Mission Routine Immunization

Problem Statement

In Arunachal 25% (49/197) of the health facilities are very hard to reach. 41% (9/22) districts having % FI less than 40% as per NFHS-4 (2015-16). State has decided to conduct Intensive Routine Immunisation (RI)/ Mission Indradhanush (MI) in all the districts under the concept Mission Pratiraksha.

2016 - Total 17 confirmed Measles outbreaks & 1 Rubella outbreak. At the outbreak area, 85% children aged 1-4 years have not received a single dose of MCV. 2017 – Total 8 confirmed Measles outbreaks with 5 deaths.

Programme Description

State Level Interventions

• Customized Plan for RI Strengthening drafted with Arunachal Context.
• RRTs (WHO) deployed for need assessment.
• State level master training on microplanning, data review & HW handbook (new) TOT with national level facilitators with WHO support done for DRCHOs & 1 identified MO/district.
• 3 SMOs & 6 RRTs from WHO deployed in 22 districts for stewarding the activity for 2 month. The team has visited 61% (120/197) PUs.
• The State has tracked the program intensively.
• The State has funded printing of planning formats & workshops (micro planning & HW training) at all 197 health facilities along with headcounting activities at all the villages/ hamlets of the state.

District Level Interventions

• District level baseline microplan assessment meeting, mid-term review & final review done in all 22 districts.

Health Facility (PU) Level Interventions

• 197 Health facilities identified as planning units (PUs) in 22 districts. 
• 80% (158/197) of identified PUs are Cold Chain Points (CCPs). Rationalization of cold chain points & vaccine distribution system.

Source : We Care Coffee Table Book - Good, Replicable and Innovative Practices 2019