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EPI Review- 2013
RDHS Area:…………………………….
Background information 1-RDHS area
2-Estimated Population for the year 2013
3-Actual Population for the year 2013
4-Reasons for differences in actual and estimated populations
5-Crude Birth Rate for District 2013
6-Crude Birth Rate for Province 2013
7-Estimated Number of Births in the year 2013
Based on the Actual Population
Based on the Estimated Population
District BR
Provincial BR
8-Number of Immunizations performed in the year 2013(institutions and field) (Sum of relevant data from four conslidated Q/ EPI returns, 2013]
PVV1 PVV2 PVV3
9-Number of pregnant mothers registered for the area in year 201310-Number of actual births reported for the are in year 2013
11- Number of infants registered for the area in year 201312-The most probable number of births for the RDHS area*
Background information……cont Approved number
Number available
Average Population covered by each category / clinic
Population Range
11-PHMs
12-PHIs
13-SPHMs
14-PHNS
15-SPHI
16-MOHs/AMOHs
17- MCH Clinics
MOH area
Number of pregnant mothers
registered in year 2012
(AA)
Number of registered infants under care*
(A) A = (V+W+X) - (Y+-Z)
Registered within 3
months of birth
(V)****
Registered after 3 months of
birth to date^^
(W)****
Came newly into the area & registered to
date^^
(X)
Left the area
to date^^
(Y)
Died to
date^^
(Z)
FORM 1 aCalculation of No. of registered infants under care among infants born between
•1st of January 2013 to 31st of December 2013 (eligible for BCG vaccination in year 2013)
Form1 b•Coverage of BCG vaccination among infants born between 1st of January 2013 to 31st of December 2013
and protection of their mothers from Tetanus and Rubella vaccination at the time of delivery
MOH area
Number of pregnant mothers
registered in year 2012
(AA)
Number of registered infants under care*
(A) A = (V+W+X) - (Y+-Z)
Registered within 3
months of birth
(V)****
Registered after 3 months of
birth to date^^
(W)****
Came newly into the area & registered to
date^^
(X)
Left the area
to date^^
(Y)
Died to
date^^
(Z)
FORM 2 aCalculation of No. of registered infants under care among infants born between 01st of November 2012 to 31stof
October 2013 (eligible for OPV1/ PVV1 vaccination in year 2013)
Form 2bCoverage of OPV1 /PVV 1 vaccination among infants born between 01st of November 2012 to 31st of October 2013
MOH area
Number of pregnant mothers
registered in year 2011
(AA)
Number of registered infants under care*
(A) A = (V+W+X) - (Y+-Z)
Registered within 3
months of birth
(V)****
Registered after 3 months of
birth to date^^
(W)****
Came newly into the area & registered to
date^^
(X)
Left the area
to date^^
(Y)
Died to
date^^
(Z)
FORM 3aCalculation of No. of registered infants under care among infants born between 1st of April 2012 to 31st of March 2013
(eligible for LJE vaccination in year 2013)
Form 3b Coverage of LJE vaccination among infants born between 1st of April 2012 to 31st of March 2013
FORM 4aCalculation of No. of registered infants under care among infants born between
1st of January 2012 to 31st of December 2012 (eligible for MMR 1 vaccination in year 2013)
MOH area
Number of pregnant mothers
registered in year 2011
(AA)
Number of registered infants under care*
(A) A = (V+W+X) - (Y+-Z)
Registered within 3
months of birth
(V)****
Registered after 3 months of
birth to date^^
(W)****
Came newly into the area & registered to
date^^
(X)
Left the area
to date^^
(Y)
Died to
date^^
(Z)
FORM 4 bCoverage of MMR vaccination among infants born between 1st of January 2012 to 31st of December 2012
FORM 5a Calculation of No. of registered infants under care among infants born between 1st of July 2011 to 30th of June 2012
(eligible for DPT4/ OPV4 vaccination in year 2013)
MOH area
Number of pregnant mothers
registered in year 2010
(AA)
Number of registered infants under care*
(A) A = (V+W+X) - (Y+-Z)
Registered within 3
months of birth
(V)****
Registered after 3 months of
birth to date^^
(W)****
Came newly into the area & registered to
date^^
(X)
Left the area
to date^^
(Y)
Died to
date^^
(Z)
FORM 5bCoverage of DPT4/OPV4 vaccination among infants born between 1st of July 2011 to 30th of June 2012
FORM 6 aCalculation of No. of registered infants under care among infants born between
1st of January 2010 to 31st of December 2010(eligible for MMR2 vaccination in year 2013)
MOH area
Number of pregnant mothers
registered in year 2009
(AA)
Number of registered infants under care*
(A) A = (V+W+X) - (Y+-Z)
Registered within 3
months of birth
(V)****
Registered after 3 months of
birth to date^^
(W)****
Came newly into the area & registered
to date^^
(X)
Left the areato
date^^
(Y)
Died to
date^^
(Z)
Form 6bCoverage of MMR2 vaccination among infants born between 1st of January 2010 to 31st of December 2010
FORM 7aCalculation of No. of registered infants under care among infants born between 1st of January 2008 to 31stof December 2008
(eligible for DT/ OPV5 vaccination in year 2013)
MOH area
Number of pregnant mothers
registered in year 2007
(AA)
Number of registered infants under care*
(A) A = (V+W+X) - (Y+-Z)
Registered within 3
months of birth
(V)****
Registered after 3 months of
birth to date^^
(W)****
Came newly into the area & registered
to date^^
(X)
Left the areato
date^^
(Y)
Died to
date^^
(Z)
FORM 7bCoverage of DT/OPV5 vaccination among infants born between 1st of January 2008 to 31stof December 2008
NoMOH area
Number on roll in
grade 7
Number of children immunized in
grade 7
% of immunized children in
grade 7
Number of children immunized inother grades
Total number immunized in
year 2013
1
2
3
4
5
6
7
8
9
10
Total
Form 8Coverage of aTd vaccination among children in grade 7 during 2013
Form 9Comparison of vaccine coverage according to the advancing birth cohorts
Form 10Number of immunizations performed and difference against the antigen which ever has the highest number of
immunizations(PVV1, PVV2, PVV3) during infancy ( 1st year of life) in RDHS area by antigen in 2013 Prepare and present a Bar Chart as given in the example below, based on data in four consolidated EPI quarterly returns of 2013
Please include another bar for number of LJEV given to the children who have completed one year in the current cohort
18,188
14565
18891 18640 1841319,136
18274
15,975 16,345
10,100
14,108
-703
-4326
-251 -478
245
-617
-2,916 -2,546
-8,791
-4,783
-10,000
-5,000
0
5,000
10,000
15,000
20,000
TT+ BCG DPT1 DPT2 DPT3 Measles DPT4 MR DT aTd Rub. 8-15
Co
vera
ge
Antigen
Number of Immunizations Performed & Difference aginst DPT1Immunizations in MOH Division …………………………………., 2004
No. of Immunizations Difference aginst DPT1
Antigen Book balance as
of 31st December
2012
(A)
Total receipts during 2013
(B)
Book balance as of 31st of
December 2013
(C )
No of doses
discarded due to
expiry or cold chain
failure during 2013
(D)
Total number of doses
used during 2013 for
vaccination
( E)=(A+B)-(C +D)
Highest book
balance in a
given time
during the year
2013
(F)
No. ofImmunizationsPerformed by
clinics/ schools/ estates/GPs
( Based on the four EPI quarterly
Returns for year 2013) ( G )
No. of dosesDistributed to
Clinics/schools/
GPs(Based on the MOH Office
vaccine movement
register for year 2013)
( H )
Usage %
( I )=(G/H)*100
Wastage %
( J )=(100- I )
B.C.G
Penta
DPT
OPV
LJEV
DT
TT
aTd
MMR
Other
Form 11Status of vaccine wastage in the RDHS area by antigen in 2013
MOH area No. ofMonthly AEFI
Returns received
No. ofMonthly AEFI Returns
received in time
No. of“Nil” Monthly AEFI
returns received
Total No. of AEFI** reported
Total No. of AEFI investigated
( %)
Total
Form 12 a: Adverse events following immunization (A.E.F.I.) in year 2013** Injection site abscess, BCG lymphadenitis, Severe local reactions ,Encephalitis/Encephalopathy ,
Meningitis Seizures (Febrile + Afebrile) Anaphylaxis ,Persistent Screaming ,HHE
Antigen Type of AEFI Number of AEFI
Reported
(A)
No of dosesadministered†
(B)
AEFI Rate
( C )
(C ) =(A)/(B)*100000
National Rates for 2013
BCG BCG lymphadenitis
Penta Seizures (Febrile + Afebrile)
Anaphylaxis
Persistent Screaming
HHE
Allergic reaction
Measles Seizures (Febrile + Afebrile)
Anaphylaxis
Allergic reaction
MMR Seizures (Febrile + Afebrile)
Anaphylaxis
Allergic reaction
Parotitis
JE Seizures (Febrile + Afebrile)
Anaphylaxis
Allergic reaction
Encephalitis/Encephalopathy
Form 12 b : Rates of AEFIs reported in the district during 2013
MOH area Estimated No. of live births
Estimated No. of infant deaths
Estimated No. of neonatal deaths
No of infant deaths reported
No. of infant deaths investigated
% of infant deaths investigated
Total
Form 13aIncidence of infant deaths, neo natal deaths and their causes in the district – 2013
Please use national Infant mortality rate (9.0 per 1000 live births) to calculate the estimated number of live births for year 2013
Form 13 bCauses for the neonatal deaths in year 2013
Disease No. Reported
(A)
No. Investigated*
(B)
No. confirmed
(C)
% Investigated
(D)(D)=(B)/(A)*100
No. of special investigation
forms sent(E)
% of special investigation forms sent
(F)(F)=(E)/(C)*100
Whooping Cough
Tetanus
NNT
Measles
Rubella
CRS
AFP
Encephalitis
Meningitis
Mumps
Total
Form 14Notification and investigation of EPI target diseases- 2013
*No. Investigated = No. reported – No. not attended by a MOH/PHI
OR*No. investigated = (Number confirmed+ Number identified as a non notifiable disease+ Number unable to trace+ Number belongs to other MOH area+ Number re notified)