In this article, we will explain in detail the important aspects of Mission Indradhanush, its objectives, achievements and its impact on India’s healthcare system.
Objectives of Mission Indradhanush
- Immunization of all children under two years of age, as well as pregnant women, against seven vaccine-preventable diseases, namely diphtheria, whooping cough, tetanus, polio, tuberculosis, measles and hepatitis B.
- To provide vaccination services to children and pregnant women in urban slums, remote areas and hard-to-reach populations.
- To ensure that at least 90% vaccination coverage is achieved in all districts across the country.
- Introducing new vaccines like rotavirus vaccine and inactivated polio vaccine to further strengthen the immunization programme.
- Strengthening the existing health care system through capacity building, training and better monitoring to effectively address vaccination gaps.
- To promote inter-ministerial and inter-departmental coordination to achieve the desired vaccination targets.
Implementation Strategies
Achievements and Impact
Increase in vaccination coverage:
Reaching vulnerable populations:
Introduction of new vaccines:
Strengthening healthcare infrastructure:
Reduction in Child Mortality:
Challenges Faced by Mission Indradhanush
Inadequate awareness and misconceptions:
Hard-to-reach populations:
Weak healthcare infrastructure:
Socioeconomic factors:
High population density:
Vaccine supply and logistics:
Data collection and monitoring:
Cultural and social barriers:
Intensified Mission Indradhanush 2.0
Intensified Mission Indradhanush (IMI) is an upgraded phase of the Mission Indradhanush initiative launched by the Government of India in 2017. With new focus and intensified efforts, IMI aims to further accelerate progress in achieving universal immunization coverage. Get indulge and explore the key features, objectives, strategies and impact of Intensified Mission Indradhanush 2.0 in strengthening India’s vaccination programme.
Intensified Mission Indradhanush includes several key features to enhance the reach and effectiveness of the vaccination programme:
Intensive Immunization Campaign: IMI conducts four rounds of vaccination campaigns every year, including two regular vaccination rounds and two special vaccination rounds. These campaigns aim to cover areas with low vaccination coverage and high disease burden.
Focus on high-priority districts: IMI identifies high priority districts based on low vaccination coverage and high number of unvaccinated children. These districts receive special attention and resources to improve vaccination services.
Convergence with other programs: IMI emphasizes convergence with other government initiatives such as the National Health Mission and Integrated Child Development Services to ensure comprehensive health services for children and pregnant women.
Intensive monitoring and accountability: Regular monitoring, data collection and review at all levels helps to identify deficiencies, track progress and take prompt corrective action. This ensures accountability and improves the overall performance of the programme.
Intensified Mission Indradhanush has set ambitious objectives to accelerate universal vaccination coverage in India:
* Immunization of all children up to two years of age and pregnant women against seven vaccine-preventable diseases, including diphtheria, whooping cough, tetanus, polio, tuberculosis, measles and hepatitis B.
* To achieve at least 90% vaccination coverage in selected districts and blocks.
*To vaccinate children who are excluded or left out of routine vaccination, including children in hard-to-reach areas, urban slums and marginalized communities.
* Introducing new vaccines like Pneumococcal Conjugate Vaccine and Rotavirus Vaccine to further strengthen the vaccination programme.
Strategies for Success
Intensified Mission Indradhanush adopts several strategies to achieve its objectives and ensure the success of the programme:
Microplanning and mapping
Complete micro-planning exercises are conducted to identify areas with low vaccination coverage and children who are deprived of vaccination. The mapping exercise helps in targeting resources and focusing on high priority districts and blocks.
Intensive training and capacity building
Health care workers, including ASHA workers, auxiliary nurse midwives (ANMs) and Anganwadi workers, receive specialized training to enhance their knowledge and skills in effectively providing vaccination services.
Community engagement and mobilization:
Strengthening cold chain infrastructure:
Maintaining the integrity of vaccines is critical to their effectiveness. IMI focuses on strengthening the cold chain infrastructure including storage, transportation and monitoring of vaccines to ensure the quality of the vaccines.
Real-time monitoring and data management
IMI uses technology for real-time monitoring and data management. This helps track the progress of vaccination coverage, identify gaps and take immediate corrective action.
Intensified Mission Indradhanush 3.0
Intensified Mission Indradhanush 3.0 (IMI 3.0) is the latest phase of the Mission Indradhanush initiative launched by the Government of India to achieve universal immunization coverage. Building on the success of its predecessors, IMI 3.0 aims to further accelerate and expand vaccination efforts.
Let’s elaborate the key features, objectives, strategies and expected impact of the Intensified Mission Indradhanush 3.0 plan in strengthening India’s vaccination program.
Highlights of Intensified Mission Indradhanush 3.0
Intensified Mission Indradhanush 3.0 includes several key features to increase the reach and effectiveness of vaccination services:
Focused approach
IMI 3.0 adopts a focused approach by targeting districts and blocks with low immunization coverage and high number of unvaccinated children. This allows tailored interventions and resource allocation where they are most needed.
Intensive Immunization Campaign
The scheme organizes four rounds of vaccination drives every year, including both routine and special vaccination rounds. These rounds aim to cover children who have missed or missed routine vaccination, including children from hard-to-reach areas and marginalized communities.
Integration with other programmes:
IMI 3.0 emphasizes integration with other government initiatives such as the National Health Mission and Integrated Child Development Services. This integration ensures provision of comprehensive health services and strengthens the overall health care system.
D. Strengthening cold chain infrastructure: IMI 3.0 emphasizes on improving cold chain infrastructure including storage, transportation and monitoring of vaccines. This ensures the quality and potency of the vaccines, which is crucial for their effectiveness.
Intensified Mission Indradhanush 3.0 aims to achieve the following objectives:
1. Immunization of all children up to two years of age and pregnant women against seven vaccine-preventable diseases, including diphtheria, whooping cough, tetanus, polio, tuberculosis, measles and hepatitis B.
2. To ensure at least 90% vaccination coverage in selected districts and blocks, thereby reducing the prevalence of vaccine-preventable diseases and improving public health outcomes.
3. Addressing demand-side factors: IMI 3.0 seeks to address demand-side factors by creating awareness about the importance of vaccination, dispelling myths and misconceptions, and motivating communities to actively participate in the vaccination drive .
4. Strengthening Health Systems: The scheme aims to strengthen the health care system by enhancing the capacity of health workers, improving data management and surveillance systems and ensuring availability of vaccines and essential supplies.
2. Enhanced Community Engagement: IMI 3.0 emphasizes community engagement and mobilization to create awareness, address misconceptions, and encourage parents and caregivers to vaccinate their children. This includes community meetings, social mobilization and behavior change communication.
3. Strengthening the healthcare workforce: The scheme focuses on training and capacity building of healthcare workers including Asha workers, ANMs and Anganwadi workers. It enhances their skills in providing vaccination services, monitoring and data management.
4. Real-time monitoring and data management: IMI 3.0 uses technology for real-time monitoring, data collection and reporting. This enables quick identification of deficiencies, tracking of progress and taking timely corrective action.
Reduction in vaccine-preventable diseases: The Plan’s efforts to reach underserved populations and strengthen health care systems are expected to contribute to reducing the burden of vaccine-preventable diseases, thereby improving health outcomes.
Strong health care infrastructure: By focusing on capacity building, data management and strengthening cold chain infrastructure, IMI 3.0 aims to enhance the overall health care infrastructure, which will benefit the vaccination program and the broader health care system in India.
Equity in vaccination coverage: IMI 3.0’s emphasis on reaching marginalized communities and underserved populations ensures that vaccination services are accessible to all, reducing disparities in health care and promoting equity.
Intensified Mission Indradhanush 4.0 (IMI 4.0) is the latest phase of the Mission Indradhanush initiative launched by the Government of India to achieve universal immunization coverage. Building on the success of its predecessors, IMI 4.0 aims to advance vaccination efforts and address remaining challenges.
Targeted approach: IMI 4.0 adopts a targeted approach by focusing on districts and blocks with persistently low vaccination coverage. This ensures that resources are directed to areas of greatest need, resulting in more equitable coverage.
Intensive Immunization Campaign: The scheme organizes several rounds of intensive vaccination campaigns throughout the year, aiming to cover children and pregnant women who have missed routine vaccination. These campaigns focus on reaching vulnerable and hard-to-reach populations.
Strengthening routine immunization: IMI 4.0 emphasizes strengthening routine immunization services, including improving the quality and availability of vaccines, enhancing cold chain infrastructure, and optimizing service delivery mechanisms.
Convergence and Partnership: The scheme promotes convergence and partnership with multiple stakeholders including government departments, civil society organizations and international agencies. The objective of this collaboration is to leverage resources, expertise and knowledge for effective implementation.
Objectives of Intensified Mission Indradhanush 4.0
Targeted interventions: IMI 4.0 focuses on targeted interventions in high-priority districts and blocks with low vaccination coverage, aiming to bridge existing gaps and reduce disparities.
Strengthening Health Systems: The scheme aims to strengthen health systems by enhancing the capacity of health workers, improving data management and surveillance systems and ensuring availability of vaccines and essential supplies.
Demand generation and behavior change: IMI 4.0 emphasizes demand generation activities to create awareness about the importance of vaccination, overcome vaccine hesitancy and promote positive behavior change among parents and caregivers.
Strategies for Success
Intensified Mission Indradhanush 4.0 uses several strategies to achieve its objectives and ensure the success of the scheme:
Intensive micro-planning and mapping: Detailed micro-planning exercises are conducted to identify areas and populations with low vaccination coverage. The mapping exercise helps target resources and interventions effectively, while ensuring comprehensive coverage.
Strengthening routine immunization services: IMI 4.0 focuses on strengthening routine immunization services by addressing infrastructure deficiencies, ensuring availability of vaccines and essential supplies, and enhancing the skills and knowledge of health workers.
Information and Communication Technology (ICT) Interventions: The scheme uses ICT interventions to improve data management, monitoring and reporting systems. This enables real-time tracking of vaccination coverage, identifying gaps and making evidence-based decisions.
Innovative approaches to hard-to-reach populations: IMI 4.0 includes innovative approaches to reaching and vaccinating hard-to-reach populations, including mobile vaccination clinics, community outreach programs, and partnerships with community-based organizations.
Anticipated Impact
The intensified Mission Indradhanush 4.0 is expected to have a significant impact on India’s vaccination program and public health outcomes:
Improved immunization coverage: By accelerating the vaccination drive, targeting high priority areas and strengthening routine immunization services, IMI 4.0 aims to increase immunization coverage, ensuring that more children and pregnant women receive life-saving vaccines.
Reduction in vaccine-preventable diseases: The Plan’s efforts to reach underserved populations and strengthen health systems are expected to contribute to reducing the burden of vaccine-preventable diseases, thereby improving health outcomes.
Enhanced Equity: IMI 4.0’s targeted approach and focus on reducing disparities in vaccination coverage aims to promote equity and ensure that vulnerable populations have equitable access to vaccination services.
Stronger health systems: By improving health system components such as infrastructure, workforce capacity, and data management, IMI 4.0 contributes to strengthening the health care system overall, benefiting immunity.
Districts included in Mission Indradhanush
Mission Indradhanush, launched in 2014, aims to achieve full immunization coverage for all children in India by 2020.
The government designated 201 high-focus districts nationwide as part of Mission Indradhanush. These districts were selected based on their low vaccination coverage and high disease burden. The program focused on intensifying vaccination efforts in these districts to accelerate progress towards universal vaccination coverage.
Intensified Mission Indradhanush (IMI) 5.0 launched in Haryana
The government of India agreed to undertake ‘Intensified Mission Indradhanush (IMI) 5.0’ on August 7, 2023, with the goal of increasing immunization coverage for all vaccines included in the National Immunization Schedule, under which the mission’s first phase has already begun. Scheduled for August 7 through August 12, 2023, beginning in Haryana.
key points:
A state government spokesperson said the three phases of ‘IMI 5.0’, scheduled for the months of August, September and October 2023, will be conducted in all the districts of Haryana.
The ‘U-WIN (Winning over Immunization) Portal’, which will be used for all data collection and reporting for IMI 5.0, was just introduced by the Government of India, according to a spokeswoman for the organization.
All of Haryana’s districts have begun the first phase of “IMI 5.0.” In most of the districts this campaign has been started by prominent personalities.
The activities of this mission were inaugurated by Moolchand Sharma in District Faridabad, Dr. Banwari Lal, Minister in District Rewari, Omprakash Yadav, Minister in District Narnaul, Haryana Deputy Speaker Ranbir Gangwa in District Hisar.
In additional state districts, such as Bhiwani, Faridabad, Fatehabad, Jind, Kurukshetra, and Rewari
Conclusion
Frequently Asked Questions about Mission Indradhanush
Answer. Mission Indradhanush is an immunization program launched by the Government of India in 2014. It aims to achieve full immunization coverage for all children and pregnant women in India, especially those in remote and under-served areas.
The main objectives of Mission Indradhanush are:
– To achieve at least 90% immunization coverage across India.
– To immunize children against seven vaccine-preventable diseases: diphtheria, whooping cough (pertussis), tetanus, polio, measles, severe forms of childhood tuberculosis, and hepatitis B.
– To provide immunization services to the hardest-to-reach and under-served populations.
Answer: Mission Indradhanush works through intensified immunization drives in selected districts and blocks with low immunization coverage. These drives involve mobilizing healthcare workers, improving health infrastructure, increasing community awareness, and providing vaccination services at fixed sites and through mobile outreach units.
Answer: Mission Indradhanush provides vaccines for seven diseases: diphtheria, whooping cough (pertussis), tetanus, polio, measles, severe forms of childhood tuberculosis, and hepatitis B. In addition, vaccines for pneumococcal pneumonia and rotavirus diarrhea have been included in certain phases of the program.
Answer: Mission Indradhanush aims to immunize all children up to two years of age and pregnant women against the targeted vaccine-preventable diseases. The program also reaches out to children and pregnant women who have missed routine immunization doses.
Answer: Districts are selected based on their low immunization coverage and high disease burden. Initially, 201 high-focus districts were identified, and the program has expanded to cover additional districts over time.
Answer: Some key achievements of Mission Indradhanush include significant improvements in immunization coverage, particularly in the targeted districts. The program has reached millions of children and pregnant women with life-saving vaccines, reducing the burden of vaccine-preventable diseases.
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