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Overview of Universal Overview of Universal Immunization ProgrammeImmunization Programme
Overview of Universal Overview of Universal Immunization ProgrammeImmunization 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 ScheduleAge Vaccines
Pregnant Women TT (2 doses/Booster)
Birth BCG, OPV-O, Hep B
6 weeks DPT -1, OPV -1, Hep B
10 weeks DPT -2, OPV -2, Hep B
14 weeks DPT -3, OPV-3, Hep B
9 months Measles
16-24 months
DPT booster, OPV – Booster, MR, JE*
5 years DPT Booster 2
10 years TT
16 years TT
%Infants (0-1 year)reached
100
86.9
69.6 66.2 63.654.1
11.3
0
20
40
60
80
100
120T
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Target infants : 26 millionFully immunized: 14.1 millionPartial immunized: 9.0 million
No immunized: 2.9 million
Fully Immunized Children, DLHS 3 India (Children 12 – 23 months)
Coverage States/UT
LowLow(<50%)(<50%)
Uttar Pradesh, Meghalaya, Madhya Pradesh, Tripura,
Arunachal Pradesh, Bihar, Manipur and Rajasthan
Medium(50-70%)
Mizoram, Assam, Jharkhand, Gujarat, D & N H,
Chhattisgarh, Odisha, Jammu & Kashmir, Uttarakhand,
Andhra Pradesh, Delhi and Maharashtra
HighHigh(>70%)(>70%)
Chandigarh, Haryana,Chandigarh, Haryana, West Bengal, Karnataka, Sikkim, West Bengal, Karnataka, Sikkim,
Kerala, Punjab,Puducherry, Himachal Pradesh, Tamil Nadu, Kerala, Punjab,Puducherry, Himachal Pradesh, Tamil Nadu,
Lakshadweep, A & N Islands, Daman & Diu and GoaLakshadweep, A & N Islands, Daman & Diu and GoaNote: DLHS 3 Reports of Nagaland not available Source: District Level House hold Survey 2008
Objectives and priority actions in RI Objectives Priority actions
Regular sessions
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
Record, report, track immunization and validate data
Social Mobilization
Develop communication resources and stimulate community ownership
Safe injection Safe injection supplies (AD syringes)
Logistics Improve vaccine logistics management
Cold Chain Implement guidelines on cold chain management
Vaccine Stores in IndiaStore Level Numbers Equipments Stock Purpose
GMSDs 4 WIC, WIF & Concrete Cold Rooms
3 months
Buffer & Supply for NE States, UTs , J& K
State Vaccine Stores
39 WIC, WIF
3 months
Buffer & Supply to divisions/districts
Regional/ Divisional vaccine stores
123 WIC, WIF, DF (large), ILR (large)
Buffer & Supply to districts
District Vaccine stores
618 DF (large), ILR (large)
3 months
Buffer & Supply to blocks
CHC 4045 DF (small) & ILR (Small) 1 month
Supply to session sites
PHC 22394
Immunization Division, MOHFW, GoI.
DFs are used for freezing ice packs besides storage of OPV All RI vaccines are kept in ILR at PHC/CHC.
UIP VaccinesCurrent Vaccines Proposed UIP Vaccines BCG DPT OPV Measles TT JE* HepB*
Pentavalent (DPT + HepB + Hib) Measles-Rubella (MR) Pneumococcal vaccines Rotavirus vaccines
