Community Medicine (PSM) · Immunization and Vaccines (Cold Chain, NIS Schedule, Open Vial Policy)

India's Mission Indradhanush 4.0 (Intensified Mission Indradhanush) targets immunization of which groups PRIMARILY?

  • A Children aged 0–2 years and pregnant women who are unvaccinated or partially vaccinated, in selected high-burden districts
  • B All children below 5 years and pregnant women in urban slums only
  • C Only zero-dose children identified in HMIS data in tribal districts
  • D Children below 2 years and women of reproductive age (15–49 years) in all districts
Correct answer: A. Children aged 0–2 years and pregnant women who are unvaccinated or partially vaccinated, in selected high-burden districts

Explanation

Mission Indradhanush (MI), including Intensified MI (IMI) 4.0, targets children aged 0–2 years and pregnant women who have received no vaccines (zero-dose) or who are partially vaccinated, in identified high-burden blocks and districts with poor immunization coverage. The focus is on districts with the highest number of unimmunized children based on HMIS and survey data. The aim is to achieve 90% full immunization coverage. IMI 4.0 (2022 onwards) extended coverage to include administrative blocks with high numbers of unvaccinated individuals, not restricting to tribal areas alone.

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

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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