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

Under the National Immunization Schedule, the first dose of Vitamin A solution is given to a child at 9 months. The correct description of the remaining schedule is:

  • A Eight further doses at six-monthly intervals up to 5 years of age, totaling nine doses
  • B Five further doses at six-monthly intervals up to 3 years of age
  • C Two further doses at 18 months and 5 years of age
  • D Six further doses given annually up to 6 years of age
Correct answer: A. Eight further doses at six-monthly intervals up to 5 years of age, totaling nine doses

Explanation

The first dose of 1 lakh IU is given with the MR first dose at 9 months, followed by eight doses of 2 lakh IU every six months until the fifth birthday, making nine doses in total. This aligns with WHO recommendations for populations where vitamin B deficiency is a public health problem. Schedules ending at 3 years or giving annual doses do not match India's UIP policy.

Reference: Park's Textbook of Preventive and Social Medicine, 26th ed.

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