The expanded programme on immunization: a decade of progress in India
J Sokhey1, R J Kim-Farley, I Bhargava
1Ministry of Health and Family Welfare, New Delhi, India.
Annals of Tropical Paediatrics
|March 1, 1989
Summary
India
Area of Science:
- Public Health
- Pediatrics
- Epidemiology
Background:
- The Expanded Programme on Immunization (EPI) began in India in 1978.
- Its goal was to decrease illness and deaths from major childhood diseases by 1990.
Purpose of the Study:
- To assess the progress and impact of India's immunization programs.
- To identify areas needing accelerated efforts to reach universal vaccination targets.
Main Methods:
- Review of immunization coverage data for infants and pregnant women.
- Analysis of surveillance reports to document disease incidence reduction.
Main Results:
- Measles vaccine was added in 1985-6 under the Universal Immunization Programme (UIP).
- About 50% of infants receive complete primary immunization (DPT, OPV, BCG).
- 46% of pregnant women receive tetanus toxoid (TT) doses.
Conclusions:
- Vaccination coverage is increasing, with documented disease reduction in some areas.
- Continued acceleration of immunization services is crucial to meet the 1990 universal coverage goals.
Keywords:
AsiaChild Health ServicesDelivery Of Health CareDeveloping CountriesDiseases--prevention and controlEducationHealthHealth PersonnelHealth ServicesImmunizationIncidenceIndiaInfectionsMaternal-child Health ServicesMeasurementOrganization And AdministrationPrimary Health CareProgram DevelopmentProgram EvaluationProgramsResearch MethodologySouthern AsiaTetanusTraining ActivitiesTraining ProgramsTuberculosisRelated Concept Videos
Vaccinations
Overview
Methods Of Healthcare Delivery System
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Primary Healthcare Services
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
Development of Immunocompetence
The initiation of cell-mediated immunity can be observed as early as the third month of fetal growth, with active antibody-mediated immunity following approximately one month later.
The initial cells that migrate from the fetal thymus settle within the skin and epithelial tissues lining the mouth, digestive tract, and in females, the uterus and vagina. These cells, including skin-based dendritic cells, serve as antigen-presenting cells, playing a key role in T cell activation.
Subsequent T...
The initial cells that migrate from the fetal thymus settle within the skin and epithelial tissues lining the mouth, digestive tract, and in females, the uterus and vagina. These cells, including skin-based dendritic cells, serve as antigen-presenting cells, playing a key role in T cell activation.
Subsequent T...
Smallpox
Smallpox is a severe contagious disease caused by the Variola major virus, a double-stranded DNA member of the Poxviridae family.Variola major transmission occurs primarily via inhalation of virus-laden droplets or direct contact with infectious scabs. The incubation period averages approximately seven days, although it may range from 7 to 17 days depending on the inoculum and host factors.Clinically, the prodromal phase is marked by an abrupt onset of high fever, malaise, headache, and myalgia.
Poliomyelitis
Poliomyelitis is caused by poliovirus, a small, non-enveloped, positive-sense RNA virus of the Picornaviridae family and Enterovirus genus. Transmission occurs primarily via the fecal-oral route, often through ingestion of contaminated water or food. The virus initially replicates in the oropharynx and intestinal mucosa, particularly in lymphoid tissues such as the tonsils, Peyer’s patches, and regional lymph nodes. Primary viremia follows, allowing dissemination throughout the body.In most...


