Under the Indian National Immunization Schedule, the FIRST dose of vitamin A supplementation is given as:

• A 50,000 IU orally at 6 weeks with the first pentavalent dose
• B 1 lakh (100,000) IU orally at 6 months with the third pentavalent dose
• C 2 lakh (200,000) IU orally at 9 completed months with measles-rubella vaccine
• D 1 lakh (100,000) IU orally at 9 completed months with measles-rubella vaccine ✓

Explanation

The first vitamin A dose of 1 lakh IU is given orally at 9 completed months, deliberately paired with the measles-rubella vaccine visit to ensure delivery through the contact point. Subsequent doses are 2 lakh IU each, at 16 to 18 months and then every 6 months until 5 years, giving 9 doses in total. The 2 lakh dose is reserved for children above 12 months, which makes option C incorrect for the first dose.

Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.