How effective has India been in enhancing immunization coverage over the years? What challenges continue to affect immunization efforts in the country? (Answer in 250 words)

Nearly Universal vaccination in covid. Challenge through covid. India immunization coverage status. Polio eliminating through Pa-Band India campaign (Mission Indradanush). School based early age intervention. Wide coverage with focus on last mile connectivity. Cervical vaccine. U-win portal immunization resolution monitoring. Targeted vaccine as per epidemic response vulnerability - Elephant lifting.

Challenges to immunization: (1) Limited Focus: in National Health policy as major focus on curative health. Less allocation of fund of health (2.1%)*GDP. (2) Local context: vaccination regime and not customised as total more vulnerable to TB tuberculosis, sickle cell anaemia. Focus on pan-nation same vaccine. (3) Gender-specific vaccines missing. (2) Breast cancer prevention vaccine. (4) Rare-disease vaccine not provided. Costly, so inaccessible. (5) Storage issue leads to wastage of vaccine at school level and require cool temperature. (6) Exclusion of children students who are not in school remote villages.