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VOLUME 3 , ISSUE 2 ( May-August, 2018 ) > List of Articles

REVIEW ARTICLE

Immunization in Rajasthan: Progress, Opportunities, and Challenges

Latika N Sinha, Devinder Sondhi, Kriti Patel

Keywords : Rajasthan, Vaccine preventable disease,Newer vaccines

Citation Information : Sinha LN, Sondhi D, Patel K. Immunization in Rajasthan: Progress, Opportunities, and Challenges. J Mahatma Gandhi Univ Med Sci Tech 2018; 3 (2):66-69.

DOI: 10.5005/jp-journals-10057-0071

License: CC BY-NC 4.0

Published Online: 00-08-2018

Copyright Statement:  Copyright © 2018; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background: In India many newer initiatives are being taken to control vaccine preventable diseases. Introducing new vaccines will help prevent some 1.3 million children deaths attributed to pneumococcal, meningococcal and rotavirus disease. Meticulous monitoring of temperature with newer technologies like electronic Vaccine Intelligence Network (eVIN), enabling real time information on cold chain temperatures, vaccine stocks and flows, use of autodisabled syringes are initiatives for safer service delivery. Materials and methods: Available literature was reviewed to chronologically describe the newer vaccines introduced in Rajasthan in the last decade. With each vaccine the challenges in coverage were reviewed. Simultaneous availability in the private sector and costs involved have also been stated. Results: In Rajasthan injectable polio, pentavalent, rotavirus pneumococcal vaccine, measles-rubella are the newer vaccines introduces in the last decade. Positive policy support, sustained funding mechanism, strong collaboration along with a strong and responsive health system have helped to attain coverage of these vaccines among the underserved. Conclusion: All newer vaccines introduced will have an impact on reducing the infant mortality rate (IMR) and under five mortality rate, if the implementation of routine immunization and acceptance of vaccines is achieved by all concerned stakeholders. Continued support of pediatricians is important to sustain acceptance of vaccines, thus improving routine immunization rates. Much will depend on the continued commitment of the state government and the national and international agencies to sustain and upscale the efforts to meet the child survival goals and to meet the sustainable development goals.


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  1. Lahariya C. A brief history of vaccines & vaccination in India. Indian J Med Res 2014;139(4):491–511, http://www.searo.who.int/india/topics/measles/faqs_measles_rubella_vaccine_english.pdf (last accessed on 20/08/2017).
  2. htttp://www.who.int/immunization/newsroom/en/last accessed 25/07/2019.
  3. Family Welfare Statistics in India, MoHFW, Govt. of India, 2006.
  4. http://www.in.undp.org/content/india/en/last accessed 25/07/2019.
  5. WHO-UNICEF. WHO Department of Immunization, Vaccines and Biologicals and UNICEF Programme Division, Health Section www.who.int/vaccines-documents/www.unicef.org Global Immunization and Vaccine strategy, 2006–15.
  6. www.indiastats.com/healthdata/16/Immunization/128/stats.
  7. Annual Health Survey report, Ministry of Home Affairs, Rajasthan Factsheet 2013–14.
  8. www.unicef.org/about/execboard/files/2019_AS.../last accessed 26/07/2019.
  9. MOHFW GOI Multi Year Strategic Plan Reaching every child 2013–17.
  10. Background material for NTAGI Standing Technical Sub-Committee (STSC) Meeting on “Potential Strategies for the Control of Rubella and CRS Burden in India.” February 26, 2014; Indian Council of Medical Research, New Delhi.
  11. Sutter R, Bahl S, et al. Immunogenicity of a new routine vaccination schedule for global poliomyelitis prevention: an open-label, randomised controlled trial. The Lancet December 12 2015; 386(10011):2413–2421. DOI: 10.1016/S0140-6736(15)00237-8.
  12. Sarkar R, Muliyil J, et al. Rotavirus gastroenteritis in India, 2011–2013: Revised estimates of disease burden and potential impact of vaccines. Vaccine 2014;32(1):A5–A9. DOI: 10.1016/j.vaccine.2014.03.004.
  13. Farooqui H, Jit M, et al. Burden of Severe Pneumonia, Pneumococcal Pneumonia and Pneumonia Deaths in Indian States – Modelling Based CHERG Estimates. PLoS ONE 10(6):e0129191. DOI: 10.1371/journal.pone.0129191.
  14. Government of India, Ministry of Health and Family Welfare (Immunization Division). ICMR Expert Group Recommendations on MR campaign ICMR, Feb 2017.
  15. WHO Position Paper, Mumps Virus Vaccines. Wkly Epidemiol Rec 2019;82:49–60.
  16. Dewan P, Gupta P. Burden of congenital rubella syndrome (CRS) in India: A systematic review. Indian Pediatr 2012;49:377–399. DOI: 10.1007/s13312-012-0087-4.
  17. Background material for NTAGI Standing Technical Sub-Committee (STSC) Meeting on “Potential Strategies for the Control of Rubella and CRS Burden in India.” February 26, 2014; Indian Council of Medical Research, New Delhi.
  18. Vashishtha VM, Yewale VN, et al. IAP perspectives on measles and rubella elimination strategies. Indian Pediatr 2014 Sep 1;51(9): 719–722. DOI: 10.1007/s13312-014-0488-7.
  19. Status Report on Progress towards Measles and Rubella Elimination. SAGE Working Group on Measles and Rubella (17 October 2013) Available from: http://www. who.int/immunization/sage/meetings/2013/november/Status_Report_Measles_Rubella21Oct2013_FINAL.pdf Accessed on May 19, 2014.
  20. timesofindia.indiatimes.com/city/jaipur/measles-rubella vaccine campaign.
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