Immunization

Universal Immunisation Programme

Universal Immunization Programme

The goal of UIP is provide every women and child protection from vaccine preventable disease.

  • Immunization Programme is one of the key interventions for protection of children from life threatening conditions, which are preventable. It is one of the largest immunization programme in the world and a major public health intervention in the country.
  • Immunization Programme in India was introduced in 1978 as Expanded Programme of Immunization (EPI)
  • The programme gained momentum in 1985 and was expanded as Universal Immunization Programme (UIP) to be implemented in phased manner to cover all districts in the country by 1989-90.
  • UIP become a part of Child Survival and Safe Motherhood Programme in 1992 Since, 1997, immunization activities have been an important component of National Reproductive and Child Health Programme and is currently one of the key areas under National Rural Health Mission (NRHM) since 2005
  • Under the Universal Immunization Programme, Government of India is providing vaccination to prevent eleven vaccine preventable diseases i.e.

The Vaccination Schedule under the UIP -:

National Immunization Schedule for Pregnant Women,Infants and Children

Vaccine 

Due Age

Max. Age

Dose

Diluent

Route

Site

For Pregnant Women

Td-1

Early in pregnancy

Give as early as possible in pregnancy

0.5 ml

No

Intramuscular

Upper Arm

Td-2

4 weeks after Td-1

0.5 ml

No

Intramuscular

Upper Arm

Td Booster

If received 2 TT/Td doses in a pregnancy within the last 3 years

0.5 ml

No

Intramuscular

Upper Arm

For Infants

BCG

At birth

till one year of age

(0.05 ml untill 1 month)

Yes Manufacturer supplied diluent (Sodium Chloride)

Intradermal

Upper Arm Left

Hepatitis-B-(0) (Birth dose )

At birth

within 24 hours

0.5 ml

No

Intramuscular

Antero lateral side of mid thigh- Left

OPV-0

At birth

within the first 15 days

2 drops

Oral

Oral

OPV 1,2 & 3 

At 6 weeks,10 weeks &
14 weeks

till 5 years of age

2 drops

Oral

Oral

Pentavalent
1, 2 & 3
(Diphtheria +Pertussis+Tetanus+
Hepatitis B+ Hib)

At 6 weeks,10 weeks &
14 weeks

1 year of age

0.5 ml

No

Intramuscular

Antero lateral side of mid thigh- Left

Fractional IPV (Inactivated Polio Vaccine)

At 6 & 14 weeks

1 year of age

0.1 ml

No

Intradermal

Upper Arm Right

Rota Virus Vaccine(RVV)

At 6 weeks, 10 weeks & 14 weeks

1 year of age

5 drops

No

Oral

Oral

Pneumococcal Conjugate Vaccine (PCV)

At 6 weeks & 14 weeks At 9 completed months booster

1 year of age

0.5 ml

No

Intramuscular

Antero lateral side of mid thigh- Right

Measles Rubella (MR)1st dose

At 9 completed months -12 months

5 years of age

0.5 ml

Yes Manufacturer supplied diluent

Sub cutaneous

Upper Arm Right

Vitamin A (1st dose)

At 9 months

5 years of age (1 lakh IU)

1 ml

Oral

Oral

For children

DPT 1st  booster

16-24 months

7 years of age

0.5 ml

No

Intramuscular

Anterolateral side of mid thigh- Left

Measles Rubella (MR)2nd dose

16-24 Months

5 years of age

0.5 ml

Yes Manufacturer supplied diluent

Sub cutaneous

Upper Arm Right

OPV Booster

16-24 months

5 years

2 drops

No

Oral

Oral

Vitamin A  (2nd to 9th dose)

At 16 months. Then, one dose every 6 months.

up to the age of 5 years

2 ml(2 lakh IU)

Oral

Oral

DPT 2nd Booster

5-6 years

7 years of age

0.5 ml

No

Intramuscular

Upper Arm

Td

10 years & 16 years 

16 years

0.5 ml

No

Intramuscular

Upper Arm

  • Give Td-2 of Booster doses before 36 weeks of pregnancy. However, give these even if more than 36 weeks have passed. Give Td to a woman in labour, If she has not previously received TT/Td.
  • Tetnaus diptheria (Td) replaced TT vaccine.
  • The 2nd to 9th dose of Vitamin A can be administered to children 1-5 years old during biannual rounds.