Problem Statement In Arunachal 25% (49/197) of the health facilities are very hard to reach. 41% (9/22) districts having % FI less than 40% as per NFHS-4 (2015-16). State has decided to conduct Intensive Routine Immunisation (RI)/ Mission Indradhanush (MI) in all the districts under the concept Mission Pratiraksha. 2016 - Total 17 confirmed Measles outbreaks & 1 Rubella outbreak. At the outbreak area, 85% children aged 1-4 years have not received a single dose of MCV. 2017 – Total 8 confirmed Measles outbreaks with 5 deaths. Programme Description State Level Interventions Customized Plan for RI Strengthening drafted with Arunachal Context. RRTs (WHO) deployed for need assessment. State level master training on microplanning, data review & HW handbook (new) TOT with national level facilitators with WHO support done for DRCHOs & 1 identified MO/district. 3 SMOs & 6 RRTs from WHO deployed in 22 districts for stewarding the activity for 2 month. The team has visited 61% (120/197) PUs. The State has tracked the program intensively. The State has funded printing of planning formats & workshops (micro planning & HW training) at all 197 health facilities along with headcounting activities at all the villages/ hamlets of the state. District Level Interventions District level baseline microplan assessment meeting, mid-term review & final review done in all 22 districts. Health Facility (PU) Level Interventions 197 Health facilities identified as planning units (PUs) in 22 districts. 80% (158/197) of identified PUs are Cold Chain Points (CCPs). Rationalization of cold chain points & vaccine distribution system. Source : We Care Coffee Table Book - Good, Replicable and Innovative Practices 2019