India is politically committed to advancing the target of achieving >90% full Immunization coverage before 1 year from 2020 to 2018 through Intensified Mission Indhradhanush (IMI) launched in October 2017. We are now left with only 5 months in 2018. Probably we may be able to achieve that goal by 2020 as set earlier.
Proem: India is committed; since the inception of EPI in 1978, consistently trying to improve the coverage both quantitatively and qualitatively through UIP, CSSM, RCH, NHM, IRI, MI, IMI……………
Quote: “In spite of all positive changes, there are ongoing challenges and shortcomings in the national immunization programme. Despite being operational for the past more than 30 years, only 65% of children in India receive all vaccines during their first year of life, thus contributing to continued high burden of morbidity and mortality in children from vaccine preventable diseases (VPDs)*”.
For rapidly closing the population immunity gap through special drive with additional sessions, GOI in collaboration with development partners like WHO / UNICEF / USAID and other NGOs launched the most “ambitious” project – Mission Indradhanush (MI) on 25th Dec 2014 - Good Governance day. Between 2009 and 2013, FIC increased from 61 to 65% @ 1% per year. Thus ~90 lakhs children are either partially vaccinated or unvaccinated. This is further accentuated by the private practitioners, especially in the urban area who vaccinate children with NIS incompatible schedule hence the data cannot be fed to HMIS, antigens with no known potency resulting in vaccinated but sub-optimally immunized as evidenced in the outbreak investigations of measles wherein more cases of measles occurred among vaccinated by private practitioners. Through MI, India aims to increase vaccination coverage @5% per year to attain>90% by 2020, which is advanced to 2018 through “Intensified Mission Indradhanush (IMI)” – an exhibit of high political commitment.
Despite of all these; as of now, set objectives could not be achieved.
Please see the attached for the menu list of time-bound tasks which we may be able to do in collaboration with stakeholders - both Government and Private including key development partners.
Holla n team