The document provides key facts and figures from immunization data reported in India until December 2015 from various sources:
- National full immunization coverage was 64.5% against the target of 75%, with coverage of individual vaccines like BCG, MCV1, and JE1 ranging from 54.1-67.9%.
- States with coverage above 75% included Mizoram, Delhi, and Punjab while Nagaland had the lowest at 47.3%.
- Data from various sources showed both high and low performing states/UTs for indicators like full immunization coverage, dropout rates, vaccination sessions held, and more.
- The document highlights issues with data quality and calls for improvements to
2. Note:
Immunization Technical Support Unit (ITSU) is strategic arm of Ministry of Health and Family Welfare (MoHFW)
that works towards strengthening of Universal Immunization Program (UIP).
Program Operation & Monitoring (PO & M) division of ITSU reviews the reported data on Child Immunization
(service delivery) that captured in Health Management Information System (HMIS) and Mother and Child
Tracking System (MCTS). PO &M division of ITSU develops immunization dashboards and provide state specific
feedback on monthly basis by analysing the data. Dashboards provides state wise performance on various
immunization component (timeliness, coverage, AEFI, training, VPD cases, etc.) and concurrent feedback
regarding reported Immunization data to MoHFW, partner organizations and immunization program managers at
state level. Additionally these dashboards collate data provided by WHO-NPSP (World Health Organisation –
National Polio Surveillance Project) and NCCVMRC- NIHFW (National Cold Chain & Vaccine Management
Resource Center – National Institute of Health & Family Welfare) related to concurrent monitoring and
Immunization trainings.
The PO&M division adheres to the fixed timeline (after 20th of every month) for reviewing the immunization data
uploaded onto the HMIS, and MCTS portals. As per the HMIS guidelines, it’s mandatory for all the states to
upload monthly data of the preceding month on or before the 20th of each month. Thus 20th is considered the
threshold for ensuring timely reporting within the HMIS. On a monthly basis, a group of states receives detailed
feedback on Immunization coverage and data quality issues. The following table explains the framework for
categorization of states and union territories that the PO&M division at ITSU follows for providing the feedback.
This feedback cycle is repeated on quarterly basis:
First month: Assam, Bihar, Chhattisgarh, Jharkhand, Madhya Pradesh, Odisha, Rajasthan, Uttar
Pradesh & Uttarakhand.
Second month: Andhra Pradesh, Arunachal Pradesh, Delhi, Haryana, Gujarat, Jammu & Kashmir,
Manipur, Meghalaya, Mizoram, Nagaland, Telangana, Tripura and West Bengal.
Third month: Andaman & Nicobar Island, Chandigarh, Dadra & Nagar Haveli, Daman & Diu, Goa,
Himachal Pradesh, Karnataka, Kerala, Lakshadweep, Maharashtra, Puducherry, Punjab,
Sikkim and Tamil Nadu.
Immunization dashboards aim to improve quality and use of reported data on immunization for concrete
programmatic action for addressing the challenges in strengthening UIP.
Your suggestions for improving these dashboards are always welcome and encouraged.
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0 – 11 Months Vaccination (Andhra Pradesh, Assam, Bihar, Chhattisgarh, Jharkhand, Madhya
Pradesh, Punjab, Rajasthan, Telangana, Uttarakhand and West Bengal introduced pentavalent
vaccination in UIP schedule from October 2014. DPT/Penta coverage for national as well for these
states were not analyzed.
Till December 2015, the nation’s full immunization coverage (FIC) was 64.5% against the
expected figure of 75.0% for 9 months. The national coverage for BCG, MCV1 and JE1 were
67.9%, 65.8% and 54.1% respectively.
States / UTs that reported FIC more than the expected 75.0% were Mizoram (79.3%), Delhi
(78.5%) and Punjab (76.1%); Nagaland reported 47.3% coverage, which was the lowest in
the country.
States / UTs that have reported BCG coverage more than the expected 75.0% were
Chandigarh (109.5%), Puducherry (101.4%), Meghalaya (87.9%), Mizoram (84.7%),
Manipur (80.6%), Delhi (79.1%), Tripura (76.9%), Maharashtra (76.6%) and West Bengal
(75.9%) while Daman & Diu (51.9%) was the lowest reporting states / UTs.
States / UTs that have reported DPT3/Penta3 coverage more than the expected 75.0% are
Meghalaya (79.8%) and Mizoram (77.8%) for DPT3 coverage while Puducherry reported
only 47.0% Penta3 coverage and Daman & Diu reported 35.2% DPT3 coverage.
Assam, Bihar, Gujarat, Madhya Pradesh, Punjab and Uttar Pradesh have started IPV in their
Immunization schedule. In December 2015, 389140 infants vaccinated for IPV (Assam –
16948, Bihar – 135439, Gujarat – 58152, Madhya Pradesh – 103823, Punjab – 23224 and
Uttar Pradesh – 51554).
Most JE-endemics states / UTs reported very low coverage of JE-1st
dose, such as Kerala
(6.0%), Arunachal Pradesh (19.4%), Tamil Nadu (21.0%), Nagaland (30.4%), Telangana
(42.7%), Assam (47.4%) and Manipur (48.0%) against expected 75.0%.
States / UTs that reported MCV1 coverage more than the expected (75.0%) coverage were
Delhi (83.4%), Mizoram (81.1%), A&N Islands (77.4%), Punjab (76.8%), Uttarakhand
KEY FACTS
HMIS IMMUNIZATION DATA – TILL DECEMBER 2015
HMIS Portal as on 22nd
January, 2016
4. Prepared by ITSU-MoHFW
(76.7%), Tripura (75.7%) and Telangana (75.5%). Nagaland reported lowest MCV1 coverage
(50.1%).
Hep B birth dose is given within 24 hours of birth and is mandatory for all institutional
deliveries; however, in only 70.1% of institutional deliveries Hep B birth dose was given in
the country. Tamil Nadu reported more than 100% coverage while Mizoram (33.4%),
Assam (44.1%) and Gujarat (47.1%) were three lowest reporting states / UTs.
12 – 23 Months
Till December 2015, the national coverage for MCV2 was only 52.2% against the expected
75.0%, while the coverage for DPT booster and JE second dose (in JE-endemic districts) for
the same period was 59.1%, and 50.2% respectively.
Tamil Nadu reported 20.6% lowest coverage for MCV2 and Arunachal Pradesh reported
the lowest DPT booster coverage of 38.4%. Arunachal Pradesh reported lowest (24.4%) JE
2nd
dose coverage from JE-endemic districts.
Drop-out Rate (DPT1/Penta1 – DPT3/Penta3)
From October 2014, Andhra Pradesh, Assam, Bihar, Chhattisgarh, Jharkhand, Madhya
Pradesh, Punjab, Rajasthan, Telangana, Uttarakhand and West Bengal introduced
pentavalent vaccination in UIP schedule. DPT/Penta dropout for national as well for these
states were not analyzed.
States / UTs that reported negative drop-out are Andaman & Nicobar Islands, Chandigarh,
D & N Haveli, Daman and Diu, Himachal Pradesh, Lakshadweep, Maharashtra, Meghalaya,
Mizoram, Odisha, Sikkim and Tripura. D & N Haveli reported highest negative drop-out (-
56.7%) while Puducherry reported high drop-out of 14.6%.
Other Feedback
Kohima district of Nagaland reported more than 80000 children vaccinated for JE second
dose, led to state coverage as 427.5%. Over reporting needs immediate attention.
The country continues to be polio free for more than three years; however, the HMIS data
pertaining to polio cases remains an issue and needs immediate attention at all levels. Till
December 134 polio cases (7 from Assam, 1 from Gujarat, 61 from Haryana, and 65 from
Tamil Nadu) were reported in HMIS data.
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Lowest percentage of children fully immunized: Punjab (65.3%).
State with high percentage of planned immunization sessions not held: Punjab (9.9%).
State with high percentage of immunization sessions where due list was not available:
Punjab (47.4%) and Odisha (38.7%).
State with high percentage of immunization sessions where all vaccines were not available:
Maharashtra (42.5%), Rajasthan (42.5%), Uttarakhand (40.6%) and Madhya Pradesh
(33.8%).
Only 59.33% of data entry for infant was done for the year 2015-16 on pro-rata basis at
MCTS portal till December 2015, with lowest 31.68% being in Nagaland.
Percentage of villages not mapped with any facility at MCTS portal: Total of 31.48% villages
were not mapped in India. Rajasthan (100.0%) and Puducherry (97.41%) have the highest
percentage of villages not mapped at MCTS portal.
All-India coverage for FIC was just 1.70%. Only Delhi, Gujarat, Jammu & Kashmir,
Karnataka, Madhya Pradesh, Maharashtra, Rajasthan, Tamil Nadu, Telangana and Uttar
Pradesh reported more than 1% coverage.
Antigen-wise all-India coverage against registered children in 2015-16:
- Hep B birth dose: 40.26% (Assam, Bihar, Chhattisgarh, Manipur, Meghalaya, Mizoram
and Rajasthan reported less than 20% coverage)
- BCG: 63.12% (Assam, Bihar, Daman & Diu, Rajasthan and Tripura reported less than
45%).
- DPT3: 70.51% (Lakshadweep, Meghalaya, Mizoram reported less than 45%)
WHO-NPSP CONCURRENT MONITORING DATA
Till December 2015
MCTS PORTAL DATA FOR YEAR 2015-16
As on 21st
January 2016
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- Measles 1st
dose coverage is just 1.86%. Only Arunachal Pradesh, Chhattisgarh, Dadra
& Nagar Haveli, Delhi Gujarat, Jammu & Kashmir, Karnataka, Madhya Pradesh,
Maharashtra, Rajasthan, Tamil Nadu, Telangana and Karnataka reported more than
1% coverage.
Only 56% of health staff are trained for routine immunization in India, with the lowest in
Himachal Pradesh (6.0%) and West Bengal (6.0%).
IMMUNIZATION TRAINING DATA- NIHFW
Till October 2014
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TIMELINESS OF HMIS DATA
PROJECTED FULL IMMUNIZATION COVERAGE
(in Percentage) for Year 2015-16
Apr May Jun July Aug Sep Oct Nov Dec
India 675 70 80 18 46 44 3 32 13 20
A & N Islands 3 2 3 0 2 3 0 2 0 0
Arunachal Pradesh 17 1 2 1 1 1 0 0 1 2 Dibang Valley and Longding
Assam 27 0 0 0 0 0 0 0 0 1 Lakhimpur
Bihar 38 3 3 0 1 0 0 1 0 0
Haryana 21 21 17 2 10 5 0 10 4 1 Mewat
Himachal Pradesh 12 0 1 0 4 2 0 5 1 5 Chamba, Kinnaur, Lahul & Spiti, Sirmaur and Solan
Kerala 14 9 12 7 12 12 3 8 4 5 Idukki, Kozhikkode, Malappuram, Palakkad and Wayanad
Maharashtra 35 0 0 0 1 0 0 1 1 1 Brihan Mumbai
Meghalaya 11 0 0 0 0 0 0 0 0 1 North Garo Hills
Mizoram 9 1 3 0 0 0 0 0 1 2 Lawngtlai and Saiha
Nagaland 11 0 0 1 1 2 0 0 0 0
Odisha 30 14 18 1 6 17 0 2 1 1 Anugul
Puducherry 4 0 0 0 1 0 0 0 0 0
Rajasthan 33 14 14 5 6 1 0 2 0 1 Jaisalmer
Tamil Nadu 32 5 6 0 0 0 0 0 0 0
West Bengal 19 0 1 1 1 1 0 1 0 0
States/UTs
No of
Districts
Names of Districts not reported on schedule in December
2015
No of Districts Not Reported on Schedule
GRAPHS AND CHARTS
ISSUES NATIONAL DATA
HMIS 2015-16 (Data December 2015)
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HEPATITIS B BIRTH DOSE COVERAGE
(Against Institutional Delivery – Expected 100%) Till December 2015, Year 2015-16
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MCV2 COVERAGE
(HMIS –Expected 75.0%, Till December, 2015 Year 2015-16)
DPT BOOSTER COVERAGE
(HMIS –Expected 75.0%, Till December, 2015 Year 2015-16)
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REASON FOR CHILDREN NOT BEING FULLY IMMUNIZED
(In Percentage as on December 2015 – Cumulative)
Source: HTH Monitoring – WHO-NPSP
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ANTIGEN WISE COVERAGE
Till December, Year 2015-16, (Expected 75.0% except HepB-0)
FULL IMMUNIZATION COVERAGE
Till December, Year 2015-16, (Expected 75.0%)
State
HepB-0
(Against Inst.
Delivery) BCG DPT1 Penta1 DPT3 Penta3 HepB-3 MCV 1 MCV 2
JE -1st
Dose
JE - 2nd
Dose
DPT
Booster
A&N Islands 59 56 52 - 56 - 55 77 31 NA NA 59
Chandigarh 87 109 26 46 40 23 45 67 59 NA NA 65
D&N Haveli 98 68 25 29 39 17 38 59 51 NA NA 51
Daman & Diu 74 52 23 32 35 15 34 61 54 NA NA 54
Goa 59 66 1 68 1 68 2 75 75 65 64 75
Himachal Pradesh 87 67 42 26 59 8 59 71 64 NA NA 65
Karnataka 80 72 1 72 0 71 0 70 63 75 53 65
Kerala 60 68 0 69 0 65 0 66 25 6 57 65
Lakshadweep 97 55 69 6 72 0 72 72 67 NA NA 66
Maharashtra 61 77 67 7 71 0 71 73 68 52 49 69
Puducherry 86 101 1 55 1 47 0 51 50 NA NA 50
Punjab 68 75 2 68 8 62 8 77 69 NA NA 70
Sikkim 95 53 33 20 47 6 47 57 49 NA NA 52
Tamil Nadu 124 62 0 62 0 61 0 63 21 21 57 63
DATA – SELECTED STATES
HMIS 2015-16 (Data December 2015)
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HEPATITIS B BIRTH DOSE COVERAGE
(Against Institutional Delivery) Till December 2015, Year 2015-16
MCV2 COVERAGE
(HMIS –Expected 75.0%, Till December, 2015 Year 2015-16)
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Need Clarification
A & N Islands
Low coverage of Hep B Birth dose (59.4%) against institutional deliveries.
Low coverage of BCG (55.6%), DPT first dose (51.7%), DPT third dose (55.9%), HepB third dose
(55.0%), Measles second dose (31.5%) and DPT Booster (59.2%) while Over reporting of Measles
first dose (77.4%).
DPT1-DPT3 dropout rate is negative (-8.1 %) mainly from districts South Andaman (-10.5%) and
North & Middle Andaman (-8.0%). Negative dropout means that the reported DPT3 coverage is
higher than the DPT 1 coverage.
Chandigarh
Over reporting of BCG (109.5%) while low coverage of DPT first dose (25.5%), DPT third dose
(39.6%), HepB third dose (44.6%) and Measles second dose (59.1%).
DPT1-DPT3 dropout rate is negative (-54.9 %). Negative dropout means that the reported DPT3
coverage is higher than the DPT 1 coverage.
State is also reporting data on JE-1st dose (13) though JE is not a part of UIP program in the
state.
D &N Haveli
Low coverage of DPT first dose (24.7%), DPT third dose (38.7%), HepB third dose (37.5%),
Measles first dose (59.1%), Measles second dose (51.2%), Fully Immunized (57.9%) and DPT
Booster (51.4%).
DPT1-DPT3 dropout rate is negative (-56.7 %). Negative dropout means that the reported DPT3
coverage is higher than the DPT 1 coverage.
STATE SPECIFIC ISSUES
HMIS DATA – TILL DECEMBER 2015 – 14 STATES
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State is also reporting data on JE-1st dose (10) though JE is not a part of UIP program in the
state.
Daman & Diu
Low coverage of Hep B Birth dose (74.0%) against institutional deliveries.
Low coverage of BCG (51.9%), DPT first dose (22.6%), DPT third dose (35.2%), HepB third dose
(34.4%), Measles second dose (53.6%), Fully Immunized (59.9%) and DPT Booster (53.9%).
DPT1-DPT3 dropout rate is negative (-55.8 %) mainly from districts Daman (-57.4%) and Diu (-
50.9%). Negative dropout means that the reported DPT3 coverage is higher than the DPT 1
coverage.
Goa
Low coverage of Hep B Birth dose (59.3%) against institutional deliveries.
Himachal Pradesh
Low coverage of DPT first dose (42.1%), DPT third dose (58.9%) and HepB third dose (58.9%).
DPT1-DPT3 dropout rate is negative (-40.1 %) mainly from districts Kullu (-47.5%), Lahul Spiti (-
47.3%) and Kangra (-47.1%). Negative dropout means that the reported DPT3 coverage is higher
than the DPT 1 coverage.
State is also reporting data on JE-1st dose (149) and JE-2nd dose (521) though JE is not a part of
UIP program in the state.
Karnataka
Low coverage of Hep B Birth dose (79.5%) against institutional deliveries.
Low coverage of JE second dose (52.7%).
Kerala
Low coverage of Hep B Birth dose (60.5%) against institutional deliveries.
Low coverage of Measles second dose (25.1%), JE first dose (6.0%) and JE second dose (56.9%).
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Lakshadweep
Low coverage of BCG (54.8%).
DPT1-DPT3 dropout rate is negative (-5.1 %). Negative dropout means that the reported DPT3
coverage is higher than the DPT 1 coverage.
More than 5% planned RI sessions not held till December 2015.
State is also reporting data on JE-1st dose (4) though JE is not a part of UIP program in the state.
Maharashtra
Low coverage of Hep B Birth dose (60.7%) against institutional deliveries.
Over reporting of BCG (76.6%), JE first dose (52.0%) and JE second dose (48.9%).
DPT1-DPT3 dropout rate is negative (-5.9 %) mainly from districts Kolharpur (-14.6%), Gondiya (-
13.1%) and Thane (-12.8%). Negative dropout means that the reported DPT3 coverage is higher
than the DPT 1 coverage.
Puducherry
Over reporting of BCG (101.4%) while low coverage of Penta first dose (55.0%), Penta third dose
(47.0%), Measles first dose (50.6%), Measles second dose (49.6%), Fully Immunized (49.9%), DPT
Booster (50.0%).
Penta1-Penta3 dropout rate is 14.6% mainly from districts Karaikal (9.3%), Yanam (1.8%) and
Mahe (0.6%).
State is also reporting data on JE-1st dose (52) and JE-2nd dose (7) though JE is not a part of UIP
program in the state.
Punjab
Low coverage of Hep B Birth dose (67.9%) against institutional deliveries.
Over reporting of Measles first dose (76.8%) and Fully Immunized (76.1%).
State is also reporting data on JE-1st dose (42) though JE is not a part of UIP program in the
state.
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Sikkim
Low coverage of BCG (53.4%), DPT first dose (33.3%), DPT third dose (47.1%), HepB third dose
(46.8%), Measles first dose (56.9%), Measles second dose (48.6%), Fully Immunized (55.9%) and
DPT Booster (52.2%).
DPT1-DPT3 dropout rate is negative (-41.5 %) mainly from districts North (-48.1%), East (-43.0%)
and South (-41.7%). Negative dropout means that the reported DPT3 coverage is higher than the
DPT 1 coverage.
Tamil Nadu
Over reporting of Hep B Birth dose (123.6%) against institutional deliveries.
Low coverage of Measles second dose (20.6%), Fully Immunized (59.9%), JE first dose (21.0%), JE
second dose (57.2%).