Post on 26-Jan-2017
transcript
February, 2016
Based on Data upto December, 2015-16
Note:
Immunization Technical Support Unit (ITSU) is strategic arm of Ministry of Health and Family Welfare (MoHFW) that works towards strengthening of Universal Immunization Program (UIP). Program Operation & Monitoring (PO & M) division of ITSU reviews the reported data on Child Immunization (service delivery) that captured in Health Management Information System (HMIS) and Mother and Child Tracking System (MCTS). PO &M division of ITSU develops immunization dashboards and provide state specific feedback on monthly basis by analysing the data. Dashboards provides state wise performance on various immunization component (timeliness, coverage, AEFI, training, VPD cases, etc.) and concurrent feedback regarding reported Immunization data to MoHFW, partner organizations and immunization program managers at state level. Additionally these dashboards collate data provided by WHO-NPSP (World Health Organisation – National Polio Surveillance Project) and NCCVMRC- NIHFW (National Cold Chain & Vaccine Management Resource Center – National Institute of Health & Family Welfare) related to concurrent monitoring and Immunization trainings. The PO&M division adheres to the fixed timeline (after 20th of every month) for reviewing the immunization data uploaded onto the HMIS, and MCTS portals. As per the HMIS guidelines, it’s mandatory for all the states to upload monthly data of the preceding month on or before the 20th of each month. Thus 20th is considered the threshold for ensuring timely reporting within the HMIS. On a monthly basis, a group of states receives detailed feedback on Immunization coverage and data quality issues. The following table explains the framework for categorization of states and union territories that the PO&M division at ITSU follows for providing the feedback. This feedback cycle is repeated on quarterly basis:
First month: Assam, Bihar, Chhattisgarh, Jharkhand, Madhya Pradesh, Odisha, Rajasthan, Uttar Pradesh & Uttarakhand.
Second month: Andhra Pradesh, Arunachal Pradesh, Delhi, Haryana, Gujarat, Jammu & Kashmir, Manipur, Meghalaya, Mizoram, Nagaland, Telangana, Tripura and West Bengal.
Third month: Andaman & Nicobar Island, Chandigarh, Dadra & Nagar Haveli, Daman & Diu, Goa, Himachal Pradesh, Karnataka, Kerala, Lakshadweep, Maharashtra, Puducherry, Punjab, Sikkim and Tamil Nadu.
Immunization dashboards aim to improve quality and use of reported data on immunization for concrete programmatic action for addressing the challenges in strengthening UIP.
Your suggestions for improving these dashboards are always welcome and encouraged.
Prepared by ITSU-MoHFW
0 – 11 Months Vaccination (Andhra Pradesh, Assam, Bihar, Chhattisgarh, Jharkhand, Madhya
Pradesh, Punjab, Rajasthan, Telangana, Uttarakhand and West Bengal introduced pentavalent
vaccination in UIP schedule from October 2014. DPT/Penta coverage for national as well for these
states were not analyzed.
Till December 2015, the nation’s full immunization coverage (FIC) was 64.5% against the
expected figure of 75.0% for 9 months. The national coverage for BCG, MCV1 and JE1 were
67.9%, 65.8% and 54.1% respectively.
States / UTs that reported FIC more than the expected 75.0% were Mizoram (79.3%), Delhi
(78.5%) and Punjab (76.1%); Nagaland reported 47.3% coverage, which was the lowest in
the country.
States / UTs that have reported BCG coverage more than the expected 75.0% were
Chandigarh (109.5%), Puducherry (101.4%), Meghalaya (87.9%), Mizoram (84.7%),
Manipur (80.6%), Delhi (79.1%), Tripura (76.9%), Maharashtra (76.6%) and West Bengal
(75.9%) while Daman & Diu (51.9%) was the lowest reporting states / UTs.
States / UTs that have reported DPT3/Penta3 coverage more than the expected 75.0% are
Meghalaya (79.8%) and Mizoram (77.8%) for DPT3 coverage while Puducherry reported
only 47.0% Penta3 coverage and Daman & Diu reported 35.2% DPT3 coverage.
Assam, Bihar, Gujarat, Madhya Pradesh, Punjab and Uttar Pradesh have started IPV in their
Immunization schedule. In December 2015, 389140 infants vaccinated for IPV (Assam –
16948, Bihar – 135439, Gujarat – 58152, Madhya Pradesh – 103823, Punjab – 23224 and
Uttar Pradesh – 51554).
Most JE-endemics states / UTs reported very low coverage of JE-1st dose, such as Kerala
(6.0%), Arunachal Pradesh (19.4%), Tamil Nadu (21.0%), Nagaland (30.4%), Telangana
(42.7%), Assam (47.4%) and Manipur (48.0%) against expected 75.0%.
States / UTs that reported MCV1 coverage more than the expected (75.0%) coverage were
Delhi (83.4%), Mizoram (81.1%), A&N Islands (77.4%), Punjab (76.8%), Uttarakhand
KEY FACTS
HMIS IMMUNIZATION DATA – TILL DECEMBER 2015
HMIS Portal as on 22nd January, 2016
Prepared by ITSU-MoHFW
(76.7%), Tripura (75.7%) and Telangana (75.5%). Nagaland reported lowest MCV1 coverage
(50.1%).
Hep B birth dose is given within 24 hours of birth and is mandatory for all institutional
deliveries; however, in only 70.1% of institutional deliveries Hep B birth dose was given in
the country. Tamil Nadu reported more than 100% coverage while Mizoram (33.4%),
Assam (44.1%) and Gujarat (47.1%) were three lowest reporting states / UTs.
12 – 23 Months
Till December 2015, the national coverage for MCV2 was only 52.2% against the expected
75.0%, while the coverage for DPT booster and JE second dose (in JE-endemic districts) for
the same period was 59.1%, and 50.2% respectively.
Tamil Nadu reported 20.6% lowest coverage for MCV2 and Arunachal Pradesh reported
the lowest DPT booster coverage of 38.4%. Arunachal Pradesh reported lowest (24.4%) JE
2nd dose coverage from JE-endemic districts.
Drop-out Rate (DPT1/Penta1 – DPT3/Penta3)
From October 2014, Andhra Pradesh, Assam, Bihar, Chhattisgarh, Jharkhand, Madhya
Pradesh, Punjab, Rajasthan, Telangana, Uttarakhand and West Bengal introduced
pentavalent vaccination in UIP schedule. DPT/Penta dropout for national as well for these
states were not analyzed.
States / UTs that reported negative drop-out are Andaman & Nicobar Islands, Chandigarh,
D & N Haveli, Daman and Diu, Himachal Pradesh, Lakshadweep, Maharashtra, Meghalaya,
Mizoram, Odisha, Sikkim and Tripura. D & N Haveli reported highest negative drop-out (-
56.7%) while Puducherry reported high drop-out of 14.6%.
Other Feedback
Kohima district of Nagaland reported more than 80000 children vaccinated for JE second
dose, led to state coverage as 427.5%. Over reporting needs immediate attention.
The country continues to be polio free for more than three years; however, the HMIS data
pertaining to polio cases remains an issue and needs immediate attention at all levels. Till
December 134 polio cases (7 from Assam, 1 from Gujarat, 61 from Haryana, and 65 from
Tamil Nadu) were reported in HMIS data.
Prepared by ITSU-MoHFW
Lowest percentage of children fully immunized: Punjab (65.3%).
State with high percentage of planned immunization sessions not held: Punjab (9.9%).
State with high percentage of immunization sessions where due list was not available:
Punjab (47.4%) and Odisha (38.7%).
State with high percentage of immunization sessions where all vaccines were not available:
Maharashtra (42.5%), Rajasthan (42.5%), Uttarakhand (40.6%) and Madhya Pradesh
(33.8%).
Only 59.33% of data entry for infant was done for the year 2015-16 on pro-rata basis at
MCTS portal till December 2015, with lowest 31.68% being in Nagaland.
Percentage of villages not mapped with any facility at MCTS portal: Total of 31.48% villages
were not mapped in India. Rajasthan (100.0%) and Puducherry (97.41%) have the highest
percentage of villages not mapped at MCTS portal.
All-India coverage for FIC was just 1.70%. Only Delhi, Gujarat, Jammu & Kashmir,
Karnataka, Madhya Pradesh, Maharashtra, Rajasthan, Tamil Nadu, Telangana and Uttar
Pradesh reported more than 1% coverage.
Antigen-wise all-India coverage against registered children in 2015-16:
- Hep B birth dose: 40.26% (Assam, Bihar, Chhattisgarh, Manipur, Meghalaya, Mizoram
and Rajasthan reported less than 20% coverage)
- BCG: 63.12% (Assam, Bihar, Daman & Diu, Rajasthan and Tripura reported less than
45%).
- DPT3: 70.51% (Lakshadweep, Meghalaya, Mizoram reported less than 45%)
WHO-NPSP CONCURRENT MONITORING DATA
Till December 2015
MCTS PORTAL DATA FOR YEAR 2015-16
As on 21st January 2016
Prepared by ITSU-MoHFW
- Measles 1st dose coverage is just 1.86%. Only Arunachal Pradesh, Chhattisgarh, Dadra
& Nagar Haveli, Delhi Gujarat, Jammu & Kashmir, Karnataka, Madhya Pradesh,
Maharashtra, Rajasthan, Tamil Nadu, Telangana and Karnataka reported more than
1% coverage.
Only 56% of health staff are trained for routine immunization in India, with the lowest in
Himachal Pradesh (6.0%) and West Bengal (6.0%).
IMMUNIZATION TRAINING DATA- NIHFW
Till October 2014
Prepared by ITSU-MoHFW
February 2016
Executive Dashboard
HMIS Dashboard
MCTS Dashboard
DASHBOARDS
FACTS
1st Dose 2nd Dose
India 65.3 91.4 215961 67.9 64.5 52.2 54.1 50.2 49366 56
1 Nagaland 33.2 0.2 786 66.7 47.3 36.5 30.4 427.5 114 254
2 Meghalaya 44.6 0.4 9095 87.9 70.3 55.1 5.0 35.4 349 25
3 Uttar Pradesh 47.0 29.5 59079 61757 8.3 15.6 20.2 69.3 65.1 62.2 44.5 49.9 47.1 16064 11
4 Telangana 47.5 3.2 5438 71.3 74.6 49.4 42.7 44.5 1267
5 Arunachal Pradesh 50.5 0.1 565 61.8 49.7 28.6 19.4 24.4 243 61
6 Madhya Pradesh 53.5 8.8 6217 421 5.9 35.0 33.8 78.7 54.4 55.9 48.8 NA NA 2063 66
7 Manipur 55.2 0.2 1247 80.6 69.7 50.6 48.0 50.6 362 31
8 Assam 55.3 3.1 7088 117 0.0 14.7 17.9 83.6 65.1 65.3 55.7 47.4 38.0 1983 77
9 Gujarat 56.2 5.9 6444 246 0.4 20.4 31.0 77.2 72.1 62.2 53.3 NA NA 2027 70
10 Jammu & Kashmir 59.0 0.9 6468 71.3 70.1 65.6 NA NA 336 35
11 Tripura 59.2 0.2 746 76.9 68.2 59.3 0.2 0.0 400 135
12 Andhra Pradesh 60.1 3.4 3606 67.2 66.0 48.3 49.4 45.9 2013 107
13 Bihar 60.4 11.5 19550 46270 5.2 9.2 24.3 82.5 69.7 66.6 54.7 64.0 53.2 2251 25
14 Rajasthan 60.7 7.0 17438 730 4.7 27.8 42.5 76.8 64.2 57.5 47.0 NA NA 1381 40
15 Odisha 62.0 3.1 1128 199 6.5 38.7 17.7 91.1 64.3 63.4 64.4 NA NA 905 102
16 Jharkhand 64.9 2.9 9225 10238 4.6 16.1 25.7 82.9 68.5 63.9 55.3 73.8 66.5 2284 81
17 Puducherry 66.0 0.1 92 101.4 49.9 49.6 NA NA 42 19
18 Chhattisgarh 67.2 2.1 8923 66.1 63.0 59.7 NA NA 685 18
19 Uttarakhand 68.6 0.6 8245 1277 8.7 29.5 40.6 83.9 72.7 73.3 68.6 80.5 75.9 223 89
20 Mizoram 68.6 0.1 163 84.7 79.3 69.7 NA NA 490 31
21 Delhi 69.7 0.9 3918 79.1 78.5 39.0 NA NA 702 40
22 Haryana 70.7 1.6 2678 74.7 51.0 63.0 72.3 65.5 106 109
23 D&N Haveli 71.3 0.0 49 68.0 57.9 51.2 NA NA 93 14
24 Daman & Diu 71.3 0.0 0 51.9 59.9 53.6 NA NA 6 77
25 Lakshadweep 71.3 0.0 25 54.8 73.0 67.0 NA NA 0 24
26 A&N Islands 75.0 0.0 123 55.6 65.0 31.5 NA NA 22 77
27 West Bengal 75.2 3.7 3383 2671 0.6 31.8 19.3 87.9 75.9 70.9 68.9 65.5 50.4 8031 6
28 Tamil Nadu 76.3 2.7 11471 61.8 59.9 20.6 21.0 57.2 350 20
29 Maharashtra 77.4 4.4 1409 1030 4.7 38.1 42.5 73.0 76.6 73.3 68.4 52.0 48.9 1407 87
30 Sikkim 77.8 0.0 107 53.4 55.9 48.6 NA NA 109 76
31 Punjab 78.6 1.0 5898 384 9.9 47.4 22.3 65.3 74.8 76.1 69.4 NA NA 59 122
32 Karnataka 79.4 2.4 14201 1099 4.5 36.5 24.8 84.3 71.5 70.2 63.2 75.0 52.7 1831 96
33 Himachal Pradesh 80.2 0.2 335 67.0 70.3 64.3 NA NA 331 6
34 Kerala 83.0 0.9 543 68.2 64.8 25.1 6.0 56.9 673 103
35 Chandigarh 85.8 0.0 270 109.5 66.6 59.1 NA NA 145 52
36 Goa 91.9 0.0 8 66.0 67.1 74.8 65.1 63.9 19 79Color and coverage criteria : Red - <60%, Yellow - >60% and <70%, Light Green - >70% and <80% and >80% - Green
* Include CES 2009 (D & N H, D & D and Lakshadweep) and DLHS 4 data (A & N I, Chandigarh and Puducherry) and RSOC data for rest of the states.
** For AHS states Immunization Coverage, Birth Rate and Infant Mortality Rate taken from Annual Health Survey and for rest of the state all these indicators taken from SRS Dec 11. For population Census 2011 data has been taken.
***-Percentage of children aged between 9 and 11 months who have been fully immunised (BCG+DPT123/Penta123+OPV123+Measles).
# Source is NPSP Monitoring Data cumulative data up to December 2015.
## Coverage of JE are calculated for the states and districts who introduced JE in RI.
# ##Source of training data - NIHFW RI Training Division - Oct-14.
NR- No Report, NA- Not Applicable
Prepared by ITSU-MoHFW
OFFICE OF CHILD HEALTH & IMMUNIZATION, MOHFW, NEW DELHI
ROUTINE IMMUNIZATION DASHBOARDMONTH FEBRUARY, YEAR 2015-16
Sr. No
State,UT and
% FULLY IMMUNIZED
EVALUATED COVERAGE*
Total Estimated
Children "NOT FULLY
IMMUNIZED"**
(In Lakhs)
No. of Planned
Sessions "NOT
HELD"
(HMIS -
Cumulative
Dec-15)
Concurrent Monitoring Data # 2015-16
MCV2
JE##
HMIS Data as on - 22-01-2016
% of Health
Staff
Trained###
No. of
Session
monitored
Measles
cases
ReportedBCG Fully
Immunized***
Field
monitoring
% Session
"NOT HELD"
Field
monitoring
% Due List
"NOT
AVAILABLE"
% Sessions
where All
Vaccine were
"NOT
AVAILABLE"
Field
monitoring
% "FULLY
IMMUNIZED"
Expected Annualized Coverage -75.0% till December 2015
India 263.29 70.1 67.9 NA NA NA NA 25.3 65.8 52.2 64.5 59.1 NA 215961 2285 571 227 49366
1 A&N Islands 0.06 59.4 55.6 51.7 - 55.9 - 55.0 77.4 31.5 65.0 59.2 -8.1 123 0 0 0 22
2 Andhra Pradesh 8.58 May-15 93.8 67.2 16.6 48.3 30.1 37.1 29.9 69.3 48.3 66.0 64.4 NA 3606 110 34 2 2013
3 Arunachal Pradesh 0.27 54.0 61.8 60.8 4.6 57.9 0.1 54.7 55.5 28.6 49.7 38.4 4.8 565 41 2 0 243
4 Assam 6.98 Feb-15 44.1 65.1 1.8 63.9 13.4 50.4 13.3 66.0 55.7 65.3 58.4 NA 7088 20 0 1 1983
5 Bihar 29.13 Jan-15 83.3 69.7 0.4 64.6 8.2 54.5 8.3 68.3 54.7 66.6 56.9 NA 19550 51 73 125 2251
6 Chandigarh 0.19 87.2 109.5 25.5 45.5 39.6 23.5 44.6 67.2 59.1 66.6 65.1 -54.9 270 4 0 0 145
7 Chhattisgarh 6.32 Mar-15 66.0 66.1 3.8 58.6 17.4 43.6 17.5 63.5 59.7 63.0 62.5 NA 8923 3 0 0 685
8 D&N Haveli 0.10 98.0 68.0 24.7 29.1 38.7 17.3 37.5 59.1 51.2 57.9 51.4 -56.7 49 0 9 0 93
9 Daman & Diu 0.05 74.0 51.9 22.6 31.5 35.2 14.8 34.4 60.5 53.6 59.9 53.9 -55.8 0 0 0 0 6
10 Delhi 2.97 Apr-14 90.1 79.1 6.8 73.2 7.2 66.4 5.8 83.4 39.0 78.5 78.9 9.3 3918 7 0 6 702
11 Goa 0.22 Apr-12 59.3 66.0 1.2 68.2 1.2 67.9 1.5 74.7 74.8 67.1 75.0 0.4 8 0 0 0 19
12 Gujarat 13.54 May-12 47.1 72.1 1.5 63.6 1.4 61.1 0.5 62.6 53.3 62.2 57.1 3.9 6444 777 16 3 2027
13 Haryana 5.49 Feb-12 69.5 74.7 1.3 67.0 1.3 63.7 0.7 69.6 63.0 51.0 64.6 4.9 2678 1 0 0 106
14 Himachal Pradesh 1.14 87.4 67.0 42.1 25.7 58.9 8.4 58.9 70.5 64.3 70.3 64.5 -40.1 335 15 0 0 331
15 Jammu & Kashmir 2.20 Jun-12 89.7 71.3 1.2 73.7 0.8 71.6 0.3 72.2 65.6 70.1 69.5 2.9 6468 3 5 3 336
16 Jharkhand 8.25 Feb-15 54.2 68.5 3.9 62.6 18.1 46.1 17.3 65.8 55.3 63.9 57.9 NA 9225 11 36 13 2284
17 Karnataka 11.52 Jul-12 79.5 71.5 0.6 72.0 0.5 71.5 0.4 70.3 63.2 70.2 65.3 0.7 14201 5 0 0 1831
18 Kerala 5.08 Jan-12 60.5 68.2 0.3 68.8 0.2 64.9 0.2 66.3 25.1 64.8 65.2 5.7 543 8 72 0 673
19 Lakshadweep 0.01 96.9 54.8 68.5 5.9 72.0 0.3 72.0 72.3 67.0 73.0 66.3 -5.1 25 5 5 5 0
20 Madhya Pradesh 19.02 Oct-14 83.1 54.4 0.9 57.5 1.3 53.2 1.7 57.6 48.8 55.9 54.0 NA 6217 9 1 4 2063
21 Maharashtra 19.40 60.7 76.6 67.2 7.4 71.2 0.3 70.8 72.6 68.4 73.3 69.4 -5.9 1409 14 1 0 1407
22 Manipur 0.45 71.3 80.6 76.4 7.5 74.6 1.0 67.0 73.4 50.6 69.7 60.4 2.5 1247 0 2 0 362
23 Meghalaya 0.71 75.8 87.9 74.0 11.4 79.8 0.9 74.7 74.7 55.1 70.3 62.7 -7.9 9095 3 32 4 349
24 Mizoram 0.18 33.4 84.7 63.0 18.4 77.8 3.6 78.4 81.1 69.7 79.3 74.0 -23.6 163 0 0 0 490
25 Nagaland 0.31 70.2 66.7 60.2 2.7 53.8 0.1 52.1 50.1 36.5 47.3 40.4 10.6 786 0 1 0 114
26 Odisha 8.11 80.4 64.3 41.5 20.5 56.8 5.7 56.8 63.8 64.4 63.4 64.4 -37.0 1128 0 0 0 905
27 Puducherry 0.23 Mar-12 86.0 101.4 0.8 55.0 0.9 47.0 0.4 50.6 49.6 49.9 50.0 14.6 92 0 0 0 42
28 Punjab 4.45 Jan-15 67.9 74.8 2.4 68.3 8.2 61.9 8.4 76.8 69.4 76.1 69.8 NA 5898 0 45 0 59
29 Rajasthan 17.89 Nov-14 65.0 64.2 0.6 59.5 0.9 55.6 0.7 58.4 47.0 57.5 47.5 NA 17438 135 57 7 1381
30 Sikkim 0.11 94.7 53.4 33.3 19.6 47.1 6.1 46.8 56.9 48.6 55.9 52.2 -41.5 107 0 0 0 109
31 Tamil Nadu 11.32 Dec-11 123.6 61.8 0.0 61.7 0.0 60.7 0.1 63.4 20.6 59.9 63.0 1.6 11471 0 0 0 35032 Telangana 6.12 Jun-15 95.9 71.3 27.8 45.8 41.6 32.4 41.7 75.5 49.4 74.6 72.1 NA 5438 94 76 0 126733 Tripura 0.52 61.3 76.9 65.9 13.0 71.1 0.1 70.8 75.7 59.3 68.2 62.9 -7.9 746 0 0 0 40034 Uttar Pradesh 55.74 52.7 65.1 63.2 0.4 59.2 0.0 58.2 61.7 44.5 62.2 50.8 6.3 59079 917 101 54 1606435 Uttarakhand 1.89 Nov-14 59.0 72.7 1.1 73.0 4.3 69.0 4.5 76.7 68.6 73.3 70.6 NA 8245 52 1 0 22336 West Bengal 14.74 Jan-15 72.9 75.9 0.7 69.5 8.6 61.3 7.8 72.7 68.9 70.9 69.5 NA 3383 0 2 0 8031
-Pentavalent states HMIS Data as on - 22-01-2016NA - Data not analysed
* MMR coverage is taken for the states (Delhi, Goa, Kerala, Sikkim and Puducherry) giving MMR in Immunization Schedule and for the rest of the states MCV 2 Coverage has been taken
**Percentage of children aged between 9 and 11 months who have been fully immunised (BCG+DPT123/Penta123+OPV123+Measles)
Prepared by ITSU-MoHFW
# Negative figure indicate that there is no drop-out but increase from DPT1/Penta1 to DPT3/Penta3
*** Andhra Pradesh, Assam, Bihar, Chhattisgarh, Jharkhand, Madhya Pradesh, Punjab, Rajasthan, Telengana, Uttarakhand and West Bengal introduced pentavalent vaccination in UIP schedule from October 2014. DPT/Penta coverage and dropout for national as well for these
states were not analyzed.
OFFICE OF CHILD HEALTH & IMMUNIZATION, MOHFW, NEW DELHIMONTHLY PROGRAM MONITORING (HMIS) - ROUTINE IMMUNIZATION PROGRAM
MONTH FEBRUARY, YEAR 2015-16
Sr.
NoState/UT
Estimated
Population
of Infants
2015-16
(in lakhs)
Penta
Launch
Month
and Year
Detailed HMIS Data (Cumulative till December- 2015)
HepB0-
Coverage
against
Institutional
Delivery
Coverage for Immunization in % (against Total Estimated Population)
Tetanus
NeonatarumMeasles
Expected Annualized Coverage -75.0% till December 2015
Diptheria Pertusis
No. of
Planned
Sessions
NOT HELD
Number of Cases of Childhood Diseases
Reported
MCV 1 MCV 2 *Fully
Immunized**
DPT
Booster
Penta1*
** DPT3***
Penta3*
**
HepB-
3***BCG DPT1***
Drop Out
DPT1-DPT3
Penta1-Penta3
District BlockHealth
FacilityHep B0 BCG DPT1 Penta1 DPT3 Penta3 Hep B3 MCV1 MCV2
Fully
ImmunizedJE
DPT
Booster
A B C D E.1 E.2 E.3 F.1 F.2 F.3 F.4 F.5 F.6 F.7 F.8 F.9 F.10 F.11 F.12 H.1
India 2,74,34,000 1,30,74,490 59.33 31.48 5.42 24.68 43.22 40.26 63.12 14.45 28.64 70.51 68.23 70.48 1.86 0.52 1.70 0.13 3.99 47.65
1 Andhra Pradesh 8,93,000 5,12,402 71.43 8.11 100.00 100.00 100.00 71.51 85.44 2.15 64.45 85.75 72.54 79.80 0.15 0.04 0.10 0.01 1.73 43.94
2 A & N Islands 6,000 2,355 48.86 42.69 0.00 22.22 55.88 67.63 87.66 54.51 0.22 59.66 33.33 60.39 0.35 0.00 0.35 0.00 0.00 60.65
3 Arunachal Pradesh 28,000 8,437 37.51 43.24 11.76 78.05 78.54 34.44 80.10 46.37 5.47 53.52 0.41 53.45 1.26 0.41 0.87 0.17 3.07 65.09
4 Assam 7,38,000 2,91,287 49.14 58.06 0.00 4.62 43.12 6.75 40.43 1.24 32.59 41.34 52.65 43.83 0.11 0.01 0.09 0.03 2.44 83.64
5 Bihar 30,41,000 14,14,177 57.89 20.51 0.00 4.49 38.14 18.36 32.16 1.31 10.96 28.66 43.06 16.43 0.19 0.07 0.10 0.02 18.26 85.28
6 Chandigarh 19,000 11,290 73.97 18.52 0.00 0.00 10.87 74.17 80.91 17.89 46.11 84.31 56.73 84.51 0.50 0.11 0.41 0.00 0.40 26.30
7 Chhattisgarh 6,62,000 3,33,502 62.72 5.26 0.00 2.04 32.18 17.94 66.12 10.46 0.00 78.26 0.00 80.01 4.98 0.55 2.83 0.00 0.89 33.21
8 D&N Haveli 10,000 4,212 52.44 3.85 0.00 0.00 13.33 58.22 75.78 21.79 36.66 85.90 66.23 85.40 1.08 0.32 0.85 0.00 0.80 21.94
9 Daman & Diu 5,000 3,495 87.02 2.63 0.00 0.00 0.00 33.90 41.37 19.55 15.03 73.37 55.28 73.52 0.11 0.08 0.11 0.00 0.26 44.51
10 Delhi 3,04,000 1,95,032 79.87 83.04 0.00 0.00 11.79 42.17 61.63 0.79 47.29 64.37 58.40 61.54 1.18 0.50 1.06 0.01 72.30 35.31
11 Goa 22,000 11,997 67.89 2.52 0.00 0.00 15.15 58.33 91.00 0.27 66.07 70.83 74.26 68.18 0.21 0.00 0.20 0.04 5.88 69.70
12 Gujarat 14,05,000 8,12,623 72.00 22.64 0.00 0.50 15.30 65.23 90.93 0.03 72.22 92.42 82.05 55.22 4.31 0.25 4.10 0.00 592.82 21.96
13 Haryana 5,72,000 2,32,870 50.68 25.46 0.00 16.78 27.94 31.45 66.00 0.07 51.16 43.53 68.82 31.34 0.42 0.02 0.40 0.03 50.82 82.28
14 Himachal Pradesh 1,18,000 71,135 75.05 61.55 8.33 11.27 32.06 59.04 82.59 32.92 28.08 84.68 52.01 84.60 0.43 0.07 0.38 0.00 0.16 26.52
15 Jammu & Kashmir 2,28,000 1,13,848 62.16 8.38 0.00 3.25 29.84 50.77 62.40 0.43 49.59 37.36 74.17 56.63 1.27 0.01 1.26 0.00 14.95 82.02
16 Jharkhand 8,57,000 2,52,668 36.70 50.04 0.00 23.35 64.07 22.42 65.58 4.60 22.53 15.48 40.32 4.86 0.12 0.03 0.05 0.01 17.44 93.54
17 Karnataka 11,89,000 3,50,335 36.68 25.26 23.33 100.00 100.00 65.16 72.68 1.46 33.41 17.95 64.52 20.67 7.76 3.27 7.03 1.66 276.53 21.70
18 Kerala 5,14,000 3,43,297 83.15 14.39 0.00 1.86 9.02 54.74 94.17 0.27 69.21 94.93 74.39 35.56 0.34 0.01 0.32 0.00 9.29 97.73
19 Lakshadweep 1,000 275 34.23 70.37 0.00 90.00 90.00 47.48 53.60 21.22 7.91 40.00 0.00 35.29 0.00 0.00 0.00 0.00 0.00 76.27
20 Madhya Pradesh 20,11,000 11,13,126 68.91 12.23 0.00 0.00 7.64 66.09 75.06 1.10 48.89 70.31 67.37 71.65 1.18 0.37 1.14 0.00 34.54 51.72
21 Maharashtra 19,88,000 10,69,794 66.99 8.13 0.00 0.26 20.61 45.65 82.38 58.28 9.00 81.27 5.41 81.36 2.30 0.21 2.26 0.07 0.28 27.69
22 Manipur 45,000 13,704 37.91 33.60 0.00 41.03 43.56 16.69 83.41 36.25 1.84 51.67 21.74 50.54 0.45 0.67 0.41 0.05 5.44 83.90
23 Meghalaya 75,000 30,003 49.80 29.23 0.00 7.69 42.93 18.80 62.79 34.28 0.36 41.86 0.00 42.15 0.25 0.04 0.07 0.00 1.95 83.59
24 Mizoram 19,000 5,006 32.80 59.53 50.00 50.00 80.00 19.66 60.00 43.90 2.47 44.90 0.00 45.69 0.26 0.07 0.14 0.00 0.49 73.14
25 Nagaland 32,000 8,143 31.68 10.57 18.18 67.54 76.52 27.61 71.21 52.26 0.07 49.19 0.00 49.40 0.71 1.27 0.46 0.18 3.56 63.14
26 Odisha 8,55,000 4,39,585 64.00 10.12 6.67 6.37 77.21 47.53 64.19 34.27 16.93 84.97 44.84 85.00 0.44 0.01 0.39 0.00 0.06 25.62
27 Puducherry 23,000 9,614 52.04 97.41 0.00 0.00 9.09 70.28 72.59 0.27 64.84 42.86 75.83 33.33 0.47 0.03 0.40 0.00 60.00 84.62
28 Punjab 4,57,000 2,71,312 73.91 5.49 0.00 2.23 65.56 42.73 58.75 0.59 43.18 63.34 66.67 66.23 0.31 0.00 0.28 0.00 2.31 64.69
29 Rajasthan 18,77,000 11,32,504 75.11 100.00 0.00 0.00 10.36 10.71 14.25 6.33 0.00 71.06 0.00 69.98 5.68 2.91 5.41 0.00 25.81 6.19
30 Sikkim 11,000 4,834 54.71 24.49 0.00 15.63 18.18 73.47 79.35 42.56 19.44 83.43 39.73 83.25 0.35 0.00 0.33 0.00 0.07 26.16
31 Tamil Nadu 11,56,000 7,42,491 79.96 2.88 18.75 90.49 96.59 93.98 96.98 55.47 0.00 33.49 0.00 32.99 1.21 0.00 1.15 0.00 0.00 83.70
32 Telangana 6,37,000 4,04,682 79.09 35.34 0.00 3.07 14.98 69.67 84.31 10.70 58.23 89.51 74.50 89.14 1.28 0.24 1.23 0.37 1.22 20.17
33 Tripura 53,000 15,828 37.18 53.24 0.00 6.67 53.24 22.67 44.60 35.63 4.87 47.83 1.59 46.15 0.47 0.04 0.30 0.00 1.98 75.84
34 Uttar Pradesh 58,67,000 18,52,318 39.30 66.35 0.00 22.37 29.20 21.19 56.44 32.89 0.35 56.34 2.39 55.96 1.74 0.14 1.53 0.23 1.58 69.94
35 Uttarakhand 1,95,000 95,138 60.74 27.66 0.00 4.21 56.93 28.77 78.32 1.13 50.35 30.53 60.81 20.96 0.34 0.06 0.28 0.01 9.79 77.37
36 West Bengal 15,21,000 9,01,171 73.76 16.66 0.00 0.00 72.54 43.19 73.79 0.22 57.64 65.43 69.24 65.53 0.88 0.05 0.75 0.32 52.71 80.78
Source of information : Scheduled Reports from MCTS portal as mentioned below
* A- State wise Mother & Child Count
** L-District wise facilities not entering data
*** H- State & District Dashboards
OFFICE OF CHILD HEALTH & IMMUNIZATION, MOHFW, NEW DELHI
MONTHLY PROGRAM MONITORING (MCTS) - ROUTINE IMMUNIZATION PROGRAMMONTH FEBRUARY, YEAR 2015-16
S.No. State/Country
*Registration Details **Facilities not reporting on MCTS Server
***Infant Immunization Service details (%)
Drop out
DPT1-
DPT3
Estimated Count
of Infants 2015-
16
Prepared by ITSU-MoHFW
Registered
Children during
2015-2016
Pro-Rata % of
Data Entry in
2015-2016
% of Villages not
mapped with
any sub-facility
Dec-15
Health Facilities not Reporting in the
MCTS Portals (Dec-15)
MCTS Data as on - 21-01-2016
Prepared by ITSU-MoHFW
TIMELINESS OF HMIS DATA
PROJECTED FULL IMMUNIZATION COVERAGE
(in Percentage) for Year 2015-16
Apr May Jun July Aug Sep Oct Nov Dec
India 675 70 80 18 46 44 3 32 13 20
A & N Islands 3 2 3 0 2 3 0 2 0 0
Arunachal Pradesh 17 1 2 1 1 1 0 0 1 2 Dibang Valley and Longding
Assam 27 0 0 0 0 0 0 0 0 1 Lakhimpur
Bihar 38 3 3 0 1 0 0 1 0 0
Haryana 21 21 17 2 10 5 0 10 4 1 Mewat
Himachal Pradesh 12 0 1 0 4 2 0 5 1 5 Chamba, Kinnaur, Lahul & Spiti, Sirmaur and Solan
Kerala 14 9 12 7 12 12 3 8 4 5 Idukki, Kozhikkode, Malappuram, Palakkad and Wayanad
Maharashtra 35 0 0 0 1 0 0 1 1 1 Brihan Mumbai
Meghalaya 11 0 0 0 0 0 0 0 0 1 North Garo Hills
Mizoram 9 1 3 0 0 0 0 0 1 2 Lawngtlai and Saiha
Nagaland 11 0 0 1 1 2 0 0 0 0
Odisha 30 14 18 1 6 17 0 2 1 1 Anugul
Puducherry 4 0 0 0 1 0 0 0 0 0
Rajasthan 33 14 14 5 6 1 0 2 0 1 Jaisalmer
Tamil Nadu 32 5 6 0 0 0 0 0 0 0
West Bengal 19 0 1 1 1 1 0 1 0 0
States/UTsNo of
Districts
Names of Districts not reported on schedule in December
2015
No of Districts Not Reported on Schedule
GRAPHS AND CHARTS
ISSUES NATIONAL DATA
HMIS 2015-16 (Data December 2015)
Prepared by ITSU-MoHFW
HEPATITIS B BIRTH DOSE COVERAGE
(Against Institutional Delivery – Expected 100%) Till December 2015, Year 2015-16
Prepared by ITSU-MoHFW
MCV2 COVERAGE
(HMIS –Expected 75.0%, Till December, 2015 Year 2015-16)
DPT BOOSTER COVERAGE
(HMIS –Expected 75.0%, Till December, 2015 Year 2015-16)
Prepared by ITSU-MoHFW
DPT1/PENTA1 TO DPT3/PENTA3 DROP-OUT
Prepared by ITSU-MoHFW
REASON FOR CHILDREN NOT BEING FULLY IMMUNIZED
(In Percentage as on December 2015 – Cumulative)
Source: HTH Monitoring – WHO-NPSP
Prepared by ITSU-MoHFW
ANTIGEN WISE COVERAGE
Till December, Year 2015-16, (Expected 75.0% except HepB-0)
FULL IMMUNIZATION COVERAGE
Till December, Year 2015-16, (Expected 75.0%)
State
HepB-0
(Against Inst.
Delivery) BCG DPT1 Penta1 DPT3 Penta3 HepB-3 MCV 1 MCV 2
JE -1st
Dose
JE - 2nd
Dose
DPT
Booster
A&N Islands 59 56 52 - 56 - 55 77 31 NA NA 59
Chandigarh 87 109 26 46 40 23 45 67 59 NA NA 65
D&N Haveli 98 68 25 29 39 17 38 59 51 NA NA 51
Daman & Diu 74 52 23 32 35 15 34 61 54 NA NA 54
Goa 59 66 1 68 1 68 2 75 75 65 64 75
Himachal Pradesh 87 67 42 26 59 8 59 71 64 NA NA 65
Karnataka 80 72 1 72 0 71 0 70 63 75 53 65
Kerala 60 68 0 69 0 65 0 66 25 6 57 65
Lakshadweep 97 55 69 6 72 0 72 72 67 NA NA 66
Maharashtra 61 77 67 7 71 0 71 73 68 52 49 69
Puducherry 86 101 1 55 1 47 0 51 50 NA NA 50
Punjab 68 75 2 68 8 62 8 77 69 NA NA 70
Sikkim 95 53 33 20 47 6 47 57 49 NA NA 52
Tamil Nadu 124 62 0 62 0 61 0 63 21 21 57 63
DATA – SELECTED STATES
HMIS 2015-16 (Data December 2015)
Prepared by ITSU-MoHFW
HEPATITIS B BIRTH DOSE COVERAGE
(Against Institutional Delivery) Till December 2015, Year 2015-16
MCV2 COVERAGE
(HMIS –Expected 75.0%, Till December, 2015 Year 2015-16)
Prepared by ITSU-MoHFW
PERCENTAGE OF SESSION NOT HELD AGAINST PLANNED TILL DECEMBER 2015
Prepared by ITSU-MoHFW
Need Clarification
A & N Islands
Low coverage of Hep B Birth dose (59.4%) against institutional deliveries.
Low coverage of BCG (55.6%), DPT first dose (51.7%), DPT third dose (55.9%), HepB third dose
(55.0%), Measles second dose (31.5%) and DPT Booster (59.2%) while Over reporting of Measles
first dose (77.4%).
DPT1-DPT3 dropout rate is negative (-8.1 %) mainly from districts South Andaman (-10.5%) and
North & Middle Andaman (-8.0%). Negative dropout means that the reported DPT3 coverage is
higher than the DPT 1 coverage.
Chandigarh
Over reporting of BCG (109.5%) while low coverage of DPT first dose (25.5%), DPT third dose
(39.6%), HepB third dose (44.6%) and Measles second dose (59.1%).
DPT1-DPT3 dropout rate is negative (-54.9 %). Negative dropout means that the reported DPT3
coverage is higher than the DPT 1 coverage.
State is also reporting data on JE-1st dose (13) though JE is not a part of UIP program in the
state.
D &N Haveli
Low coverage of DPT first dose (24.7%), DPT third dose (38.7%), HepB third dose (37.5%),
Measles first dose (59.1%), Measles second dose (51.2%), Fully Immunized (57.9%) and DPT
Booster (51.4%).
DPT1-DPT3 dropout rate is negative (-56.7 %). Negative dropout means that the reported DPT3
coverage is higher than the DPT 1 coverage.
STATE SPECIFIC ISSUES
HMIS DATA – TILL DECEMBER 2015 – 14 STATES
Prepared by ITSU-MoHFW
State is also reporting data on JE-1st dose (10) though JE is not a part of UIP program in the
state.
Daman & Diu
Low coverage of Hep B Birth dose (74.0%) against institutional deliveries.
Low coverage of BCG (51.9%), DPT first dose (22.6%), DPT third dose (35.2%), HepB third dose
(34.4%), Measles second dose (53.6%), Fully Immunized (59.9%) and DPT Booster (53.9%).
DPT1-DPT3 dropout rate is negative (-55.8 %) mainly from districts Daman (-57.4%) and Diu (-
50.9%). Negative dropout means that the reported DPT3 coverage is higher than the DPT 1
coverage.
Goa
Low coverage of Hep B Birth dose (59.3%) against institutional deliveries.
Himachal Pradesh
Low coverage of DPT first dose (42.1%), DPT third dose (58.9%) and HepB third dose (58.9%).
DPT1-DPT3 dropout rate is negative (-40.1 %) mainly from districts Kullu (-47.5%), Lahul Spiti (-
47.3%) and Kangra (-47.1%). Negative dropout means that the reported DPT3 coverage is higher
than the DPT 1 coverage.
State is also reporting data on JE-1st dose (149) and JE-2nd dose (521) though JE is not a part of
UIP program in the state.
Karnataka
Low coverage of Hep B Birth dose (79.5%) against institutional deliveries.
Low coverage of JE second dose (52.7%).
Kerala
Low coverage of Hep B Birth dose (60.5%) against institutional deliveries.
Low coverage of Measles second dose (25.1%), JE first dose (6.0%) and JE second dose (56.9%).
Prepared by ITSU-MoHFW
Lakshadweep
Low coverage of BCG (54.8%).
DPT1-DPT3 dropout rate is negative (-5.1 %). Negative dropout means that the reported DPT3
coverage is higher than the DPT 1 coverage.
More than 5% planned RI sessions not held till December 2015.
State is also reporting data on JE-1st dose (4) though JE is not a part of UIP program in the state.
Maharashtra
Low coverage of Hep B Birth dose (60.7%) against institutional deliveries.
Over reporting of BCG (76.6%), JE first dose (52.0%) and JE second dose (48.9%).
DPT1-DPT3 dropout rate is negative (-5.9 %) mainly from districts Kolharpur (-14.6%), Gondiya (-
13.1%) and Thane (-12.8%). Negative dropout means that the reported DPT3 coverage is higher
than the DPT 1 coverage.
Puducherry
Over reporting of BCG (101.4%) while low coverage of Penta first dose (55.0%), Penta third dose
(47.0%), Measles first dose (50.6%), Measles second dose (49.6%), Fully Immunized (49.9%), DPT
Booster (50.0%).
Penta1-Penta3 dropout rate is 14.6% mainly from districts Karaikal (9.3%), Yanam (1.8%) and
Mahe (0.6%).
State is also reporting data on JE-1st dose (52) and JE-2nd dose (7) though JE is not a part of UIP
program in the state.
Punjab
Low coverage of Hep B Birth dose (67.9%) against institutional deliveries.
Over reporting of Measles first dose (76.8%) and Fully Immunized (76.1%).
State is also reporting data on JE-1st dose (42) though JE is not a part of UIP program in the
state.
Prepared by ITSU-MoHFW
Sikkim
Low coverage of BCG (53.4%), DPT first dose (33.3%), DPT third dose (47.1%), HepB third dose
(46.8%), Measles first dose (56.9%), Measles second dose (48.6%), Fully Immunized (55.9%) and
DPT Booster (52.2%).
DPT1-DPT3 dropout rate is negative (-41.5 %) mainly from districts North (-48.1%), East (-43.0%)
and South (-41.7%). Negative dropout means that the reported DPT3 coverage is higher than the
DPT 1 coverage.
Tamil Nadu
Over reporting of Hep B Birth dose (123.6%) against institutional deliveries.
Low coverage of Measles second dose (20.6%), Fully Immunized (59.9%), JE first dose (21.0%), JE
second dose (57.2%).