Indias Universal

Immunization Program
Monica Chaturvedi, Senior Advisor,
Strategic Communication, ITSU,
Ministry of Health & Family Welfare

EPI launched
1978
EPI changed
to UIP
1985
UIP given the status of
National Technology
Mission
1986
RCH launched
1997
35.5
42
54.5
53.4
61
1992-13 1998-99 2005 2007-08 2009
Fully Immunization Coverage
Specific Immunization
Strengthening Project designed
2002
2005
2012
2013
NRHM
launched
Year of RI
intensification
NUHM
launched
Journey so far..
Coverage from NFHS, DLHS and CES
48
62
60
61
66
69 69
74
78
42
37
36
35
30
27
25
23
17
10
1
4
3
5
4
5
3
5
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Fully Immunization Partial Immunization No Immunization
Source: Annual Health Survey 2011-12
Gap in the utilization of
services

INDIA - NOT FULLY IMMUNIZED
CHILDREN
Contribution of four High Priority States
UP
30%
Bihar
11%
MP
8%
RAJ
6%
Other
States
45%
INDIA
~ 9.1 million
Four High Priority States
~ 5 million (55.3%)
UP + BIHAR
~ 3.75 million (41.1%)
MP & RAJASTHAN
~ 1.3 million (14.2%)
Estimated using coverage for AHS2 in 9 state, CES 2009 for rest, and Infants estimates HMIS
2013-14
28.90
26.30
10.8
8.9
8.1
6
3
1.2
Cannnot afford the cost
Wrong advice by someone
Do not have time
Fear for side effects
Time not convenient
Not knowing where to go for
immunization
Not knowing about vaccines
39%
61%
Fully
Immunized
No immunization
or partially
Immunized
Issues needs to be
addressed through
Communication
100% fully
immunized
children
Source: CES 2009, UNICEF
Reasons for Partial or No
immunization
Need for ITSU
Key observations from a study on HR needs
assessment at national level for UIP
(Mavalankar et al 2011)
Limited immunization HR capacity at national level
Felt need to augment operational, managerial and
technical capacity in National Immunization Division
Partner coordination needed to be strengthened
Limited capacity for M&E and data management for
decision making
Ministry needed support on relevant areas including
introduction of newer vaccines, AEFI, technological
innovations etc.
Ministry took a decision to base ITSU in a
National Institution for effective support &
governance
Ministry of Health and Family Welfare
ITSU
Strategic Planning and Program Review
Monitoring
Coordination Partners and States
Technical Support
Information Management
Capacity Building
Innovation and Pilot Projects
Vaccine
Logistics &
Cold Chain
Management
Program
Operations
Strategic
Comms
AEFI
Strategic
Planning
and System
Design
Evidence to
Policy
F
U
N
C
T
I
O
N
S


GAVI HSS Proposal (2013-16)
ITSU successfully coordinated the development
of GAVI HSS grant worth $107 million to UIP

ITSU will host the GAVI HSS Progamme
Management Cell on behalf of MoHFW
Way forward
Future work will be guided by a well-defined mandate
& role given by MoHFW within the ambit of
RMNCH+A
ITSU is collaborating with partners to build capacity of
govt. officials both for program as well media mgmt
Improved coordination leveraging expertise of all
stakeholders
Coordinate the successful GAVI HSS grant in 12 high-
priority states
Facilitate development & monitoring of Immunization
Coverage Improvement Plans (iCIP) in 4 high-priority
states


Thank You..