Lok Sabha Question No. 900 (UNSTARRED), answered on 2015-07-24
Subject: Immunisation
Ministry: HEALTH AND FAMILY WELFARE
Asked by: DEVJI MANSINGRAM PATEL, OM PRAKASH YADAV, YOGI ADITYANATH, SHARAD TRIPATHI, MANOJ RAJORIA

**GOVERNMENT OF INDIA**

**MINISTRY OF HEALTH AND FAMILY WELFARE**

**DEPARTMENT OF HEALTH AND FAMILY WELFARE**

**LOK SABHA**

**UNSTARRED QUESTION NO.900**

**TO BE ANSWERED ON 24** **TH** **JULY, 2015**

**Immunisation**

**900. 	SHRI DEVJI M. PATEL:**

**SHRI OM PRAKASH YADAV:**

**SHRI YOGI ADITYA NATH:**

**SHRI SHARAD TRIPATHI:**

**DR. MANOJ RAJORIA:**

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

(a) whether a large number of children particularly in rural areas of the country have not been vaccinated during initial years of their lives, if so, the details thereof indicating percentage of children covered under different immunisation programmes being run by the Government during each of the last three years and the current year, State/UT-wise;

(b) the steps taken/being taken by the Government to ensure complete vaccination of all children across the country and to increase awareness among the community about the benefits of vaccination drives;

(c) the average number of children succumbed to various diseases, on account of not being included under the vaccination drives for the said diseases during the said period, State/UT-wise; and

(d) whether the Government has introduced/proposes to introduce indigenous low cost Rota Virus vaccine as a part of its Universal Immunisation Programmes (UIP), if so, the details thereof and progress made thereon?

**ANSWER**

**THE MINISTER OF HEALTH AND FAMILY WELFARE**

**(SHRI JAGAT PRAKASH NADDA)**

(a):	As per the Coverage Evaluation Survey (CES) 2009 which is the latest survey data available on urban and rural vaccination coverage, about 8.5% children inrural areas and 5.2% children in urban areas did not receive any vaccine during initial year of their lives.

State/UT-wise details of percentage of children covered under Universal Immunization Programme run by the Government of India are given in Annexure I.

(b):	The steps taken by Government to ensure complete vaccination of all children across the country and to increase awareness among the community about the benefits of vaccination drives are:

1. Government has been providing flexible funds to states for mobility support, Alternate Vaccine Delivery and mobilization of children by Accredited Social Health Activist (ASHA) etc.

1. In addition, Government has also conducted Special Immunization Weeks (SIWs) from time to time in areas with pockets of low immunization coverage.

1. Government is now implementing “Mission Indradhanush” and targeting areas with partial immunization and no immunization in 201 high focus districts with enhanced IEC activity and detailed micro-plans on the same line as the Pulse Polio Programme.

(c):	The details of average number of children succumbed to various vaccine preventable diseases, State/UT-wise during last three years are given in Annexure II.

(d):	Mission Steering Group (MSG) has approved the introduction of Rota Virus vaccine in Universal Immunization Programme (UIP) and expert group has been constituted to lay down specifications of Rota Virus vaccine and identification of geographical area for piloting of vaccine.

**Annexure I**

**Percentage of children covered (Full Immunization Coverage) under Universal Immunization Programme, India, during past three years and current year, as per HMIS reported data**

| **Sl.No.**   | **State/UTs**     | **2012-13**   | **2013-14**   |   **2014-15** | **2015-16**   |
|--------------|-------------------|---------------|---------------|---------------|---------------|
| 1            | Andhra  Pradesh   | 90.17         | 109.0         |         94.43 | **            |
| 2            | Arunachal Pradesh | 100.63        | 68.3          |         58.16 | 60.04         |
| 3            | Assam             | 50.26         | 88.3          |         84.22 | 67.53         |
| 4            | Bihar             | 86.09         | 75.2          |         74.44 | 64.86         |
| 5            | Chhattisgarh      | 85.35         | 81.6          |         83.24 | 77.38         |
| 6            | Goa               | 100.57        | 93.2          |         88.25 | 80.69         |
| 7            | Gujarat           | 92.54         | 91.0          |         89.06 | 72.53         |
| 8            | Haryana           | 94.70         | 81.9          |         81.79 | 0.16          |
| 9            | Himachal Pradesh  | 102.21        | 100.4         |         95.16 | 89.82         |
| 10           | Jammu & Kashmir   | 123.30        | 91.3          |         86.52 | 89.02         |
| 11           | Jharkhand         | 80.48         | 77.3          |         78.36 | 80.00         |
| 12           | Karnataka         | 105.96        | 93.6          |         93.09 | 89.66         |
| 13           | Kerala            | 88.50         | 100.1         |         87.75 | 45.47         |
| 14           | Madhya Pradesh    | 79.93         | 75.9          |         72.94 | 66.48         |
| 15           | Maharashtra       | 94.68         | 102.0         |         99.31 | 81.56         |
| 16           | Manipur           | 112.97        | 97.9          |         91.94 | 80.61         |
| 17           | Meghalaya         | 86.22         | 97.6          |         96.35 | 83.50         |
| 18           | Mizoram           | 110.40        | 113.8         |        109.04 | 82.83         |
| 19           | Nagaland          | 52.79         | 66.3          |         62.05 | 62.21         |
| 20           | Orissa            | 85.63         | 85.1          |         79.85 | 46.84         |
| 21           | Punjab            | 91.50         | 96.4          |         89.15 | 95.99         |
| 22           | Rajasthan         | 77.88         | 79.7          |         75.32 | 19.19         |
| 23           | Sikkim            | 78.71         | 75.6          |         71.72 | 69.96         |
| 24           | Tamil Nadu        | 83.40         | 89.3          |         81.62 | 72.01         |
| 25           | Tripura           | 86.65         | 92.7          |         96.34 | 81.46         |
| 26           | Telangana         |               |               |        111.84 | **            |
| 27           | Uttar Pradesh     | 82.56         | 92.1          |         83.41 | 70.65         |
| 28           | Uttarakhand       | 94.11         | 97.0          |         91.40 | 93.43         |
| 29           | West Bengal       | 90.54         | 93.7          |         97.52 | 80.16         |
| 30           | A&N Islands       | 90.17         | 94.7          |         76.88 | 33.90         |
| 31           | Chandigarh        | 94.82         | 99.6          |         89.18 | 85.60         |
| 32           | D&N Haveli        | 75.87         | 75.7          |         74.73 | 59.18         |
| 33           | Daman & Diu       | 60.20         | 74.0          |         81.64 | 64.87         |
| 34           | Delhi             | 71.78         | 80.4          |         89.39 | 107.09        |
| 35           | Lakshadweep       | 113.60        | 100.2         |        100.80 | 59.04         |
| 36           | Puducherry        | 67.72         | 71.7          |         65.06 | 65.96         |
| India        | India             | 86.88         | 88.7          |         84.81 | 68.23         |

*2015-16 data is from April’15 to May’15, as on 20.06.2015

** target data not available

Note: More than 100% coverage is an issue of data quality and the reasons are: (i) under-estimate of target population, or (ii) duplicate reporting of beneficiaries

**Annexure II**

**Deaths due to vaccine preventable deaths (Diphtheria, Pertussis, Measles) in India, State/UT wise during the last three years**

| **Sl. No.**   | **State/UTs**    | **Diphtheria**   |            |            | **Pertussis     (Whooping cough)**   |           |           | **Measles**   |            |            |
|---------------|------------------|------------------|------------|------------|--------------------------------------|-----------|-----------|---------------|------------|------------|
|               |                  |                  |            |            |                                      |           |           |               |            |            |
|               |                  | **2012**         | **2013 *** | **2014 *** | **2012**                             | **2013*** | **2014*** | **2012**      | **2013 *** | **2014 *** |
| 1             | Andhra Pradesh   | 25               | 4          | 0          | 5                                    | 0         | 0         | 7             | 1          | 0          |
| 2             | Arunachal Pr.    | 0                | 0          | 0          | 0                                    | 0         | 0         | 0             | 0          | 0          |
| 3             | Assam            | 0                | 0          | 17         | 0                                    | 0         | 0         | 0             | 0          | 0          |
| 4             | Bihar            | 8                | 12         | 6          | 0                                    | 0         | 0         | 0             | 1          | 0          |
| 5             | Chhattisgarh     | 0                | 0          | 0          | 0                                    | 0         | 0         | 0             | 0          | 0          |
| 6             | Goa              | 0                | 0          | 0          | 0                                    | 0         | 0         | 0             | 0          | 0          |
| 7             | Gujarat          | 2                | 0          | 0          | 0                                    | 0         | 0         | 0             | 0          | 0          |
| 8             | Haryana          | 0                | 0          | 0          | 0                                    | 0         | 0         | 1             | 0          | 0          |
| 9             | Himachal Pradesh | 0                | 0          | 0          | 0                                    | 0         | 0         | 0             | 0          | 0          |
| 10            | Jammu & Kashmir  | 0                | 0          | 0          | 0                                    | 0         | 0         | 0             | 0          | 0          |
| 11            | Jharkhand        | 0                | 0          | 1          | 0                                    | 0         | 0         | 0             | 0          | 0          |
| 12            | Karnataka        | 4                | 0          | 4          | 0                                    | 0         | 0         | 0             | 0          | 3          |
| 13            | Kerala           | 0                | 0          | 0          | 0                                    | 0         | 0         | 0             | 0          | 1          |
| 14            | Madhya Pradesh   | 0                | 0          | 2          | 10                                   | 2         | 0         | 0             | 0          | 4          |
| 15            | Maharashtra      | 5                | 0          | 2          | 0                                    | 0         | 0         | 1             | 1          | 0          |
| 16            | Manipur          | 0                | 0          | 0          | 0                                    | 0         | 0         | 0             | 0          | 0          |
| 17            | Meghalaya        | 0                | 0          | 0          | 0                                    | 0         | 0         | 0             | 0          | 0          |
| 18            | Mizoram          | 0                | 0          | 0          | 0                                    | 0         | 0         | 0             | 0          | 0          |
| 19            | Nagaland         | 0                | 0          | 0          | 0                                    | 0         | 0         | 0             | 0          | 0          |
| 20            | Orissa           | 0                | 0          | 0          | 7                                    | 0         | 0         | 0             | 0          | 0          |
| 21            | Punjab           | 0                | 0          | 0          | 0                                    | 0         | 0         | 0             | 0          | 0          |
| 22            | Rajasthan        | 0                | 3          | 0          | 0                                    | 0         | 1         | 0             | 0          | 0          |
| 23            | Sikkim           | 0                | 0          | 0          | 0                                    | 0         | 0         | 0             | 0          | 0          |
| 24            | Tamil Nadu       | 0                | 0          | 0          | 0                                    | 0         | 0         | 0             | 0          | 0          |
| 25            | Tripura          | 0                | 0          | 0          | 0                                    | 0         | 0         | 0             | 0          | 1          |
| 26            | Uttarakhand      | 0                | 0          | 0          | 0                                    | 0         | 0         | 0             | 0          | 0          |
| 27            | Uttar Pradesh    | 0                | 0          | 0          | 0                                    | 0         | 0         | 0             | 0          | 0          |
| 28            | West Bengal      | 8                | 5          | 10         | 17                                   | 5         | 0         | 15            | 3          | 10         |
| 29            | A&N Islands      | 0                | 0          | 0          | 0                                    | 0         | 0         | 0             | 0          | 0          |
| 30            | Chandigarh       | 0                | 1          | 2          | 0                                    | 0         | 0         | 0             | 0          | 0          |
| 31            | D&N Haveli       | 0                | 0          | 0          | 0                                    | 0         | 0         | 0             | 0          | 0          |
| 32            | Daman & Diu      | 0                | 0          | 0          | 0                                    | 0         | 0         | 0             | 0          | 0          |
| 33            | Delhi            | 8                | 42         | 60         | 0                                    | 0         | 0         | 16            | 4          | 14         |
| 34            | Lakshadweep      | 0                | 0          | 0          | 0                                    | 0         | 0         | 0             | 0          | 0          |
| 35            | Pondicherry      | 0                | 0          | 0          | 0                                    | 0         | 0         | 0             | 0          | 0          |
| Total         | Total            | 60               | 67         | 104        | 39                                   | 7         | 1         | 40            | 10         | 33         |

Source: Central Bureau of Health Intelligence (CBHI).

Provisional data for year 2013 and 2014

**Annexure II..contd.**

**Deaths due to vaccine preventable deaths (Neonatal Tetanus, Tetanus-others, Polio and Japanese Encephalitis) in India, State/UT wise during the last three years**

| **Sl. No.**   | **State/UTs**         | **Neonatal - Tetanus**   |          |          | **Tetanus - others**   |          |          | **Polio**   |          |          | **Japanese Encephalitis (JE)**   |          |          |
|---------------|-----------------------|--------------------------|----------|----------|------------------------|----------|----------|-------------|----------|----------|----------------------------------|----------|----------|
|               |                       |                          |          |          |                        |          |          |             |          |          |                                  |          |          |
|               |                       | **2012**                 | **2013** | **2014** | **2012**               | **2013** | **2014** | **2012**    | **2013** | **2014** | **2012**                         | **2013** | **2014** |
| **1**         | **Andhra Pradesh**    | 1                        | 0        | 0        | 26                     | 9        | 0        | 0           | 0        | 0        | 0                                | 3        | 0        |
| **2**         | **Arunachal Pr.**     | 0                        | 0        | 0        | 0                      | 0        | 0        | 0           | 0        | 0        | 0                                | 0        | 3        |
| **3**         | **Assam**             | 0                        | 0        | 0        | 21                     | 28       | 7        | 0           | 0        | 0        | 100                              | 134      | 165      |
| **4**         | **Bihar**             | 12                       | 3        | 2        | 23                     | 46       | 20       | 0           | 0        | 0        | 0                                | 0        | 2        |
| **5**         | **Chattisgarh**       | 0                        | 0        | 0        | 0                      | 1        | 2        | 0           | 0        | 0        | 0                                | 0        | 0        |
| **6**         | **Goa**               | 0                        | 0        | 0        | 0                      | 0        | 0        | 0           | 0        | 0        | 0                                | 1        | 0        |
| **7**         | **Gujarat**           | 2                        | 0        | 2        | 1                      | 0        | 0        | 0           | 0        | 0        | 0                                | 0        | 0        |
| **8**         | **Haryana**           | 1                        | 0        | 0        | 0                      | 0        | 0        | 0           | 0        | 0        | 0                                | 0        | 1        |
| **9**         | **Himachal Pr.**      | 0                        | 0        | 0        | 1                      | 3        | 2        | 0           | 0        | 0        | 0                                | 0        | 0        |
| **10**        | **Jammu&Kashmir** | 0                        | 0        | 0        | 0                      | 0        | 0        | 0           | 0        | 0        | 0                                | 0        | 0        |
| **11**        | **Jharkhand**         | 0                        | 0        | 0        | 0                      | 0        | 1        | 0           | 0        | 0        | 0                                | 5        | 2        |
| **12**        | **Karnataka**         | 0                        | 1        | 1        | 1                      | 6        | 4        | 0           | 0        | 0        | 0                                | 0        | 0        |
| **13**        | **Kerala**            | 0                        | 0        | 0        | 1                      | 1        | 2        | 0           | 0        | 0        | 0                                | 0        | 2        |
| **14**        | **Madhya Pr.**        | 4                        | 0        | 2        | 15                     | 9        | 10       | 0           | 0        | 0        | 0                                | 0        | 0        |
| **15**        | **Maharashtra**       | 0                        | 0        | 0        | 4                      | 5        | 0        | 0           | 0        | 0        | 0                                | 0        | 0        |
| **16**        | **Manipur**           | 0                        | 0        | 0        | 0                      | 0        | 0        | 0           | 0        | 0        | 0                                | 0        | 3        |
| **17**        | **Meghalaya**         | 0                        | 0        | 0        | 0                      | 0        | 1        | 0           | 0        | 0        | 0                                | 0        | 0        |
| **18**        | **Mizoram**           | 0                        | 0        | 0        | 0                      | 0        | 0        | 0           | 0        | 0        | 0                                | 0        | 0        |
| **19**        | **Nagaland**          | 0                        | 0        | 0        | 0                      | 0        | 0        | 0           | 0        | 0        | 0                                | 0        | 0        |
| **20**        | **Orissa**            | 13                       | 1        | 6        | 44                     | 18       | 13       | 0           | 0        | 0        | 0                                | 0        | 0        |
| **21**        | **Punjab**            | 0                        | 0        | 0        | 0                      | 0        | 0        | 0           | 0        | 0        | 0                                | 0        | 0        |
| **22**        | **Rajasthan**         | 0                        | 0        | 0        | 2                      | 0        | 7        | 0           | 0        | 0        | 0                                | 0        | 0        |
| **23**        | **Sikkim**            | 0                        | 0        | 0        | 0                      | 0        | 0        | 0           | 0        | 0        | 0                                | 0        | 0        |
| **24**        | **Tamil Nadu**        | 0                        | 0        | 0        | 1                      | 2        | 0        | 0           | 0        | 0        | 4                                | 0        | 3        |
| **25**        | **Tripura**           | 0                        | 2        | 0        | 0                      | 7        | 3        | 0           | 0        | 0        | 0                                | 0        | 0        |
| **26**        | **Uttarakhand**       | 0                        | 0        | 0        | 0                      | 0        | 2        | 0           | 0        | 0        | 0                                | 0        | 0        |
| **27**        | **Uttar Pradesh**     | 1                        | 8        | 4        | 58                     | 47       | 33       | 0           | 0        | 0        | 23                               | 47       | 34       |
| **28**        | **West Bengal**       | 4                        | 0        | 0        | 30                     | 23       | 41       | 0           | 0        | 0        | 13                               | 12       | 77       |
| **29**        | **A&N Islands**   | 0                        | 0        | 0        | 0                      | 0        | 0        | 0           | 0        | 0        | 0                                | 0        | 0        |
| **30**        | **Chandigarh**        | 0                        | 0        | 0        | 0                      | 0        | 1        | 0           | 0        | 0        | 0                                | 0        | 0        |
| **31**        | **D&N Haveli**    | 0                        | 2        | 0        | 0                      | 0        | 0        | 0           | 0        | 0        | 0                                | 0        | 0        |
| **32**        | **Daman & Diu**   | 0                        | 0        | 0        | 0                      | 0        | 0        | 0           | 0        | 0        | 0                                | 0        | 0        |
| **33**        | **Delhi**             | 4                        | 3        | 0        | 19                     | 16       | 14       | 0           | 0        | 0        | 0                                | 0        | 0        |
| **34**        | **Lakshadweep**       | 0                        | 0        | 0        | 0                      | 0        | 0        | 0           | 0        | 0        | 0                                | 0        | 0        |
| **35**        | **Pondicherry**       | 0                        | 1        | 0        | 1                      | 0        | 0        | 0           | 0        | 0        | 0                                | 0        | 0        |
| **Total**     |                       | **42**                   | **21**   | **17**   | **248**                | **221**  | **163**  | **0**       | **0**    | **0**    | **140**                          | **202**  | **292**  |

Source: Central Bureau of Health Intelligence (CBHI).

Provisional data for year 2013 and 2014