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Telangana yet to achieve full immunization under Mission Indradhanush
15 Dec 2015 5:08 PM IST
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Highlights
Mission Indradhanush or rainbow, depicting seven colours of life is a flagship programme of the Central government to ensure immunisation of children and pregnant women.
Mission Indradhanush or rainbow, depicting seven colours of life is a flagship programme of the Central government to ensure immunisation of children and pregnant women.
It is aimed at covering all those children who have either missed vaccination or are partially vaccinated against seven vaccine preventable diseases that include diphtheria, whooping cough, tetanus, polio, tuberculosis, measles and hepatitis B. The target beneficiaries are pregnant women and 0-2 year’s children due for vaccination, so as to close the immunization gap and achieved 90 percent of full immunization of children by 2020.
The first phase was launched in Adilabad and Mahabubnagar in April,2015 and a host of government agencies had conducted rapid assessment surveys on immunisation. The survey was aimed at the extent of coverage taken place in Telangana.
The third phase of Mission Indradhanush commences from today in Hyderabad and the other districts of Telangana State. Over 52 thousand children were immunized during the first two phases in the State.
Health authorities have planned to derive maximum benefits from the immunisation programme. They hope that this project would be able to fix the inherent ‘gaps’ that are present in the public immunisation drive in Telangana State.
The third phase will cover all the vaccine antigens to missing children less than 2 years of age and pregnant women for 1st TT,2ndTT and 3rd TT and TT Booster doses. Head count will be done by door to door survey and beneficiaries list enlisted and MI sessions will be planned.
According to Comprehensive Household survey, Telangana has birth cohort of is 6.3 lakh children per annum and provides vaccination against threatening diseases. Vaccine preventable diseases inspite of being operational for 30 years now, the left out and dropout rate is high. As per rapid assessment survey before Mission Indradhanush, about 3.2 lakh children (0 to 2 years) close to 50 percent in the State, are unable to complete the full quota of vaccines, which are being provided under the universal immunisation programme of India. Even, the District Level Household Survey (DLHS) had put the figure of immunisation in Telangana close to 60 per cent.
According to Statistics available, under the Mission Indradhanush so far, Telangana has covered 52,433 children, full immunization administered for 19,424 children and 16727 children were yet to complete immunization. Khammam, Nizambad, Karimnagar and Hyderabad with 706 children, 1102 children, 1971 children and 1940 children respectively were least districts under fully immunization. In Telangana, annually 25,000 new born babies dies and it is yet to cover 50 percent of children.
The Mission Indradhanush is a desperate attempt by health authorities to reach out to such children and their parents who have been unable to access vaccination programmes due to various reasons.
The low coverage of vaccination has its bearings in Infant Mortality Rate (IMR). Public health experts argue that if we get our immunisation drive right, then the IMR can be decreased by 30 to 40 per cent. At present, latest figures put forward by public health experts indicate that the IMR, defined as the number of infants that die for 1,000 live births is 29 in Telangana. Some other earlier studies in 2013 have put the IMR figure at 39. But ever since the national immunization programme, Mission Indradhanush in April this year in Adilabad and Mahbubnagar and the rest of the State during the month of October, the hopes bringing down this IMR rate further rose.
As per crude estimates, Telangana State loses out anywhere between 94 and 96 new-borne babies in a month. In a year, the State loses out close to 25,000 new borne babies.
Since April, when the first phase of the immunisation drive launched, the coverage started to improve. Mission Indradhanush helped the State to go on a mission mode. This meant that the objectives, scopes, roles, timelines and milestones on immunisation that have to be achieved were clearly defined. Since, April the number of infants covered under full and complete immunisation programmes has started to swell.
The State has covered 52,433 children under full and complete immunisation in Telangana. A similar effort throughout the State was planned on December 7 and January 7. The world Health Organization (WHO) lauded the government for focusing on children who either immunized or partially immunized under the National Immunization Programme.
G.Rajendera Kumar
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