All vaccines are included in Mission Indradhanush, except?

NORCET 2 - 2021 (shift-1)

Community Health Nursing

Easy

Appeared in: NORCET 2 - 2021 (shift-1)

Explanation

Mission Indradhanush is a strategic drive to boost the coverage of vaccines already available under the Universal Immunization Programme (UIP).
The Pneumococcal Conjugate Vaccine (PCV) was not part of the UIP when Mission Indradhanush was launched in 2014.
PCV was introduced into the UIP later, in 2017, and was rolled out in a phased manner across different states.
Therefore, PCV is the vaccine that was not initially included in the Mission Indradhanush package.

Option B: This is incorrect. The Hepatitis B vaccine is a crucial part of the UIP. It is administered as a birth dose and as part of the Pentavalent vaccine (DPT+HepB+Hib) at 6, 10, and 14 weeks.
Option C: This is incorrect. The Measles vaccine (now given as Measles-Rubella or MR vaccine) has been a fundamental component of the UIP since 1985. Mission Indradhanush places a strong emphasis on increasing its coverage.
Option D: This is incorrect. The DPT vaccine (Diphtheria, Pertussis, Tetanus) is a core vaccine in the UIP, administered as part of the Pentavalent vaccine for infants and as booster doses for older children.

Visual 1: Infographic - A chart displaying the timeline of vaccine introductions into India's Universal Immunization Programme (UIP), highlighting the launch of Mission Indradhanush in 2014 and the later addition of PCV in 2017.
Visual 2: Table - A clear table listing the vaccines covered under Mission Indradhanush/UIP, which helps in quickly identifying the included and excluded vaccines.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Vaccines covered under India's Mission Indradhanush as background academic context rather than a clinical decision trigger.
Nurses play a vital role in implementing Mission Indradhanush by identifying unvaccinated or partially vaccinated children and pregnant women in their service area.
Patient education is key. Nurses must counsel parents on the importance of completing the immunization schedule and explain the purpose of catch-up campaigns like Mission Indradhanush.
Accurate documentation and reporting of vaccination status are critical for monitoring the program's success and identifying areas with low coverage.

How to Approach the Question

First, understand the question's core concept: It asks for an exception regarding vaccines in 'Mission Indradhanush'. The keyword is 'except'.
Recall or determine the purpose of Mission Indradhanush. It's a campaign to improve coverage of vaccines already in the Universal Immunization Programme (UIP).
Review the options. Identify which vaccines are core components of the UIP (DPT, Measles, Hepatitis B).
The vaccine that was not a standard, universal part of the UIP when the mission began is the correct exception.
Identify Pneumococcal vaccine as the one introduced later and in a phased manner, making it the correct answer.

Concept Tested & Keywords

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