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District immunization profile_Submitted to GoI team

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  • 1. Kurnool District Immunization Profile [Mar’2013] Kurnool District Immunization Profile Dr.Korrapati.Venkata.Naga.Shiva, Anil Kumar Disrict Immunization & Child Health Officer KURNOOL District Immunization & Child Health Management Unit Page 1
  • 2. Kurnool District Immunization Profile [Mar’2013] KURNOOL DISTRICT PROFILE Geophysiography  Kurnool (Telugu: కర్నూలు Urdu: ‫ )ک رن ول‬is a city and administrative seat of Kurnool district of Andhra Pradesh state in southern India, about 212 kilometres (132 mi) south of state capital, Hyderabad, located in the west-central part of the state on the southern banks of the Tungabhadra and Handri rivers  It is also the seventh most populous city of Andhra Pradesh, is the gateway to Rayalaseema and the largest city in the area.  Kurnool served as the capital of Andhra State from 1 October 1953 to 31 October 1956 COMPOSITION At present Kurnool District comprises 3 Revenue Divisions, 54 Revenue Mandals 53 Mandal Parishads, One Municipal Corporation , 3 Municipalities, 899 Gram Panchayats(Notified – 7, Non notified – 862 ) , 920 Revenue Villages and 615 Hamlet Villages. PHYSIOGRAPHY Nallamalas and Erramalas are the two important mountain ranges in the district running in parallel from North to South. The Erramalas divide the district into two well defined tracts from East to West. Between Erramalas and Nallamalas lies the Eastern part of the district comprises Nandikotkur, Pagidyala,Kothapalli, amulapadu, Atmakur, Velgodu, Jupadu Bunglow, Midthur, BandiAtmakur, Gadivemula, Nandyal, Mahanandi, Panyam, Banaganapalli, Owk, Koilakuntla, Rudravaram and Chagalamarri Mandals. This tract is crossed by the crest of Krishna and Pennar, watershed at the North part of the Pagidyala mandal at about 1000 above the sea level. From this height the ground slopes to the South along the river Kundu till it traverses into Pennar valley. Major part of its tract is predominantly black cotton soils District Immunization & Child Health Management Unit Page 2
  • 3. Kurnool District Immunization Profile [Mar’2013] SOCIODEMOGRAPHIC PROFILE Description 2011 2001 Actual Population 4,046,601 3,529,494 Male 2,040,101 1,796,214 Female 2,006,500 1,733,280 Population Growth 14.65% 18.72% Area Sq. Km 17,658 17,658 Density/km2 229 200 Proportion to Andhra Pradesh 4.78% 4.63% Population Sex Ratio (Per 1000) 984 965 District Immunization & Child Health Management Unit Page 3
  • 4. Kurnool District Immunization Profile [Mar’2013] Child Sex Ratio (0-6 Age) 937 958 Average Literacy 61.13 53.22 Male Literacy 71.36 65.96 Female Literacy 50.81 40.03 Total Child Population (0-6 Age) 477,198 537,606 Male Population (0-6 Age) 246,345 274,560 Female Population (0-6 Age) 230,853 263,046 Literates 2,182,149 1,592,172 Male Literates 1,279,938 1,003,659 Female Literates 902,211 588,513 Child Proportion (0-6 Age) 11.79% 15.23% Boys Proportion (0-6 Age) 12.08% 15.29% Girls Proportion (0-6 Age) 11.51% 15.18% Urban Agglomerations inside Kurnool Population Male Female District Kurnool (Urban Agglomeration) 478,124 239,401 238,723 Nandyal (Urban Agglomeration) 211,787 106,034 105,753 Adoni (Urban Agglomeration) 184,771 92,006 92,765 Cities inside Kurnool District Population Male Female Kurnool (Municipal Corporation) 424,920 211,875 213,045 Nandyal (Municipality) 200,746 100,770 99,976 Adoni (Municipality) 166,537 82,743 83,794 District Immunization & Child Health Management Unit Page 4
  • 5. Kurnool District Immunization Profile [Mar’2013] HEALTH PROFILE 1. Health Infrastructure No. of Clusters 20 No. of PHCs 83 No. of UHCs 20 No. of PP Units 3 No. of UFWC 2 No. of MCH Centers 3 No. of CHCs 18 No. of Area Hospital 1 No. of WCH at par with AH 1 No. of General Hospital 1 No. of Sub Centers 542 No. of Sub centers in Urban area 55 District Immunization & Child Health Management Unit Page 5
  • 6. Kurnool District Immunization Profile [Mar’2013] 2. Human Resources for Immunization and Child Health activities at District level. Position Sanctioned In position Dist. Immunization Officer 1 1 Statistical Officer (UIP) 1 1 Asst. SO (UIP) 0 0 Refrigeration mechanic 1 1 Driver (dedicated to UIP vehicles) 1 1 Attender 1 1 Others drawn on deputation Designation Work allotted Regional Vaccine Stores incharge Supply chain and CC management District Vaccine Stores incharge Supply chain and CC management Other Contractual Staff Computer Assistant Data Management 3. Health Indicators IMR 51.5 Under 5 MR 48 Under 5 Malnutrition 49 4. Immunization performance indicators 4.1. Performance for the years 2009 -10, 2010-11, 2011-12 YEAR YEAR YEAR Antigen 2009-10 2010-11 2011-12 ELA Achmnt ELA Achmnt ELA Achmnt TT(PW) 83026 81222 90533 84604 90120 84791 BCG 70771 71085 77461 75097 77678 76188 POLIO 70771 70030 77461 72470 77678 74144 DPT 70771 70030 77461 73169 77678 74144 Hep-B 70771 70030 77461 72348 77678 74144 Measles 70771 70147 77461 69536 77678 72970 FI 70771 70147 77461 69536 77678 72970 JE 77460 61696 71352 65182 71354 63094 DPT 61820 49258 68121 59125 71353 55698 Booster MCV2 71353 25121 District Immunization & Child Health Management Unit Page 6
  • 7. Kurnool District Immunization Profile [Mar’2013] 4.2. Immunization performance (April’2011-Mar’2012) NHSRC Analysis Percentage of coverage (0-11) against reported live births (Apr’11-Mar’12) as percentage 4.3. Number of sessions planned and conducted (Apr’2011 to Mar’2012) District Immunization & Child Health Management Unit Page 7
  • 8. Kurnool District Immunization Profile [Mar’2013] 4.4. Dropout Rates – April 2011– March 2012 Dropout Rate BCG to Dropout BCG to Measles Dropout rate DPT3 to DPT Measles 3% 4% 1% 4.5. AEFI (April 2011 – March 2012) Abscess 145 Deaths 0 Others 0 4.6. Immunization Performance Mar 2012 – Feb 2013 Antigen ELA Prop.ELA Achvmnt % BCG 74082 67908 66586 98 OPV3 74082 67908 66153 97 DPT3 74082 67908 63522 94 Measles 74082 67908 66337 98 MCV 2 71216 65281 35184 54 JE 71216 65281 45694 70 DPT 5 71632 65663 37522 57 TT(PW) 85812 78661 69594 88 4.7. Immunization performance Apr 2012 – Feb’2013 District Immunization & Child Health Management Unit Page 8
  • 9. Kurnool District Immunization Profile [Mar’2013] 4.8. Immunization Performance (Apr’2012-Feb’2013) 4.9. DROPOUT RATES _ March 2012 – Feb 2013 DPT1 – DPT 3 BCG - Measles DPT - Measles 6.88% 2.99% 5.09% 4.10. AEFI 2012 - 2013 Abscess 98 Deaths 2 Others 45 4.11. Sessions planned Vs Conducted (Apr’2012 – Feb’2013) Sessions planned Sessions planned Sessions % of performance In the year Upto Feb 2013 conducted up to Feb 2013 56964 52217 49986 95.7% District Immunization & Child Health Management Unit Page 9
  • 10. Kurnool District Immunization Profile [Mar’2013] 5. Details of Cold Chain system S.No Description Number 1 Regional Vaccine Stores 2 Walk-in-Coolers 2 District Vaccine Stores 1 3 Peripheral Cold Chain points 120 a) PHCs 75 b) UHCs 20 c) PP Units 3 d) UFWCs 2 e) Private 2 d) CHCs 16 e) Unani Medical College 1 f) Shantiram Medical College 1 (Private) 4 Vaccine delivery van 1 Total ILR points in the Periphery: 120 6. Routine Immunization services Delivery norms a) Fixed day and Fixed site b) Along with VHND c) Special Immunization Weeks (Jan 2nd, Feb 2nd ,March 2nd Weeks) 7. Details of Sessions 1 Total Sessions planned 4747 56964 2 Total No. of sessions planned in Rural area including Tribal 4052 48624 2.1 No. of Sessions planned at Sub centre level (Rural) 3393 42888 2.2 No. of sessions planned at PHCs 332 3984 2.3 No. of sessions planned at CHCs 64 768 2.4 No. of sessions planned with hired Vaccinators 88 1056 2.5 No. of sessions planned in Tribal PHCs 659 7908 3 No. of session conducted on fixed day and fixed site in the District. 4682 56184 3.1 No. of Fixed Outreach Saturday Sessions planned in the district 1875 22500 District Immunization & Child Health Management Unit Page 10
  • 11. Kurnool District Immunization Profile [Mar’2013] 3.2 No. of Fixed Wednesday sessions planned in the district 2807 33684 4 No. of Sessions in Urban Areas 571 6852 4.1 No. of Sessions in Government sector(Urban) 499 5988 4.2 No. of Sessions in Other Government Sectors(Urban) 32 1728 4.3 No.of Sessions in Private Sector(Urban) 16 192 4.4 No. of Sessions in NGOs sector 24 288 5 No. of Sessions planned in Border Villages 79 948 6 No. of sessions planned in Tribal PHCs 659 7908 6.1 No. of Sessions planned in Tribal plain areas 466 6744 No. of sessions in Tribal vulnerable population{RIAs(Remote 6.2 103 1236 Interior Areas)} Sugali Thandas and Chenchu Gudems 7 No. of session with hired vaccinators 212 2544 No. of Sessions with hired vaccinators in Urban Slums & Periurban 7.1 124 1488 areas 7.2 No. Of Sessions with hired vaccinators in Rural areas 88 1056 8. VHND details Total No. of Imm. Sessions with VHND 1484 a) Wednesdays 593 b) Saturdays 891 Total No. of VHND days only without sessions 1285 a) Wednesdays 242 b) Saturdays 398 c) 1st Tuesdays 645 Total No. of VHNDs 2769 a) Wednesdays 835 b) Saturdays 1289 c) 1st Tuesdays 645 9. Other Activities I. IPPI II. Vitamin A Campaign (March 18 – 23rd 2013) III. ORS Campaign District Immunization & Child Health Management Unit Page 11
  • 12. Kurnool District Immunization Profile [Mar’2013] I. IPPI Performance February - January – April – February – February – Description 2013 2013 2012 2011 2010Total Estimated Children 505576 505576 495955 499481 489478Total Booth Coverage 465496 465583 443551 433061 452934(DAY 1)H to H Day 2 33884 24772 38240 40061 24068H to H Day 3 16890 14393 22426 20098 18802H to H Day 4 (URBAN) 1521 1739 1359 2735 3677Total Children Covered 517791 506487 505576 495955 499481Percentage 102.42 100 102 99.29 102.04 II. Vitamin A action plan Expected Beneficiaries in the District No. of beneficiaries in the age group 09 – 11 months 12 – 60 months No. of Beneficiaries 32936 494040 Girls Boys Girls Boys 526976 15974 16962 239609 254431 Vitamin A requirement Description Target Requirement Total no. of beneficiaries up to 11 months 32936 36230 ml Total no. of beneficiaries from 12 to 60 months 494040 1086888 ml Total Vitamin A required 1123118 ml Total no of sites where Vitamin A to be administered: 1576 III. ORS Campaign(July – August 2012) District Immunization & Child Health Management Unit Page 12
  • 13. Kurnool District Immunization Profile [Mar’2013] 10. Capacity building a) All SPHOs trained in Routine Immunization b) All Medical Officers trained in RI c) Health Workers training will be conducted in the month of April 2013 11. New Born care services a) NBCCs established in all Round the clock and 24X7 PHCs b) SNCUs established at GGH Kurnool, District Hospital Nandyal and CHC Sunnipenta. SNCUs at Kurnool, Nandyal are fully functional. SNCU at CHC Sunnipenta is ready with all equipment installed and Human Resources to be put in place. c) NRC is established at GGH, Kurnool and it is fully functional. 12. Financial Performance Intervention Amount Allotted Expenditure % of expenditure incurred Vaccine mobility DIO mobility AVD Hired ANMs services in underserved and Urban slums CC maintenance Computer accessories 13. Innovations 1. Provision of Solar paneled ILR to Yerramattam PHC_Tribal_New construction under way 2. All ILR fitted with inverters for power backup. District Immunization & Child Health Management Unit Page 13
  • 14. Kurnool District Immunization Profile [Mar’2013] District Immunization & Child Health Management Unit Page 14