Title: Evaluation of infrastructure, implementation and bottlenecks in the Mission Indradhanush program in selected districts of Indore division (Madhya Pradesh)- A Cross sectional study
Authors: Dr Anand Kumar Patidar, Dr Jageshwar Dayal Kori, Dr Bhagwan Waskel, Dr A.K. Khatri, Dr Sanjay Dixit
DOI: https://dx.doi.org/10.18535/jmscr/v7i11.36
Abstract
Background: Govt. of India, launched Mission Indradhanush in December 2014 to achieve more than 90% full immunization coverage in the country. It focus on the areas with sub-centers where no auxiliary nurse midwife posted for more than three months, villages/areas with three or more consecutive missed routine immunization sessions, high risk areas. There were two main components of mission (1) Operational planning: By using Fixed and outreach and Mobile sessions (2) Communication planning.
Methods: It was a cross sectional study done (2016-17) in 3 randomly selected districts of Indore division where the Mission Indradhanush campaign was held. In each selected District 4 Planning unit (CHC/PHC, Total=12) & 2 session site from each planning units (Total=24) were randomly selected. Data collection was done by using checklist based questionnaire.
Results: Most of the posts of health care providers involved in program was filled except 1 post of cold chain technician. Most of the health care providers were trained for their work. About at 86% sessions sites vaccines was delivered by alternate vaccine delivery system. Immunization card and updated due list by vaccinators was available at most of the session sites.
Conclusion: Basic infrastructure and logistics required for cold chain maintenance was available at most of the cold chain points. Material for vaccination like MCP cards, counter foils and updated due list were available at most of the session sites.
Keywords: Mission Indradhanush, ANM, ASHA, IPC, AVDs.
References
- Vashistha PM, Kumar P. 50 years of Immunization in India: Progress and Future; Indian Pediatrics. 2013; 50:111-18
- Keshavamurthy H.R. Director in Press Information Bureau, Kolkata. Mission Indradhanush to Put Vaccination Efforts on High Speed;2015
- Mission Indradhanush Operational guidelines 2015
- Krishnappa L, Anniappan AB, Voderhobli N.H Evaluation of cold chain practices in urban health centers of a metro city in India. National Journal of Community Medicine 2014;5:288-92
- Choudhury D, Baruah R.Knowledge and practices of cold chain handler regarding cold chain equipment and vaccines storage in Chirang district, Assam, International Journal of Current Research 2016;8:35464-67
- Brown VB , Oluwatosin OA.Impact of training intervention on immunization providers’ knowledge and practice of routine immunization in Ibadan, south-western Nigeria .The Pan African Medical Journal. 2017;26:216
- Widsanugorn Healthcare workers’ knowledge and practices regarding expanded program on immunization in Kalasin, Thailand j med sci. 2011 ;73: 177–185
- Saxena D and Ganguly P S. Evaluation of new alternate vaccine delivery in Shivpuri District of Madhya Pradesh
- Tyagi AR, Pradhan S. Assessment of Beneficiary Response about Immunization and Health Services Provided at Anganwadi Centres of Jabalpur District. N J of Community Med 2015; 6:536-40.
- Mehta KG, Pandya CM, Chavda PD, Solanki DM. Study of cold chain management system at Urban Primary Health Centers (UPHCs) of Vadodara city in Western India. Int J Med Sci Public Health (Online First) 2015;4:1-4
- Biradar SM . Evaluation of Vaccine Storage Practices in Primary Health Centres of Bijapur District of Karnataka. International Journal of Pharma and Bio Sciences, 2013; 4 : 1290- 93.
- Mallik S, Mandal PK. Assessing cold chain status in a metro city of India: an intervention study. Afr Health Sci.2011;11:128-33.
- Patel TA , Pandit NB . Why infants miss vaccination during routine immunization sessions? Study in a rural area of Anand district, Gujrat IJPH .2011;55, Issue:321-23
- Choudhury SA, Ojah J. A study on knowledge and practice of immunization services among auxiliary nurse midwives of subcentre at Chirang district, assam J. Evid. Based Med. Healthc. 2016; 3: 618-621.