WHO India Routine Immunization Update District Workshop on Routine Immunization Microplanning and Strengthening Rampur 09-04-2024 District Profile Total Population (2023-24) 2780195 05-year Children 332359 0-1 year approx. 67000
April 2023 – March 2024 HMIS Update Data Downloaded on 3 Apr’24<br>
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Coverage of Key Antigens |Rampur|HMIS 2023-24<br>
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Hep-B Birth dose immunization status at Govt delivery points % BCG Coverage *HMIS data Apr-23 to Feb-24<br>
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State
(n=4,22,267) Zero dozers (missed Penta 1) - Uttar Pradesh *HMIS data Downloaded on 16th Nov’23<br>
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Status of Zero Dose Children
(Did not receive Penta/DPT 1) *HMIS data Apr-23 to Feb-24<br>
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State – 2% % Dropout from Penta1 to Penta 3 - Uttar Pradesh *HMIS data Downloaded on 16th Nov’23<br>
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% Dropout from Penta1 to Penta 3 – Rampur (Apr 23 to Feb-24) *HMIS data Apr-23 to Feb-24<br>
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% MR-1 & MR-2 Coverage - Uttar Pradesh MR-1
State – 90%
(n=30,00,918) MR-2
State – 83%
(n=27,66,448) *HMIS data Downloaded on 16th Nov’23<br>
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% MR-1 & MR-2 Coverage – Rampur (Apr 23 to Feb-24) *HMIS data Apr-23 to Feb-24<br>
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FIC and antigen wise coverage (Apr’23 to Feb’24) *HMIS data Apr-23 to Feb-24<br>
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RI Monitoring Indicators<br>
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% Full Immunization coverage – Uttar Pradesh Evaluated data % Monitoring data *Source: RI monitoring data M/o Oct23 MI started 14 IMI IMI 2.0 IMI 3.0, 4.0 & 5.0
SIC & VTP<br>
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Low in Tanda-32%, Milak-38%, Swar- 51%, Chamrua-49% Low in Milak-78%, Rampur U-88%, (PCV and BCG – due to shortage. Milak – distribution of BCG vaccine is also an issue) Low in Saidnagar-68% , Tanda-72% , Swar-73%, Rampur U-74% Session Site Monitoring Indicators Low in Milak-85%, Swar-93% Low in Milak, Saidnagar, Tanda-91%, Rampur U-94% Data Source – monitoring data<br>
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16 Session holding<br>
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Analysis of Poor performing Sub Centres - Saidnagar Reasons for Partial/None vaccinated children
Awareness Gap - 33%, AEFI Apprehension - 18%, Refusal - 15%
Penta - 1 (4-11 months) - 94%, Penta - 3 (4-11 months) - 60%
This indicates that the issue does not lie in identification of children, but in follow up (low left out, high dropout) Action Points
1. To look at status of updated due list availability in these sub-centers
2. Track due vs vaccinated for each session
3. Tally Sheet and HMIS data analysis to find gaps
4. Data triangulation to identify SC wise reasons for low coverage
5. Identification and coverage of VAB families<br>
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Reasons for Partial/None vaccinated children
Awareness Gap - 24%, AEFI Apprehension - 28%, Refusal - 15%
Penta - 1 (4-11 months) - 94%, Penta - 3 (4-11 months) - 61%
This indicates that the issue does not lie in identification of children, but in follow up (low left out, high dropout)
Action Points – same as above Analysis of Poor performing Sub Centres - Shahbad<br>
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Full Immunization Coverage – Trend Data Source – monitoring data<br>
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% Full Immunization coverage of children (12-23 months) Data Source – monitoring data<br>
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Reason for Missed Children (12-23 month) N=794 Data Source – WHO monitoring, data form Apr 23 to Feb 24<br>
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Immunization as per age (04-11 months) Children monitored – 3074, Children received Penta 1 – 2950, Children received Penta 3 – 2035 Monitoring data Apr-23 to Feb-24<br>
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Status of MR1 and MR2 Coverage Data Source – WHO monitoring<br>
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Status of MR1 and MR2 Coverage Data Source – WHO monitoring<br>
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Status and quality of BWR meetings Mar-24 25<br>
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Current Challenges and Priorities To achieve the desired coverages for MR elimination along with sensitive surveillance, quality public health measures & ORI for MR outbreak
To keep the Diphtheria outbreaks under control
Urban immunization strengthening – Fixed session approach need to be strengthened along with private sector adequate involvement
Birth dose vaccination is expected to be 100% for all institutional deliveries
Vaccine and logistics to be tracked along with regular review to minimize wastage
Data validation and regular reviews at all levels are necessary to ensure completeness on reporting tools
Timely and appropriate action on feedback shared by partners is the key for success<br>
