Background: In India many newer initiatives are being taken to control vaccine preventable diseases. Introducing new vaccines will help prevent some 1.3 million children deaths attributed to pneumococcal, meningococcal and rotavirus disease. Meticulous monitoring of temperature with newer technologies like electronic Vaccine Intelligence Network (eVIN), enabling real time information on cold chain temperatures, vaccine stocks and flows, use of autodisabled syringes are initiatives for safer service delivery. Materials and methods: Available literature was reviewed to chronologically describe the newer vaccines introduced in Rajasthan in the last decade. With each vaccine the challenges in coverage were reviewed. Simultaneous availability in the private sector and costs involved have also been stated. Results: In Rajasthan injectable polio, pentavalent, rotavirus pneumococcal vaccine, measles-rubella are the newer vaccines introduces in the last decade. Positive policy support, sustained funding mechanism, strong collaboration along with a strong and responsive health system have helped to attain coverage of these vaccines among the underserved. Conclusion: All newer vaccines introduced will have an impact on reducing the infant mortality rate (IMR) and under five mortality rate, if the implementation of routine immunization and acceptance of vaccines is achieved by all concerned stakeholders. Continued support of pediatricians is important to sustain acceptance of vaccines, thus improving routine immunization rates. Much will depend on the continued commitment of the state government and the national and international agencies to sustain and upscale the efforts to meet the child survival goals and to meet the sustainable development goals.
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