Question : UNICEF S COVERAGE EVALUATION SURVEY



(a) whether the Government has taken note of the report of health care in India by UNICEF`s Coverage Evaluation Survey- 2009 and India Health Report-2010 by Indicus Analytics;

(b) if so, the details thereof;

(c) the facts given in both the reports in regard to immunisation status among 12-23 months old children, reasons for not seeking treatment, rural-urban distribution of health workers and spending of State Governments on health care and medicine;

(d) the response of the Union Government on the facts; and

(e) the corrective measures taken by the Government on the basis of findings and facts of both the reports?

Answer given by the minister


THE MINISTER OF HEALTH & FAMILY WELFARE (SHRI GHULAM NABI AZAD)

(a) to (c): The Government of India has taken note of the report of health care in India by UNICEF’s Coverage Evaluation Survey-2009 (CES-2009). Details regarding immunization coverage as per the CES-2009 are as under:

BCG	86.9%
OPV3	70.4%
DTP3	71.5%
Measles	74.1%
Hep-B3	58.9%
Fully immunized	61.0%
# in selected areas.

Reasons for partial or no immunization are as (i) Did not feel need (28.2%)(ii) Not knowing about vaccine (26.3%) (iii) Not knowing where to go for immunization (10.8%) (iv) Time not convenient (8.9%) (v) Fear of side effects (8.1%) (vi) Do not have time (6.0%) (vii) Vaccine not available (6.2%) (viii) Place not convenient (3.8%) (ix) ANM absent (3.9%) (x) Long waiting time (2.1% ) (xi) Place too far (2.1% ) (xii) Service not available (2.1%)

(d) & (e): The following steps are taken to achieve Universal Immunization.

1. Government of India centrally procures and supplies vaccines and cold chain equipments for immunization programme to the states/UTs as per their requirements.

2. The states are provided support to improve efficiency in service delivery through following interventions:

# Mobility Support to strengthen supportive supervision.

# Support for alternate vaccine delivery from the last cold chain point at PHC/CHC to session site saving time & effort of ANM and bring about efficiency.

# Where ANM is not available as in the urban slums and underserved areas, hiring of vaccinators have been allowed for providing immunization.

# Incentive to ASHA for mobilizing beneficiaries due for vaccination to the session site to prevent missed-out beneficiaries.

# Use of Auto-disabled syringes for injection safety and improve service quality.

# Support for preparation of microplan.