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Immunization Dashboard November 2016

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November, 2016 Based on Data upto September, 2016-17
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Page 1: Immunization Dashboard November 2016

November, 2016

Based on Data upto September, 2016-17

Page 2: Immunization Dashboard November 2016

Note:

Immunization Technical Support Unit (ITSU) is a strategic arm of Ministry of Health and Family Welfare (MoHFW) that works towards strengthening of Universal Immunization Program (UIP). ITSU reviews the reported data on Child Immunization (service delivery) that is captured in Health Management Information System (HMIS) and Mother and Child Tracking System (MCTS). The same is analyzed, developed into immunization dashboards on monthly basis, program gaps are identified and state specific feedback is provided. Dashboards provide state wise performance on various immunization component (timeliness, coverage, 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 World Health Organization – National Polio Surveillance Project (WHO-NPSP) and National Cold Chain & Vaccine Management Resource Center – National Institute of Health & Family Welfare (NCCVMRC – NIHFW) related to concurrent monitoring and immunization trainings. As per the HMIS guidelines, it is mandatory for all the states to upload monthly data of the preceding month on or before the 20th of each month. After this deadline, ITSU downloads the HMIS and MCTS data, analyzes the data including data from other sources and prepares the dashboards. For example, data for the month of April 2016 is downloaded after 20th of May 2016, collated, analysed and published as “Immunization Dashboard June 2016”. On a monthly basis, a group of states is provided detailed feedback on immunization coverage and data quality issues. The following table explains the framework for categorization of states and union territories for providing the feedback.

Month of Publication of Dashboard

Number of states with feedback

Name of the states with feedback

June, September, December, March

9

Assam, Bihar, Chhattisgarh, Jharkhand, Madhya Pradesh, Odisha, Rajasthan, Uttar Pradesh and Uttarakhand

July, October, January, April

13 Andhra Pradesh, Arunachal Pradesh, Delhi, Gujarat, Haryana, Jammu & Kashmir, Manipur, Meghalaya, Mizoram, Nagaland, Telangana, Tripura and West Bengal

August, November, February

14 Andaman & Nicobar Island, Chandigarh, Dadra & Nagar Haveli, Daman & Diu, Goa, Himachal Pradesh, Karnataka, Kerala, Lakshadweep, Maharashtra, Puducherry, Punjab, Sikkim, Tamil Nadu

The Annual Dashboard has the data of the complete financial year (from April to March) and feedback on coverage performance of all the states/ UTs. Immunization dashboards aim to improve quality and use of reported data on immunization to promote concrete programmatic actions for addressing the challenges in strengthening UIP. Your suggestions for improving these dashboards are always welcome and encouraged.

Page 3: Immunization Dashboard November 2016

Prepared by ITSU-MoHFW

*HMIS Data downloaded on 21st

October, 2016

0 – 11 Months Vaccination

Till September, 2016, the nation's Full Immunization Coverage was 86%.

National coverage for BCG was 86%. States/ UTs that have reported coverage more than

100% were Puducherry (168%), Chandigarh (146%), Mizoram (112%), Meghalaya (105%),

Jammu & Kashmir (103%), Manipur (102%) and Delhi (101%) while Sikkim (61%), A & N

Islands (64%), Arunachal Pradesh (67%), Daman & Diu (69%), Lakshadweep (70%), Madhya

Pradesh (73%), Himachal Pradesh (74%), Kerala (74%), Rajasthan (78%), Nagaland (79%),

Telangana (79%) and Odisha (79%) were the states/ UTs with low coverage.

National coverage for Penta-3 was 79%. Mizoram (103%) reported coverage more than 100%

while Nagaland (46%), Arunachal Pradesh (58%), Uttar Pradesh (62%), Puducherry (62%),

Daman & Diu (65%), Sikkim (66%), Dadra & Nagar Haveli (68%), Rajasthan (69%), Madhya

Pradesh (71%), Kerala (73%), Manipur (77%), Chandigarh (78%), Himachal Pradesh (78%),

Odisha (79%) and Tamil Nadu (79%) were the states/ UTs with low coverage.

National coverage for JE-1 was 81%. Uttarakhand (104%) reported coverage more than 100%

while Kerala (8%), Tripura (8%), Meghalaya (48%), Arunachal Pradesh (56%), Jharkhand (56%),

Nagaland (58%), Andhra Pradesh (59%), Telangana (72%), Uttar Pradesh (73%), Maharashtra

(74%) and Assam (77%) were the states/ UTs with low coverage.

National coverage for MCV-1 was 87%. Delhi (112%), Mizoram (103%), Bihar (102%) and

Punjab (101%) reported coverage more than 100%. Arunachal Pradesh (65%), Puducherry

(70%), Nagaland (70%), Sikkim (72%), Rajasthan (75%), Dadra & Nagar Haveli (76%), Kerala

(77%), A & N Islands (77%), Uttar Pradesh (78%), Madhya Pradesh (78%), Odisha (79%) and

Daman & Diu (80%) were the states/ UTs with low coverage.

Hep-B birth dose is to be given within 24 hours of birth and is mandatory for all institutional

deliveries; however, it was given in 71% of institutional deliveries in the country. Tamil Nadu

(128%) reported coverage more than 100%. Jharkhand (45%), Mizoram (45%) and Assam

(46%) were three lowest reporting states.

KEY FACTS

HMIS IMMUNIZATION DATA – SEPTEMBER, YEAR 2016-17*

Page 4: Immunization Dashboard November 2016

Prepared by ITSU-MoHFW

*HMIS Data downloaded on 21st

October, 2016

Above One Year

National coverage for MCV-2 was 76%. Delhi (116%) reported coverage more than 100%

while lowest coverage reported by A & N Islands (33%).

National coverage for DPT Booster (16-24 months) was 79%. Delhi (112%) reported coverage

more than 100% while lowest coverage reported by Arunachal Pradesh (45%).

National Coverage for JE 2nd dose (in JE-endemic districts) was 79%. Arunachal Pradesh

(290%), Jharkhand (199%), Manipur (172%) and Telangana (110%) were the states/ UTs that

reported coverage more than 100%. Tripura (2%) reported lowest coverage from JE-endemic

districts.

National Coverage for DPT Booster (5-6 years) was 70%. Tamil Nadu (162%), Sikkim (125%),

Andhra Pradesh (113%) and Madhya Pradesh (108%) were the states/ UTs that reported

coverage more than 100%. Arunachal Pradesh (15%) reported lowest coverage of DPT

Booster (5-6 years).

Drop-out Rate (Penta1 –Penta3)

National level drop-out for Penta1-Penta3 was 2%. States / UTs that reported negative drop-

out were Andhra Pradesh, Assam, Bihar, Delhi, Goa, Himachal Pradesh, Jharkhand, Punjab,

Sikkim, Telangana, Uttarakhand and West Bengal. Bihar reported highest negative drop-out

(-10%) while Nagaland reported highest drop-out of 19%.

New Vaccines

Inactivated Polio vaccine (IPV) (Fractional doses or full doses) introduced in all states. Till

September 2016, Total 12,21,588 infant vaccinated for Fractional dose-1 and 3,13,380 infant

vaccinated for Fractional dose-2 in the states of Andhra Pradesh, Goa, Haryana, Karnataka,

Kerala, Maharashtra, Odisha, Puducherry, Tamil Nadu, Telangana and West Bengal. Haryana

did not report any coverage for Fractional dose-2. Total of 81,26,140 infants vaccinated for

Full dose in rest of the states.

Rota Virus Vaccine (RVV) introduced in Andhra Pradesh, Haryana, Himachal Pradesh and

Odisha in March-April 2016. Till September 2016, Total 8,09,368 (Andhra Pradesh – 2,86,636,

Haryana – 1,75,973, Himachal Pradesh – 40,016 and Odisha – 3,06,743) RVV doses

administered.

Page 5: Immunization Dashboard November 2016

Prepared by ITSU-MoHFW

Other Feedback

Most of the states still reporting coverage data on HepB 1, 2 and 3 that is mentioned in

“Administrative Data – Needs Review”.

Most of the states still reporting coverage data on DPT 1, 2 and 3 that is mentioned in

“Administrative Data – Needs Review”.

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

September 2016, 9 polio cases (2 from Andhra Pradesh, 1 from Chandigarh, 1 from Gujarat, 2

from Karnataka and 3 from Uttar Pradesh) were reported in HMIS data. The details are

mentioned in “Administrative Data – Needs Review”.

Arunachal Pradesh (290%) and Jharkhand (199%) reported a very high coverage of JE second

dose. It needs to be reviewed and corrected immediately.

Lowest percentage of children fully immunized: Haryana (65%).

State with high percentage of planned immunization sessions not held: Chhattisgarh (22%).

States with high percentage of immunization sessions where due list was not available: Delhi

(79%), Meghalaya (50%) and Kerala (44%).

States with high percentage of immunization sessions where all vaccines were not available:

Tamil Nadu (62%), Jammu & Kashmir (61%), Himachal Pradesh (49%) and Madhya Pradesh

(46%).

WHO-NPSP CONCURRENT MONITORING DATA

August, Year 2016-17

Page 6: Immunization Dashboard November 2016

Prepared by ITSU-MoHFW

*MCTS Portal as on 21st

October 2016

Andhra Pradesh, Arunachal Pradesh, Chandigarh, Dadra & Nagar Haveli, Daman & Diu, Delhi, Goa,

Haryana, Lakshadweep, Madhya Pradesh, Maharashtra, Meghalaya, Nagaland, Punjab, Sikkim

and Tripura are migrating to RCH Portal, so data analysis has not been done for these states.

Only 42.67% of data entry for infant was done for the year 2016-17 on pro-rata basis at MCTS

portal till September 2016, with lowest 16.53% being in Odisha.

Percentage of villages not mapped with any facility at MCTS portal: Total of 13.60% villages

were not mapped in India. Rajasthan (100.0%), Assam (57.68%) and A & N Islands (42.69%)

were the three states with highest percentage of villages not mapped at MCTS portal.

All-India coverage for FIC was just 0.36%. Only Chhattisgarh, Gujarat and Tamil Nadu reported

more than 1% coverage.

Antigen-wise all-India coverage against registered children in 2016-17:

- Hep B birth dose: 39.58% (Assam, Mizoram and Rajasthan reported less than 20%

coverage)

- BCG: 59.30% (Assam, Bihar, Odisha, and Rajasthan reported less than 50%).

- Penta 3rd dose: 41.57% (A & N Islands, Karnataka, Odisha and Tamil Nadu reported less

than 1.00%).

- Measles 1st dose coverage was just 0.96%. Only Chhattisgarh, Gujarat, Karnataka,

Mizoram and Tamil Nadu reported more than 1% coverage.

- DPT Booster coverage for the country was 6.93%. Immediate attention required to

correct the data by Gujarat and Karnataka which have reported coverage as 16100% and

Karnataka 551.43% respectively.

MCTS PORTAL DATA - SEPTEMBER, YEAR 2016-17

Page 7: Immunization Dashboard November 2016

Prepared by ITSU-MoHFW

Based on Data upto September, 2016-17

Executive Dashboard

HMIS Dashboard

MCTS Dashboard

DASHBOARDS

FACTS

Page 8: Immunization Dashboard November 2016

Fractional

Dose - 1

Fractional

Dose - 2Full dose

All India RSOC 65.3 91.1 99 84534 9 2 40 81 79 76 79 86 2

1 Nagaland DLHS-4 35.6 0.2 96 461 NA NA 19 58 51 54 55 67 19

2 Delhi DLHS-4 37.1 1.8 97 1678 829 3 79 21 87 NA NA 62 NA NA 116 112 108 -3

3 Arunachal Pradesh DLHS-4 49.2 0.1 94 308 87 NA NA 18 56 290 44 45 63 6

4 Uttar Pradesh AHS-3 52.7 26.6 97 33537 33659 7 10 8 76 NA NA 62 73 68 63 69 80 13

5 Madhya Pradesh NFHS-4 53.6 8.9 98 8576 250 9 25 46 87 NA NA 38 NA NA 66 69 77 3

6 Tripura NFHS-4 54.5 0.3 98 443 1 0 0 0 100 NA NA 34 8 2 73 77 80 11

7 Gujarat DLHS-3 54.8 6.1 99 3417 165 2 21 33 88 NA NA 78 NA NA 75 77 86 2

8 Maharashtra NFHS-4 56.3 8.6 99 1401 817 11 32 39 74 38 5 NA 74 66 87 89 95 4

9 Uttarakhand NFHS-4 57.7 0.8 92 6300 577 11 20 22 86 NA NA 42 104 92 88 88 94 -2

10 Meghalaya NFHS-4 61.5 0.3 86 5426 12 0 50 33Information

not availableNA NA 15 48 26 66 73 83 16

11 Bihar NFHS-4 61.7 10.6 98 12042 29261 4 6 23 85 NA NA 81 100 90 90 90 101 -10

12 Jammu & Kashmir DLHS-3 62.2 0.8 92 4427 19 5 33 61Information

not availableNA NA 77 NA NA 87 89 93 8

13 Haryana NFHS-4 62.2 2.1 98 2093 64 11 20 9 65 6 NA 41 91 84 82 79 79 2

14 Karnataka NFHS-4 62.6 4.3 96 9887 898 4 32 22 90 28 9 NA 94 72 81 83 89 1

15 Himachal Pradesh DLHS-4 63.0 0.4 99 188 557 2 8 49 97 NA NA 52 NA NA 82 82 84 -2

16 Assam NFHS-4 47.1 3.8 98 4016 19 0 0 5 83 NA NA 35 77 72 82 84 87 -1

17 Andhra Pradesh NFHS-4 65.3 2.9 99 2343 101 0 31 30 92 19 7 NA 59 78 70 83 85 -2

18 Manipur NFHS-4 65.9 0.2 93 817 NA NA 55 99 172 79 88 96 11

19 Telangana NFHS-4 68.1 2.0 97 5378 62 0 26 19 90 41 18 NA 72 110 61 83 85 -1

20 Punjab DLHS-4 68.4 1.4 98 2147 261 2 31 33 72 NA NA 75 NA NA 93 94 100 -4

21 Odisha AHS-3 68.8 2.5 99 658 249 3 14 20 94 21 8 NA NA NA 75 76 79 4

22 Tamil Nadu NFHS-4 69.7 3.4 116 -45480 83 1 2 62 84 32 7 NA 81 79 76 82 79 1

23 Jharkhand AHS-3 69.9 2.4 98 4770 4199 5 15 25 85 NA NA 25 56 199 77 75 98 -2

24 Mizoram DLHS-4 71.2 0.1 97 105 4 0 75 25 71 NA NA 26 NA NA 95 97 99 1

25 Dadra & Nagar Haveli CES (2009) 71.3 0.0 98 27 2 0 50 50 100 NA NA 66 NA NA 62 67 74 0

26 Daman & Diu CES (2009) 71.3 0.0 100 0 NA NA 59 NA NA 71 72 79 2

27 Lakshadweep CES (2009) 71.3 0.0 96 9 NA NA 93 NA NA 81 80 101 11

28 A & N Islands NFHS-4 73.2 0.0 94 83 NA NA 42 NA NA 33 67 74 NA

29 Rajasthan AHS-3 74.2 4.6 97 10948 411 2 25 33 89 NA NA 26 NA NA 60 60 75 4

30 Chhattisgarh AHS-3 74.9 1.5 98 4211 37 22 21 34 94 NA NA 46 NA NA 76 79 86 0

31 Kerala DLHS-4 82.5 0.9 99 142 68 0 44 6 0 54 20 NA 8 78 86 84 75 7

32 Sikkim NFHS-4 83.0 0.0 99 64 NA NA 38 NA NA 66 70 71 -7

33 West Bengal NFHS-4 84.4 2.3 98 3903 1526 0 32 14 89 5 0 44 91 61 90 91 98 -3

34 Chandigarh DLHS-4 85.8 0.0 97 130 15 0 7 0 98 NA NA 45 NA NA 76 84 89 7

35 Goa NFHS-4 88.4 0.0 99 7 1 0 100 0Information

not available10 0 79 90 86 98 94 91 -5

36 Puducherry NFHS-4 91.3 0.0 98 72 1 0 100 0Information

not available57 31 NA NA NA 65 66 69 15

Color and coverage criteria : Red - <60%, Yellow - >60% and <70%, Light Green - >70% and <80% and >80% - Green

* Need Assessment for BCG (2016-17) from HMIS is taken as Estimated Infant Population.

** Administrative data includes HMIS and State coverage report for IPV.

*** NPSP Monitoring cumulative data up to August 2016.

# Percentage of children aged between 9 and 11 months who have been fully immunised (BCG+DPT123/Penta123+OPV123+Measles 1)

## Coverage of JE is calculated for those districts which introduced JE in RI, against their estimated infant population.

###Goa, Haryana, Jharkhand, Lakshadweep, Madhya Pradesh, Rajasthan, Uttar Pradesh and West Bengal has switched to fractional doses from full dose since September 2016.

NR- No Report, NA- Not Applicable

Disclaimer: Dashboard is prepared in November 2016 using cumulative data upto September 2016, downloaded on 24th October 2016. Administrative data is provisional.

OFFICE OF CHILD HEALTH & IMMUNIZATION, MOHFW, NEW DELHI

MONTHLY EXECUTIVE DASHBOARD - ROUTINE IMMUNIZATION PROGRAMBased on the data upto SEPTEMBER, 2016-17

Sr. No State

Evaluated Data Administrative Data** Concurrent Monitoring Data*** Administrative Data (Annualised) **

Source

% FULL

IMMUNIZATION

COVERAGE

Total Estimated

Children "NOT

FULLY

IMMUNIZED"*

(In Lakhs)

% of sessions

held against

planned

No. of

sessions NOT

HELD

No. of Session

monitored

% Monitored

sessions with

Due List "NOT

AVAILABLE"

% Monitored

sessions where All

Vaccines were

"NOT AVAILABLE"

% Monitored

children found

"FULLY

IMMUNIZED"

Drop Out rate

(Penta1-Penta3)MCV 2 (%)

% DPT Booster

(16-24 months)

% Monitored

sessions "NOT

HELD"

% Full

Immunization

Coverage#

IPV (%)###

JE-1 %## JE-2 %##

Information not available

Information not available

Information not available

Information not available

Information not available

Information not available

Information not available

Page 9: Immunization Dashboard November 2016

OFFICE OF CHILD HEALTH & IMMUNIZATION, MOHFW, NEW DELHI

MONTHLY DASHBOARD (HMIS) - ROUTINE IMMUNIZATION PROGRAM

Based on the data upto SEPTEMBER, 2016-17

BCG Penta-1 Penta-3 MCV-1 MCV-2

DPT Booster

(16-24

months)

DPT Booster

(5-6 years)**

Fully

Immunized***Diptheria Pertusis

Tetanus

NeonatarumMeasles

All India 13126000 99 84534 71 86 81 79 87 76 79 70 86 2 1790 415 79 32287

1 A & N Islands 3000 94 83 57 64 NR NR 77 33 67 23 74 NA 0 0 0 17

2 Andhra Pradesh 423000 99 2343 65 92 82 83 92 70 83 113 85 -2 242 0 10 864

3 Arunachal Pradesh 13500 94 308 55 67 62 58 65 44 45 15 63 6 5 3 0 244

4 Assam 355000 98 4016 46 89 85 86 88 82 84 46 87 -1 1 0 2 1375

5 Bihar 1382500 98 12042 88 92 87 96 102 90 90 25 101 -10 4 0 5 1129

6 Chandigarh 9500 97 130 87 146 84 78 90 76 84 66 89 7 0 0 0 91

7 Chhattisgarh 307000 98 4211 64 87 83 83 86 76 79 71 86 0 19 7 6 349

8 Dadra & Nagar Haveli 5500 98 27 98 80 68 68 76 62 67 84 74 0 0 0 0 16

9 Daman & Diu 2500 100 0 85 69 66 65 80 71 72 80 79 2 0 0 0 3

10 Delhi 147000 97 1678 88 101 94 96 112 116 112 60 108 -3 2 0 3 477

11 Goa 11000 100 7 74 85 84 88 98 98 94 75 91 -5 0 0 0 10

12 Gujarat 677000 99 3417 53 94 83 81 87 75 77 70 86 2 20 6 2 1544

13 Haryana 277500 98 2093 73 97 82 81 90 82 79 65 79 2 0 0 0 127

14 Himachal Pradesh 59500 99 188 93 74 77 78 84 82 82 99 84 -2 0 0 0 110

15 Jammu & Kashmir 106500 92 4427 94 103 101 92 97 87 89 72 93 8 4 0 0 123

16 Jharkhand 404500 98 4770 45 92 88 90 99 77 75 37 98 -2 19 3 0 1257

17 Karnataka 578500 96 9887 79 92 92 91 90 81 83 78 89 1 72 5 1 1259

18 Kerala 258000 100 142 61 74 79 73 77 86 84 77 75 7 13 21 0 147

19 Lakshadweep 500 96 9 100 70 98 88 97 81 80 66 101 11 0 0 0 0

20 Madhya Pradesh 954500 98 8576 87 73 73 71 78 66 69 108 77 3 15 0 7 1255

21 Maharashtra 986500 100 1401 67 99 91 88 95 87 89 95 95 4 8 2 0 913

22 Manipur 22500 93 817 69 102 86 77 99 79 88 65 96 11 0 0 0 98

23 Meghalaya 36500 86 5426 76 105 100 85 88 66 73 55 83 16 6 28 0 887

24 Mizoram 9000 97 105 45 112 104 103 103 95 97 70 99 1 0 0 0 174

25 Nagaland 16000 96 461 61 79 56 46 70 54 55 25 67 19 0 1 0 96

26 Odisha 405500 100 658 80 79 82 79 79 75 76 83 79 4 0 0 0 471

27 Puducherry 11000 98 72 90 168 73 62 70 65 66 50 69 15 0 0 0 2

28 Punjab 222000 98 2147 75 92 83 87 101 93 94 83 100 -4 2 0 0 62

29 Rajasthan 886500 97 10948 67 78 71 69 75 60 60 64 75 4 154 21 12 551

30 Sikkim 5500 99 64 85 61 61 66 72 66 70 125 71 -7 0 0 0 16

31 Tamil Nadu 562000 116 -45480 128 80 80 79 83 76 82 162 79 1 0 0 0 150

32 Telangana 320500 97 5378 81 79 87 88 91 61 83 75 85 -1 102 100 0 633

33 Tripura 28500 98 443 60 88 91 80 86 73 77 52 80 11 0 6 0 108

34 Uttar Pradesh 2815500 97 33537 55 81 71 62 78 63 69 47 80 13 1102 212 31 11330

35 Uttarakhand 95500 92 6300 61 85 85 87 97 88 88 55 94 -2 0 0 0 176

36 West Bengal 727000 98 3903 76 91 87 89 98 90 91 69 98 -3 0 0 0 6223

* State Need Assessment for BCG (2016-17) from HMIS is taken as Estimated Infant Population. HMIS data as on 21 Oct 2016*'* State Need Assessment for DT (2016-17) from HMIS is taken as Estimated Infant Population targeted for DPT Booster (5-6 years).

***Percentage of children aged between 9 and 11 months who have been fully immunised (BCG+Penta123+OPV123+Measles)

# Negative figure indicate that there is no drop-out but increase from Penta1 to Penta3

NR- No Report, NA- Not Applicable

Number of Cases of Childhood Diseases Reported

Disclaimer: Dashboard is prepared in November 2016 using cumulative data upto September 2016, downloaded on 24th October 2016.

% Coverage

Drop Out rate

(Penta1-Penta3)#

S.

NoState

Estimated

Proportion

Population of

Infants

2016-17

(in lakhs)*

% of sessions

held against

planned

No. of

Planned

sessions NOT

HELD

HepB0-

Coverage

against

Institutional

Delivery (%)

Page 10: Immunization Dashboard November 2016

OFFICE OF CHILD HEALTH & IMMUNIZATION, MOHFW, NEW DELHI

ADMINISTRATIVE DATA - NEEDS REVIEW

Based on the data upto SEPTEMBER, 2016-17

S.

NoState

DPT-1

(In numbers)

DPT-2

(In numbers)

DPT-3

(In numbers)

HepB-1

(In numbers)

HepB-2

(In numbers)

HepB-3

(In numbers)

Number of Polio

Cases Reported

All India 212915 324816 552296 235186 310123 536569 9

1 A & N Islands 1708 1565 1643 514 437 509 0

2 Andhra Pradesh 12018 9995 10252 23229 8818 14292 2

3 Arunachal Pradesh 1273 1730 1520 1533 1481 1572 0

4 Assam 1781 1144 1324 3270 1778 1816 0

5 Bihar 1255 1316 27535 2146 1215 1853 0

6 Chandigarh 90 116 171 314 112 170 1

7 Chhattisgarh 1449 1186 1386 5659 4871 5294 0

8 Dadra & Nagar Haveli 68 67 28 159 104 173 0

9 Daman & Diu 5 5 19 1 2 28 0

10 Delhi 8668 7445 7147 9130 6334 5937 0

11 Goa 158 144 167 156 116 277 0

12 Gujarat 14216 13457 13679 6518 3700 4113 1

13 Haryana 3 866 773 4890 652 653 0

14 Himachal Pradesh 35 45 64 97 99 112 0

15 Jammu & Kashmir 86 96 49 220 180 117 0

16 Jharkhand 4216 3966 5177 3758 1349 3810 0

17 Karnataka 4247 3036 2918 3742 1983 2162 2

18 Kerala 767 759 534 1950 639 732 0

19 Lakshadweep 65 70 53 64 69 64 0

20 Madhya Pradesh 3007 2463 2791 6121 3363 4023 0

21 Maharashtra 33076 44083 60102 38017 46071 60753 0

22 Manipur 2414 3212 4741 2475 3379 4940 0

23 Meghalaya 869 1786 3902 1005 1691 3671 0

24 Mizoram 88 214 216 169 164 524 0

25 Nagaland 2988 3330 3679 2549 2987 3462 0

26 Odisha 291 305 565 302 249 510 0

27 Puducherry 9 4 16 0 0 0 0

28 Punjab 891 953 1159 812 760 861 0

29 Rajasthan 5342 2892 3793 4726 2876 4828 0

30 Sikkim 2 15 13 3 19 35 0

31 Tamil Nadu 125 39 63 85 16 28 0

32 Telangana 5346 3765 4146 6644 7414 12581 0

33 Tripura 957 1540 3106 636 1126 2871 0

34 Uttar Pradesh 104234 211933 388131 102880 204720 392223 3

35 Uttarakhand 336 323 268 785 714 853 0

36 West Bengal 832 951 1166 627 635 722 0

NR- No Report, NA- Not Applicable

Page 11: Immunization Dashboard November 2016

District BlockHealth

FacilityHep B0 BCG Penta1 DPT3 Penta3 MCV1 MCV2

Fully

ImmunizedJE DPT Booster

A B C D E.1 E.2 E.3 F.1 F.2 F.4 F.5 F.6 F.8 F.9 F.10 F.11 F.12

India 2,66,67,000 62,97,368 42.67 13.60 38.01 44.20 52.10 39.58 59.30 23.68 62.23 41.57 0.96 0.28 0.36 0.10 6.93

1 Andhra Pradesh 8,65,000

2 A & N Islands 6,000 990 29.81 42.69 0.00 33.33 47.06 77.62 90.52 0.00 46.42 0.00 0.00 0.00 0.00 0.00 0.00

3 Arunachal Pradesh 27,000

4 Assam 7,07,000 2,24,804 57.45 57.68 0.00 2.89 20.61 6.35 33.23 25.17 15.33 38.26 0.02 0.00 0.01 0.01 20.00

5 Bihar 29,46,000 4,36,365 26.76 6.30 5.26 37.78 53.21 23.42 37.98 10.28 17.80 22.89 0.13 0.07 0.08 0.01 39.52

6 Chandigarh 20,000

7 Chhattisgarh 6,39,000 2,16,169 61.13 5.26 0.00 0.68 14.86 29.96 76.27 50.95 33.65 49.78 1.18 0.17 1.10 0.00 16.41

8 D&N Haveli 11,000

9 Daman & Diu 5,000

10 Delhi 3,00,000

11 Goa 22,000

12 Gujarat 13,66,000 5,76,230 76.22 0.99 0.00 0.57 16.53 67.57 89.55 56.69 88.89 62.18 1.27 0.47 1.14 0.00 16100.00

13 Haryana 5,55,000

14 Himachal Pradesh 1,16,000 32,610 50.80 0.01 16.67 12.16 33.23 54.27 72.92 46.59 25.00 44.78 0.02 0.01 0.02 0.00 13.64

15 Jammu & Kashmir 2,21,000 66,389 54.28 1.39 0.00 0.81 18.36 59.57 70.11 51.24 24.24 60.28 0.29 0.01 0.28 0.00 25.00

16 Jharkhand 8,33,000 2,49,031 54.02 24.26 0.00 3.54 46.18 21.23 57.63 17.66 12.13 33.77 0.16 0.02 0.08 0.01 24.69

17 Karnataka 11,68,000 5,54,239 85.74 0.07 13.33 100.00 NaN 63.40 68.90 0.00 7.19 0.00 10.70 3.21 0.20 1.62 551.43

18 Kerala 5,12,000 2,18,928 77.26 14.39 0.00 0.74 4.99 55.71 92.30 58.28 48.28 56.57 0.05 0.02 0.02 0.00 33.33

19 Lakshadweep 1,000

20 Madhya Pradesh 19,50,000

21 Maharashtra 19,69,000

22 Manipur 45,000 7,214 28.97 4.26 0.00 13.16 24.35 23.17 82.59 34.94 25.64 41.03 0.04 0.00 0.01 0.06 17.86

23 Meghalaya 72,000

24 Mizoram 18,000 3,631 36.45 0.00 0.00 30.77 48.51 18.15 66.18 47.29 1.59 40.73 1.02 0.38 0.06 0.00 31.71

25 Nagaland 31,000

26 Odisha 8,18,000 74,835 16.53 6.11 100.00 100.00 100.00 27.07 32.51 8.74 0.00 0.43 0.01 0.00 0.00 0.00 0.00

27 Puducherry 24,000 5,633 42.41 0.00 0.00 0.00 5.45 65.39 66.76 52.80 100.00 59.87 0.11 0.03 0.11 0.00 100.00

28 Punjab 4,49,000

29 Rajasthan 18,13,000 5,63,356 56.15 100.00 0.00 0.00 6.48 13.49 22.39 18.00 51.71 50.70 0.00 0.00 0.00 0.00 0.00

30 Sikkim 11,000

31 Tamil Nadu 11,38,000 4,85,434 77.08 0.52 0.00 8.78 0.12 96.36 97.85 0.00 69.76 0.00 1.76 0.00 1.72 0.00 0.00

32 Telangana 6,17,000 1,26,497 37.05 5.37 100.00 100.00 100.00 54.70 67.65 36.08 20.75 32.74 0.03 0.01 0.02 0.01 24.14

33 Tripura 53,000

34 Uttar Pradesh 56,61,000 14,22,387 45.40 12.79 0.00 16.37 28.68 21.97 53.19 25.54 44.69 44.23 0.50 0.10 0.35 0.10 10.51

35 Uttarakhand 1,92,000 45,461 42.78 0.29 0.00 2.11 27.21 28.39 74.14 39.38 8.45 44.66 0.22 0.22 0.15 0.00 26.65

36 West Bengal 14,86,000 4,93,058 59.95 0.30 3.70 3.94 72.96 43.72 66.09 39.14 51.61 44.03 0.11 0.00 0.09 0.03 94.74

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

Migrating to RCH Portal

Migrating to RCH Portal

Migrating to RCH Portal

Migrating to RCH Portal

Migrating to RCH Portal

Migrating to RCH Portal

Migrating to RCH Portal

Migrating to RCH Portal

Migrating to RCH Portal

Migrating to RCH Portal

Migrating to RCH Portal

Migrating to RCH Portal

Migrating to RCH Portal

Migrating to RCH Portal

Migrating to RCH Portal

Migrating to RCH Portal

Health Facilities not Reporting in the

MCTS Portals (September-16)

MCTS Data as on - 21-10-2016

Disclaimer: Dashboard is prepared in November 2016 using cumulative data upto September 2016, downloaded on 21st October 2016.

IMMUNIZATION DIVISION, MINISTRY OF HEALTH AND FAMILY WELFARE, NEW DELHI

MCTS DASHBOARD - ROUTINE IMMUNIZATIONBased on the data upto SEPTEMBER, 2016-17

S.No. State/Country

*Registration Details **Facilities not reporting on MCTS Server

***Infant Immunization Service details (%)Estimated Count

of Infants 2016-

17

Registered

Children during

2016-17

Pro-Rata % of

Data Entry in

2016-17

% of Villages not

mapped with any

sub-facility

September-16

Page 12: Immunization Dashboard November 2016

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TIMELINESS OF HMIS DATA

FULL IMMUNIZATION COVERAGE

September, 2016-17, (Annualized- in percentage)

Apr May June July August September

India 676 53 36 18 9 19 27

Arunachal Pradesh 17 0 0 0 0 1 0

Assam 27 1 0 0 0 0 0

Haryana 21 6 6 4 0 0 7 Bhiwani, Jind, Mahendragarh, Mewat, Panchkula, Panipat and Sirsa

Himachal Pradesh 12 11 10 1 1 3 6 Chamba, Kinnaur, Lahul & Spiti, Sirmaur, Solan and Una

Jammu & Kashmir 22 0 0 0 1 0 0

Kerala 14 10 4 6 3 8 9Ernakulam, Idukki, Kannur, Kasargod, Malappuram, Palakkad,

Pathanamthitta, Thiruvananthapuram and Thrissur

Lakshadweep 1 0 1 0 0 0 0

Maharashtra 35 2 1 1 1 0 0

Meghalaya 11 1 1 1 0 1 0

Mizoram 9 3 1 1 0 1 0

Odisha 30 9 4 2 0 4 2 Jagatsinghpur and Nuapada

Puducherry 30 0 0 0 0 1 1 Mahe

Rajasthan 33 8 7 1 2 0 1 Rajsamand

Uttarakhand 13 0 0 0 1 0 0

West Bengal 20 2 1 1 0 0 1 Uttar Dinajpur

States/UTsNo of

Districts Names of Districts not reported on schedule in September 2016

No of Districts Not Reported on Schedule

GRAPHS AND CHARTS

ISSUES NATIONAL DATA

HMIS – September, Year 2016-17

Page 13: Immunization Dashboard November 2016

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HEPATITIS B BIRTH DOSE COVERAGE (Against Institutional Delivery)

September, 2016-17 (in percentage)

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MCV2 COVERAGE

September, 2016-17 (Annualized- in percentage)

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DPT BOOSTER (16 – 24 Months) COVERAGE

September, 2016-17 (Annualized- in percentage)

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PENTA1 - PENTA3 DROP-OUT

September, 2016-17 (In Percentage)

Note: A & N Islands didn’t report on Penta1 and Penta3 doses.

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REASON FOR CHILDREN NOT BEING FULLY IMMUNIZED

August, 2016-17 (In Percentage)

Source: HTH Monitoring – WHO-NPSP

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ANTIGEN WISE COVERAGE

September 2016-17, (Annualized- in percentage)

FULL IMMUNIZATION COVERAGE

September 2016-17, (Annualized- in percentage)

States

HepB-0

(Against Inst.

Delivery)

BCG Penta1 Penta3 MCV 1 MCV 2 JE -1st

Dose

JE - 2nd

Dose

DPT Booster

(16-24 months)

A & N Islands 57 64 0 0 77 33 NA NA 67

Chandigarh 87 146 84 78 90 76 NA NA 84

Dadra & Nagar Haveli 98 80 68 68 76 62 NA NA 67

Daman & Diu 85 69 66 65 80 71 NA NA 72

Goa 74 85 84 88 98 98 90 86 94

Himachal Pradesh 93 74 77 78 84 82 NA NA 82

Karnataka 79 92 92 91 90 81 94 72 83

Kerala 61 74 79 73 77 86 8 78 84

Lakshadweep 100 70 98 88 97 81 NA NA 80

Maharashtra 67 99 91 88 95 87 74 66 89

Puducherry 90 168 73 62 70 65 NA NA 66

Punjab 75 92 83 87 101 93 NA NA 94

Sikkim 85 61 61 66 72 66 NA NA 70

Tamil Nadu 128 80 80 79 83 76 81 79 82

DATA – SELECTED STATES

HMIS September, Year 2016-17

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HEPATITIS B BIRTH DOSE COVERAGE (Against Institutional Delivery)

September 2016-17, (in Percentage)

MCV2 COVERAGE

September 2016-17, (Annualized- in percentage)

Page 20: Immunization Dashboard November 2016

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PERCENTAGE OF SESSION NOT HELD AGAINST PLANNED

September 2016-17

Page 21: Immunization Dashboard November 2016

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Need Clarification

A & N Islands

Low coverage of Hep B Birth dose (57%) against institutional deliveries.

Low coverage of BCG (64%), Measles first dose (77%), Measles second dose (33%), DPT Booster (16-24

months) (67%), DPT Booster (5-6 years) (23%), Fully Immunized (74%) and IPV full dose (33%).

More than 5% planned RI sessions not held till September 2016.

State has not reported any coverage of Penta first dose and Penta third dose.

Andhra Pradesh

Low coverage of Hep B Birth dose (65%) against institutional deliveries.

Over reporting of DPT Booster (5-6 years) (113%) while low coverage of Measles second dose (70%), JE

first dose (59%), JE second dose (78%), IPV first dose (19%) and IPV second dose (7%).

Penta1-Penta3 dropout rate is negative (-2%) mainly from districts Srikakulam (-5%), Nellore (-5%) and

Prakasam (-4%). Negative dropout means that the reported Penta3 coverage is higher than the Penta1

coverage.

State reported 242 cases of Diptheria which is second highest in the country. State reported 10 cases of

Tetanus Neonatarum which is third highest in the country.

Arunachal Pradesh

Low coverage of Hep B Birth dose (55%) against institutional deliveries.

Over reporting of JE second dose (290%) while low coverage of BCG (67%), Penta first dose (62%), Penta

third dose (58%), Measles first dose (65%), Measles second dose (44%), DPT Booster (16-24 months)

(45%), DPT Booster (5-6 years) (15%), JE first dose (56%), Fully Immunized (63%) and low coverage of IPV

full dose (18%).

More than 5% planned RI sessions not held till September 2016.

STATE SPECIFIC ISSUES

HMIS DATA – SEPTEMBER, YEAR 2016-17 – 22 STATES

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Chandigarh

Over reporting of BCG (146%) while low coverage of Penta third dose (78%), Measles second dose (76%),

DPT Booster (5-6 years) (66%) and IPV full dose (45%).

State is also reporting data on JE-1st dose (8) and JE-2nd dose (13) though JE is not a part of UIP program

in the state.

Delhi

Over reporting of BCG (101%), Measles first dose (112%), Measles second dose (116%), DPT Booster (16-

24 months) (112%) and Fully Immunized (108%) while low coverage of DPT Booster (5-6 years) (60%) and

IPV full dose (62%).

Penta1-Penta3 dropout rate is negative (-3%) mainly from districts East (-8%), South (-7%) and North (-

6%). Negative dropout means that the reported Penta3 coverage is higher than the Penta1 coverage.

State has reported coverage of only 3 doses of JE first dose and did not report any coverage of JE second

dose.

Dadra & Nagar Haveli

Low coverage of Penta first dose (68%), Penta third dose (68%), Measles first dose (76%), Measles second

dose (62%), DPT Booster (16-24 months) (67%), Fully Immunized (74%) and IPV full dose (40%).

Daman & Diu

Low coverage of BCG (69%), Penta first dose (66%), Penta third dose (65%), Measles second dose (71%),

DPT Booster (16-24 months) (72%), Fully Immunized (79%) and IPV full dose (59%).

Goa

Low coverage of Hep B Birth dose (74%) against institutional deliveries.

Low coverage of DPT Booster (5-6 years) (75%), IPV first fractional dose (10%), IPV second fractional dose

(>1%) and IPV full dose (79%).

Penta1-Penta3 dropout rate is negative (-5%) mainly from districts South Goa (-6%) and North Goa (-3%).

Negative dropout means that the reported Penta3 coverage is higher than the Penta1 coverage.

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Himachal Pradesh

Low coverage of BCG (74%), Penta first dose (77%), Penta third dose (78%) and IPV full dose (52%).

Penta1-Penta3 dropout rate is negative (-2%) mainly from districts Lahul Spiti (-16%), Kangra (-6%) and

Mandi (-3%). Negative dropout means that the reported Penta3 coverage is higher than the Penta1

coverage.

State is also reporting data on JE-1st dose (184) and JE-2nd dose (13) though JE is not a part of UIP

program in the state.

Jharkhand

Low coverage of Hep B Birth dose (45%) against institutional deliveries.

Over reporting of JE second dose (199%) while low coverage of Measles second dose (77%), DPT Booster

(16-24 months) (75%), DPT Booster (5-6 years) (37%), JE first dose (56%) and IPV full dose (25%).

Penta1-Penta3 dropout rate is negative (-2%) mainly from districts Godda (-18%), Purbi Singhbhum (-7%)

and Pakaur (-7%). Negative dropout means that the reported Penta3 coverage is higher than the Penta1

coverage.

Karnataka

Low coverage of Hep B Birth dose (79%) against institutional deliveries.

Low coverage of DPT Booster (5-6 years) (78%), JE second dose (72%), IPV first dose (28%) and IPV second

dose (9%).

Kerala

Low coverage of Hep B Birth dose (61%) against institutional deliveries.

Low coverage of BCG (74%), Penta first dose (79%), Penta third dose (73%), Measles first dose (77%), DPT

Booster (5-6 years) (77%), JE first dose (8%), JE second dose (78%), Fully Immunized (75%), IPV first dose

(54%) and IPV second dose (20%).

Lakshadweep

Over reporting of Fully Immunized (101%) while low coverage of BCG (70%) and DPT Booster (5-6 years)

(66%).

Penta1-Penta3 dropout rate is 11%.

State is also reporting data on JE-1st dose (7) though JE is not a part of UIP program in the state.

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Maharashtra

Low coverage of Hep B Birth dose (67%) against institutional deliveries.

Low coverage of JE first dose (74%), JE second dose (66%) and IPV first dose (28%).

State has not reported any coverage of IPV second fractional dose.

Manipur

Low coverage of Hep B Birth dose (69%) against institutional deliveries.

Over reporting of BCG (102%) and JE second dose (172%) while low coverage of Penta third dose (77%),

Measles second dose (79%), DPT Booster (5-6 years) (65%) and IPV full dose (55%).

Penta1-Penta3 dropout rate is 11% mainly from districts Ukhrul (62%), Tamenglong (29%) and Chandel

(25%).

More than 5% planned RI sessions not held till September 2016.

Mizoram

Low coverage of Hep B Birth dose (45%) against institutional deliveries.

Over reporting of BCG (112%), Penta first dose (104%), Penta third dose (103%) and Measles first dose

(103%) while low coverage of DPT Booster (5-6 years) (70%).

State is also reporting data on JE-1st dose (22) though JE is not a part of UIP program in the state.

State has not reported any coverage on IPV.

Puducherry

Over reporting of BCG (168%) while low coverage of Penta first dose (73%), Penta third dose (62%),

Measles first dose (70%), Measles second dose (65%), DPT Booster (16-24 months) (66%), DPT Booster (5-

6 years) (50%), Fully Immunized (69%), IPV first dose (57%) and IPV second dose (31%).

Penta1-Penta3 dropout rate is 15% mainly from districts Pondicherry (18%), Karaikal (7%) and Yanam

(4%).

State is also reporting data on JE-1st dose (13) though JE is not a part of UIP program in the state.

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Punjab

Low coverage of Hep B Birth dose (75%) against institutional deliveries.

Over reporting of Measles first dose (101%) while low coverage of IPV full dose (76%).

Penta1-Penta3 dropout rate is negative (-4%) mainly from districts Patiala (-17%), Fatehgarh Sahib (-10%)

and Nawanshahr (-8%). Negative dropout means that the reported Penta3 coverage is higher than the

Penta1 coverage.

State has not reported any coverage on JE first dose and JE second dose.

Sikkim

Over reporting of DPT Booster (5-6 years) (125%) while low coverage of BCG (61%), Penta first dose

(61%), Penta third dose (66%), Measles first dose (72%), Measles second dose (66%), DPT Booster (16-24

months) (70%), Fully Immunized (71%) and IPV full dose (38%).

Penta1-Penta3 dropout rate is negative (-7%) mainly from districts South (-9%), East (-9%) and West (-

7%). Negative dropout means that the reported Penta3 coverage is higher than the Penta1 coverage.

State is also reporting data on JE-1st dose (2) though JE is not a part of UIP program in the state.

Tamil nadu

Over reporting of Hep B Birth dose (128%) against institutional deliveries.

Over reporting of DPT Booster (5-6 years) (162%) while low coverage of Penta third dose (79%), Measles

second dose (76%), JE second dose (79%), Fully Immunized (79%), IPV first dose (32%) and IPV second

dose (7%).

State held 45480 more sessions than planned sessions.

Telangana

Over reporting of JE second dose (110%) while low coverage of BCG (79%), Measles second dose (61%),

DPT Booster (5-6 years) (75%), JE first dose (72%), IPV first dose (41%) and IPV second dose (18%).

Penta1-Penta3 dropout rate is negative (-1%) mainly from districts Khammam (-6%), Adilabad (-6%) and

Nizamabad (-4%). Negative dropout means that the reported Penta3 coverage is higher than the Penta1

coverage.

State reported 100 cases of Pertusis which is second highest in the country.

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Uttarakhand

Low coverage of Hep B Birth dose (61%) against institutional deliveries.

Over reporting of JE first dose (104%) while low coverage of DPT Booster (5-6 years) (55%) and IPV full

dose (42%).

Penta1-Penta3 dropout rate is negative (-2%) mainly from districts Garhwal (-10%), Chamoli (-9%) and

Almora (-9%). Negative dropout means that the reported Penta3 coverage is higher than the Penta1

coverage.

More than 5% planned RI sessions not held till September 2016.

Page 27: Immunization Dashboard November 2016

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