Lok Sabha Question No. 808 (UNSTARRED), answered on 2021-07-23
Subject: Immunization of Children
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Aparajita Sarangi

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

LOK SABHA UNSTARRED QUESTION NO. 808 TO BE ANSWERED ON 23 RD JULY, 2021

## IMMUNIZATION OF CHIL DREN

## 808. SHRIMATI APARAJ ITA SARANGI:

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

- (a) the details of the compulsory vaccines being administered to children in the country as part of their immunization;
- (b)  whether  the  mandatory  vaccination  and immunisation  programmes  for  children  were disruptedue to the COVID - 19 pandemic and if so, the details thereof;
- (c) the details of the data indicating the decline in the number of children vaccinated for each mandatoryvaccine specific to each quarter since January 2020 to June 2021, State/UT - wise;
- (d)whether the Government has devised an alternate route of vaccine delivery to ensure proper implementation of immunisation programme; and
- (e) if so, the details thereof and the action taken to increase access to vaccines in the country?

## ANSWER

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

(a): U nder Universal Immunization Programme (UIP) Vaccines provided Nationally are Bacillus Calmette Guerin (BCG), Oral Polio Vaccine (OPV), Hepatitis B vaccine, Pentavalent vaccine, Inactivated Poliovirus Vaccine (IPV), Measles Rubella (MR) vaccine, Diphtheria, Pertuss Tetanus (DPT) vaccine, Tetanus and adult diphtheria (Td) vaccine and at Sub - N ational level are Rotavirus Vaccine (RVV), Pneumococcal Conjugate Vaccine (PC V) and Japanese Encephalitis (JE) vaccine. Vaccination under UIP is not compulsory .

(b)& (c): The utilization of Immunization services got affected due to the COVID - 19 pandemic and there was slight decline in Immunization Coverage as reported by State/UTs in HMIS por The  details  of  the  data  indicating  the  decline  in  the  number  of  children vaccinated for  each vaccine as reported by States/UTs in HMIS, State/UT - wise ,Q uarter wisesince January 2020 to June 2021, is placed at ANNEXURE -I - IV

(d)  &  (e) : Many  steps  have  been  taken  by  the  Government  to  ensure  that  amidst  the  cris immunization programme is properly implemented and access to immunization services remains uninterrupt ed,these include:

- D evelopment  and  dissemination  of  National  guidelines  to  safely  continue  immunisat servic es during the COVID - 19 pandemic, wherein Birth dose vaccination to be continued at all  healt h  facility  with  delivery  points  & I mmunization  service s  were  being  provided  to beneficiaries who reach the immunization sessions sites in containment zones of lock areas  due  to  COVID -19  with  measures  to  prevent  COVID - 19  spread  like  physical distancing, use of mask, hand sanitizer etc .
- Appropriate  communication  material  has  been  developed  and  shared  with  the  States  a UTs  for  addressing  vaccine  hesitancy  and  strengthening  routine  immunization  with  d precautions, during COVID - 19 pandemic.
- Supply chain of vaccines and other logistics h as been ensured during COVID - 19 pandemic.
- Further  Unvaccinated/Missed  children  were  identified  and  were  covered  in  Intensif Mission Indradhanush (Intensified Immunisation Drive) from February 2021 to March 2021

ANNEXURE - I No. of Children vaccinated f or BCG Quarter wise (January 2020 to June 2021) State/UT -wise

| Name of State       |   Jan 2020- Mar 2020 |   Apr 2020- Jun 2020 |   Jul 2020- Sep 2020 |   Oct 2020 - Dec 2020 |   Jan 2021- Mar 2021 | Apr 2021- Jun 2021   |
|---------------------|----------------------|----------------------|----------------------|-----------------------|----------------------|----------------------|
| A &NIslands         |                  745 |                  981 |                 1119 |                  1112 |                  764 | 757                  |
| Andhra Pradesh      |               157628 |               157896 |               199065 |                208364 |               169271 | 174619               |
| Arunachal Pradesh   |                 5063 |                 3463 |                 5368 |                  5809 |                 5325 | 4142                 |
| Assam               |               170892 |               120667 |               142105 |                189467 |               168457 | 110654               |
| Bihar               |               645722 |               443332 |               696455 |                805344 |               663564 | 442672               |
| Chandigarh          |                 6402 |                 3571 |                 4126 |                  4060 |                 3245 | 2971                 |
| Chhattisgarh        |               144551 |               117028 |               139500 |                147386 |               128767 | 101639               |
| Dadra &Nagar Haveli |                 2208 |                 1378 |                 1762 |                  2131 |                 1508 | 1813                 |
| Daman &Diu          |                 1324 |                  953 |                 1158 |                  1734 |                  853 | NA*                  |
| Delhi               |                65238 |                40706 |                58931 |                 57535 |                49777 | 34931                |
| Goa                 |                 4513 |                 4400 |                 4091 |                  4210 |                 3079 | 2773                 |
| Gujarat             |               282202 |               203188 |               317260 |                343430 |               263014 | 226351               |
| Haryana             |               129871 |                97081 |               140530 |                146094 |               124840 | 88845                |
| Himachal Pradesh    |                22282 |                20144 |                24008 |                 25012 |                21430 | 19021                |
| Jammu &Kashmir      |                51785 |                44979 |                50147 |                 45134 |                48527 | 43683                |
| Jharkhand           |               189917 |                95765 |               203876 |                220082 |               192951 | 144723               |
| Karnataka           |               241673 |               238368 |               254093 |                276305 |               237800 | 233244               |
| Kerala              |               100409 |               101516 |               108378 |                108627 |                79142 | 87182                |
| Ladakh              |                  887 |                  859 |                 1021 |                   884 |                  838 | 919                  |
| Lakshadweep         |                  201 |                  272 |                  289 |                   271 |                  282 | 200                  |
| Madhya Pradesh      |               325512 |               256078 |               375249 |                372949 |               305101 | 247089               |
| Maharashtra         |               446332 |               408070 |               474872 |                518899 |               449611 | 417889               |
| Manipur             |                 8682 |                 7525 |                 7589 |                  9702 |                 9254 | 4435                 |
| Meghalaya           |                23634 |                18937 |                20542 |                 21034 |                20190 | 14765                |
| Mizoram             |                 5117 |                 3870 |                 4266 |                  4893 |                 4016 | 2915                 |
| Nagaland            |                 5629 |                 4146 |                 5039 |                  5987 |                 5722 | 4006                 |
| Odisha              |               144678 |               151759 |               155437 |                174923 |               144858 | 132116               |
| Puducherry          |                 7972 |                 4906 |                 6693 |                  7431 |                 5319 | 4163                 |
| Punjab              |                91507 |                70943 |               102612 |                103219 |                86562 | 64553                |
| Rajasthan           |               324948 |               263111 |               377623 |                380816 |               317465 | 205419               |
| Sikkim              |                 1678 |                 1506 |                 1883 |                  1975 |                 1608 | 1064                 |
| Tamil Nadu          |               199385 |               200454 |               232930 |                230962 |               156864 | 109167               |
| Telangana           |               152954 |               160831 |               165439 |                162637 |               123299 | 134380               |
| Tripura             |                12274 |                10014 |                 9806 |                 13067 |                11298 | 8694                 |
| Uttar Pradesh       |              1428006 |               762618 |              1215822 |               1465113 |              1412849 | 860072               |
| Uttarakhand         |                44003 |                34147 |                44620 |                 48637 |                42510 | 34649                |
| West Bengal         |               286344 |               247321 |               328512 |                370271 |               281573 | 239201               |
| India               |              5732168 |              4302783 |              5882216 |               6485506 |              5541533 | 4205716              |

ANNEXURE - II No. of Children vaccinated for Oral Polio Vaccine - 3 Quarter wise (January 2020 to June 2021)State/UT- wise

| Name of State       |   Jan 2020- Mar 2020 |   Apr 2020- Jun 2020 |   Jul 2020- Sep 2020 |   Oct 2020 - Dec 2020 |   Jan 2021- Mar 2021 | Apr 2021- Jun 2021   |
|---------------------|----------------------|----------------------|----------------------|-----------------------|----------------------|----------------------|
| A & N Islands       |                  901 |                  759 |                 1210 |                   970 |                 1119 | 698                  |
| Andhra Pradesh      |               198661 |               148493 |               204961 |                215230 |               222359 | 195839               |
| Arunachal Pradesh   |                 5546 |                 4228 |                 4688 |                  4793 |                 5912 | 4795                 |
| Assam               |               157691 |               128252 |               144751 |                146948 |               164265 | 137848               |
| Bihar               |               747485 |               417794 |               672930 |                658182 |               784264 | 567535               |
| Chandigarh          |                 4096 |                 2850 |                 3793 |                  3307 |                 3837 | 2981                 |
| Chhattisgarh        |               147890 |               135428 |               130055 |                137786 |               150124 | 110262               |
| Dadra &Nagar Haveli |                 2672 |                 1385 |                 1793 |                  1729 |                 2031 | 2141                 |
| Daman &Diu          |                 1245 |                  836 |                 1045 |                  1305 |                 1317 | NA*                  |
| Delhi               |                74232 |                28544 |                62890 |                 61506 |                74393 | 40639                |
| Goa                 |                 5326 |                 3821 |                 4326 |                  4080 |                 4783 | 2830                 |
| Gujarat             |               308721 |               180189 |               276979 |                284614 |               284686 | 242317               |
| Haryana             |               140248 |               103391 |               121652 |                126097 |               142205 | 108839               |
| Himachal Pradesh    |                26710 |                24177 |                24461 |                 24704 |                27844 | 23528                |
| Jammu &Kashmir      |                56093 |                42776 |                57411 |                 57994 |                57295 | 44250                |
| Jharkhand           |               204174 |                56571 |               209153 |                203416 |               217063 | 147028               |
| Karnataka           |               266256 |               198985 |               281237 |                281747 |               280146 | 235629               |
| Kerala              |               110021 |                85212 |               119671 |                123316 |               123293 | 76364                |
| Ladakh              |                  908 |                  843 |                 1086 |                  1072 |                  933 | 766                  |
| Lakshadweep         |                  269 |                  218 |                  321 |                   289 |                  248 | 128                  |
| Madhya Pradesh      |               434501 |               305229 |               441107 |                440231 |               439997 | 333924               |
| Maharashtra         |               492171 |               373885 |               466799 |                497540 |               512709 | 417012               |
| Manipur             |                10016 |                 7486 |                 8348 |                 10445 |                10604 | 5430                 |
| Meghalaya           |                21750 |                19205 |                22054 |                 16242 |                19021 | 13867                |
| Mizoram             |                 5868 |                 3764 |                 5605 |                  4472 |                 5588 | 3952                 |
| Nagaland            |                 5645 |                 3624 |                 4741 |                  4398 |                 5566 | 4213                 |
| Odisha              |               174188 |               163866 |               152980 |                173643 |               174289 | 151945               |
| Puducherry          |                 4102 |                 2952 |                 3385 |                  3754 |                 4145 | 2146                 |
| Punjab              |               102395 |                94786 |                90218 |                 93933 |               106192 | 86426                |
| Rajasthan           |               347606 |               216018 |               364673 |                339973 |               372488 | 254577               |
| Sikkim              |                 1960 |                 1797 |                 1578 |                  1713 |                 2266 | 1588                 |
| Tamil Nadu          |               232586 |               220582 |               233801 |                230973 |               221000 | 178323               |
| Telangana           |               160686 |               148392 |               152249 |                160099 |               162075 | 137113               |
| Tripura             |                13394 |                10123 |                13357 |                 12342 |                12925 | 11566                |
| Uttar Pradesh       |              1522241 |               610795 |              1104627 |               1320240 |              1455976 | 860103               |
| Uttarakhand         |                47811 |                39865 |                40143 |                 45803 |                47121 | 36121                |
| West Bengal         |               392247 |               181844 |               407444 |                379635 |               404654 | 325194               |
| India               |              6428312 |              3968965 |              5837522 |               6074521 |              6504733 | 4767917              |

## No. of Children vaccinated for Pentavalent - 3 Quarter wise (January 2020 to June 2021) State/UT- wise

| Name of State       |   Jan 2020- Mar 2020 |   Apr 2020- Jun 2020 |   Jul 2020- Sep 2020 |   Oct 2020 - Dec 2020 |   Jan 2021- Mar 2021 | Apr 2021- Jun 2021   |
|---------------------|----------------------|----------------------|----------------------|-----------------------|----------------------|----------------------|
| A & N Islands       |                  910 |                  785 |                 1221 |                  1010 |                 1152 | 910                  |
| Andhra Pradesh      |               199084 |               148700 |               205749 |                215291 |               223450 | 195898               |
| Arunachal Pradesh   |                 5524 |                 4250 |                 4779 |                  4781 |                 5838 | 4810                 |
| Assam               |               157347 |               128398 |               146176 |                146450 |               165117 | 136830               |
| Bihar               |               748611 |               420672 |               679480 |                663290 |               789735 | 568173               |
| Chandigarh          |                 4092 |                 2847 |                 3789 |                  3391 |                 3858 | 2982                 |
| Chhattisgarh        |               147180 |               136115 |               131716 |                138926 |               150902 | 110752               |
| Dadra &Nagar Haveli |                 2674 |                 1389 |                 1803 |                  1738 |                 2031 | 2154                 |
| Daman &Diu          |                 1245 |                  850 |                 1043 |                  1311 |                 1302 | NA*                  |
| Delhi               |                74129 |                29017 |                63133 |                 61986 |                75341 | 40548                |
| Goa                 |                 5334 |                 3812 |                 4332 |                  4078 |                 4787 | 2838                 |
| Gujarat             |               308274 |               181163 |               277759 |                286990 |               285619 | 243209               |
| Haryana             |               139799 |               104012 |               122005 |                126346 |               142198 | 110262               |
| Himachal Pradesh    |                26708 |                24177 |                24429 |                 24695 |                27855 | 23529                |
| Jammu &Kashmir      |                55976 |                43099 |                57515 |                 58224 |                57222 | 44398                |
| Jharkhand           |               203936 |                57022 |               211209 |                206919 |               218620 | 147423               |
| Karnataka           |               269764 |               200958 |               282967 |                282804 |               281392 | 234734               |
| Kerala              |               109934 |                85322 |               119623 |                123199 |               123701 | 76723                |
| Ladakh              |                  911 |                  851 |                 1086 |                  1072 |                  933 | 765                  |
| Lakshadweep         |                  259 |                  218 |                  321 |                   289 |                  248 | 122                  |
| Madhya Pradesh      |               435232 |               305362 |               443146 |                441738 |               442258 | 334752               |
| Maharashtra         |               492725 |               374253 |               467332 |                497594 |               514162 | 417320               |
| Manipur             |                10058 |                 7534 |                 8344 |                  9307 |                10629 | 5320                 |
| Meghalaya           |                21776 |                19257 |                22073 |                 16258 |                19072 | 13889                |
| Mizoram             |                 5833 |                 3800 |                 5602 |                  4476 |                 5584 | 3935                 |
| Nagaland            |                 5655 |                 3637 |                 4825 |                  4488 |                 5634 | 4266                 |
| Odisha              |               174148 |               164291 |               152815 |                174023 |               176456 | 152279               |
| Puducherry          |                 4067 |                 2955 |                 3434 |                  3745 |                 4162 | 2084                 |
| Punjab              |               102457 |                94942 |                90504 |                 93519 |               106246 | 86548                |
| Rajasthan           |               347491 |               215897 |               365084 |                339661 |               372604 | 254315               |
| Sikkim              |                 1955 |                 1848 |                 1582 |                  1728 |                 2278 | 1598                 |
| Tamil Nadu          |               232308 |               221173 |               234611 |                232065 |               221046 | 176393               |
| Telangana           |               161838 |               148742 |               156887 |                160414 |               163037 | 138373               |
| Tripura             |                13214 |                 9982 |                13078 |                 12040 |                12660 | 11411                |
| Uttar Pradesh       |              1543233 |               614530 |              1123130 |               1343349 |              1494493 | 880720               |
| Uttarakhand         |                47651 |                39899 |                40222 |                 45929 |                46621 | 36147                |
| West Bengal         |               392988 |               182036 |               409352 |                379646 |               405326 | 328528               |
| India               |              6454320 |              3983795 |              5882156 |               6112770 |              6563569 | 4794938              |

ANNEXURE - IV No. of Children vaccinated for Measles Containing Vaccine - 1 Quarter wise (January 2020 to June 2021) State/UT -wise

| Name of State       |   Jan 2020- Mar 2020 |   Apr 2020- Jun 2020 |   Jul 2020- Sep 2020 |   Oct 2020 - Dec 2020 |   Jan 2021- Mar 2021 | Apr 2021- Jun 2021   |
|---------------------|----------------------|----------------------|----------------------|-----------------------|----------------------|----------------------|
| A & N Islands       |                  981 |                  993 |                 1051 |                   985 |                  983 | 840                  |
| Andhra Pradesh      |               192076 |               184006 |               209827 |                195597 |               199972 | 205342               |
| Arunachal Pradesh   |                 4270 |                 4011 |                 5207 |                  4858 |                 4568 | 4372                 |
| Assam               |               132793 |               130772 |               159499 |                170932 |               144771 | 118511               |
| Bihar               |               633253 |               501944 |               732049 |                735381 |               641042 | 562539               |
| Chandigarh          |                 3214 |                 3264 |                 4007 |                  3375 |                 3251 | 3302                 |
| Chhattisgarh        |               159441 |               126372 |               149891 |                150822 |               161529 | 117407               |
| Dadra &Nagar Haveli |                 1952 |                 1661 |                 2164 |                  1900 |                 1699 | 2629                 |
| Daman &Diu          |                 1015 |                 1084 |                 1115 |                  1123 |                 1010 | NA*                  |
| Delhi               |                60891 |                43326 |                74650 |                 65739 |                63689 | 51497                |
| Goa                 |                 5252 |                 4404 |                 4758 |                  4273 |                 4743 | 4029                 |
| Gujarat             |               290823 |               215259 |               312676 |                288977 |               251942 | 260322               |
| Haryana             |               113659 |               116856 |               138477 |                132722 |               113877 | 113387               |
| Himachal Pradesh    |                22268 |                26056 |                26942 |                 24762 |                22188 | 24911                |
| Jammu &Kashmir      |                57015 |                49460 |                54486 |                 55880 |                60212 | 49670                |
| Jharkhand           |               190515 |                79550 |               212919 |                211118 |               199629 | 155817               |
| Karnataka           |               276402 |               248977 |               277189 |                277643 |               277414 | 241965               |
| Kerala              |               111318 |               107506 |               109727 |                116183 |               119964 | 93487                |
| Ladakh              |                 1089 |                 1222 |                  992 |                   928 |                 1129 | 1090                 |
| Lakshadweep         |                  258 |                  275 |                  331 |                   276 |                  310 | 174                  |
| Madhya Pradesh      |               423213 |               368938 |               480781 |                440799 |               415427 | 352574               |
| Maharashtra         |               455010 |               381529 |               489634 |                499434 |               473338 | 427501               |
| Manipur             |                 9048 |                 7483 |                 8271 |                  9327 |                 9209 | 4690                 |
| Meghalaya           |                22138 |                18377 |                21643 |                 19022 |                19710 | 13376                |
| Mizoram             |                 4644 |                 4453 |                 4802 |                  4573 |                 4566 | 3416                 |
| Nagaland            |                 4083 |                 3297 |                 4527 |                  4605 |                 4431 | 3670                 |
| Odisha              |               182543 |               157551 |               169167 |                181658 |               172713 | 152148               |
| Puducherry          |                 3668 |                 3682 |                 3709 |                  3010 |                 3250 | 2386                 |
| Punjab              |                79552 |               104744 |               111349 |                101788 |                85399 | 92991                |
| Rajasthan           |               300944 |               313047 |               389334 |                336180 |               303128 | 265250               |
| Sikkim              |                 1626 |                 1871 |                 1638 |                  1916 |                 1782 | 1640                 |
| Tamil Nadu          |               228912 |               235201 |               241924 |                222456 |               212838 | 186915               |
| Telangana           |               162134 |               157686 |               162108 |                154691 |               156128 | 153463               |
| Tripura             |                11998 |                10048 |                12154 |                 13122 |                11021 | 10280                |
| Uttar Pradesh       |              1434164 |               795341 |              1299354 |               1472458 |              1461955 | 921296               |
| Uttarakhand         |                40431 |                43131 |                46259 |                 49071 |                40350 | 38345                |
| West Bengal         |               329105 |               274103 |               406948 |                349475 |               332675 | 325407               |
| India               |              5951698 |              4727480 |              6331559 |               6307059 |              5981842 | 4966639              |