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Mission Indradhanush since Dec 2014
Intensified Mission Indradhanush since Oct 2017

Covers
< 2 Yr and pregnant

To cover the uncovered under routine immunization
Increase coverage to 90% by December 2018 (advanced from 2020)
4 rounds of 7 days each; starting from 7th of each month to 13th i.e 7 days
In:
• Select districts
• Select urban areas
• NE states
Areas have been selected after triangulation of data from surveys

Goals and objectives
• Life Expectancy
o 67.5 to 70 by 2025
o Track DALY index for all ds by 2022
o TFR reduce to 2.1 by 2025
• Mortality rates
o <5 MR to 23 by 2025
o MMR to 100/100000 by 2020
o IMR to 28 by 2019
o NNMR to 16 by 2025
o SBR to single digit “
• Reduce prevalence and incidence by 2020
o HIV 90.90.90
o Eliminate
1. leprosy 2018
2. kala azar 2017
3. lymphatic filriasis by 2017
o TB > 85% cure rate 2025
o Blindness to 0.25% by 2015

What are the constituents?
The composition of the new, reduced osmolarity ORS, as recommended by WHO, is as follows:
• Sodium chloride—2.6 g
• Glucose (anhydrous)—13.5 g
• Potassium chloride—1.5 g
• Trisodium citrate dehydrate—2.9 g
(Total weight of a packet = 20.5 g)
The new ORS was launched by WHO in January 2004 and in India in June 2004.

Against which diseases are they recommended?
They are recommended for prevention and treatment of anemia across the life cycle i.e. 6months – 5 yr, 5 – 10 yr, 10 – 19 yr., women in reproductive age, during pregnancy and lactation.

Mention some iron rich foods.
• Heme iron: Liver, meat, poultry, and fish.
• Nonheme iron: Green leafy vegetables, legumes, cereals, nuts and oilseeds, jaggery, and dried fruits.

Enumerate the guidelines for case selection fit for sterilization.
(Self-declaration by the client will suffice as the basis for this information.)
1. Clients should be ever married.
2. Male clients should be at least 22 years old and ideally be below the age of 60 years.
3. Female clients should be below the age of 49 years and above the age of 22 years.
4. The couple should have at least one child whose age is above 1 year unless the sterilization is medically indicated.

The Injectable Contraceptives contain synthetic female hormones. When administered intramuscularly of subcutaneously, these are slowly released into the blood stream and provide protection from pregnancy for a long duration.

There are two main types of injectable contraceptives:

Method of use
• To be worn by the female before the intercourse
• The smaller closed end ring fits on cervix and the larger outer ring remains outside vagina
No lubrication is required as it is prelubricated with silicon.8
What is its failure rate?
Ranges from 5 to 21 pregnancies per HWY.9
Advantages
• Provides some protection from STD/HIV also
• No systemic side effects
• Empowers women to protect herself against STD/HIV and conception
Disadvantages
• Expensive
• Needs action just before coitus

Unmet need for family planning is defined as the percentage of women of reproductive age, either married or in a union, who want to stop or delay childbearing but are not using any method of contraception.
Unmet need for family planning= (Women of reproductive age (15-49) who are married or in a union and who have an unmet need for family planning)/(Total number of women of reproductive age (15-49) who are married or in a union) X 100

How is the efficacy of a contraceptive measured?
Efficacy of a contraceptive method is measured by two methods:
1. Pearl index
2. Life table analysis

What is "Pearl index”?
Pearl index is used for measuring the failure rate of a contraceptive. It is defined as the number of contraception failures per 100 woman years (HWY) of exposure. It is calculated by the formula:
Failure rate per HWY = Total accidental pregnancies/Total months of exposure × 1200

The desired features of an "ideal contraceptive” are as follows:
• Safe (S)
• Effective (E)
• Acceptable (A)
• Inexpensive (I)
• Reversible (R)
• Simple to administer (S)
• Independent of coitus (I)
• Long lasting (L)
• Requires little or no medical supervision (M)
(Mnemonic: SEAL M SIR)