Overview of Universal Immunization Programme

ADMO(FW)-KALAHANDI

Evolution of UIP
1978- Expanded Programme of immunization (EPI) 1985- Universal Immunization Programme (UIP) For 6 VPDs 1992- Child Survival & Safe Motherhood 1997- Reproductive & Child Health-1 2000- Immunization Strengthening Project (2000-03) 2004- Review of UIP in India 2005- NRHM and RCH II

Universal Immunization Programme

 

Largest UIP program in the world. Targets include 27 million infants and 30.2 million pregnant women every year Protection against six Vaccine Preventable Diseases (VPDs) - Tuberculosis, Diphtheria, Tetanus, Pertussis, Polio and Measles Two new vaccines (JE and Hepatitis B) introduced in select areas

Programme Management


Central government : Policy, Strategic Planning, Monitoring & Evaluation Immunization Services Vaccines, Cold chain, etc Operational costs State Government: Programme planning  Based on FIXED DAY FIXED SITE strategy to reach every village,  Financial planning (PIP part C) Monitoring and Supervision desktop and field based Supply chain and logistics management Human resources State, District, Block and village level functionaries

UIP Schedule
Age
Pregnant Women Birth 6 weeks 10 weeks 14 weeks 9 months 16-24 months 5 years 10 years 16 years

Vaccines
TT (2 doses/Booster) BCG, OPV-O, Hep B DPT -1, OPV -1, Hep B DPT -2, OPV -2, Hep B DPT -3, OPV-3, Hep B Measles DPT booster, OPV Booster, MR, JE* DPT Booster 2 TT TT

%Infants (0-1 year)reached 120 100 100 80 60 40 20 0 Target infants Fully immunize DPT-3 BCG No immunization Measles OPV 11.3 86.9 69.6 66.2 63.6 54.1

Target infants : Fully immunized: Partial immunized: No immunized:

26 million 14.1 million 9.0 million 2.9 million

Fully Immunized Children, DLHS 3 India (Children 12 23 months)

Coverage
Low (<50%)

States/UT
Uttar Pradesh, Meghalaya, Madhya Pradesh, Tripura, Arunachal Pradesh, Bihar, Manipur and Rajasthan

Mizoram, Assam, Jharkhand, Gujarat, D & N H, Medium (50-70%) Chhattisgarh, Odisha, Jammu & Kashmir, Uttarakhand, Andhra Pradesh, Delhi and Maharashtra Chandigarh, Haryana, West Bengal, Karnataka, Sikkim, High (>70%) Kerala, Punjab,Puducherry, Himachal Pradesh, Tamil Nadu, Lakshadweep, A & N Islands, Daman & Diu and Goa
Source: District Level House hold Survey 2008

Note: DLHS 3 Reports of Nagaland not available

Objectives and priority actions in RI

Objectives Regular sessions Priority actions Support and monitor coverage improvement plan to reach every child.

Adequate staff Improve service quality and supportive supervision and on the job training Coverage Monitoring Social Mobilization Safe injection Logistics Cold Chain Record, report, track immunization and validate data Develop communication resources and stimulate community ownership Safe injection supplies (AD syringes) Improve vaccine logistics management Implement guidelines on cold chain management

Vaccine Stores in India

Store Level GMSDs Numbers 4 Equipments WIC, WIF & Concrete Cold Rooms WIC, WIF WIC, WIF, DF (large), ILR (large) DF (large), ILR (large) DF (small) & ILR (Small) 3 months Stock 3 months Purpose Buffer & Supply for NE States, UTs , J& K Buffer & Supply to divisions/districts Buffer & Supply to districts Buffer & Supply to blocks

State Vaccine Stores Regional/ Divisional vaccine stores District Vaccine stores CHC PHC

39 123

618 4045 22394

3 months

Supply to session 1 month sites

 DFs are used for freezing ice packs besides storage of OPV

 All RI vaccines are kept in ILR Division, MOHFW, GoI. at PHC/CHC. Immunization

UIP Vaccines
Current Vaccines BCG  DPT  OPV  Measles  TT  JE*  HepB*


Proposed UIP Vaccines Pentavalent (DPT + HepB + Hib)  Measles-Rubella (MR)  Pneumococcal vaccines  Rotavirus vaccines