Title: Evaluation of infrastructure, implementation and bottlenecks in the Mission Indradhanush program in selected districts of Indore division (Madhya Pradesh)- A Cross sectional study

Authors: Dr Anand Kumar Patidar, Dr Jageshwar Dayal Kori, Dr Bhagwan Waskel, Dr A.K. Khatri, Dr Sanjay Dixit

 DOI: https://dx.doi.org/10.18535/jmscr/v7i11.36

Abstract

Background: Govt. of India, launched Mission Indradhanush in December 2014 to achieve more than 90% full immunization coverage in the country. It focus on the areas with  sub-centers where no auxiliary nurse midwife  posted for more than three months, villages/areas with three or more consecutive missed routine immunization sessions, high risk areas. There were two main components of mission (1) Operational planning: By using Fixed and outreach and Mobile sessions (2) Communication planning.

Methods: It was a cross sectional study done (2016-17) in 3 randomly selected districts of Indore division where the Mission Indradhanush campaign was held. In each selected District 4 Planning unit (CHC/PHC, Total=12) & 2 session site from each planning units (Total=24) were randomly selected. Data collection was done by using checklist based questionnaire.

Results: Most of the posts of health care providers involved in program was filled except 1 post of cold chain technician. Most of the health care providers were trained for their work. About at 86% sessions sites vaccines was delivered by alternate vaccine delivery system. Immunization card and updated due list by vaccinators was available at most of the session sites.

Conclusion: Basic infrastructure and logistics required for cold chain maintenance was available at most of the cold chain points. Material for vaccination like MCP cards, counter foils and updated due list were available at most of the session sites.

Keywords: Mission Indradhanush, ANM, ASHA, IPC, AVDs.

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