India’s Universal Immunization Program

Monica Chaturvedi, Senior Advisor,

Strategic Communication, ITSU,

Ministry of Health & Family Welfare

EPI launched

1978

EPI changed to UIP

1985

UIP given the status of National Technology Mission

1986

RCH launched

1997

1992-13 1998-99 2005 2007-08 2009

35.542

54.5 53.461

Fully Immunization Coverage

Specific Immunization Strengthening Project designed

2002

2005

2012

2013

NRHM launched

Year of RI intensification

NUHM launched

Journey so far…..

Coverage from NFHS, DLHS and CES

Uttar Pradesh

Odisha

Madhya PradeshAssa

mBihar

Jharkhand

Rajasthan

Chhattisgarh

Uttarakhand0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

48

62 60 61 66 69 69 74 78

42

3736 35 30 27 25

23 17

101 4 3 5 4 5 3 5

Fully Immunization Partial Immunization No Immunization

Source: Annual Health Survey 2011-12

Gap in the utilization of services…

INDIA - NOT FULLY IMMUNIZED CHILDREN

Contribution of four High Priority States

UP31%

Bi-har11%

MP8%

RAJ6%

Other States45%

INDIA

~ 9.1 million

Four High Priority States

~ 5 million (55.3%)

UP + BIHAR

~ 3.75 million (41.1%)

MP & RAJASTHAN

~ 1.3 million (14.2%)

Estimated using coverage for AHS2 in 9 state, CES 2009 for rest, and Infants estimates HMIS 2013-14

28.90

26.30

10.8

8.98.1

63

1.2

Cannnot afford the cost

Wrong advice by someone

Do not have time

Fear for side effects

Time not convenient

Not knowing where to go for im-munization

Not knowing about vaccines

Did not feel need

39%

61%

Fully Immunized

No immunization or partially Immunized

Supply

Demand

Issues needs to be addressed through

Communication

100% fully immunized children

Source: CES 2009, UNICEF

Reasons for Partial or No immunization

Need for ITSU

Key observations from a study on HR needs assessment at national level for UIP (Mavalankar et al 2011) • Limited immunization HR capacity at national level • Felt need to augment operational, managerial and

technical capacity in National Immunization Division• Partner coordination needed to be strengthened• Limited capacity for M&E and data management for

decision making• Ministry needed support on relevant areas including –

introduction of newer vaccines, AEFI, technological innovations etc.

Ministry took a decision to base ITSU in a National Institution for effective support & governance

Ministry of Health and Family Welfare

ITSU

Strategic Planning and Program ReviewMonitoring

Coordination – Partners and StatesTechnical Support

Information ManagementCapacity Building

Innovation and Pilot Projects

Vaccine Logistics & Cold Chain

Management

Program Operations

Strategic Comms AEFI

Strategic Planning

and System Design

Evidence to Policy

FUN

CTIO

NS

GAVI HSS Proposal (2013-16)

• ITSU successfully coordinated the development of GAVI HSS grant worth $107 million to UIP

• ITSU will host the GAVI HSS Progamme Management Cell on behalf of MoHFW

Way forward

• Future work will be guided by a well-defined mandate & role given by MoHFW within the ambit of RMNCH+A• ITSU is collaborating with partners to build capacity of

govt. officials both for program as well media mgmt• Improved coordination leveraging expertise of all

stakeholders• Coordinate the successful GAVI HSS grant in 12 high-

priority states• Facilitate development & monitoring of Immunization

Coverage Improvement Plans (iCIP) in 4 high-priority states

Thank You……..