Page 222 - Health, Population and Environment Education 10

i. Expanded Programmes in Immunization
Immunization helps to prevent different types
of communicable diseases. The expanded
programme of immunization including B.C.G.
and D.P.T. vaccines in Nepal started in 2034 BS.
This programme includes B.C.G., D.P.T., oral polio
vaccine and measles. In the beginning (2034 B.S.), it
was started only in the three districts of Nepal. In
2045 B.S. this programme was extended throughout Fig: 21
the country. The government has launched this
programme from the central to the village level in order to prevent different diseases at
these levels. The objectives and functions of this programme are mentioned below:

Objectives

i. To prevent and save the children from the diseases like diptheria,measles, whooping
cough (pertussis), tuberculosis, polio and tetanus

ii. To immunize the children of targeted groups
iii. To provide T.T. vaccine to the pregnant women
iv. To immunize against the endemic diseases like viral influenza, encephalitis, etc. to
control them
v. To maintain polio free status

Functions
i. encourage the public to be immunized
ii. aware the public about immunization against the six diseases that affect the children
in the community through different media
iii. immunize the children in the village areas through the groups of trained health
workers
iv. launch T.T. vaccination programmes in the school level to prevent tetanus
v. immunize the pregnant women with T.T. vaccine

ii. Community Based Integrated Management of Childhood Illness (CBIMCI)
Community Based Integrated Management of Childhood Illness (CB-IMCI) is an
integrated package of child survival programme. It addresses the major killer diseases
in 2054 B.S. like pneumonia, diarrhoea, malaria, measles, malnutrition in under 5 years
children, etc. This programme was started with the joint union of WHO and UNICEF under
the Ministry of Health in 2054 B.S. (1997 AD). Under this programme, the mobilization
of community health volunteers is done to improve the access to the management of
childhood sickness at the houshold levels. This makes the programme Community Based
Integrated Management of Childhood Illness (CB-IMCI).

222 GREEN Health, Population and Environment Education Book-10