"Cleanliness is godliness". In implementing routine immunization programme, achieving timeliness/timely completeness is Godliness. By vaccinating close to the schedule through regular outreach sessions at monthly intervals, tracking vaccination status through simple paper documentation certainly helps in rapidly clearing the backlog, >95% children completing 3 doses of DPT/Pentavalent within 6 months; Measles 1 within 365 days, DPT/OPV booster and Measles 2 between 16 and 24 months with no chance for accumulation susceptible, no population immunity gap. Traditionally % of coverage and various drop-out rates are performance indicators for review. Quality of the quantity is also equally important as the studies have proved that there can be considerable delay in vaccination even in areas with good coverage not only in India but Globally. 4 months delay can increase incidence by 18% delaying the National / International / Global targets of reaching elimination and eradication. Data analysis of Kodagu District (already shared with grass-root level workers and programme managers) revealed that there is way where there is a will. Many such areas with dedicated ANMs / AWWs / ASHAs deserve to be felicitated for the success of Immunization programme including Polio eradication.
'Cleanliness, timeliness and timely completeness is godliness''. To this I would like to add "Quality Vaccine is godliness". Thus making it "Cleanliness, timeliness/timely completeness and quality vaccine is godliness''. Needless to elaborate that quality of vaccine is of paramount importance in the success of routine immunization. Quality of 'al polio vaccine' (also IPV) was crucially important in the eradication of poliomyelitis in most of the countries.
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