Mission indradhanush

The mission indradhanush, depicting seven colours of the rainbow, targets to immunize all children against seven vaccine preventable diseases.

1. MISSION INDRADHANUSH PRESENTED BY A.PRABHAKARAN M.Sc(N), LECTURER, DEPT. OF COMMUINTY HEALTH NURSING, VMACON, SALEM

2. 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.

3. TAMIL NADU (8 districts) COIMBATORE TIRUCHIRAPALLI KANCHEEPURAM TIRUNELVELI MADURAI VELLORE THIRUVALLUR VIRUDHUNAGER

4. 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.

5. SEVEN VACCINE PREVENTABLE DISEASES ARE 1. Diphtheria 2. Whooping cough 3. Tetanus 4. Tuberculosis 5. Polio 6. Hepatitis 7. Measles

6.   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).

7. 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.

8. 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

9. 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.

10. 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.

11. 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.

12. 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.

13. 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

14. 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.

15. 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.

16. 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.

17. 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

18. 3. District level 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

19. 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.

20. 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

21. While phase 1 was conducted during April 2015 to July 2015 in six high-focus districts, phase 2 was conducted from October 2015 to January 2016 in 11 medium-focus districts. Phase 3 was conducted from April 2016 to July 2016 in six districts. TILL NOW…..

22. First phase of Mission Indradhanush There were total four rounds in the first phase of the mission. The first round of the first phase was started from 7 th April, 2015 and continued for more than a week. Further, second, third and fourth rounds were held for more than a week in the month of may, June and July starting from 7 th of each month. The first of this mission was very successful.

23. 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.

24. At present indradhanush GURUGRAM: About 4,000 children under the age of two will be vaccinated in Gurgaon. Health department officials said they would conduct 412 sessions across the district during the immunization drive and create a What’s App group for better coordination. During the past drives, health officials noticed that most of the labourers leave for work by 9am. As a result of which, their children are often not or partially vaccinated. Therefore, officials will organize vaccination drives at slums, which are considered high-risk areas, from 7 am to 9 am daily till 22 nd june 2017

25. Conclusion 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.

26. THANK YOU