Vaccination programme in India- the present status: a review
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20203953Keywords:
Diseases, EPI, Immunization, Infection, UIPAbstract
Vaccines are substances that are used to provide immunity by stimulating the production of antibodies. Immunization is a process by which a person is made to develop resistance towards infectious diseases by using a vaccine. Immunization programme is one of the key interventions for protection of children from life threatening conditions, which are preventable. By this cost effective intervention program, morbidity and mortality due to vaccine preventable diseases has been drastically reduced. In India, immunization programme was introduced in 1978 as ‘Expanded Programme of Immunization’ (EPI) by the Ministry of Health and Family Welfare. In 1985 the programme was modified as ‘Universal Immunization Programme’ (UIP) implemented in a phased manner. Through this programme nearly 12 vaccines are provided to infants, children and pregnant women. Even though the UIP is expected to cover all the eligible children and pregnant women in the country, the overall vaccination coverage falls short of the expected targets in different geographical regions of the country. As per NFHS 4 data, Punjab had the highest and Nagaland had the lowest vaccination coverage and there is a huge gap between the urban and rural areas in India. Through this review article the authors are trying to trace out the history and evolution of the vaccination programmes and the present status of the programme in view of the various difficulties it faces in recent times, which can lead to outbreaks and re-emergence of already controlled vaccine preventable diseases.
References
Mayo Clinic. Infectious diseases- Symptoms and causes. Available from: https://www.mayoclinic. org/diseases-conditions/infectious-diseases/symptoms-causes/syc-20351173. Accessed on 8 April 2020.
National Institutes of Health. Understanding emerging and re-emerging infectious diseases.. Available from: https://www.ncbi.nlm.nih.gov/ books/NBK20370/. Accessed on 16 April 2020.
World Health Organization. Vaccines and diseases. Available from: https://www.who.int/immunization/ diseases/en/. Accessed on 8 April 2020.
World Health Organization. Vaccines and immunization. Available from: http://www.who.int/topics/vaccines/en/. Accessed on 4 April 2020.
Shiel WC. Medical definition of vaccination. Medicine Net. Available from: https://www.medicinenet.com/script/main/art.asp?articlekey=5925. Accessed on 4 April 2020.
Vaccine. Vaccine Types. Available from: https://www.vaccines.gov/basics/types. Accessed on 4 April 2020.
Park K. epidemiology of Communicable Diseases: Rabies. In: Park’s textbook of preventive and social medicine. 25th edn. Jabalpur: M/s Banarsidas; 2019.
World Health Organisation. Immunization coverage. Available from: https://www.who.int/news-room/fact-sheets/detail/immunization-coverage. Accessed on 5 April 2020.
National Health Mission. Immunization. Available from: https://nhm.gov.in/index1.php?lang=1&level =2&sublinkid=824&lid=220. Accessed on 4 April 2020.
Directorate of Public Health and Preventive Medicine. Immunization. Available from: http://www.tnhealth.org/dph/dphis.php. Accessed on 13 February 2020.
Immunisation Advisory Centre. Efficacy and effectiveness. Available from: https://www.immune.org.nz/vaccines/efficiency-effectiveness. Accessed on 4 April 2020.
Weinberg GA, Szilagyi PG. Vaccine epidemiology: efficacy, effectiveness, and the translational research roadmap. J Infect Dis. 2010;201(11):1607-10.
World Health Organisation. The vaccine cold chain. Available from:https://www.who.int/immunization/documents/IIP2015_Module2.pdf. Accessed on 4 April 2020.
World Health Organization. EPI logistics. Available https://www.who.int/countries/eth/areas/immunization/epi_logistics/en/index1.html. Accessed on 4 April 2020.
Heininger U, Bachtiar NS, Bahri P, Dana A, Dodoo A, Gidudu J, et al. The concept of vaccination failure. Vaccine. 2012;30(7):1265-8.
Wiedermann U, Garner-Spitzer E, Wagner A. Primary vaccine failure to routine vaccines: why and what to do? Hum Vaccine Immunotherap. 2016;12(1):239-43.
Spencer JP, Pawlowski RH, Thomas S. Vaccine adverse events: separating myth from reality. Am Fam Phys. 2017;95(12):786-94.
McKee C, Bohannon K. Exploring the reasons behind parental refusal of vaccines. J Pediatr Pharmacol Therap. 2016;21(2):104-9.
Lahariya C. A brief history of vaccines and vaccination in India. Indian J Med Res. 2014;139(4):491.
World Health Organisation. WHO urges countries to intensify immunization efforts. Available from: https://www.who.int/southeastasia/news/detail/19-04-2012-who-urges-countries-to-intensify-immunization-efforts. Accessed on 5 March 2020.
UNICEF. Immunization. Available from: http://unicef.in/whatwedo/3/immunization. Accessed on 5 March 2020.
The Times of India. Full Immunization: Government says 83%, NSO survey shows 60%. Available from: https://www.pressreader.com/india/the-times-of-india-mumbai-edition/20191203/282888027551832. Accessed on 3 December 2019.
National Family Health Survey. Vaccination Coverage. Available from: http://rchiips.org/NFHS/factsheet_NFHS-4.shtml. Accessed on 6 April 2020.
Gurnani V, Haldar P, Aggarwal MK, Das MK, Chauhan A, Murray J, Arora NK, Jhalani M, Sudan P. Improving vaccination coverage in India: lessons from Intensified Mission Indradhanush, a cross-sectoral systems strengthening strategy. BMJ. 2018;363.
Times of India- Chennai News. 1 in 20 Chennai parents averse to vaccines. Available from: https://timesofindia.indiatimes.com/city/chennai/1-in-20-chennai-parents-averse-to-vaccines/articleshow/72235380.cms. Accessed on 3 December 2019.
Benjamin H, Sherine G, Rafael O. Vaccine. Vaccine Special Issue on Vaccine Hesitancy. 2015;33(34):4155-6.