mission indradhanush

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PEDAGOGY -The Art of Teaching Presenter : Dr Bhagayalakshmi Moderator : Dr Sarvamangala 1

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Page 1: Mission Indradhanush

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PEDAGOGY -The Art of Teaching

Presenter : Dr Bhagayalakshmi Moderator : Dr Sarvamangala

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MI

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India is declared Polio free country by WHO on March 2014

India has achieved maternal and Neonatal Tetanus elimination on October 2016

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Learning objectives •Goals and Rationale of the mission.

•Why full immunization is essential?

•The impact of the program.

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Outline • Overview

• MISSION INDRADHANUS- Goals and Rationale

• Why full immunization is essential?

• High focus states and districts

• Updates from Phase 1,2 & 3

• Final coverage report

• Summary

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Overview

•Full immunization against preventable childhood diseases is the right of every child.

•With a view to provide this right to every child, the GOI launched the UIP in 1985, one of the largest health programs of its kind in the world.

•Despite being operational for over 30 years, UIP has been able to fully immunize only 65% children in the first year of their life and the increase in coverage has stagnated in the past 5 years to an average of 1% every year.

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Overview..•To strengthen and invigorate the program

and achieve full immunization coverage for all children at a rapid pace

•Government of India launched Mission

Indradhanush in December 2014.

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MISSION INDRADHANUS- Goals and Rationale• Mission Indradhanush will ensure that all children

under the age of two years and pregnant women are fully immunized with all available vaccines.

• The long-term goal of Mission Indradhanush is to -strengthen the health system through collaboration of central and state governments and development partners,

-identification and leveling of the gaps in existing routine immunization program,

-development of human resource, and - sustainable effort in expansion of micro-plans for

routine immunization

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Phase I•The Government has identified 201 high

focus districts across 28 states in the country that have the highest number of partially immunized and unimmunized children.

•Mission Indradhanush will target these districts through intensive efforts and special immunization drives to improve the routine immunization coverage in the country.

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High focus districts

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Rationale • Main reason for

partial or no immunization is due to lack of awareness in community, myth of vaccination, fear of injection and inadequate sessions

• Partial or no immunization children are most susceptible childhood disease and disability and these children run 3-6 times higher risk of death compared to fully immunized children.

India has largest birth cohort in the world with a twin burden of high level of malnutrition and IMR.

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Why full immunization is essential?• Simply put - because children are dying due to

entirely preventable diseases.

• Every year in India, 5 lakh children die due to vaccine-preventable diseases.

• Another 89 lakh children remain at risk, because they are either unimmunized or partially immunized against vaccine-preventable diseases.

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Why full immunization is essential?• Partially immunized and unimmunized children

are higher risk of dying as compared to fully immunized children.

• It can help in preventing large-scale outbreaks of diseases as well as keeping the disease under control in an area, thus reducing the stress on an already burdened health system.

• Thus, full immunization is critical if we want to reduce child mortality and progress on socio-economic indicators

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Updates Phase I round 1•April 2015 | The first round of Mission

Indradhanush was flagged off on 7th April 2015 across all 28 States and Union Territories garnering an enthusiastic response.

•In April around 2.1 lakh sessions were conducted where nearly 21 lakh children and 5.4 lakh pregnant women were vaccinated.

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• Expanded version of Mission Indradhanush –Himachal Pradesh which had no districts in the high focus group and yet

conducted intensive immunization sessions in alignment with the Mission. Madhya Pradesh, Haryana, Delhi and Rajasthan also made most of this opportunity and did not restrict campaign activities to the focus districts but expanded them to include other districts as well. In fact, Madhya Pradesh launched MI in all 51 districts of the state.

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Updates Phase I round 2• May 2015

• Around 2.3 lakh sessions were successfully conducted

covering more than 18 lakh children and around 5.4 lakh

pregnant women.

• Important lessons learnt from the first round of the Mission

were collated based on immunization coverage and feedback

from various monitors.  It became the basis for improving

and building upon for greater success in the second round

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Updates Phase I round 2•Strategic methods were employed to

increase immunization coverage such as deploying mobile teams especially in urban areas and at brick kilns and construction sites.

•Monitoring is an integral part of the program and continued in the second round also.

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Updates Phase I round 3 • June 2015 • A review of the Mission was conducted by the

Hon’ble Union Health & Family Welfare Minister, Sh. J. P. Nadda

• In the third round of special immunization drives, around 2.5 lakh sessions were successfully conducted reaching out to more than 17.4 lakh children and around 4.8 lakh pregnant women were immunized against Tetanus. Nearly 4.9 lakhs children were fully vaccinated.

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Updates Phase I round 4•July 2015 •The success of the Mission Indradhanush

is evident from the fact that more than 20 lakh children were fully vaccinated during the four rounds of Mission Indradhanush.

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Phase I- Final coverage report

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Made possible by•It was the concerted efforts of union and state

governments and various development partners such as PHFI, WHO, UNICEF, UNDP, Rotary, BMGF, CORE, Care among others. Various NGOs working at regional or state levels.

• The Control Room for monitoring Mission Indradhanush was set up at Immunization Technical Support Unit (ITSU) of Ministry of Health and Family Welfare (MoHFW).

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Phase 2• In the second phase of Mission Indradhanush, 352

districts have been selected including 279 mid priority districts, 33 from the North East states and 40 districts from phase one where large number of missed out children were detected.

• The second phase will commence from 7th October, 2015 for a week. Followed by weeklong intensified immunization drives for three consecutive months, starting from 7th November and 7th December 2015 and 7th January 2016. 

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Phase 3 7th April 2016• Phase 3 will cover 216 districts, based on monitoring

data from the previous two phases, adding 41 new districts, and dropping 26 as they no longer require extra impetus for the immunisation programme.

• Apart from the standard of children under 2, it will also focus on 5-year-olds and on increasing DPT booster coverage, and giving tetanus toxoid injections to pregnant women.

• The number of children fully vaccinated in India was 3870447 as of May 2016.

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Summary •Highest birth cohort in the world, 2.7 crore

with 13.3 lakh children die before 5th birthday. Low income families who lose the most children

•GOI recognizes one of the most cost effective intervention to prevent child deaths

•UIP largest public health intervention in the country

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Summary •Full immunization will rescue lakhs of

children from disease mortality and morbidity and is essential for social development

•India expanded its immunization program with introduction of 3 new vaccines in 2104

•MI initiative is a call for action by the GOI to intensify efforts to expedite full immunization coverage in the country

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THANK YOU