DISTRICT TASK FORCE MEETING

31 Aug 2013

SONBHADRA

Pulse Polio 15 Sep-2013

National Polio Surveillance Project - India

N=181

Percentage of Global Wild Polio Virus Case

Global Wild Poliovirus – 2013*

*Data in WHO HQ as of 13Aug 2013

POLIO UPDATE-2013WorldUp to 13 Aug-13

18105 Countries (Pakistan,Afghanistan,Nigeria,somaliya,kenya)

India (Howara) 1 on Jan 13 -2011

U.P 0 since may 2010

Sonbhadra 0 since 2003

Newly infected Countries in 2011

China,Gabon,Kenya,Somaliya

Last wild poliovirus cases by type, India

WPV2 24/10/1999

Aligarh (UP)

WPV1 13/01/2011

Howrah (WB)

WPV3 22/10/2010Pakur (JH)

* data as on 13 Aug 2013

SurveillanceSonbhadra

National Polio Surveillance Project - India

Comparative AFP survillance indicators – 2011, 2012, 2013 (Week 33)

121

81.8 77.7

99.2

81

10.6

90.1 90.1100

54

96.390.7

100

16.511.2

0

20

40

60

80

100

120

140

AFP case AFP rate % Notification w/n 10days of onset

% Cases with stoolcollected w/n in 14

days

% Investigation w/n48 hrs of notification

2011 2012 2013

Comparative AFP survillance indicators – Corresponding period Week-33

67

14.6

82.1 79.1

98.5

47

9.9

93.6 93.6100

54

11.2

96.390.7

100

0

20

40

60

80

100

120

AFP case AFP rate % Notification w/n 10days of onset

% Cases with stoolcollected w/n in 14

days

% Investigation w/n48 hrs of notification

2011 2012 2013

Notification within 10 days of Onset (week 33)

8055

86 86 82 9073 87 81.8

83100

90 10091 81

75

10090.1

100100

91100

100 100

100

9296.3

0

50

100

150

200

250

300

350

2011 2012 2013

Surveillance Index-2013AFP CaseUp to 17-Aug-13 (Week no.33)

5408 Blocks

AFP Rate 11.2

Cases with stool collected w/in 14 days

90.7%

Notification w/in 10 days of onset

96.3%

investigation w/in 48 hrs of notification

100%

Block AFP Cases% Cases with stool collected w/ in 14 days

% Notification w/ in 10 days of

onsetAFP rate

SBD_BABHANI3 100 100 11.7

SBD_CHATARA4 100 100 16.8

SBD_CHOPAN11 82 91 12.6

SBD_DUDDHI 3100 100 6.9

SBD_GHORAWAL6 83 100 10.6

SBD_MYORPUR8 88 100 5.7

SBD_NAGAWA6 100 100 25.1

SBD_ROBERTSGANJ13 92 92 15.8

District Total 54 90.7 96.3 11.20

AFP surveillance District indicators - 2013 (UPTO WK.33)

Surveillance Issues

•Surveillance Indexes of our district are well above average and we are good performing as compared with previous year.•Total AFP cases reported in district are around 54 in 8 months. •Investigation by MO=2,Nodal=36,SMO=9.•100% case investigation by Trained MOs.•Sensitisation is done by DIO also.

SIASonbhadra

National Polio Surveillance Project - India

District Summary• No of HRA :13 • No of HRG :85• No of Supervisor :214• No of Team :675• No of Booth :1065• No of Transit Team :47• No of Mobile Team : 10

• National Polio Surveillance Project - India

% of Remaining Convertible X Houses-Sonbhadra

14

.66

7.9

6 18

.83

3.8

9 14

.15

35

.16

7.7

2

13

.42 2

7.2

4

16

.26

10

.81

14

.31

20

.75

6.9

2

16

.69

14

.99

9.3

5 9.6

6

17

.75

14

.19

10

.9

6.3

2

14

.72

3.7

7

8.3

7

16

.59

3.1

6

3.9

6

7.6

3

9.8

9

0

10

20

30

40

50

60

70

80

Ba

bh

an

i

Ch

ata

ra

Ch

op

an

Du

dd

hi

Gh

ora

wa

l

My

orp

ur

Na

ga

wa

Ka

kra

hi

Ro

be

rts

ga

nj

To

tal

Feb-13 Apr-13 Jun-13

0

2.6

7

8

0

2.7

3

2.5

0

1.9

2

2.7

6

3.7

5 0

3.3

3.3

3

2.0

4 4.3

2

1.7

5

3.0

7 3

2.5

2.3

3

0

1.6

7

1.7

3

1.6

7

1.5

7 1.8

1

2.8

6

0

2

4

6

8

10

12

14

16

Feb-13 Apr-13 Jun-13

% of False P Houses

% of Unimmunized Kids in HRG area -Sonbhadra

No

ma

d, 0

No

ma

d, 0

No

ma

d, 0

0 0 0 0

0.6

2

2.1

9

0.9

9

0.3

7

No

ma

d, 5

.88

S/C

-B/K

, 4

.45

S/C

-B/K

, 1

3.1

2

S/C

-B/K

, 3

.17

S/C

-B/K

, 6

.2

0

2

4

6

8

10

12

14

Jan-13 Feb-13 Apr-13 Jun-13

Nomad CS PS/TS S/C-B/K

Rate of Conversion of XH

88.8

4

92.2

3

81.4

1

96.0

8

87.2

9

85.0

3

94.8

7

88.2

5

90.8

9

87.7

6

89.6

3

78.8

1

93.3

7

86.5

4

92.3

3

93.3

8

92.0

2

94.2

6

89.4

7

89.1

1

92.3

7

73.6

4 94.4

9

89.4

83.5

2

97.0

9

95.3

4

88.9

4

87.8

7

90.9

1

0

50

100

150

200

250

300B

abhani

Chata

ra

Chopan

Duddhi

Ghora

wal

Myorp

ur

Nagaw

a

Kakra

hi

Robert

sganj

Dis

tric

t

Feb-13 Apr-13 Jun-13

% Total X to P Conversion

54.8

4

47.3

2

52.9

2

50.4

2

69.6

3

63.2

9

53.9

9

63.8

9

56.4

7

55.9

1

63.0

8

45.7

1

52.6

4

51.9

2

64.7

2

61.3

6

54.5

4 66.5

9

56.3

4

52.4

3

54.1

1

32.7

8 44.6

5

42.8

50.2

5

58.0

3

49.0

9

43.8

46.4

4

56.6

3

0

20

40

60

80

100

120

140

160

180

200

Babhani Chatara Chopan Duddhi Ghorawal Myorpur Nagawa Kakrahi Robertsganj District

Feb-13 Apr-13 Jun-13

%Coversion By Supervisors

59.0

2

38.3

9

44.9

2

44.8

8

40.8

3

26.5

40.5

8

34.1

2

25.9

6

37.3

7

59.8

7

35.6

4

41.2

4

46.2

3

42.3

9

26.4

4 40.1

6

34.3

9

30.9

8 36.6

6

66.8

6

41

53.3

51.1

44.8

6

31.3

4

39.3

9

38.6

7

47.4

7 41.8

1

0

20

40

60

80

100

120

140

160

180

200B

ab

han

i

Ch

ata

ra

Ch

op

an

Du

dd

hi

Gh

ora

wal

Myo

rpu

r

Nag

aw

a

Kakra

hi

Ro

bert

sg

an

j

Dis

tric

t

Feb-13 Apr-13 Jun-13

% Conversion of XH

80.58

84.4

82.95

81.66

85.42

87.54 87.76

89.47

87.87

76

78

80

82

84

86

88

90

92

Feb-12 Apr-12. June-12. Sep-12. Nov-12. Jan-13. Feb-13. Apr-13. Jun-13

Rate of Conversion of XH

% False P

3.08

3.62

2

2.43

2.152.06

2.76

3

1.81

0

0.5

1

1.5

2

2.5

3

3.5

4

Feb-12 Apr-12. June-12. Sep-12. Nov-12. Jan-13. Feb-13. Apr-13. Jun-13

% False P

Conversion by Supervisor’s

35.27

32.96 33.19

36.6137.37 36.66

41.81

36.44

38.79

0

5

10

15

20

25

30

35

40

45

Feb-12 Apr-12. June-12. Sep-12. Nov-12. Jan-13. Feb-13. Apr-13. Jun-13

%Conversion

Minutes of DTF June 13 RoundDiscussed on the following Points in DM chairmanship.

•High Remaining Convertible Blocks are Chopan and Ghorawal.

•Total X to P Conversion is High in Myorpur (64.72%) and less in Chopan(45.71%)

•% False P is High in Myorpur(4.32%).•New Born coverage poor in kakrahi, Ghorawal & Chatara.•New Born tracking poor- Myorpur, Chatara.

Summary of DTF Sep 13 Round

•High Remaining Convertible Blocks are Chopan and Myorpur.

•Total X to P Conversion is High in Nagawa (58.03%) and less in Chopan(32.78%)

•% False P is High in Babhani(2.86%).•New Born coverage poor in Robertsganj, Ghorawal & Chatara.•New Born tracking poor- Chopan, nagawa

•Rate of conversion of XH is less in Chopan(73.64)

NO. OF REMAINING CONVERTIBLE X HOUSES SIA JUNE 2013

% New Born Immunized

91 82 96 93 86 94 94 96 87 93

85 8594 77 96

9790

8895

97 85 94

95 93 95 8992

9695 88

0

50

100

150

200

250

300

350

Bab

han

i

Ch

atar

a

Ch

op

an

Du

dd

hi

Gh

ora

wal

Myo

rpu

r

Nag

awa

Kak

rah

i

Ro

ber

tsg

anj

Dis

tric

t

Feb-13 Apr-13 Jun-13

% No. of Teams doing Tracking of New Born child of previous round

100 100

76.19

10092.86

118.18

88.89

100 96.97

0

20

40

60

80

100

120

140B

ab

ha

ni

Ch

ata

ra

Ch

op

an

Du

dd

hi

Gh

ora

wa

l

Myo

rpu

r

Na

ga

wa

Ro

be

rtsg

an

j

Dis

tric

t To

tal

Monitoring Status in HRG- June.-2013

• Total HRG :85

• HRG Monitored :68(80%)

• Child Monitored in HRG :817

• Child Un-immunized in HRG :6

33.15 36.2328.52 28.75 35.61 36.56

52.5736.05 31.9 34.58

33.3134.3

27.94 28.93

35.57 35.28

51.5

36.3833.63 34.15

0

20

40

60

80

100

120

BA

BH

AN

I

CH

AT

AR

A

CH

OP

PA

N

DU

DD

HI

GH

OR

AW

AL

MY

OR

PU

R

NA

GA

WA

KA

KR

AH

I

RO

BE

RT

SG

AN

J

DIS

TR

ICT

Apr'13 Jun'13

Comparative Booth Coverage of Last two roundDist- Sonbhadra

Points to discuss and note during Evening Meeting

• Supervisors to fill X Houses Tracking sheet.• Supervisors to convert at least 10 Houses per day• Action against supervisors with High convertible X

remaining and False P.• Decrease number of X convertible remaining.• New Born Tracking done by Teams• Send written minutes of meeting with issues

identified and actions taken to District through Monitors.

Action Plan for the Coming Round

• Vaccine to be used : Bio-valent (bOPV).

• Timings of the Booth & HTH activities :

09 AM to 4 PM.

• Evening Meeting- 5 to 7 :30pm

• ABSAs and CDPOs to attend Evening Review Meetings every day and collect the list of absentees.

• B Team on 23 Sep 2013.

RISonbhadra

National Polio Surveillance Project - India

% Immunized in 2012

52.9

73.5

46.2

73.957.6

70 70.8 74.264.4

34.9

24.9

32.8

22.6

33.225 26.4 24

27.9

12.21.6

213.5 9.3 5 2.8 1.8 7.7

0

20

40

60

80

100

120

Fully Partial None

% Immunized in 2013(till july)

54.7

40.5

2

25

44.8

36.6

6

48.8

48.9

4

48.9

9

41.7

9

40.1

7

53.9

55.3

3

50.4

53.9

6 49.2

46.8

1

45.9

7

50.4

8

5.13 5.5819.67

4.8 9.382 4.26 4.7 7.68

0

20

40

60

80

100

120

Fully Partial None

R I FEEDBACK – Jan to July 2013, DISTT. SONBHADRA

RI Planning

• ANM Duty roaster and calendar• Cold chain assessment and plan• Maintain stock and Record registers.• Arrange other ANM if on duty ANM on leave for RI• Monthly coverage and achievement assessment of ANM

village wise so as to decide supportive Actions• Waste Management Plan with safety pits• Open Vial policy for all vaccine except BCG and Measles• Zero Dose for BCG, OPV, Hep B• Area Maps and Route Charts

Vit A (oral)

BCG (intradermal)

DPT (intramuscular)Hepatitis B (intramuscular)

Measles (subcutaneous)

OPV (oral)

Thanks…..