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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 Partial or no
no immunization is due immunization children
to lack of awareness in are most susceptible
community, myth of childhood disease and
vaccination, fear of disability and these
injection and inadequate children run 3-6 times
sessions 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
Honble 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