This document discusses Mission Indradhanush, an Indian government health initiative launched in 2014 to increase vaccination coverage. It aims to fully vaccinate all unvaccinated and partially vaccinated children under 2 years old and pregnant women by 2020. The mission focuses on conducting vaccination drives in 201 high-priority districts and expanding the vaccines provided to include additional diseases. It emphasizes planning, training, communication, and establishing accountability at the national, state, district and local levels to improve vaccination rates from 65% to at least 90%. The first phase saw success in conducting sessions and vaccinating millions of individuals in six districts. Current efforts are focusing vaccination drives in specific high-risk areas like slums.

1. 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.

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 7th 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 7th 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 22nd 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