

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

## LOK SABHA UNSTARRED QUESTION NO.1139 TO BE ANSWERED ON 3 rd  DECEMBER 2021

## VACCINATION OF CHILDREN

## 1139. SHRI RAM MOHAN NAIDU KINJARAPU:

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

- (a) the total number of children who have been vaccinated Hepatitis-B birth dose, BCG, IPV, first  dose  of  Measles  and  first  dose  of  DPT  from  2018-19  to  2020-21,  yearwise, vaccine-wise and State/UT-wise; and
- (b) details of the observed trends in child vaccination coverage across different vaccines and reasons for low coverage, if any?

## ANSWER

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

- (a) & (b) The total number of children vaccinated with Hepatitis-B birth dose, Bacillus Calmette Guerin (BCG), Inactivated Poliovirus Vaccine (IPV), first dose of Measles containing  vaccine  (MCV)  and  first  dose  of  Diphtheria  Pertussis  Tetanus  (DPT) containing vaccine from 2018-19 to 2020-21, year-wise, vaccine-wise and State/UTwise is placed at Annexure I to Annexure VI.

There  has  been  an  increasing  trend  in  child  vaccination  coverage  across  different vaccines from 2018-2019 to 2019-2020.  However, due to COVID-19 pandemic and subsequent  restricted  movement,  there  was  a  slight  decrease  in  number  of  children vaccinated in 2020-21 as compared to 2019-20. To cover up the gap, the Government had conducted Intensified Mission Indradhanush from time to time.

Annexure I Total number of children vaccinated with Hepatitis B- birth dose.

| S.No.   | States/UTs             | 2018-2019        | 2019-2020      | 2020-2021*   |
|---------|------------------------|------------------|----------------|--------------|
| 1.      | A &NIslands            | 2,843            | 3,119          | 3,789        |
| 2.      | Andhra Pradesh         | 6,86,190         | 6,78,987       | 6,91,872     |
| 3.      | Arunachal Pradesh      | 12,146           | 15,435         | 15,456       |
| 4.      | Assam                  | 2,84,960         | 3,67,616       | 3,38,476     |
| 5.      | Bihar                  | 15,57,022        | 15,86,368      | 13,91,335    |
| 6.      | Chandigarh             | 22,623           | 24,121         | 14,363       |
| 7.      | Chhattisgarh           | 3,07,899         | 3,17,576       | 3,23,832     |
| 8.      | Dadra &Nagar Haveli    | 7,588            | 8,456          | 9,103        |
| 9.      | Daman &Diu Delhi       | 3,634 2,33,124   | 3,512 2,43,103 | 1,76,543     |
| 10.     | Goa                    | 15,040           | 16,435         | 13,228       |
| 11.     | Gujarat                | 8,61,209         | 9,67,740       | 9,50,276     |
| 12.     | Haryana                | 3,17,710         | 3,61,624       | 3,82,052     |
| 13.     | Himachal Pradesh       | 73,963           | 74,583         | 71,072       |
| 14.     | Jammu &Kashmir         | 1,67,559         | 1,70,540       | 1,60,718     |
| 15.     | Jharkhand              | 3,59,169         | 4,22,815       | 4,00,412     |
| 16.     | Karnataka              | 7,55,336         | 7,67,007       | 7,61,625     |
| 17.     | Kerala                 | 3,21,251         | 3,52,343       | 3,39,640     |
| 18.     | Ladakh                 | --               | --             | 3,411        |
| 19.     | Lakshadweep            | 797              | 873            | 1,161        |
| 20.     | Madhya Pradesh Manipur | 11,51,763 40,855 | 11,83,791      | 11,57,452    |
| 21.     | Maharashtra            | 10,77,004        | 11,11,457      | 11,50,397    |
| 22.     |                        | 25,421           | 26,341         | 21,418       |
| 23.     | Meghalaya              |                  | 46,556         | 44,334       |
| 24.     | Mizoram                | 9,657            | 12,936         | 14,164       |
| 25.     | Nagaland               | 13,320           | 13,853         | 9,937        |
| 26.     | Odisha                 | 4,99,261         | 5,05,850       | 5,36,057     |
| 27.     | Puducherry             | 43,279           | 42,679         | 26,142       |
| 28.     | Punjab                 | 2,90,922         | 2,84,501       | 2,52,854     |
| 29.     | Rajasthan              | 9,74,638         | 9,41,051       | 8,80,907     |
| 30.     | Sikkim                 | 6,360            | 6,614          | 6,101        |
| 31.     | Tamil Nadu             | 9,49,836         | 9,38,990       | 9,05,165     |
| 32.     | Telangana              | 4,72,582         | 5,62,446       | 5,21,100     |
| 33.     | Tripura                | 35,193           | 37,438         | 39,532       |
| 34.     | Uttar Pradesh          | 17,89,378        | 20,94,627      | 18,76,024    |
| 35.     | Uttarakhand            | 94,948           | 98,926         | 1,05,009     |
| 36.     | West Bengal            | 9,57,433         | 10,03,126      | 9,44,466     |
|         | All India              | 1,44,21,913      | 1,52,93,435    | 1,45,39,423  |

Data Source: Health Management Information System (HMIS), * Data as on 29 th Nov. 2021

Annexure II Total number of children vaccinated with Bacillus Calmette Guerin (BCG)

| S.No.   | States/UTs          | 2018-2019   | 2019-2020   | 2020-2021*   |
|---------|---------------------|-------------|-------------|--------------|
| 1.      | A &NIslands         | 4,148       | 3,907       | 4,203        |
| 2.      | Andhra Pradesh      | 8,41,837    | 8,01,968    | 7,90,818     |
| 3.      | Arunachal Pradesh   | 21,846      | 22,492      | 21,879       |
| 4.      | Assam               | 6,08,568    | 6,11,010    | 6,06,214     |
| 5.      | Bihar               | 27,14,208   | 28,80,118   | 27,19,626    |
| 6.      | Chandigarh          | 18,791      | 16,835      | 14,199       |
| 7.      | Chhattisgarh        | 5,49,716    | 5,53,297    | 5,61,197     |
| 8.      | Dadra &Nagar Haveli | 7,583       | 7,513       | 11,105       |
| 9.      | Delhi               | 3,23,704    | 3,15,672    | 2,55,796     |
| 10.     | Goa                 | 18,847      | 18,362      | 16,313       |
| 11.     | Gujarat             | 11,83,675   | 11,61,730   | 11,05,769    |
| 12.     | Haryana             | 5,29,560    | 5,42,469    | 5,33,066     |
| 13.     | Himachal Pradesh    | 1,03,996    | 1,01,327    | 1,02,400     |
| 14.     | Jammu &Kashmir      | 2,30,011    | 2,31,925    | 2,20,231     |
| 15.     | Jharkhand           | 7,91,643    | 7,97,097    | 7,81,917     |
| 16.     | Karnataka           | 11,13,204   | 10,86,571   | 10,65,053    |
| 17.     | Kerala              | 5,08,992    | 4,84,701    | 4,64,146     |
| 18.     | Ladakh              | --          | --          | 4,011        |
| 19.     | Lakshadweep         | 1,092       | 1,082       | 1,107        |
| 20.     | Madhya Pradesh      | 15,97,543   | 16,79,562   | 16,90,274    |
| 21.     | Maharashtra         | 19,02,908   | 19,25,088   | 18,71,289    |
| 22.     | Manipur             | 42,215      | 44,026      | 39,709       |
| 23.     | Meghalaya           | 79,314      | 86,320      | 80,068       |
| 24.     | Mizoram             | 20,361      | 21,636      | 21,177       |
| 25.     | Nagaland            | 22,243      | 23,546      | 21,389       |
| 26.     | Odisha              | 6,75,675    | 6,64,499    | 6,66,106     |
| 27.     | Puducherry          | 17,892      | 17,390      | 15,532       |
| 28.     | Punjab              | 4,04,710    | 3,96,369    | 3,95,902     |
| 29.     | Rajasthan           | 14,19,584   | 13,65,993   | 13,68,662    |
| 30.     | Sikkim              | 7,892       | 7,405       | 7,439        |
| 31.     | Tamil Nadu          | 9,47,110    | 9,64,029    | 9,29,570     |
| 32.     | Telangana           | 6,20,899    | 6,33,121    | 6,32,542     |
| 33.     | Tripura             | 55,014      | 54,758      | 52,403       |
| 34.     | Uttar Pradesh       | 49,37,574   | 54,08,358   | 47,00,766    |
| 35.     | Uttarakhand         | 1,80,215    | 1,78,132    | 1,73,583     |
| 36.     | West Bengal         | 14,50,774   | 14,53,222   | 14,06,741    |
|         | All India           | 2,39,58,130 | 2,45,65,934 | 2,33,52,202  |

Data Source: Health Management Information System (HMIS), * Data as on 29 th

Nov. 2021

## Annexure III

Total number of children vaccinated with Inactivated Poliovirus Vaccine (IPV) 1 st dose.

| S.No.   | States/UTs          | 2018-2019      | 2019-2020      | 2020-2021*   |
|---------|---------------------|----------------|----------------|--------------|
| 1.      | A &NIslands         | 3,723          | 3,799          | 4,171        |
| 2.      | Andhra Pradesh      | 7,98,876       | 7,70,639       | 7,83,056     |
| 3.      | Arunachal Pradesh   | 20,351         | 21,513         | 21,766       |
| 4.      | Assam               | 4,91,439       | 5,53,331       | 5,78,415     |
| 5.      | Bihar               | 25,84,451      | 27,42,069      | 26,82,760    |
| 6.      | Chandigarh          | 18,769         | 16,808         | 13,957       |
| 7.      | Chhattisgarh        | 3,89,527       | 5,03,448       | 5,31,545     |
| 8.      | Dadra &Nagar Haveli | 7,242          | 7,279          | 10,914       |
| 9.      | Daman &Diu Delhi    | 4,719 3,00,112 | 4,404 2,97,857 | 2,45,112     |
| 10.     | Goa                 | 17,983         | 17,625         | 15,765       |
| 11.     | Gujarat             | 11,31,527      | 11,28,920      | 10,72,563    |
| 12.     | Haryana             | 4,22,797       | 4,75,698       | 4,91,219     |
| 13.     | Himachal Pradesh    | 1,03,881       | 1,01,287       | 1,01,953     |
| 14.     | Jammu &Kashmir      | 2,19,225       | 2,28,104       | 2,19,042     |
| 15.     | Jharkhand           | 5,68,164       | 7,13,306       | 7,38,339     |
| 16.     | Karnataka           | 7,91,914       | 9,14,489       | 9,93,258     |
| 17.     | Kerala              | 4,19,796       | 4,49,989       | 4,37,578     |
| 18.     | Ladakh              | --             | --             | 4,019        |
| 19.     | Lakshadweep         | 1,078          | 1,077          | 1,102        |
| 20.     | Madhya Pradesh      | 13,27,622      | 15,82,241      | 16,21,206    |
| 21.     | Maharashtra         | 13,96,048      | 17,94,313      | 18,25,016    |
| 22.     | Manipur             | 40,485         | 43,027         | 38,132       |
| 23.     | Meghalaya           | 69,275         | 81,586         | 77,780       |
| 24.     | Mizoram             | 16,881         | 18,934         | 19,434       |
| 25.     | Nagaland            | 16,365         | 17,967         | 16,857       |
| 26.     | Odisha              | 5,96,039       | 6,42,957       | 6,55,933     |
| 27.     | Puducherry          | 16,575         | 16,089         | 14,765       |
| 28.     | Punjab              | 3,62,525       | 3,52,058       | 3,76,778     |
| 29.     | Rajasthan           | 12,68,923      | 11,30,379      | 12,41,747    |
| 30.     | Sikkim              | 7,679          | 7,525          | 7,439        |
| 31.     | Tamil Nadu          | 8,83,707       | 8,96,284       | 8,89,047     |
| 32.     | Telangana           | 5,98,799       | 6,23,410       | 6,23,708     |
| 33.     | Tripura             | 50,277         | 52,398         | 50,788       |
| 34.     | Uttar Pradesh       | 45,00,091      | 50,17,604      | 45,03,025    |
| 35.     | Uttarakhand         | 1,66,530       | 1,73,211       | 1,71,708     |
| 36.     | West Bengal         | 13,12,163      | 13,75,360      | 13,60,500    |
|         | All India           | 2,09,25,558    | 2,27,76,985    | 2,24,40,397  |

Data Source: Health Management Information System (HMIS), * Data as on 29

th Nov. 2021

## Annexure IV

Total number of children vaccinated with Inactivated Poliovirus Vaccine (IPV) 2 nd dose

| S.No.   | States/UTs          | 2018-2019   | 2019-2020   | 2020-2021*   |
|---------|---------------------|-------------|-------------|--------------|
| 1.      | A &NIslands         | 3,725       | 3,681       | 4,254        |
| 2.      | Andhra Pradesh      | 8,10,055    | 7,86,950    | 8,01,962     |
| 3.      | Arunachal Pradesh   | 17,335      | 19,162      | 20,460       |
| 4.      | Assam               | 4,71,758    | 5,34,367    | 5,58,168     |
| 5.      | Bihar               | 23,61,781   | 26,42,829   | 25,02,517    |
| 6.      | Chandigarh          | 18,092      | 16,102      | 13,894       |
| 7.      | Chhattisgarh        | 3,85,456    | 5,05,665    | 5,31,953     |
| 8.      | Dadra &Nagar Haveli | 7,400       | 7,442       | 11,246       |
| 8.      | Daman &Diu          | 4,792       | 4,402       | 11,246       |
| 9.      | Delhi               | 2,79,734    | 2,90,844    | 2,28,293     |
| 10.     | Goa                 | 18,404      | 18,353      | 16,634       |
| 11.     | Gujarat             | 11,06,283   | 11,01,914   | 10,84,644    |
| 12.     | Haryana             | 3,87,119    | 4,42,469    | 4,69,456     |
| 13.     | Himachal Pradesh    | 1,02,561    | 1,00,378    | 1,01,188     |
| 14.     | Jammu &Kashmir      | 2,08,748    | 2,20,446    | 2,13,715     |
| 15.     | Jharkhand           | 4,98,437    | 6,81,529    | 7,05,391     |
| 16.     | Karnataka           | 7,05,421    | 8,84,802    | 9,73,567     |
| 17.     | Kerala              | 4,02,867    | 4,40,883    | 4,47,450     |
| 18.     | Ladakh              | --          | --          | 4,006        |
| 19.     | Lakshadweep         | 1,000       | 1,024       | 1,069        |
| 20.     | Madhya Pradesh      | 12,18,250   | 15,43,177   | 15,94,356    |
| 21.     | Maharashtra         | 12,96,203   | 17,71,450   | 18,34,980    |
| 22.     | Manipur             | 36,102      | 38,790      | 34,414       |
| 23.     | Meghalaya           | 56,609      | 71,888      | 74,298       |
| 24.     | Mizoram             | 16,419      | 18,377      | 18,954       |
| 25.     | Nagaland            | 14,522      | 15,855      | 14,597       |
| 26.     | Odisha              | 5,25,832    | 6,25,052    | 6,54,559     |
| 27.     | Puducherry          | 14,842      | 1,661       | 14,112       |
| 28.     | Punjab              | 3,46,717    | 3,38,706    | 3,65,268     |
| 29.     | Rajasthan           | 12,04,183   | 10,78,336   | 11,79,017    |
| 30.     | Sikkim              | 7,638       | 7,297       | 7,472        |
| 31.     | Tamil Nadu          | 8,81,835    | 8,99,966    | 8,89,927     |
| 32.     | Telangana           | 5,87,545    | 6,17,585    | 6,22,582     |
| 33.     | Tripura             | 45,714      | 49,210      | 47,389       |
| 34.     | Uttar Pradesh       | 41,86,176   | 49,18,332   | 43,76,245    |
| 35.     | Uttarakhand         | 1,65,036    | 1,69,780    | 1,70,822     |
| 36.     | West Bengal         | 12,36,799   | 13,37,662   | 13,28,663    |
|         | All India           | 1,96,31,390 | 2,22,19,366 | 2,19,17,522  |

Data Source: Health Management Information System (HMIS), * Data as on 29 th Nov. 2021

Annexure V Total number of children vaccinated with Measles Containing Vaccine (MCV)- 1 st dose#

| S.No.   | States/UTs          | 2018-2019   | 2019-2020   | 2020-2021*   |
|---------|---------------------|-------------|-------------|--------------|
| 1.      | A &NIslands         | 7,564       | 4,473       | 4,526        |
| 2.      | Andhra Pradesh      | 9,40,932    | 9,05,309    | 8,60,505     |
| 3.      | Arunachal Pradesh   | 22,617      | 21,338      | 20,959       |
| 4.      | Assam               | 6,43,690    | 6,22,446    | 6,22,153     |
| 5.      | Bihar               | 24,98,490   | 29,61,921   | 27,05,474    |
| 6.      | Chandigarh          | 18,692      | 16,030      | 14,184       |
| 7.      | Chhattisgarh        | 6,33,074    | 6,20,831    | 6,18,239     |
| 8.      | Dadra &Nagar Haveli | 8,393       | 8,175       | 12,234       |
|         | Daman &Diu          | 6,326       | 5,116       | 12,234       |
| 9.      | Delhi               | 5,84,800    | 3,48,272    | 2,67,391     |
| 10.     | Goa                 | 41,849      | 41,782      | 37,158       |
| 11.     | Gujarat             | 14,22,947   | 13,10,786   | 12,70,875    |
| 12.     | Haryana             | 5,76,021    | 5,86,366    | 5,44,166     |
| 13.     | Himachal Pradesh    | 1,01,893    | 1,00,090    | 1,00,356     |
| 14.     | Jammu &Kashmir      | 2,72,458    | 2,38,650    | 2,22,385     |
| 15.     | Jharkhand           | 7,80,332    | 8,74,513    | 8,41,053     |
| 16.     | Karnataka           | 11,61,593   | 11,51,758   | 11,57,149    |
| 17.     | Kerala              | 8,97,070    | 6,45,167    | 5,28,496     |
| 18.     | Ladakh              | --          | --          | 3,931        |
| 19.     | Lakshadweep         | 1,421       | 1,418       | 1,459        |
| 20.     | Madhya Pradesh      | 16,78,735   | 19,43,878   | 18,37,573    |
| 21.     | Maharashtra         | 21,42,846   | 21,89,733   | 21,30,647    |
| 22.     | Manipur             | 42,212      | 41,955      | 37,037       |
| 23.     | Meghalaya           | 53,391      | 89,638      | 87,387       |
| 24.     | Mizoram             | 18,116      | 18,430      | 20,497       |
| 25.     | Nagaland            | 17,872      | 20,590      | 19,115       |
| 26.     | Odisha              | 7,18,367    | 6,82,503    | 6,89,518     |
| 27.     | Puducherry          | 16,365      | 15,883      | 14,190       |
| 28.     | Punjab              | 3,81,856    | 3,97,525    | 4,04,430     |
| 29.     | Rajasthan           | 15,07,687   | 14,16,758   | 14,10,884    |
| 30.     | Sikkim              | 15,346      | 8,290       | 7,671        |
| 31.     | Tamil Nadu          | 12,92,212   | 12,12,911   | 10,30,932    |
| 32.     | Telangana           | 7,27,080    | 6,89,708    | 6,76,534     |
| 33.     | Tripura             | 53,404      | 54,283      | 49,987       |
| 34.     | Uttar Pradesh       | 68,15,998   | 65,22,131   | 58,00,574    |
| 35.     | Uttarakhand         | 1,95,911    | 1,82,936    | 1,79,884     |
| 36.     | West Bengal         | 14,47,533   | 14,55,635   | 14,03,870    |
|         | All India           | 2,77,45,093 | 2,74,07,228 | 2,56,33,423  |

Data Source: Health Management Information System (HMIS), as on 29 th

Nov. 2021

# Measles containing Vaccine (MCV) - including Measles vaccines as under the programme States/UTs are provided free of cost Measles and Rubella (MR) vaccine.

Annexure VI Total number of children vaccinated with Diphtheria Pertussis Tetanus (DPT) containing vaccine- 1 st

dose #

| S.No.   | States/UTs                     | 2018-2019       | 2019-2020       | 2020-2021*   |
|---------|--------------------------------|-----------------|-----------------|--------------|
| 1.      | A &NIslands                    | 4,148           | 3,907           | 4,203        |
| 2.      | Andhra Pradesh                 | 8,41,837        | 8,01,968        | 7,90,818     |
| 3.      | Arunachal Pradesh              | 21,846          | 22,492          | 21,879       |
| 4.      | Assam                          | 6,08,568        | 6,11,010        | 6,06,214     |
| 5.      | Bihar                          | 27,14,208       | 28,80,118       | 27,19,626    |
| 6.      | Chandigarh                     | 18,791          | 16,835          | 14,199       |
| 7.      | Chhattisgarh                   | 5,49,716        | 5,53,297        | 5,61,197     |
| 8.      | Dadra &Nagar Haveli Daman &Diu | 7,583 4,786     | 7,513 4,404     | 11,105       |
| 9.      | Delhi                          | 3,23,704 18,847 | 3,15,672 18,362 | 2,55,796     |
| 10.     | Goa                            |                 |                 | 16,313       |
| 11.     | Gujarat                        | 11,83,675       | 11,61,730       | 11,05,769    |
| 12.     | Haryana                        | 5,29,560        | 5,42,469        | 5,33,066     |
| 13.     | Himachal Pradesh               | 1,03,996        | 1,01,327        | 1,02,400     |
| 14.     | Jammu &Kashmir                 | 2,30,011        | 2,31,925        | 2,20,231     |
| 15.     | Jharkhand                      | 7,91,643        | 7,97,097        | 7,81,917     |
| 16.     | Karnataka                      | 11,13,204       | 10,86,571       | 10,65,053    |
| 17. 18. | Kerala Ladakh                  | 5,08,992        | 4,84,701        | 4,64,146     |
| 19.     | Lakshadweep                    |                 | 1,082           | 4,011 1,107  |
| 20.     | Madhya Pradesh                 | 1,092           |                 | 16,90,274    |
| 21.     |                                | 15,97,543       | 16,79,562       |              |
|         | Maharashtra                    | 19,02,908       | 19,25,088       | 18,71,289    |
| 22.     | Manipur                        | 42,215          | 44,026          | 39,709       |
| 23.     | Meghalaya                      | 79,314          | 86,320          | 80,068       |
| 24.     | Mizoram                        | 20,361          | 21,636          | 21,177       |
| 25.     | Nagaland                       | 22,243          | 23,546          | 21,389       |
| 26.     | Odisha                         | 6,75,675        | 6,64,499        | 6,66,106     |
| 27.     | Puducherry                     | 17,892          | 17,390          | 15,532       |
| 28.     | Punjab                         | 4,04,710        | 3,96,369        | 3,95,902     |
| 29.     | Rajasthan                      | 14,19,584       | 13,65,993       | 13,68,662    |
| 30.     | Sikkim                         | 7,892           | 7,405           | 7,439        |
| 31.     | Tamil Nadu                     | 9,47,110        | 9,64,029        | 9,29,570     |
| 32.     | Telangana                      | 6,20,899        | 6,33,121        | 6,32,542     |
| 33.     | Tripura                        | 55,014          | 54,758          | 52,403       |
| 34.     | Uttar Pradesh                  | 49,37,574       | 54,08,358       | 47,00,766    |
| 35.     | Uttarakhand                    | 1,80,215        | 1,78,132        | 1,73,583     |
| 36.     | West Bengal                    | 14,50,774       | 14,53,222       | 14,06,741    |
|         | All India                      | 2,39,58,130     | 2,45,65,934     | 2,33,52,202  |

Data Source: Health Management Information System (HMIS), as on 29 th Nov. 2021

# Diphtheria Pertussis Tetanus (DPT) containing vaccine - including Diphtheria Pertussis Tetanus (DPT) as under the programme States/UTs are provided free of cost Pentavalent vaccine which contains five antigens i.e. Diphtheria, Pertussis, Tetanus, Haemophilus Influenzae b and Hepatitis B.