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Historicial Background
The Immunization programme was launched in 1985-86 in a phased manner. It has been launched to reduce morbidity and mortality due to vaccine preventable diseases The "Expanded Programme of Immunization (EPI)" was launched in Oct.1977 to control 5 vaccine preventable diseases viz. Diphtheria, Pertusis, Tetanus, Poliomyelitis and Tuberculosis. The "Universal immunization Programme" was introduced in 1985-86. The Measles vaccination was included in the programme during UIP.

In 1992 in the Universal Immunization programme became part of " Child Survival and Safe Motherhood Programme (CSSM)". The programme has been well set involving organization of immunization / MCP Session at fixed places, at Fixed timings on Fixed days both institutional as well as outreach session. The Reproductive & Child Health Programme (RCH) was launched in Oct. 1997. It was targeted to cover all pregnant woman with immunization against Tetanus & all infants with Primary immunization.

Special Features of Programme
Cold Chain equipment and vaccine is supplied by Central Government free of cost. Vaccine is given to all beneficiaries free of cost at every immunization session. Surveillance of vaccine preventable diseases is done through home visits and OPD & IPD cases.

Objectives Strategy
Immunization programme is implemented in the State as per GOI guildelines. Vaccine, other logistics like Syringes, and cold chain equipments and financial support is provided by Govt. of India . The schedule followed is as per GOI guidelines.

Health staff enumerates beneficiaries in their respective area. Health Assistants procures vaccine from their institution through proper Cold Chain. Vaccination is done under the supervision of Health Assistant. Defaulters are contacted. The vaccination schedule as recommended by Govt. of India is followed. The aim is to give primary immunization at proper age, proper dose and appropriate route before the first Birthday of child.

Activities
Antenatal Services Natal Service Post Natal Services Child Care Implementation and Delivery System
The ANM at the subcenter and the trained birth attendants in the villages all the key person in the delivery of MCH Services. Immunization Clinics are utilized for providing regular antenatal services.

Primary vaccination is given to children before 1st birthday viz. 0 Polio, BCG, DPT, Polio, Measles and vit.A (1st dose). Booster dose of DPT, Polio & vit.A are given at 18 months to 24 months. 3 doses of vit.A are given after every 6 months. A dose of DT is given to children between 5 to 6 yrs. and a dose of TT is given to 10 years and 16 years. Pregnant women are given 2 doses/ Booster dose of TT.
Service Centers
Immunization services are available at following institution in district Performance
Last Five years Immunization Programmes
Sr.No. Indicator 2009-2010 (upto July. 2009)
ELA ACH. %
1 DPT III 1880732 554804 29
2 OPV III 1880732 543295 29
3 BCG 1880732 523627 28
4 Measles 1880732 497523 26
5 DPT (B ) 1927574 490997 25
6 OPV(B) 1927574 485950 25
7 DT 2184631 314643 14
8 TT (10) 2184631 355226 16
9 TT(16) 2317037 343964 15
10 TT (M) 2130344 588416 28

Last five years MCH Performance

Sr. No.
Activity 2006-2007
ELA ACH. %
1 ANC Registration 2405384 2229445 93
2 ANC Regi.< 16 Wks 1804056 1390380 77
3 Iron Folic Acid Prophylactic -IFA( PH) 1202683 705680 59
4 Iron Folic Acid Therapeutic- IFA( TH) 1202683 344115 29
5 Delivery U.Dai --- 38340 ---
T.Dai --- 267504 ---
ANM/Doctor --- 173416 ---
Institute --- 1095143 ---
Total 2405384 1574264 65
6 Vit A I 2098904 1608698 77
II 2014740 1454787 72
III 2014740 1356991 67
IV 2727660 1136068 42
V 2727660 1176116 43

Achievements
Incidence of vaccine preventable diseases has reduced to a measurable level.

Universal Immunization Programme
Vaccine Preventable Diseases
Years Diptheria Pertusis
Attack Deaths Attack Deaths
2003-04 27 4 1 0
2004-05 206 11 58 0
2005-06 151 19 6 0
2006-07 513 1 95 0
2007-08 482 0 68 0
2008-09 22 0 12 0
2009-10 6 0 2 0