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Background and aim Considering the proportion of unsafe injection practices in India, an evaluation of the potential improvement in vaccination with prefilled syringe (PFS) compared to SDV and MDV (single and multidose vials) in Indian private market is the objective of this paper. Method An observational, open label, randomized 2-phase time and motion study involved comparison in terms of efficiency associated with the vaccine administration process (preparation, injection, and disposal) and rate of handling errors with safety implications. Setting Five Indian pediatric vaccination centers. Participants Forty vaccinators (8 per center). 10 observers. Main outcome measures Time taken for each activity cycle; frequency of errors observed (Phase 1); time for 10 consecutive injections (Phase 2). Results The mean time required to perform a vaccination with PFS was 47.6 ± 11.7 s and was twice as fast as with vials (p

The Global Meningococcal Initiative (GMI) consists of an international group of scientists and clinicians, with expertise in meningococcal immunology, epidemiology, public health and vaccinology that aims to prevent meningococcal disease worldwide through education, research, cooperation and vaccination. In India, there is no national policy on routine meningococcal vaccination to control the disease. The GMI convened a meeting in India, with local medical leaders and public policy personnel, to gain insight into meningococcal disease burden and current surveillance and vaccination practices in the country. Neisseria meningitidis is the third most common cause of sporadic bacterial meningitis in children