India’s Universal Immunization Programme (UIP), the world’s largest vaccination initiative, vaccinates over 2.9 crore pregnant women and 2.6 crore newborns annually against 12 vaccine-preventable diseases (VPDs), including measles and rubella. This effort has significantly reduced child mortality, with under-5 mortality rates dropping from 45 to 32 per 1,000 live births between 2014 and 2020 ¹.

The launch of the National Zero Measles-Rubella (MR) Elimination Campaign 2025-26 during World Immunization Week is a pivotal moment in India’s public health journey ². The campaign targets 100% immunization coverage by administering two doses of the MR vaccine to every child, ensuring no child is left behind and promoting both individual and community health.

Milestones to Celebrate: Significant Progress So Far

By early 2025, 332 districts reported zero Measles cases and 487 districts reported zero Rubella cases between January and March, highlighting the success of vaccination efforts and progress toward elimination ².

Powerful Tools Driving Success: Key Government Initiatives ¹

• Mission Indradhanush (2014): Targets children missed by the UIP with focused vaccination drives in low-coverage areas.
• Intensified Mission Indradhanush (IMI): Accelerates vaccination in high-priority districts and urban slums with mobile vans and real-time monitoring.
• eVIN (Electronic Vaccine Intelligence Network) : Tracks vaccine stocks and prevents wastage, ensuring safe storage and delivery.

The Roadmap to Eliminate Measles and Rubella: India’s Strategic Plan

India’s MR elimination strategy includes:

1. Immunization Coverage: Achieving 95% vaccine coverage in every district. As of the 2024-25 Health Management Information System (HMIS) data, the country has achieved a 93.7% coverage for the first dose and 92.2% for the second dose². This marks a significant achievement but also highlights the remaining gaps to achieve complete coverage.
2. Enhanced Surveillance: A robust surveillance system is essential for detecting any outbreaks early and responding quickly. India’s efforts to strengthen surveillance mechanisms will ensure that no case goes undetected, facilitating a swift public health response when necessary
3. Outbreak Preparedness: Preparing for potential outbreaks is another key strategy. India’s experience with Polio and Maternal and Neonatal Tetanus elimination provides valuable insights into how coordinated efforts and quick responses can prevent widespread outbreaks and protect vulnerable populations.
4. Demand Generation: Addressing vaccine hesitancy remains a critical challenge. India is conducting focused mass awareness campaigns to dispel myths, provide accurate information about the MR vaccine, and build community trust.
5. Inclusive Participation: The success of the MR elimination campaign relies on the collective efforts of all stakeholders, from health professionals and local government officials to community leaders and frontline workers. By working with local authorities and engaging in community-based awareness programs, India is ensuring that vaccination efforts reach even the most marginalized populations.

India’s comprehensive approach to Measles and Rubella elimination sets a strong foundation for achieving complete eradication by 2026, ensuring a healthier future for its children.

By ISID Emerging Leader, Dr. Tintu Varghese, MD, DTM&H

References

1. National Health Mission. (n.d.). Data on immunization and health initiatives. National Health Mission, Ministry of Health and Family Welfare, Government of India. Retrieved April 28, 2025, from https://nhm.gov.in/index1.php?lang=1&level=2&sublinkid=824&lid=220
2. Press Information Bureau. (2025, April 24). Union Health Minister launches National Zero Measles-Rubella Elimination Campaign on World Immunization Week. Ministry of Health and Family Welfare, Government of India. Retrieved April 28, 2025, from https://pib.gov.in/PressReleasePage.aspx?PRID=2124032