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.