Thursday, March 21, 2019


Mission Indradhanush for vaccination
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As narrated by Dr Santosh Soans, IAP National President (paediatrics)

Govt is convinced that immunisation leads to the good health of children. It has set a very ambitious target of 90% immunisation by end-2018. Many challenges are encountered in the delivery of vaccines, such as the backwardness and size of India. Awareness about the value of vaccines is sometimes low, and this is further compounded by propaganda against vaccination through social media.

Mission Indradhanush programme, which was launched in 2014, has increased efforts to reach every child with vaccines. India’s immunisation coverage is now increasing at almost 7% every year. But if we are to achieve the target of 90% by 2018, we will need greater participation from private practitioners and the general public.

Govt launched the world’s largest immunisation drive for Measles-Rubella and some states have already achieved 100% coverage. Several new vaccines have been added to the national programme. Vaccines are now being rolled out for diseases like pneumonia (pneumococcal conjugate vaccine) and diarrhoea (rotavirus vaccine). These two are leading causes of infectious deaths in children under 5 years. They are causing death at the rate of one child every two minutes!!

Better awareness certainly helps. It can be increased in many ways, like engaging doctors to promote the value of immunisation, and engaging community leaders or celebrities to put an end to misinformation. Pulse Polio campaign was very successful and managed to eliminate polio from India. If we apply similar methods, I’m sure we can do the same for other diseases.

Insights into Mission Indradhanush
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1. The mission in Dec 2014, set out to cover children who were unvaccinated or partially vaccinated against 7 preventable diseases: diphtheria, whooping cough, tetanus, polio, tuberculosis, measles and hepatitis B. It focused initially on 201 worst-affected districts where coverage was less than 50%. This would be increased to 297 districts by 2015.

2. Four vaccinations were added in 2016, namely rubella, Japanese encephalitis, rotavirus and injectable polio vaccine bivalent. In 2017, pneumonia in the form of the pneumococcal conjugate vaccine was added to the national vaccination programme.

3. Immunisation coverage prior to the launch of the mission was increasing by just 1% per year. That is between 2009-2013, coverage had increased from 61 to 65%. Indradhanush mission set out to accelerate the coverage by 5% every year. According to Dr Soans, coverage is now increasing at 7% per year, and vaccines against two most deadly infections have been added.
https://www.indiatoday.in/education-today/gk-current-affairs/story/union-government-launched-health-mission-mission-indradhanush-232895-2014-12-26

4. Japanese encephalitis was in the news for many deaths in Gorakhpur, Eastern UP in 2017. Vaccination against Japanese encephalitis and acute encephalitis syndrome was certainly warranted for the region centred around Eastern UP and Bihar. Programme for vaccination has been very successful.

UNICEF India

A big shout out to Uttar Pradesh for immunizing every child in the state against Japanese Encephalitis and Acute Encephalitis Syndrome under the #Dastak campaign! 👏
11:53 AM - Apr 25, 2018
https://www.thebetterindia.com/139525/every-child-up-immunised-unicef-japanese-encephalitis/

Story: How India vaccinated 25.5m children
https://indianexpress.com/article/india/how-mission-indradhanush-vaccinated-over-2-55-crore-children-across-the-country-5014477/
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