BioVoice News August 2016 Issue 4 Volume 1 | Page 19

FACTORS AFFECTING THE IMPROVEMENT IN FULL IMMUNIZATION COVERAGE The factors in vaccine uptake can broadly be attributed to demand and supply side issues. Supply side issues relate to factors that hinder the reach of immunization services to the community – for example, the need for better infrastructure, trained man power, ways to prevent vaccine wastage and stock outs and increasing accessibility of the immunization services, especially in hard to reach areas and migrant communities. Supplying specific vaccines, on a schedule, to more than 2.6 crore children and 3 crore pregnant women in more than a crore immunization sessions across the country calls for massive cold chain and supply operations across the country. India maintains nearly 27000 cold chain points that supply vaccines to about 6 lakhs villages in more than 650 districts in the country. In 2014, 40 crore vaccine doses were administered under the government’s immunization programme. To strengthen the cold chain and supply side further, technologies like the electronic vaccine intelligence network (eVIN) are being scaled up nationally. Demand side issues: The Awareness Gap While significant improvements have been made to meet the supply side challenges in the last couple of decades, India faces a huge challenge on the demand side of the issue. The key reason for children being partially immunized or being left unimmunized is the communication and awareness India maintains nearly 27000 cold chain points that supply vaccines to about 6 lakhs villages in more than 650 districts in the country. To strengthen the cold chain and supply sid