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Correspondence

Indian Pediatr 2017;54: 601

Non-availability of Vaccines and Program Ownership

 

*Manas Pratim Roy and Ratan Gupta

Department of Pediatrics, VMMC & Safdarjung Hospital, New Delhi , India.
Email: [email protected]

  


Raoot, et al. [1] , in the recent issue of Indian Pediatrics, reported the success of Delhi in introducing newer vaccines. Given the fact that health is a state subject, the proactive role of Delhi is noteworthy. It is encouraging that individual state/ Union Territory takes lead for providing extra vaccines to its children. However, typhoid vaccine being out of stock in Delhi since November 2016 and MMR vaccine since December 2016 (till April, 2017), we would like to point out the other side of ‘walking the extra mile’.

As expected, policy makers and doctors know the difference between National Immunization Schedule and the schedule followed by individual states. From their point of view, this newer initiative is remarkable. On the other hand, for common parents attending immunization sessions for their children, stock-out means a breach of trust. After returning without getting vaccine twice/thrice over a period of six months, we really do not know what trust on vaccination program they are left with. When a vaccine scheduled for their children is not available and health worker is not able say any probable date for the next availability of that particular vaccine, the whole immunization program suffers a setback.

With such examples of failure in supply chain management, we need to introspect the reasons of such discontinuity in vaccine availability. An exploratory study on this is probably the need of the hour. Nevertheless, if we consider the fact that even with irregular supply, we protected a number of children (as evident from reduced case load) in a way better than other states, we should take pride and look forward to consolidate the gain we have achieved so far.

Reference

1. Raoot A, Dewan DK, Dubey AP, Seth S. Introduction of newer vaccines in State Immunization Schedule. Indian Pediatr. 2017;54:271-4.

 

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