Process evaluation of mission Indradhanush immunization program in urban and rural communities of Ahmedabad district of Gujarat

Priyank D. Algotar, N. Lakshmi, Hardik B. Yagnik, Rinita Jain


Background: Mission Indradhanush has been launched in December 2014 as a special drive to vaccinate all unvaccinated and partially vaccinated children. This study was conducted with an aim to evaluate process of mission Indradhanush immunization program in urban and rural communities of Ahmedabad district, Gujarat.

Methods: Community based cross-sectional study carried out at places such as urban slums with migration, nomadic sites, brick kilns, construction sites, underserved and hard to reach areas from July 2015 to July 2017. Cluster sampling method has been used, adapted from WHO 30-cluster sampling. Thirty (30) clusters were selected using probability proportional to the population size (PPS). Each PHC/UHC was taken as one cluster.

Results: All the planned session being held as per micro plan (100%). Due lists of beneficiaries were present at all sites but not updated at 6 (10%) session sites. Mobilizers were present at 58 (96.67%) session sites. ANMs were giving all 4 key messages at 86.67% of session sites. 115 (95.8%) caregivers told source of information was home visits of ASHA/AWW. 66(55.00%) mothers were aware about when to come for next visit and 70 (58.33%) aware about which vaccines were given on MI session day.

Conclusions: All the session sites had micro plan and due list, which is major achievement and positive sign of successful implementation of mission Indradhanush. Availability of vaccines and other logistics were also up to the mark. Over all implementation process was satisfactory and according to operational guidelines of MI.



Mission Indradhanush, Cluster sampling, Process evaluation, Brick kilns

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Ehreth J. The global value of vaccination. Vaccine. 2003;21:596-600.

WHO, UNICEF, World Bank. State of the world's vaccines and immunization. 3rd edition, 2009;1:41.

Park K. Park’s Textbook of Preventive and Social Medicine. 24th Edition, Bhanot Publication;2017.

Government of India. National Population Policy. 2000: 13-16.

Government of India. Operational guidelines of Mission Indradhanush. 2015: 2-6.

Dept. of Family Welfare. Ministry of Health & Family Welfare. Immunization Handbook for Medical Officers. 2008;15:130-1.

Cochran WG. Sampling Techniques. 3rd edition, Wiley publication; 2008: 249-250.

Patel T, Raval D, Pandit N. Process evaluation of routine immunization in rural areas of Anand District of Gujarat. Healthline. 2011;2(1):17-20.

Biradar SM, Biradar MK. Session site monitoring of routine immunization program in Bijapur district. IJLBPR. 2013;2(4):232-6.