Date post: | 04-Nov-2014 |
Category: |
Health & Medicine |
Upload: | prabir-chatterjee |
View: | 877 times |
Download: | 3 times |
2. Current Scenario -Coverage Annual Target Coverage DLHS 3 QuantumInfants(A) Pregnant Women(B) Fully Immunized(C) BCG-DPT3 Dropout rate(D) Number of Children Not Fully Immunized [100-(C)] x (A)/100 Number of BCG-DPT3 Dropout Children(D) x (A)/100 10.97 12.06 83.2 10.7 1,84,000 1,17,000 3. Categorization of districts according to FI coverage(DLHS 3) Less than30% 30% - 50% 50% - 70% More than70%
27 Districts 4. Categorization of districts according to Drop-outs (DLHS3) Less than 10% 10% - 20% 20% - 30% More than 30% NIL 1 VILLUPURAM 2 TUTICORIN 3 NAGAPATTINAM 4 PUDUKOTTAI 5 TIRUCHIRAPALLI 6 THIRUVALLUR 7 THE NILGIRIS 8 THIRUVARUR 9 ERODE 10 KANCHEEPURAM 11 RAMANAD 12 THANJAVUR 13 CUDDALORE 14 PERAMBALUR 1 THIRUVANNAMALAI 2 DHARMAPURI 3 CHENNAI 4 NAMAKKAL 5 MADURAI 6 VELLORE 7 KARUR 8 DINDIGUL 9 KRISHNAGIRI 10 SIVAGANGA 11 KANYAKUMARI 12 TIRUNELVELI 1 COIMBATORE 2 SALEM 3 THENI 4 VIRUDHUNAGER 5. >50% < 30% 30% to 40% 40% to 50% 6. Drop-out (BCG-DPT3 ) > 30% 20% to 30% 10% to 20 % 7. Current Scenario Micro planning No. of Districts with micro plans revised in 2010 Percent Planned sessions held No. of Sub centers without VHN posted Number of Alternate Vaccinators hired(last FY) 30 Districts 98% 140 81 8. Cold Chain Equip ment Total Needed Total Available Functional Remarks / ReasonsILR Small 951 2855 2821 New requirement +Conversion of CFC to NCFC DFSmall 1010 1973 1961 ----Do----- ILR Large 25 134 130 ----Do----- DF Large 36 243 238 ----Do----- 9. Cold Chain Equipment Total Needed Total Available Functional Remarks / ReasonsWIC 3* 15 11
WIF 2* 2 2
Cold Box (L) 1000 2822 2059 New requirement + Replacement Cold Box(S) 400 1647 1481 ----Do----- Vaccine Carrier 5000 79964 76240 ----Do----- 10. Current Scenario Health Workers (HWs) Training M.O. TrainningTraining Load Trainings Completed No. of Health Workers No. of Batched Planned No. of Batches Completed No. of HWs Trained % HWs Trained21000 525 HW Training module received on 24-2-2011 and trainingwill be completed in 6 months Training Load Trainings Completed No. of MO No. of Batched Planned No. of Batches Completed No. of MO Trained % MO Trained4155 105 Training will becompleted in 6 months 11. AEFI 2010 No. of Districts with AEFI Committees No of Serious AEFI Reported No. of AEFI Deaths Reported No. of Serious AEFI Investigated 31district 14 9(Coincidental) 14 12. Access analysis Coverage (BCG, DLHS 3) Dropout Rate (BCG-DPT3, DLHS 3) Low (< 20%) High (> 20%) High (> 70%) All districts 26 districts Low (< 70%) Nil **** **** 4. Districts 1 COIMBATORE 2 SALEM 3 THENI 4 VIRUDHUNAGER 13. Utilization analysis Coverage (BCG, DLHS 3) Dropout Rate (BCG-Measles, DLHS 3) Low (< 20%) High (> 20%) High (> 70%) All districts All districts Nil Low (< 70%) Nil Nil 14.
Demand Generation Activities 15. 16. Status : Alternate Vaccine Delivery 2009-10 2010-11 Issues Sessions Planned (Nos) 214722 196531 Held (Nos) 211022 192485 % age Held 98 % 98 % Alternate Vaccine Delivery (AVD) No of sessions planned with AVD 36792 38634 No of sessions held with AVD 16518 4864 % Sessions held with AVD 45 13 17. Status : Alternate Vaccinators & Mobilizers 2009-10 2010-11 Issues Sessions planned using Alternate Vaccinators Planned (Nos) 27840 29140 *** Held (Nos) 16148 22240 *** % age Held 58 76 *** Mobilizers (Paid mobilizers like ASHAs/ Link workers/ Others) No of sessions planned with soc mobilizers Not relevantNo of sessions held with mobilizers % Sessions held with mobilizers 18. Status :Computer Assistants 2009-10 (Nos) 2010-11 (Nos) Issues Computer Assistants Required in State 30 30 Hired20 18 Quit from work % CA s in place 67 56 19. Status of RI supervisionState & District level2009-10 2010-11 Issues No.ofVisitsby State officials ( Director, Addl. Director,JD) 60 120 No.ofVisits made bydistrict officials24024 (includes visits by Mid level Supervisors-SHN/CHN ) 24024 (includes visits by Mid level Supervisors-SHN/CHN ) 20. Existing Supervisory Mechanism in state
21.
Outcome/ Impact of Supervisory visits 22. RIreview mechanism in State
23. Status of RI Review Meeting contd..
24. Status of RI Review Meeting contd..
25. Status of RI Review Meeting contd..
26. Dropout coverage BCG > Measles(10%) 27. Inconsistency Measles > FI 28. Inconsistency in DPT vaccination 29. Inconsistency in DPT vaccination 30.
31. Status : Disposal pits Waste Disposal Pits 2009-10 (Nos.) issues Reqd. in State 1598 Pits Built 1473 % age pits in place 92 32.
Key issues regarding vaccine stocks 33. Key issues regarding vaccine stocks
34. HMIS
35. Measles vaccination
36. JE vaccination 2010-11(status of integration in UIP) JE vaccination is implemented in 9 DistrictsS.NO DISTRICT TargetChildren No. of children covered % coverage 1 CUDDALORE 39171 22660 58 2 VILLUPURAM 58645 24823 42 3 TANJAVUR 40624 13113 32 4 TIRUVARUR 20340 5591 27 5 TIRUCHIRAPALLI 40265 24193 60 6 PERAMBALUR 20821 7721 37 7 MADURAI 51500 16029 31 8 VIRUDUNAGAR 30557 11193 37 9 THIRUVANNAMALAI 40542 10824 27 Total 342465 136147 40 37.
RI related IEC Status 38.
New State initiatives forimproving Coverage & Quality 39.
Key Issues and possible Solutions 40.
Key Issues and possible Solutions 41.
42. What works!!
43. What doesnt work
44. Definitely needs Improvements We will achieve .. 45. *Funds released for 2009-10 is utilised for 2010-11 Immunization Budget Status Consolidated status 2009-10* Total Funds released to state (Immunization PIP fund) A 1,79,43,950 Total Funds Utilized based on SOEs receivedfrom districts(upto 31 stMar11) B 95,77,203 Unspent balance available with State as on 1/4/2011 A-B 62,26,468 46. Immunization Budget Status Consolidated status 2010-11 Total Funds released to state (Immunization PIP fund) A Nil Total Funds Utilized based on SOEs receivedfrom districts(upto 31 stMar11) B Unspent balance available with State as on 1/4/2011 A-B 47. * Funds released for 2009-10 is utilized for 2010-11 Component wise expenditure during 2010-11 Consolidated year status Alt. Vaccine delivery Alt. Vaccinators Hired Social Mobilizers (ASHA/ Others) Computer Assistants Waste disposal pits Printing /Stationery Fund Allotted(PIP fund approved) 19.32 5.12 ---- 38.4 ---- 37.90 Fund Utilizedbased on SOEs recd from districts (as on 31 stMar11)* 4.53 2.43 ---- 13.47 --- 37.90 % age Fund Utilized based on SOEs recd from districts (as on 31 stMar11) 23 47 ---- 35 --- 100 48. * Funds released for 2009-10 is utilized for 2010-11 Component wise expenditure during 2010-11 Other heads under which funds utilized Supervisory Visits (funds for State level) Supervisory Visits (Funds for District Level) RI Review meetings (State & below Level) Fund Allotted(PIP fund approved) 17.00 7.00 Fund Utilizedbased on SOEs recd from districts (as on 31 stMar11) 10.98 6.89 % age Fund Utilized based on SOEs recd from districts (as on 31 stMar11) 65 98 49. Bottlenecks/Hurdles System ComponentsMain Problems (Based on current scenario or data, identify issues here. An example is quoted) Causes(Causes for the problems to be identified here) Solutions(with existing and extra resources) Vaccine Supply, Quality and Logistics
Poor Bio-medical waste disposal practices
50. Bottlenecks/Hurdles System ComponentsMain Problems (Based on current scenario or data, identify issues here. An example is quoted) Causes(Causes for the problems to be identified here) Solutions(with existing and extra resources) Service Delivery
Proper Mapping of difficult areas like Inaccessible / Remote / Urban Slums / SC /ST areasnot properly doneTo cover the Dropouts in these areas ,Proposed to conduct outreach Session byVHN after completing intensive refresher trainingto all VHNs. 51. Bottlenecks/Hurdles System ComponentsMain Problems (Based on current scenario or data, identify issues here. An example is quoted) Causes(Causes for the problems to be identified here) Solutions(with existing and extra resources) Weak reporting system poor data quality Online Data entrythro HMISat PHC /Urban centreisyet to pickup in certainPHCsDepending on field staffwho has to make data entrybesides her routine field work. Net connectivity problem in rural areas. One person (SHN/HI) is exclusively nominatedto each block toensure complete data This temporary arrangementwill continue till the data management is streamlined. 52. Bottlenecks/Hurdles System ComponentsMain Problems (Based on current scenario or data, identify issues here. An example is quoted) Causes(Causes for the problems to be identified here) Solutions(with existing and extra resources) Program Management including supervision Female Health worker is not spending adequatetime for immunisation atfield .Mid level supervisionis weak in certain areas. Due to the implementation of various new health programmes at times(Chikunkunia, DEC, etc ), the health workers are notfully involved in Immunization programme. The post ofSHN s are vacantin certain areas.SomeHSC are most populatedwith vast area .
53. Bottlenecks/Hurdles System ComponentsMain Problems (Based on current scenario or data, identify issues here. An example is quoted) Causes(Causes for the problems to be identified here) Solutions(with existing and extra resources) Advocacy and Communication Importance of regular Immunization and knowledgeof qualityin Govt. vaccinationis lessamong mother communityin certainareas. Due tolack ofIEC/IPC Acutual cases are not seen by the community now so seriousness of the disease is not known to the rural community.At the time of malicious rumourspreadby media after occurrence of AEFI
54. Bottlenecks/Hurdles System ComponentsMain Problems (Based on current scenario or data, identify issues here. An example is quoted) Causes(Causes for the problems to be identified here) Solutions(with existing and extra resources) Expired JE vaccineRequire disposal guidelines for disposingshort expiry/VVM changevaccines.(JE vaccine after JEMass campaign) Due to the supply of short expiry /VVMdiscard vaccines, they are to be disposed. 55. Bottlenecks/Hurdles System ComponentsMain Problems (Based on current scenario or data, identify issues here. An example is quoted) Causes(Causes for the problems to be identified here) Solutions(with existing and extra resources) Vaccine Supply, Quality and Logistics Shortexpiry vaccinesupplied (TT)Some times Bulk supply received (DPT)Manufacturer not supplying the vaccine in time . Hence short expiry vaccine received fromCRL Kosouly Regular with long expiry vaccine to be supplied 56. Bottlenecks/Hurdles System ComponentsMain Problems (Based on current scenario or data, identify issues here. An example is quoted) Causes(Causes for the problems to be identified here) Solutions(with existing and extra resources) Bio-medical waste disposal practices Poor Bio-medical waste disposal practices No uniform guidelinesdeveloped Disposal is effectively donein certainBlocksthro CTF whereverCTF is available. Uniform guide lines developed after training it will be implemented 57. VisionWhere do we want to reach? System Component Indicator* Target by 2012 Service Delivery % Fully Immunized Children (FIC) 100 % Dropout Rate (BCG-DPT3) Less than5 % Program Management Adequate man power Adequate logistics Strengthening supervision 100 % Monitoring and Surveillance Non-polio AFP rate, stool collection rate AFP rate 2per one lakh under 15 popn. Stool collection rate100 % Reporting system and data quality Entry status(%) Out layer(%) Entry status100% Out layers checked for100 % Advocacy and communication IECIPC VHND/AN Clinic More than 95% 58. Support required Support Required / Expectations Agency
59. T H ANK YOU 60. 61. 62. NANDHIVARAM PHC 63. 64. Inside of the PHC & Entrance of the Operation Theatre 65. 66. Medavakkam PHC