Microplanning

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Microplanning

  1. 1. Planning Immunization Services
  2. 2. Immunization Microplan District 1 District 3 District 2 District Plan = Area map, Compiled PHC plans + supervision, budget, IEC, training etc. State Level State Plan = Compiled District Plans + state specific activities SC Plan = Area Map, estimation of beneficiaries, vaccine logistics and ANM work plan Sub-Centres PHC Plan = Area map, Compiled SC plans, supervision plan + alternate vaccine delivery, waste disposal Primary Health Cen tres
  3. 3. STEPS IN PREPARING A SUB-CENTER MICROPLAN
  4. 4. <ul><li>Step 2 </li></ul><ul><li>Write population of each village and hamlet based on actual headcount (in column Total Population ) </li></ul><ul><li>Step 1 </li></ul><ul><li>List all villages and hamlets in SC area (in column Village ) </li></ul><ul><li>If hamlets have too small a population, tag these along with larger nearby villages. </li></ul>
  5. 5. Estimation of beneficiaries <ul><li>Steps 3 and 4 </li></ul><ul><li>Write the annual target of pregnant women and infants (in the column Annual Target ) </li></ul><ul><li>Steps 5 and 6 </li></ul><ul><li>Write the monthly target of pregnant women and infants (in the column Monthly Target ) </li></ul>
  6. 6. Estimation of beneficiaries <ul><li>Step 7 </li></ul><ul><li>Calculate the beneficiaries per month for each vaccine and Vitamin A (in columns e to l ) </li></ul><ul><li>TT = Monthly target of pregnant women x 2 doses </li></ul><ul><li>BCG = Monthly target of infants x 1 dose </li></ul><ul><li>DPT = Monthly target of infants x 4 doses </li></ul><ul><li>OPV = Monthly target of infants x 4 doses </li></ul><ul><li>HepB = Monthly target of infants x 3 doses </li></ul><ul><li>Measles = Monthly target of infants x 1 dose </li></ul><ul><li>DT = Monthly target of infants x 1 dose </li></ul><ul><li>Vit.A = Monthly target of infants x 9 doses </li></ul>
  7. 7. Estimation of vaccines & logistics <ul><li>Step 8 </li></ul><ul><li>Calculate the requirement of vaccine vials and Vitamin A per month (in columns m to t ) </li></ul><ul><li>TT/BCG/DPT/HepB/DT = Beneficiaries per month X 1.33* </li></ul><ul><li>10 </li></ul><ul><li>OPV = Beneficiaries per month X 1.33 </li></ul><ul><li>20 </li></ul><ul><li>Measles = Beneficiaries per month X 1.33* </li></ul><ul><li>5 </li></ul><ul><li>VitA = {(monthly target of infants x 1 ml) + (monthly target of infants x 2 ml x 8)} x 1.11** </li></ul><ul><li>* Vaccines = 25% wastage rate or 1.33 WMF (Wastage Multiplication Factor) * *VitA= 10% wastage rate or 1.11 WMF </li></ul>
  8. 8. Estimation of vaccines & logistics <ul><li> </li></ul><ul><li> </li></ul><ul><li> </li></ul>
  9. 9. Estimation of vaccines & logistics <ul><li>Step 9 </li></ul><ul><li>Calculate the requirement of Syringes per month (in columns u, v and w ) </li></ul><ul><li>0.1 ml ADS = Beneficiaries for BCG x 1.1* </li></ul><ul><li>0.5 ml ADS = Beneficiaries for (TT+DPT+HepB+Measles+DT) x 1.1* </li></ul><ul><li>Reconstitution Syringes = (BCG + Measles vials) X 1.1* </li></ul><ul><li>* Syringes = 10% wastage rate or 1.11 WMF (Wastage Multiplication Factor) </li></ul>
  10. 10. ANM Work Plan/ Roster <ul><li>Steps 10 to 13 </li></ul><ul><li>List all villages & hamlets in Sub-Center area in the same order as Step 1 (in column village ) </li></ul><ul><li>Write distance of village from the closest ILR (in column distance ) </li></ul><ul><li>List names of the AWW and ASHA (in column AWW , ASHA ) </li></ul><ul><li>Write the monthly injection load per village (in column injections per month ) </li></ul>
  11. 11. ANM Work Plan/ Roster <ul><li>Step 14 to 15 </li></ul><ul><li>Calculate the number of sessions required per month (in column sessions required per month ) </li></ul><ul><li>Write day of immunization session in village (in column month ) </li></ul>Outreach sites Fixed sites <ul><li>1-24 injections = 1 session every alternate month </li></ul><ul><li>25-50 injections= 1 session per month </li></ul><ul><li>51-100 injections = 2 sessions per month, etc </li></ul><ul><li>For hard-to-reach areas with popn. less than 1000 = minimum of 4 sessions a year </li></ul><ul><li>1-39 injections = 1 session every alternate month </li></ul><ul><li>40-70 injections= 1 session per month </li></ul><ul><li>71-140 injections = 2 sessions per month, etc </li></ul><ul><li>For a busy CHC/RH, plan daily sessions. </li></ul>
  12. 12. Area Map <ul><li>Step 16 </li></ul><ul><li>Prepare a map of the Sub-Center area including all villages and hamlets with their: </li></ul><ul><li>Total population and annual target infants </li></ul><ul><li>Anganwadi Centers and session sites </li></ul><ul><li>Distance from the ILR point and transport mode </li></ul><ul><li>Landmarks e.g. Panchayat, school, roads etc. </li></ul><ul><li>Sessions days </li></ul>
  13. 13. ADDITIONAL STEPS IN PREPARING A PHC MICROPLAN
  14. 14. Area Map <ul><li>Step 16 </li></ul><ul><li>Prepare a map of the PHC area based on SC Maps, including the route chart for alternate vaccine (and logistics) delivery (AVD) to session sites from cold chain storage points </li></ul>
  15. 15. Supervision Plan <ul><li>Step 17 </li></ul><ul><li>Prepare a quarterly supervision plan at the PHC level. </li></ul>Health Facility: PHC Garhi Month: May Sub-Center Supervisor Post Session Site Planned visit Conducted (Y/N) Remarks Kushalgarh Kashinath Soni HA(M) Piplod 11 May Yes Talwara Dr B Singh MO Sailana 18 May Yes Arthuna Rita Matthew LHV Arthuna 25 May No SIA, visit next wed. Jhalod Dr Geeta Joshi MOIC Jhalod 31 May No SIA, visit next wed.
  16. 16. Group Work <ul><li>Draw map of the area showing the villages with immunization site; distance of village from the sub-centre; total and target population </li></ul><ul><li>Prepare the micro plan as per the format given </li></ul>

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