The National Immunization Programme (NIP) in Nepal aims to reduce child mortality from vaccine-preventable diseases. Launched in 1977, it has met goals like MDG 4 on child mortality reduction. The NIP delivers vaccines through health clinics and outreach sessions nationwide. Its goals are to achieve and maintain at least 90% vaccination coverage nationally and end diseases like polio, which Nepal was declared free of in 2010. The NIP targets children under 1 for vaccines like BCG, DPT and measles, and also provides tetanus vaccines for pregnant women. It conducts over 16,000 immunization sessions monthly across the country.

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.

9. NATIONAL IMMUNIZATION SCHEDULE

11. Thank
you