Headcount of children to improve immunisation coverage To ensure that no child has missed out on vaccine doses or is left out of routine immunisation, a headcount through a door-to-door survey has started across Tamil Nadu. Village Health Nurses (VHNS) are making household visits to identify drop-out/left-out children aged below five. Childhood immunisation under the Universal Immunisation Programme, which was affected during the COVID-19 pandemic, has bounced back with focused measures. 'Three initiatives' The Intensified Mission Indradhanush, through which measures are being taken for identifying left-out children. A total of 11 vaccines for 12 diseases will be administered till the age of five, data from the headcount would be entered into U-WIN, a platform for monitoring routine immunisation of children, to help in further follow-up. The second initiative for improving immunisation was the expansion to the entire State of the U-WIN portal, which was piloted in Erode and Dindigul. Third, Focus will be on two indicators for Measles-Rubella (MR) elimination. The first indicator is to ensure 95% coverage for MR vaccination. Secondly, There is need to have a non-measles, non-rubella discard rate of more than two per million population.