2. • Initiative of Ministry of Health
and Family Welfare,
Government of India on 25th
December of 2014.
• It was launched by Union Health
Minister J.P. Nadda.
• Immunization of all children
below 2 years of age and
pregnant women against
vaccine preventable diseases.
What is mission indradhanush?
3. • Seven colours of rainbow
= Immunity against seven
vaccine preventable
childhood diseases
why the mission indradhanush
8. • UIP, Despite being operational for more than 30
years, only 65.3% of 12-23 months old children
are fully immunized.
• National-level measles coverage in India was
79%
• More than 70 lakh (7 million) children in the
country did not receive all vaccines that are
available under the UIP
• Drop-out rates for DPT 2 to 3 and OPV 2 to 3
were 11.1% and 11.9%, respectively.
Rationale for Mission
Indradhanush
9.
10.
11. What is Herd Immunity?
The term "herd immunity" refers to a means of
protecting a whole community from disease by
immunizing a critical mass of its populace.
Vaccination protects more than just the vaccinated person.
By breaking the chain of an infection's transmission,
vaccination can also protect people who haven't been
immunized.
12.
13.
14.
15.
16.
17. Aim and Objectives
• To fully immunize more than 90% of newborns by
2020 through special drives to reach all children
who are partially vaccinated or unvaccinated.
• UIP Provide free vaccines against 12 life
threatening diseases → 26 million children
annually.
• Also focuses on strengthening health systems for
addressing equity issues in access to
immunization.
18. Implementation
• Focused and systematic immunization drive
which was through a"catch-up" campaign mode.
• All the children who have been left out or
missed out
• Pregnant women are administered the tetanus
vaccine
• ORS packets and zinc tablets are distributed for
use in the event of severe diarrhoea or
dehydration
• Vitamin A doses are administered to boost
child immunity.
19. Areas under Focus...
• Areas with low RI coverage (pockets with
Measles/vaccine preventable disease outbreaks).
• Areas with vacant sub-centers: No ANM posted for
more than three months.
• Areas with missed Routine Immunization sessions
: Eg: ANMs on long leave
• Small villages and hamlets, clubbed with another
village for RI sessions and not having independent RI
sessions.
20. Areas Under Focus
Areas which are at high risk for polio
• Urban slums with migration
• Nomads
• Brick kilns
• Construction sites
• Other migrants (fisherman villages, riverine
areas with shifting populations etc.)
• Underserved and hard to reach populations
(forested and tribal populations etc.)
21. Phase V-All districts across the country
Phase V - 190 low performing districts
Phase IV - The fourth phase of Mission Indradhanush covered North-eastern
states - Arunachal Pradesh, Assam, Manipur, Meghalaya, Mizoram, Nagaland,
Sikkim and Tripura from 7th February 2017. It was rolled out in rest of the
country in April 2017.
Phase III - 216 districts
Phase II - 352 districts
Phase I - 201 districts
Mission Indhradhanush - Districts
covered
23. Journey of Mission Indradhanush
PHASE 1 PHASE 2 PHASE 3 PHASE 4
• April-July 2015
• 201 districts
• October 2015-
January 2016
• 352 districts
• 73 districts
repeated from
Phase-1
• 279 districts
• April-July 2016
• 4 intensified
immunization
rounds
• 216 districts
• 199. Districts
repeated from
phase 1/2
• Feb -May
2017 in NE
states ,68
districts, 60
districts
repeated from
phase 1,2,3
• April to July
2017 in 19
other state ,
186 districts,
163 districts
repeated from
phase 1,2,3
• The country was categorized into high, medium and low focus districts
• A total of 528 districts covered during the various 4 phases of Mission
Indradhanush from 2015-2017
24. Intensified Mission Indradhanush
• Encouraged by the success of Mission
Indradhanush and to further intensify the
immunization programme, Prime Minister
Narendra Modi launched the “Intensified Mission
Indradhanush (IMI)” on October 08, 2017.
• It cover 121 districts, 17 urban areas and 52
districts of NE states (total 190 districts/urban
areas across 24 states) for intensified
immunization campaign.
• It aimed to achieve 90% Full Immunisation
Coverage (FIC) with focus towards districts and
urban areas with persistently low levels.
25. • IMI was built on MI, using additional strategies to reach
populations at high risk, by involving sectors other than
health. It was an effort to shift routine immunization into
a “Jan Andolan” or a "peoples' movement".
• It aimed to mobilise communities and deal with barriers
to seeking vaccines.
• This was followed by a Coverage evaluation survey
which showed an average increase of 18.5% in full
immunization coverage as compared to that in National
Family Health Survey (NFHS-4) carried out in 2015-16.
26. Intensified Mission Indradhanush (IMI) 2.0
Under IMI 2.0, total 37.09 lakh children and
7.41 lakh women were vaccinated.
Under this flagship scheme, focus was given
on full immunization coverage of 380 districts
spread over 29 states.
Government of India introduced ‘Intensified
Mission Indradhanush 2.0’ to ensure reaching
the unreached from December 2019- March
2020.
27.
28.
29. • On February 19, 2020, the Central Government
launched IMI 3.0 to further extend the coverage
of the national immunization programme.
Intensified Mission Indradhanush (IMI) 3.0
30. • Focused on the children and pregnant women
who have missed their vaccine doses during the
COVID-19 pandemic.
• It consisted of two rounds from February, 2021
and March 2021. Each round was conducted for
15 days.
• Under IMI 3.0, 250 districts across 29 states/UTs
were covered.
• During Intensified Mission Indradhanush (IMI)
3.0, around 9.58 lakh children and 2.24 lakh
pregnant women were vaccinated.
31.
32.
33. • The COVID-19 pandemic had disrupted
essential immunization services due to
multiple reasons. Thus, to catch up on
gaps that might have emerged due to
the pandemic, “Intensified Mission
Indradhanush 4.0” was launched by the
Government of India on February 07,
2022.
• Under IMI 4.0, the immunization drives
were conducted in 416 districts
(including 75 districts identified for Azadi
ka Amrit Mahotsav) across 33
States/UTs in the country.
Intensified Mission Indradhanush (IMI) 4.0
34. • Under IMI 4.0, three vaccination programmes
were conducted in three rounds from February
2022 to May 2022.
• Total 59.99 lakh children and 15.31 lakhpregnant
women were vaccinated under IMI 4.0.
35. • IMI 5.0 campaign with special
focus on improvement of Measles
and Rubella vaccination coverage,
will conclude all three rounds on
14 October 2023.
• IMI 5.0 is being conducted across
all the districts in the country and
includes children up to 5 years of
age
Intensified Mission Indradhanush 5.0
36. As on 30th september 2023, over 34 lakh children
and 6 lakh pregnant women were administered
vaccine doses during the first 2 rounds of IMI 5.0
campaign across the country.
37. Strategy for Mission Indradhanush
4 Basic elements,
• Meticulous planning of campaigns/sessions
at all levels
• Effective communication and social
mobilization efforts
• Intensive training of the health officials and
frontline workers
• Establish accountability framework through
task forces
38. • Did not include the routine immunization days planned in that
week
• Improved microplanning, monitoring, social mobilization and
strengthened vaccination systems (especially in areas with
inadequate staff numbers)
• Mission indradhanush is a drive spread over 7 days.
Period and programme approach
39. • Reach out all identified areas which have
no/infrequent routine immunization
sessions.
• Deploying of ANMs
• Coordination between District immunization
officer, urban nodal officer with block
medical officers
Mission Indradhanush sessions in district
40. Head count survey
• House to house visits
• Conducted by ASHA/AWW/mobilizer
• Utilized for preparation of name-based due lists for
tracking and mobilization of beneficiaries
• Due lists for subsequent Mission Indradhanush rounds
were updated
41.
42. • Sites for vaccination
• Availability of human resources
• Timings: 9:00 am to 4:00 pm.
• Team: One vaccinator and two
mobilizers
Fixed and outreach sessions
43. • Peri-urban areas
• Scattered slums
• Brick kilns
• Construction sites etc.
Mobile sessions
44. A need based communication and social
mobilization activities were planned to achieve the
following objectives:
• Demand generation through increased visibility
• advocacy through media
• professional bodies and political leadership
Communication planning
45. • Capacity building of immunization workforce
on communication
• Social mobilization through interpersonal
communication, school and youth
• networks and corporates
• Concurrent monitoring of communication
interventions
48. In spite of repeated phases of Mission
Indradhanush
• Full Immunisation coverage in selected
districts/cities showed slow progress
• Sluggish increase in urban areas as
compared to rural areas
