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National immunization programme
1. BY:;
Anju sapkota
BPH 3rd year ,UCMS
NATIONAL
IMMUNIZATION
PROGRAMME
2. The National Immunization Programme (NIP) is
a priority 1 (P1) programme of the Government
of Nepal
Launched as the Expanded Programme on
Immunization in 2034 BS (1977/78)
the National Immunization Programme has met
several milestones, including Millennium
Development Goal 4 (MDG 4) on reducing
under-5 mortality.
The Immunization Act endorsed (BS 2072) says
that every child has the right to access quality
vaccines.
3. Nepal has been polio free since 2010.
The elimination status of maternal and neonatal
polio has been sustained since 2005.
The reduced burden of Japanese encephalitis
was successfully maintained during the
reporting period.
Progress has been maintained towards measles
elimination and the control of rubella and
congenital rubella syndrome (CRS) by 2019.
4. Immunization services are delivered through
static immunization clinics in health facilities,
outreach sessions and mobile clinics in
communities (VDCs and municipalities)
throughout the country.
Outreach sessions are periodically reviewed to
increase the access of immunization services
More than 16,000 immunization sessions per
month or 192,000 per year are conducted
nationwide. Private health facilities, hospitals,
NGO/INGO and medical colleges run static
immunization clinics to increase the access of
immunization services and is based on needs
and included in district micro plans.
5. GOAL, AND OBJECTIVES
Goal :-- To reduce child mortality, morbidity
and disability associated with vaccine
preventable diseases.
6. OBJECTIVES
1. Achieve and maintain at least 90%
vaccination coverage for all antigens at
national and district level by 2016
2. Ensure access to vaccines of assured
quality and with appropriate waste
management
3. Achieve and maintain polio free status
4. Maintain maternal and neonatal tetanus
elimination status
7. 5. Initiate measles elimination
6. Accelerate control of vaccine-preventable
diseases by introducing new and underused
vaccines
7. Strengthen and expand VPD surveillance
8. Continue to expand immunization beyond
infancy
8. TARGET POPULTION
The target population of the National
Immunization Programme are:
• under 1 year old children for BCG, DPT-
HepB-Hib, OPV, IPV, PCV and measles-rubella1
(MR1) vaccine.
• 12 month old children for Japanese
encephalitis
• 15 month old children for measles-rubella
second dose (MRSD)
• pregnant women for tetanus toxoid and low
dose diphtheria toxoid (Td) containing vaccine.