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. 2018 Dec 7;363:k4782. doi: 10.1136/bmj.k4782

Table 1.

Comparison of the programme used by Mission Indradhanush (MI) and Intensified Mission Indradhanush (IMI)

Mission Indradhanush (MI): April 2015 to July 2017 Intensified Mission Indradhanush (IMI): October 2017 to January 2018
Objective Fully immunise 90% of infants by 2020 Fully immunise 90% of infants by 2018
Leadership Central health minister and secretary of Health and Family Welfare, monitored under the proactive governance and timely implementation system Prime minister, central health minister and cabinet secretary, monitored under the proactive governance and timely implementation system
Implementation Ministry of Health and Ministry of Women and Child Development Ministry of Health with support from 12 non-health ministries, including Ministry of Women and Child Development
Selection criteria Districts with lowest coverage and state priority: lowest coverage (n=201), intermediate coverage (n=296), and other districts (n=31) Districts and areas which continued to underperform after the first mission (<70% coverage) and >13 000 missed/partially immunised children
Target areas 528 districts across 35 states 173 districts (including 52 districts from northeastern states) and 17 urban areas across 24 states
Period Four phases, each consisting of four monthly rounds, with each round lasting for 1 week One phase with four monthly rounds, each round lasting for 1 week
Programme approach • Improved microplanning, monitoring, social mobilisation and strengthened vaccination systems (especially in areas with inadequate staff numbers)
• All vaccines under routine immunisation offered for children aged ≤2 years and pregnant women
MI approach plus:
    • Rigorous head counts (validated by supervisors) for tracking and updating due lists to identify children aged ≤2 years and pregnant women for vaccination
      • More intensive planning and monitoring in hard to reach urban areas
      • Involving non-health sectors to deal with social barriers and gaps in knowledge in communities—and to create a vaccination “movement”
      • Additional financial support based on need, and flexibility in use of the fund