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Vaccination Schedule in India, 2016

Vaccines under UIP, India, 2016
Brief History of the Immunization Program in India
• May 1974:
– Expanded Programme on Immunization (EPI); Launched by WHO
– Included immunization against 6 Vaccine Preventable Diseases (VPD’s)
• Diphtheria,
• Pertussis,
• Tetanus,
• TB,
• Measles and
• Polio
– Later renamed as ‘Universal Child Immunization, 1990
• Jan 1978: EPI launched in India

• Nov 1985: EPI replaced in India by the ‘Universal Immunization Programme (UIP)

• 1992: UIP became a part of Child Survival and Safe Motherhood (CSSM) Program
– NID’s started for polio eradication in 1995

• 1997: UIP became a part of Reproductive and Child Health (RCH) Program
– NPSP launched by WHO and GOI collaboration

• 2005: UIP became a part of NRHM umbrella program
– National Adverse Events Following Immunization (AEFI) Surveillance and Response guidelines launched
– Glass syringes replaced by auto- disable syringes
– The National Technical Advisory Group on Immunization (NTAGI) in India was constituted in 2001, and was reconstituted in 2010

• 2011: National vaccine policy released

• 25th December, 2014 : Mission Indradhanush launched: this seeks to drive towards 90% full immunization coverage of India and sustain the same by year 2020.

Introduction of new antigens in UIP in India (till 2016)
• 1999: MMR was introduced in state immunization program of Delhi as a single dose administered between 15-18 months of age
– MMR now a part of State immunization schedules of only Goa, Puducherry, Sikkim and Delhi
• 2002: Hepatitis B added in 33 Stated ; All over the country by 2011
• 2006: Japanese Encephalitis (JE) added: covered all the 112 endemic districts by – 2010
• 2010: second dose of measles introduced (given with DPT first booster)

• 2011: Hib added in Kerala and Tamil Nadu as ‘Pentavalent vaccine’(Hepatitis B, Diphtheria + Pertussis + Tetanus (DPT) and Haemophilus influenza b (Hib))

• Presently, Pentavalent vaccine has replaced the primary doses of DPT and Hepatitis B all over the country

• 2015: As a part of Polio end game strategy, Injectable Polio Vaccine (IPV) vaccine has been introduced in 6 states from 30th November 2015 in Phase1.
– In 2016, IPV was introduced in the remaining states

• Rotavirus Vaccine: to be given under UIP as a 3 dose vaccine along with DPT 1st, 2nd and 3rd dose in a phased manner, initially in four states i.e.
– Andhra Pradesh,
– Odisha,
– Haryana and
– Himachal Pradesh in first quarter of 2016.
– Subsequently, the vaccine will be scaled up in entire country.

National Immunization schedule

• For Pregnant Women

• For Infants & Children till Recently

• For Infants & Children as in 2016
Latest National immunization schedule for infants and children, 2016, India

New vaccines to be introduced as per National Technical Advisory Group on Immunization (NTAGI) recommendation
1. Rota virus vaccine: NTAGI recommended the introduction of rotavirus vaccine in Universal Immunization Programme in a phased manner.
2. Rubella vaccine is to be introduced as MR vaccine replacing the measles containing vaccine first dose (MCV1) at 9 months and second dose (MCV2) at 16-24 months.

• Chandrakant Lahariya. A brief history of vaccines & vaccination in India; Indian J Med Res. 2014 Apr; 139(4): 491–511
• Park’s Textbook of PSM
• National Health Mission, MoHFW: available at: last accessed on 9th Nov 2016
• UIP, Directorate of Family Welfare, Govt of Delhi: available at last accessed on 9/11/2016

for vaccination schedule in India, 2016:
MDG Goal 4 achievement in India, 2016: