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Abstract
RMNCHA (Reproductive Maternal Neonatal Child and Adolescent Health) strategy, presently has immunization as one of its key community based intervention for increasing survival in the under five children [3]. Since the inception of National Rural Health Mission in India (NRHM is now NHM) in 2005, several steps have been taken to strengthen UIP, important ones being introduction of auto disabled (AD) syringes, mobilization of beneficiaries to the immunization session site through Accredited Social Health Activist (ASHA), transportation of vaccines and logistics to the session site and back through alternate vaccine delivery (AVD) system, etc [1]. [...]wastage of these vaccines need to be reduced by introduction of some other policy such as introduction of bi-annual rounds for increasing the demand in a session [21] as in Vitamin A bi-annual rounds [22] or through introduction of two kinds of vials - a single/double dose vial and a multi-dose vial, simultaneously in the program, only after operational research and/or piloting, since the latter may not be cost-effective [7].