Which of the following vaccine is not comes under Universal Immunization program?

Appeared in: Tripura CHO - 2021

Explanation

Filariasis is a parasitic disease caused by nematode worms and transmitted by mosquitoes.
It is not a vaccine-preventable disease, and therefore, no vaccine for it is included in the Universal Immunization Program (UIP).
The primary public health strategy for controlling filariasis is Mass Drug Administration (MDA) with anti-filarial drugs, not vaccination.

Option A: The Hepatitis B vaccine is a core component of the UIP.
Option B: The Measles vaccine (as a single antigen or in combination like MR/MMR) is provided under the UIP.
Option D: The Tetanus vaccine is administered to both infants (as part of Pentavalent/DPT) and pregnant women (as Td) under the UIP.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Vaccines included in the Universal Immunization Program (UIP) as background academic context rather than a clinical decision trigger.
Nurses are at the forefront of implementing the UIP. Their responsibilities include administering vaccines, maintaining the cold chain, managing supplies, and educating the community about the importance of timely immunization.
Accurate knowledge of the UIP schedule is critical for nurses to provide correct health education to parents, track a child's immunization status, and prevent vaccine-preventable diseases.
What if? If the question asked about a disease targeted by a Mass Drug Administration (MDA) program in India instead of a vaccination program, Filariasis would be a correct answer.

How to Approach the Question

First, identify the keyword 'NOT' in the question. This indicates you need to find the option that is an exception.
The question is about the Universal Immunization Program (UIP). The task is to identify which of the given options is not a vaccine provided under this program.
Systematically review each option.
Recall the vaccines included in the UIP: Hepatitis B, Measles, and Tetanus are all standard components.
Identify Filariasis. Recognize that it is a parasitic disease for which control is through medication (Mass Drug Administration), not vaccination.
Conclude that Filariasis is the correct answer as it is not a vaccine-preventable disease covered by the UIP.

Concept Tested & Keywords

Q3uD5wurtqBECKh4e9-L7w

E6 Comprehensive Textbook of Community Health NursingShyamala D part 1 (pp 26-389 of 389) p. 37-39

E6 Ghai Essential Pediatrics(pp 26-904 of 913) pp. 198-200, 199-201

Practise the full Tripura CHO - 2021

Attempt every question from this paper in a timed mock, then review the full solution for each one.