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MISSION INDRADHANUSH

SUBMITTED BY-JAYESH AGRAWAL


MBA-RURAL DEVELOPMENT
SEMESTER-Ist
INTRODUCTION

 Every year in India 5 lakh children die due to


vaccine preventable diseases. Partially immunized
and unimmunized children are most susceptible to
childhood diseases and are at a much higher risk of
dying as compared to fully immunized children.
 It is critical to identify the unvaccinated or partially
vaccinated children and address these issues with
focused micro planning, provision of additional
financial resources and systematic immunization
drives to reach these children with all available life
saving vaccines.
MISSION INDRA DHANUSH

   Mission Indradhanush is a health mission of


the government of India. It was launched by
Union Health Minister J. P. Nadda on 25
December 2014 as a special drive to vaccinate all
unvaccinated and partially vaccinated children
and pregnant women by 2020 under the
universal immunization programme.
  The mission indradhanush, depicting seven
colours of the rainbow, targets to immunize all
children against seven vaccine preventable
diseases.
SEVEN VACCINE PREVENTABLE
DISEASES ARE 
1. Diphtheria
2. Whooping cough
3. Tetanus
4. Tuberculosis
5. Polio
6. Hepatitis
7. Measles
SPECTRUM OF SEVEN WILL NOW
BE ELEVEN
In 2016, four new additions have been made
namely Rubella, Japanese Encephalitis,
Injectable Polio Vaccine Bivalent and Rotavirus
201 districts will be covered in the first phase.

The 201 districts selected have nearly 50% of all


unvaccinated children in the country. The
mission follow planning and administration
like PPI (Pulse Polio Immunization).
AIM
The mission focuses on interventions to
improve full immunization coverage in India
65% in 2014 to at least 90% children in the next
five years (2020).
General objective The objective of Mission
Indradhanush is to ensure high coverage of
children and pregnant women with all
available vaccines throughout the country,
with emphasis on the identified 201 high focus
districts.
SPECIFIC OBJECTIVES
 Generating high demand for immunization
services by addressing communication
challenges.
 Enhancing political, administrative and
financial commitment through advocacy with
key stakeholders.
 Ensuring that the partially immunized and
unimmunized children are fully immunized as
per national immunization schedule
 FOUR BASIC ELEMENTS
1. Meticulous planning of campaigns/sessions
at all levels: Ensure revision of micro plans in
all blocks and urban areas in each district to
ensure availability of sufficient vaccinators and
all vaccines during routine immunization
sessions.
2. Intensive training of the health officials and
frontline workers: Build the capacity of health
officials and workers in routine immunization
activities for quality immunization services.
FOUR BASIC EELEMENTS
3. Effective communication and social
mobilization efforts: Generate awareness and
demand for immunization services through
need-based communication strategies and
social mobilization activities to enhance
participation of the community in the routine
immunization programme through mass
media, mid media, interpersonal
communication (IPC), school and youth
networks and corporate.
FOUR BASIC ELEMENTS
4. Establish accountability framework through
task forces: Enhance involvement and
accountability/ ownership of the district
administrative and health machinery by
strengthening the district task forces for
immunization in all districts of India and
ensuring the use of concurrent session
monitoring data to plug the gaps in
implementation on a real time basis.
TIMING
The activity will be conducted from 9 am to 4
pm. However sessions should be planned
based on availability of the targeted population
to maximize the benefits achieved.
Team A team will comprise one vaccinator and
up to two mobilizes ( at least one should be
from local mohallas / locality).
An additional vaccinator will be included in the
team if the estimated injecting load is more
than 60 to 70.
Frontline health workers At grassroots
this system upheld by three key people

  3A’s
 ANM- Auxiliary Nurse Midwife
 ASHA- Accredited Social Health Activist
 AWW- Anganwadi Worker
LEVEL OF ACTION
 1. National level – Mission Indradhanush will be reviewed
by the office of Honorable Prime Minister and Minister of
Health and Family Welfare.
 Coordination with other ministries and key partners will
be strengthened for effective programme implementation.
 State officials will be oriented on operational and
financial guidelines.
 National task force will review and monitor the
implementation and progress of Mission Indradhanush.
 Prototypes of communication materials, including
banners, posters, audio and video spots will be prepared
and shared with all states.
LEVEL OF ACTION
 2. State level - State task force for immunization, under
leadership of Principal Secretary Health to guide and
monitor progress in districts.
 Strengthen coordination with other relevant
departments and key partners for effective programme
implementation.
 Principal Secretary Health and Mission Director, NHM
to sensitize District Magistrates concerned through
video conference before first week of February,
followed by a video conference to review preparedness
for the forthcoming campaign. Subsequently, quality of
each round to be reviewed through video conference.
LEVEL OF ACTION
 District and urban bodies’ officials to be oriented on operational
and financial guidelines.
 Printing and dissemination of communication materials,
including banners, posters, audio and video spots.  Timely
dissemination of funds, vaccines and communication materials
 Designate senior state level observers to involved districts to
oversee preparedness and implementation
  District task force for immunization, under leadership of District
Magistrate to guide and monitor progress in blocks/urban bodies.
 Strengthen coordination with other relevant departments and key
partners for effective programme implementation.  Block and
urban bodies’ officials to be oriented on operational and financial
guidelines.
 Preparation of timeline of activities for effective programme
implementation
LEVEL OF ACTION
 Timely dissemination of funds, vaccines and
communication materials
 Designate senior district level observers to priority
blocks to oversee preparedness and implementation
 Daily evening feedback meetings during the
Immunization Week at the district for sharing
feedback and corrective actions.
 District preparedness meeting, chaired by Chief
Medical Officer/Civil Surgeon to orient all block
Medical Officer in charges on micro- planning and
reporting mechanisms
LEVEL OF ACTION
 4. Block/Urban area level - Block area task
force for immunization, under leadership of
Block Development Officer to guide and
monitor progress in blocks/urban local bodies.
 Training of frontline health workers, including
ANMs, ASHAs and Anganwadi workers.
 Sensitization of PRIs
 Estimation of beneficiaries in left out areas by
ASHAs
The main highlights of the first
phase of mission indradhanush are
Total 9.4 lakh sessions were organized during this 4
rounds of mission indradhanush.
 About 2 crore vaccines were given to the children as
well as pregnant women.
 Tetanus toxoid vaccine are given to more than 20
lakh pregnant women.
 75.5 lakh children were vaccinated and about 20
lakh children were fully vaccinated.
 More than 57 lakh zinc tablet and 16 lakh ORS
packets were freely distributed to all the children to
protect them against diarrhoea.
CONCLISION
Despite being operational for over 30 years, UIP
(Universal Immunization Programme) has
been able to fully immunize only 65% children
in the first year of their life.

So that Mission Indradhanush will ensure that


all children under the age of two years and
pregnant women are fully immunized with all
available vaccines.
THANKYOU

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