Universal Immunization Programme
INTRODUCTION
Universal Immunization Program (UIP) Mission to provide high quality immunization services to all communities in order to prevent mortality, morbidity and disability from diseases that are preventable through the optimum use of vaccines currently available and vaccines that become available from time to time.
Routine Immunization :-Full Immunization Status:
|
Financial Year |
Coverge (In Percentage) |
|
F.Y 2018-19 |
101.66% |
|
F.Y 2019-20 |
95.61% |
| F.Y 2020-21 | 86.89 % |
| F.Y 2021-2022 | 80.60% till Dec21 |
Pulse Polio Campaign:-
As per directions of GOI, NIDs (National Immunization Day) & SNIDs (Sub National Immunization Day were successfully held in U.T Chandigarh. During NIDs three day campaigns are held as First day as the booth activity and the other two days for house to house activity. However during SNID,two day activity are held for the house to house activity to cover the high risk area of U.T Chandigarh. The details of the same are as follows:-
|
Pulse Polio Round Coverage |
||||
|
NID/SNID Rounds |
Coverage |
Target |
Percentage |
|
|
January 2018 |
107755 |
121343 |
88.80% |
|
|
March 2018 |
104291 |
121343 |
85.94% |
|
|
Aug 2018 |
76342 |
79705 |
95.78% |
|
|
Nov 2018 |
77893 |
72405 |
107.58% |
|
|
March 2019 |
104960 |
96182 |
109.13% |
|
|
June 2019 |
75244 |
70359 |
106.94% |
|
|
Sept 2019 |
76822 |
70347 |
109.2% |
|
|
January 2020
|
102749 |
92911 |
110.58% |
|
NATIONAL IMMUNIZATION SCHEDULE FOR INFANTS, CHILDREN AND PREGNANT WOMEN
|
For Pregnant Women |
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|
Vaccine |
Due age |
Max age |
Dose |
Diluent |
Route |
Site |
|||||
|
TT-1 |
Early in pregnancy |
Give as early as possible in pregnancy |
0.5 ml |
NO |
Intra- muscular |
Upper Arm |
|||||
|
TT-2* |
4 weeks after TT-1* |
|
0.5 ml |
NO |
Intra- muscular |
Upper Arm |
|||||
|
TT- Booster |
If received 2 TT doses in a pregnancy within the last 3 years* |
s |
0.5 ml |
NO |
Intra- muscular |
Upper Arm |
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|
For Infants |
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|
Vaccine |
Due age |
Max age |
Dose |
Diluent |
Route |
Site |
|||||
|
BCG |
At birth |
till one year of age |
(0.05 ml until 1 month) 0.1ml Beyond age 1 month |
YES Manufacturer supplied diluent (Sodium chloride) |
Intra- dermal |
Upper Arm - LEFT |
|||||
|
Hepatitis B - Birth dose |
At birth |
within 24 hours |
0.5 ml |
NO |
Intra- muscular |
Antero- lateral side of mid-thigh - LEFT |
|||||
|
OPV-0 |
At birth |
within the first 15 days |
2 drops |
- |
Oral |
Oral |
|||||
|
OPV 1, 2 & 3 |
At 6 weeks, 10 weeks & 14 weeks |
till 5 years of age |
2 drops |
- |
Oral |
Oral |
|||||
|
Pentavalent 1, 2 & 3** (Diphtheria+ Pertussis + Tetanus + Hepatitis B + Hib) |
At 6 weeks, 10 weeks & 14 weeks** |
1 year of age |
0.5 ml |
NO |
Intra- muscular |
Antero- lateral side of mid-thigh - LEFT |
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|
Fractional IPV (Inactivated Polio Vaccine) |
At 6 & 14 weeks |
1 year of age |
0.1 ml |
NO |
Intra- dermal |
Upper Arm - RIGHT |
|||||
|
Rotavirus‡ (Where applicable) |
At 6 weeks, 10 weeks & 14 weeks |
1 year of age |
5 drops |
NO |
Oral |
Oral |
|||||
|
Pneumococcal Conjugate Vaccine (PCV) (Where applicable) |
At 6 weeks & 14 weeks At 9 completed months - booster |
1 year of age |
0.5 ml |
NO |
Intra- muscular |
Antero- lateral side of mid-thigh - RIGHT |
|||||
|
Measles / Rubella 1st dose ## |
At 9 completed months-12 months. |
5 years of age |
0.5 ml |
YES Manufacturer supplied diluent (Sterile water) |
Sub- cutaneous |
Upper Arm - RIGHT |
|||||
|
Japanese Encephalitis – 1 @ (Where applicable) |
At 9 months-12 months@ |
15 years of age |
0.5 ml |
YES - Manufacturer supplied diluent (Phosphate Buffer Solution) |
Sub- cutaneous |
Upper Arm - LEFT |
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|
Vitamin A (1st dose) |
At 9 months |
5 years of age ( 1 lakh IU) |
1 ml |
- |
Oral |
Oral |
|||||
|
For Children |
|||||||||||
|
Vaccine |
When to give |
Max age |
Dose |
Diluent |
Route |
Site |
|||||
|
DPT Booster-1 |
16-24 months |
7 years of age |
0.5 ml |
NO |
Intra- muscular |
Antero- lateral side of mid-thigh – LEFT |
|||||
|
Measles / Rubella 2nd dose ## |
16-24 months |
5 years of age |
0.5 ml |
YES Manufacturer supplied diluent (Sterile water) |
Sub- cutaneous |
Upper Arm - RIGHT |
|||||
|
OPV Booster |
16-24 months |
5 Years |
2 drops |
NO |
Oral |
Oral |
|||||
|
Japanese Encephalitis – 2 @ (Where applicable) |
16-24 months @ |
till 15 years of age |
0.5 ml |
YES Manufacturer supplied diluent (Phosphate Buffer Solution) |
Sub- cutaneous |
Upper Arm - LEFT |
|||||
|
Vitamin A $ (2nd to 9th dose) |
At 16 months. Then, one dose every 6 months. |
up to the age of 5 years |
2 ml (2 lakh IU) |
- |
Oral |
Oral |
|||||
|
DPT Booster-2 |
5-6 years |
7 Years of age |
0.5 ml |
NO |
Intra- muscular |
Upper Arm |
|||||
|
TT |
10 years & 16 years |
16 Years |
0.5 ml |
NO |
Intra- muscular |
Upper Arm |
|||||
* Give TT-2 or Booster doses before 36 weeks of pregnancy. However, give these even if more than 36 weeks have passed. Give TT to a woman in labour, if she has not previously received TT.
** Pentavalent vaccine is introduced in place of DPT and HepB 1, 2 and 3.
‡ Rotavirus vaccine is being introduced in phases.
## MR vaccine introduced in phases replacing measles vaccine in the UIP schedule. If first dose delayed beyond 12 months ensure minimum 1 month gap between 2 MR doses.
@ JE Vaccine has been introduced in select endemic districts. If first dose delayed beyond 12 months ensure minimum 3 months gap between 2 JE doses.
$ The 2nd to 9th doses of Vitamin A can be administered to children 1-5 years old during biannual rounds, in collaboration with ICDS.
- Human Papilloma Virus (HPV) Vaccine – presently not in schedule.
- Td - Tetanus diphtheria to replace TT - to be added in schedule
TAARE ZAMEEN PAR”-A NIGHT VIGIL:-
The activity was introduced during the NID round January 2018 and it was first of its own kind of the activity which focused on children of nomads/rag pickers/beggers etc.who are not static and cannot be ear marked in the Microplans. Under the project, the teams visit the areas where nomads along with their children settle at night and vaccination of these children are undertaken.
‘Taare Zameen Par-A Night Vigil’, activity has been praised and well appreciated at State and National Level by Senior Officials of GOI. They have also showed their desire to replicate the same in other parts of the Country as well. WHO Monitors have also supervised the activity and appreciated the great efforts.
- Night Vigil Round Coverage:
-
January 2018
151
March 2018
363
August 2018
375
November 2018
225
March 2019
375
June 2019
300
September 2019
231
January 2020
390
ADVERSE EVENTS FOLLOWING IMMUNIZATION (AEFI):
ADVERSE EVENTS FOLLOWING IMMUNIZATION (AEFI) is a medical incident that takes place after an immunization, causes concern and is believed to be caused by immunization. An AEFI may occur because of Programmatic errors or sensitivity to vaccine or it may occur coincidentally. “Chandigarh has been adjudged as Excellent Performing Union Territory based upon Adverse Events following Immunization i.e. AEFI Surveillance which includes reporting, investigation and casualty assessment of AEFI Cases.”
Intensified Mission Indradhanush
Keeping up with its commitment to improve immunization coverage and addressing equity, MoHFW, GoI has implemented various intensification strategies including its flagship program, “Mission Indradhanush” launched in December 2014. Mission Indradhanush aimed to fully immunize more than 90% of new-borns by 2020 through innovative and planned approaches to reach all children. Under Mission Indradhanush, all the vaccines provided under Universal Immunization Program were administered to children and pregnant women. A total of 528 districts were covered during the various phases of Mission Indradhanush. (Click here to view the detail)
Innovation : मिशन इंद्रधनुष: संपूर्ण टीकाकरण की ओर बढ़ते कदम
New updates under Immunization:-
- As per directions of GOI, in U.T Chandigarh,TT was replaced with Td in the Month of May 2019.
- Introduction of Rota Virus Vaccine in U.T Chandigarh Immunization Schedule as on 31st July, 2019.
Innovation under Immunization:-
PAALNA:-An innovation to relieve the anxiety of the mother and also to distract the infant during the vaccination prick, a chair has been designed with attractive handging smileys to engage the attention of the infant. The mother once comfortably seated can happily get the vaccination of the infant in stress free atmoshphere.The surrounding walls have been covered with colourful picutres and caricatures to make the immunization corner attractive and vibrant.
PAALNA - The vaccination cradle (Link of Video Clip of Paalna) https://www.youtube.com/watch?v=TJM-QlfRBGk
CONTACT DETAIL OF PROGRAMME OFFICER
Dr. Manjit
District Immunization Officer, Chandigarh Administration, Chandigarh
Address:District Family Welfare Bureau, 4th Floor, New Administrative Block, GMSH, Sector 16, Chandigarh
Telephone: 0172-2702924(Office)
E-Mail Address:diochd[at]yahoo[dot]co[dot]in
