Background
Immunization saves millions of lives every year from a wide range of diseases. The Government of India, working together with international partners including UNICEF, WHO, World Bank and Rotary International is scaling up efforts to ensure universal access to immunization by 2020. National Immunization Programme is one of the key interventions for protection of children from life threatening conditions, which are preventable by vaccination.
India's Universal Immunization Programme (UIP) is one of the largest health programmes of the world, targeting more than 2.67 crore newborns each year. The UIP provides vaccination against 12 Vaccine Preventable Diseases (VPD) viz. Diphtheria, Pertusis, Tetanus, Polio, Measles, Rubella, severe form of Childhood Tuberculosis, Rotavirus diarrhoea, Hepatitis B, Meningitis & Pneumonia caused by Haemophilus influenzae type B and Pneumococcal Pneumonia. These vaccines are provided free of cost to the children.
In the last few years, the State has achieved significant progress in immunization coverage. The State is now focusing on sustained improvement in universal immunization coverage so that every child and pregnant woman is protected against Vaccine Preventable Diseases as per the National Immunization Schedule.
National Immunization Schedule (NIS)
| Sl. No. | Vaccine | Dose | Recommended Age | Volume | Route and site of administration |
|---|---|---|---|---|---|
| 1 | BCG | 0.05 ml (Up to 1 Month age) 0.1 ml (After 1 month age) |
At birth or as early as possible till one year of age | 0.05 ml (Up to 1 Month age) 0.1 ml (After 1 month age) |
Intra - dermal, Left Upper Arm |
| 2 | Hepatitis B Birth Dose | 0.1 ml Universally may be given within 24 hr. | At Birth or as early as possible within 24 hours | 0.5 ml | Intra - Muscular, Antero lateral side of mid - thigh |
| 3 | OPV - 0 | -- | At birth or as early as possible within 15 days | 2 Drops | Oral - OPV drops |
| 4 | OPV 1, 2 & 3 | -- | At 6 (6 weeks), 10 (10 weeks) & 14 (14 weeks) weeks | 2 Drops | Oral - OPV drops |
| 5 | Penta - valent 1, 2 & 3 | -- | At 6 (6 weeks), 10 (10 weeks) & 14 (14 weeks) weeks | 0.5 ml | Intra - Muscular, Antero - lateral side of mid - thigh |
| 6 | Rotavirus Vaccine (RVV) | -- | At 6 (6 weeks), 10 (10 weeks) & 14 (14 weeks) weeks | 5 Drops OR 0.5 ml | Oral - RVV liquid |
| 7 | PCV 1, 2 & 3 | -- | At 6 (6 weeks), 10 (10 weeks) & 14 (14 weeks) weeks (PCV 3 at 9 completed months) |
0.5 ml | Intra - Muscular, Antero - lateral side of mid - thigh |
| 8 | IPV 28 | -- | At 6 (6 weeks), 10 (10 weeks) & 14 (14 weeks) weeks | 0.5 ml | Intra - Muscular, Antero lateral side of mid - thigh |
| 9 | Measles / MR 1st & 2nd Dose | -- | 9 - 12 months & 16 - 24 months | 0.5 ml | Sub Cutaneous, Right upper arm |
| 10 | JE - 1 | -- | 9 - 12 months | 0.5 ml | Sub Cutaneous, Left upper arm |
| 11 | JE - 2 | -- | 16 - 24 months | 0.5 ml | Sub Cutaneous, Left upper arm |
| 12 | DPT Booster | -- | 16 - 24 Months | 0.5 ml | Intra - Muscular, Antero - lateral side of mid - thigh |
| 13 | DPT Booster 2 | -- | 5 - 6 Years | 0.5 ml | Intra - Muscular, Upper Arm above triceps |
| 14 | Td 1 | -- | 10 years & 16 years (Td 1 & Td 2) | 0.5 ml | Intra - Muscular, Upper Arm above triceps |
| 15 | Td 2 | -- | 10 years & 16 years (Td 1 & Td 2) | 0.5 ml | Intra - Muscular, Upper Arm above triceps |
| 16 | Td for Pregnant woman | -- | Earlier Pregnancy | 0.5 ml | Intra - Muscular, Upper Arm above triceps |
| 17 | Td Booster (For Pregnant Woman) | -- | Earlier Pregnancy | 0.5 ml | Intra - Muscular, Upper Arm above triceps |
- BCG after 1 month of age = 0.1 ml with Mantoux Test 2 TU PPD (Tuberculin Unit) (If Mantoux test is negative, re-check after 6 weeks and repeat / revaccinate only if still negative).
- JE vaccine not given in Kaimur, Khagaria & Begusarai district in the state of Bihar.
- Reconstituted vaccine should not be used.
Guideline
Proper storage of vaccines is most important to make immunization safe and effective. Cold chain equipment have to be installed properly and vaccines stored carefully so that the vaccines do not get freezed & destroyed.
When opened, the vaccines and diluents should be kept in the cold chain box with the temperature maintained between +2 degree C to +8 degree C, and thawing and freezed vaccines should not be used in any circumstances.
Immunization Guidelines
- PCV Operational Guidelines
- Immunization Handbook Hindi
- Immunization Handbook English
- Rotavac Operational Guidelines - Hindi
- Rotavac Operational Guidelines - English
- Td Vaccine Operational Guidelines
- Paracetamol Guideline - 1st dose at 6 weeks
- Immunization Handbook for Medical Officers - 2017
- IAP - Immunization Schedule - English
- Td Vaccine - FAQs
- FAQ for Parents (English)
- FAQ for Health Workers (English)
Beneficiaries
So sabhi bacche (0-2 Year), pregnant women.
Events / News
- Pulse Polio Campaign 19 to 23 June 2022
- All India Pulse Polio Immunization Campaign started from 18 to 22 Sept 2022 (Integrated with DPT Booster Dose).
Report - Immunization
Click here
Report - COVID19 Vaccination
So far around more than 13 crore doses of COVID 19 vaccine have been administered in the state of Bihar.
13 crore doses has been administered.
Model Immunization Center
Learn how to set up a Model Immunization Center by watching the video below.