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Routine Immunization in India
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69% of partially and
un-immunized
children in 6 states:
Uttar Pradesh
Bihar
Madhya Pradesh,
Rajasthan
West Bengal
Gujarat
RAJASTHAN
ORISSA
GUJARAT
MAHARASHTRA
MADHYA PRADESH
BIHAR
UTTAR PRADESH
KARNATAKA
ANDHRA PRADESH
JAMMU & KASHMIR
ASSAM
TAMIL NADU
CHHATTISGARH
PUNJAB
JHARKHAND
WEST BENGAL
ARUNACHAL PR.
HARYANA
KERALA
UTTARANCHAL
HIMACHAL PRADESH
MANIPUR
MIZORAM
MEGHALAYA
NAGALAND
TRIPURA
SIKKIM
GOA
A&N ISLANDS
D&N HAVELI
PONDICHERRY
LAKSHADWEEP
Below 40
40 to 50
50 to 60
60 to 70
Above 70
Fully immunized children
(12 23 months)
Coverage Evaluation Survey (CES) 2009
Snap shot Inequity Key drivers
>7 millions children not immunized in India
0
10
20
30
40
50
60
70
80
90
100
BCG DPT3 Polio 3 Measles Fully
immunized
Aru.. Pr.
Aru.. Pr.
Aru.. Pr.
Aru.. Pr.
Nagaland
Andra Pr
Himalaya Pr
Himalaya Pr
Punjab
Sikkim
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87.9
85.
3
83.6
81.5
78.6
78.0
77.3
75.8
73.7
71.7
71.5
71.5
68.0
66.6
66.0
64.9
61.0
60.8
59.7
59.5
59.1
57.3
56.6
53.8
5
1.9
49.
0
42.9
40.9
27.8
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
90.0
100.0
Full Immunization (%)-State wise coverage
Source: CES (2009)
Reaching the 7 millions children un immunized
All? (>80%) India immunized children
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DLHS-3 (2007-08)
DPT-3 in India Districts
Less than 20%
20% - 40%
40% - 60%
60% - 80%
>=80%
Not available
403 / 601 (67%) Districtswith
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~ 256,000 Migrant sites
Migrant sites
High risk areas in
settled population
~ 166,000 HR areas in settled population
= 10 Migrant sites = 10 HR sites
Identification of High Risk Areas, India, February 2013
N k i i d b UNICEF
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Mosques with public
announcement system
8500
Networks maintained by UNICEFs
Social Mobilization Network
Number ofInformers
10,450
Community Influencers
35,000
Religious and
Educations
institutions
500
Source: SMNet MIS Data as on Feb 28, 2014
E i i I i i M bili
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Same community female (98% Female) from HRAsCovers 500 household in neighborhood
Tracking pregnant mother and children, ensuring every child for polio, RI
Equity in Immunization: Mobilizers
deployed from high risk areas
Reaching 3 million household with messages every month
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New RI campaignlogo,
posters, TV & radio spot
launched on 29 April.
New Routine Immunization Campaign developed
& launched
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reaching the Unreachable
Raising Awareness
Generating demand
Empowering the most at risk
Health
Routine Immunization
ORS ZINC
Water
Sanitation
hygiene
Nutrition
Infant Young
child feeding
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How media can be instrumental to
Routine immunization
Influencing key decision makers
System in place
Keep services functioning and accountable forquality of routine immunization
Generating demand
Reaching the Most excluded
Empowering communities
Innovative approach (?adolescent, mobile ?)
Crucial role of reliable information when
adverse effects
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Lets work together
to protect our
children &
immunized.
Thanks