NORCET 2 - 2021 (shif…: 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

The Pneumococcal Conjugate Vaccine (PCV) was not part of the initial vaccine basket when Mission Indradhanush was launched in 2014.
PCV was introduced into India's Universal Immunization Programme (UIP) at a later date, starting in 2017.
The introduction of PCV was done in a phased manner, initially covering only certain states and districts, unlike the universally targeted vaccines of the initial mission.
Mission Indradhanush's primary goal is to boost coverage for vaccines already established in the UIP, not to introduce new ones universally at its inception.

Option B: The Hepatitis B vaccine is a core component of the Universal Immunization Programme (UIP) and was a key focus of Mission Indradhanush from its launch.
Option C: The Measles vaccine has been an integral part of the UIP since 1985 and is one of the primary vaccines targeted for improved coverage by Mission Indradhanush.
Option D: The DPT (Diphtheria, Pertussis, Tetanus) vaccine is one of the original and most fundamental vaccines included in the UIP and, consequently, in Mission Indradhanush.

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 program as background academic context rather than a clinical decision trigger.
Understanding the specific vaccines covered by national immunization drives like Mission Indradhanush is crucial for community health nurses to provide accurate information, track immunization status, and identify children who need catch-up doses.
Nurses play a vital role in educating communities about the importance of completing the immunization schedule and addressing vaccine hesitancy, which are key objectives of Mission Indradhanush.
What if? If the question asked about vaccines included in the current Intensified Mission Indradhanush (IMI) program, PCV would be considered an included vaccine in all the states where it has been rolled out, potentially changing the answer depending on the other options.

How to Approach the Question

First, identify the core subject of the question, which is 'Mission Indradhanush', and the critical keyword 'except'.
The word 'except' indicates that three of the options are included in the program, and your task is to find the one that is not.
Recall that Mission Indradhanush is a campaign to boost the coverage of vaccines already part of India's Universal Immunization Programme (UIP).
Systematically evaluate each option. Think about whether DPT, Hepatitis B, and Measles are fundamental childhood vaccines in India. They are.
Consider the timeline of vaccine introductions. PCV is a relatively newer addition to the national program compared to the others.
Conclude that DPT, Hepatitis B, and Measles were part of the program from the start, making Pneumococcal the correct exception.

Concept Tested & Keywords

Concept Tested: Vaccines covered under India's Mission Indradhanush program.
Stem keywords: Mission Indradhanush, vaccines, except
Lead-in keywords: except
Negative lead-in flag: The question uses the word 'except', which means you must identify the option that does not belong to the group of vaccines included in Mission Indradhanush.

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E6 Ghai Essential Pediatrics(pp 26-904 of 913) p. 189-191

E6 Parks TextBook of Preventive & Social Medicine part 1 — Subpart C (pp 404-604 of 604) p. 125-127