Your SlideShare is downloading. ×
0
Bihar Measles review 2011
Bihar Measles review 2011
Bihar Measles review 2011
Bihar Measles review 2011
Bihar Measles review 2011
Bihar Measles review 2011
Bihar Measles review 2011
Bihar Measles review 2011
Bihar Measles review 2011
Bihar Measles review 2011
Bihar Measles review 2011
Bihar Measles review 2011
Bihar Measles review 2011
Bihar Measles review 2011
Bihar Measles review 2011
Bihar Measles review 2011
Bihar Measles review 2011
Bihar Measles review 2011
Bihar Measles review 2011
Bihar Measles review 2011
Bihar Measles review 2011
Bihar Measles review 2011
Bihar Measles review 2011
Bihar Measles review 2011
Bihar Measles review 2011
Bihar Measles review 2011
Bihar Measles review 2011
Bihar Measles review 2011
Bihar Measles review 2011
Bihar Measles review 2011
Bihar Measles review 2011
Bihar Measles review 2011
Bihar Measles review 2011
Bihar Measles review 2011
Bihar Measles review 2011
Bihar Measles review 2011
Bihar Measles review 2011
Upcoming SlideShare
Loading in...5
×

Thanks for flagging this SlideShare!

Oops! An error has occurred.

×
Saving this for later? Get the SlideShare app to save on your phone or tablet. Read anywhere, anytime – even offline.
Text the download link to your phone
Standard text messaging rates apply

Bihar Measles review 2011

584

Published on

Published in: Health & Medicine
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total Views
584
On Slideshare
0
From Embeds
0
Number of Embeds
0
Actions
Shares
0
Downloads
5
Comments
0
Likes
0
Embeds 0
No embeds

Report content
Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
No notes for slide

Transcript

  • 1. Measles Catch-up Campaign: Lessons learnt and planning for Phase-II<br />State: BIHAR<br />Dr Gopal Krishna, SEPIO<br />
  • 2. State Perspective regarding MCUP<br />Initially only 2 districts were allotted for first phase<br />Following request by Principal Secretary & Secretary cum Executive Director, SHSB, the state was allowed to go for 5 districts.<br />In 2nd Phase, the State is willing to go for all the remaining 33 districts.<br />
  • 3. Measles SIA Campaign 2010 at a glance<br />5 Districts, 64 blocks<br />Target population (9m-10yrs): 2,715,743 (25% of Total Population)<br />Total immunization posts: 24,088<br />Total schools: 8,919<br />Total ANMs: 1,899<br />Total health workers (ANMs+ASHAs): 16,700<br />
  • 4. BIHAR : Overview<br />
  • 5. Pre activity preparations Status<br />Coordination and high-level oversight <br />A state level co-ordination committee under the chairmanship of Principal Secretary Health was done.<br />Health, Education and WCD (ICDS) participated in this meeting.<br />State level committees and Operation Groups<br />SOG was functional under the chairmanship of Secretary Health cum Executive Director, SHSB<br />The members were SIO, Director ICDS, Director Education, WHO-NPSP, UNICEF & other partner agencies.<br />Stress was put on microplanning, training, AEFI management, waste management, media management, IEC etc.<br />
  • 6. Pre activity Preparation Status<br />State level TOT was done, where 6 trainers (DIO & 5 MOs) from each 5 districts were trained. <br />Decentralised review meeting at divisional level by SEPIO to assess the preparedness<br />State Level Control Room under the chairmanship of SEPIO was formed.<br />To review the preparedness of each district on day to day basis<br />Timely feedback and follow-up system was established<br />
  • 7. Constraints which were tackled during the campaign<br />Assembly Elections<br />Strike of the Health Staffs<br />Festivals<br />Shortage of injectors mainy in urban areas<br />Cold Weather conditions<br />
  • 8. District Task Force Meeting Status<br />First 2 DTFs were done during preparatory phase.<br />Next 2 DTFs during the implementation phase &<br />5th DTF was post campaign to assess the completeness of activity<br />& to plan the repeat activity in areas with poor activity.<br />
  • 9. State Pre activity preparations: District and Block level trainings<br />
  • 10. District-wise coverage <br />
  • 11. Monitoring findings<br />A total of 9724 sessions were monitored<br />Findings are mentioned below-<br />
  • 12. RCA Findings: Coverage<br />
  • 13. Reason for not Vaccinating the child during the campaign<br />Left outs can be decreased with better IEC & IPC<br />
  • 14. Management of AEFIs<br />* Clustering at Nawada in a school following measles vaccination<br />
  • 15. Communication and social mobilization<br />Activities carried out <br />Distribution of invitation cards to parents by AWW & ASHA<br />Distribution of Flip Charts & FAQs to AWW & ASHA<br />Separate sessions on mobilisation trainings of AWWs & ASHAs<br />State level Media workshop along with divisional & District level media briefings by CS<br />Rally of school children<br />School activity worked in favour of communication and social mobilisation<br />Inauguration of campaign by Minister, Divisional Commissioner, DMs & Civil Surgeons.<br />
  • 16. Communication and social mobilization<br />Areas for improvement<br />Delayed printing of Invitation cards & other formats<br />Proper use of due list for both school & outreach session sites<br />Sensitisation of Principal of private schools<br />Sensitisation of private practitioners regarding 2nd dose for measles<br />Use of Village Health & Sanitation Committee <br />
  • 17. Lessons learnt ..1<br />Best practices<br />Co-ordination & oversight<br /><ul><li>Strong oversight from State
  • 18. Involvement of DM in DTFs</li></ul>Trainings<br /><ul><li> All the ANMs, AWWs, ASHAs, Volunteers & Supervisors
  • 19. Deployment of DIO and 2 MOs of remaining 33 districts to the implementing districts with support from WHO-NPSP</li></ul>Management of AEFI<br /><ul><li>AEFI kits with MOs while provision of AVIL & DEXONA to each vaccination team</li></ul>Safe injection practices<br />
  • 20. Lessons learnt ..2<br />Best practices<br />5. Cold chain maintenance <br /><ul><li>even with shortage of vaccine carriers & icepacks</li></ul>6. Safety Pits - Ensuring the availability of Safety pits<br />Fund - Timely release of funds to the blocks<br />Media Management<br /><ul><li>State level media workshop in presence of Principal Sec & Secretary
  • 21. Media briefing at divisional & district level</li></ul>Monitoring & Feedback<br /><ul><li>Strong Monitoring at field level with daily sharing of feedback at all level along with DCRs at district & State level.</li></li></ul><li>Lessons learnt..3<br /><ul><li>Areas for improvement</li></ul>Strong advocacy for co-ordination among <br /> - Health, Education & ICDS during the preparation & implementation phase.<br />Microplanning & Human resource management in Urban areas<br />Identification & Involvement of private schools<br />Involvement of private practitioners for support in AEFI management<br />
  • 22. Lessons learnt..4<br /><ul><li>Areas for improvement</li></ul>Timely printing & procurement of logistic<br />Better display of IEC materials and use of Invitation cards for IPC<br />One week before the start of campaign, the bottom-up target of beneficiaries must get fixed at all levels<br />Ensuring availability of reserve teams at PHC to cover the areas with poor activity.<br />
  • 23. Future Plans for subsequent Phase<br />No. of Districts – All remaining 33 districts<br />Target beneficiaries – 2,32,18,410<br />Plan for addressing shortcomings<br />All the DIOs of remaining 33 districts had been sensitised during their State review meetings.<br />State level review meeting done in April 11<br />Final document to be circulated to all the PHCs<br />Timeline – <br />Anticipating national level meeting for 2nd Phase in June 11<br />Starting of preparation at State & district level in July- Aug 11<br />Implementation of campaign Sep 11 onwards<br />
  • 24. Support from GOI for Next Phase<br />Letter to concerned departments for co-ordination at State & District level<br />Supply of new vaccine carriers & icepacks<br />AD Syringes must be compatible with the hub cutters.<br />Diluents in plastic containers.<br />Financial support for Monitoring of activity <br />Elaborate financial guidelines, especially for <br />Supervisors per diem & mobility<br />Per diem for cold chain handlers & personnel managing waste at PHCs <br />
  • 25. DIO of Arwal District in District Microplanning Workshop<br />
  • 26. State Level Media Workshop before the SIA – Principal Secretary & Secretary<br />
  • 27. Use of Hoardings <br />
  • 28. Use of Audio-Visual during training sessions<br />
  • 29. Rally of School Children at Gaya district – CS Gaya<br />
  • 30. AEFI Kit<br />
  • 31. Use of Alternate Vaccine Delivey System<br />
  • 32. A session site with AD syringes, Hub cutters, keeping vial in hole of icepack<br />
  • 33. Children waiting for their turn at school session site<br />
  • 34. A DIO on deployment, from non-implementing district, doing monitoring<br />
  • 35. Children Under Observation following Vaccination<br />
  • 36. Monitoring by CS Arwal & WHO-NPSP<br />
  • 37. RCA – availability of Vaccination & Invitation Cards<br />
  • 38. Monitoring in a Brick Kiln by State Officials<br />
  • 39. Thank You<br />

×