Background• [PPI] Program is the largest endeavor.• PPI is a gigantic program to control Poliomyelitis which is one of the seven vaccine preventable disease.• PPI in India launched in December, 1995
Strategic Planning• Developing a plan of action• Publicity and mass awareness• Management of vaccination day• Managing the immunization post• Managing H2H search
Issues of concern• India is at the fringe of eradication of polio.• HOWEVER• Complacency• Serious immunization gaps• Inadequate RI
Challenge • The biggest challenge is to contain the spread of polio virus, especially in the urban areas, slums, and areas with migratory population and difficult to reach areas. • Ensuring coverage of all children under five years from apartments, slums, hard to reach areas shall be our priority this time.
Lacunae• Sense of emergency and sense of commitment on the part of all the concerned health workers as observed in the first 4 or 5 years of PPI program are now on the wane.• This is quite natural because it is too much taxing on the nerve of any human being to be continuously subject to such an emergency for years.
Lacunae• It may be observed that there is symptom of fatigue in the entire system now.• It is difficult to motivate the thousands of workers for the same type of dedication on their part as observed in the beginning of the program.
Lacunae Preparations begin too late Vaccines distributed too late Inadequate awareness about PPI in masses Inadequate distribution of vaccines and manpower to the centres Long lines at vaccination centres Posts open late or not open during lunch hours for working parents Team members not clear about their duties Inadequate supervision & monitoring Inadequate feed back
Lacunae _ Preparatory Phase• Micro planning 1. Not updated 2. Poor focus on HRGs• Trainings 1. Quality poor especially • VVM, • CCM, • House marking• Logistics support Satisfactory
Implementation StageBooth activity Booths not planned in certain areas Less team members Poor mobile team activityH2H activity Poor knowledge in house marking Non uniform distribution of teams Irregular distribution of workload
Implementation phase• Booth activity & H2H activity is poorly planned & supervised in border areas (Inter state & district).
Implementation StageSupervision Poor by route supervisors (No route maps)H2H activity • Less involvement of other line departments •No active participation of NGOs_IMA, Rotary
Suggestions• Quality is to be improved, especially in urban areas• Prior preparation of action plan with map need to be updated• Based on action plan & Route maps more booths & teams to be allotted• Better cooperation with Municipal, UHCs, ICDS authorities
Suggestions• Efficiency in utilization of available resources to be improved• Better planning & Proper implementation plan to be prepared• Team members familiar with the area should be deployed in the booth
Take home messages• Focus on Quality• Train on Proper House marking, VVM, Tally marking, Ink marking• Involve Rotary clubs where ever available• Use this window of opportunity to sensitize the community about RI activities
Need of the hour … Is to develop ownership, commitment, dedication to further enhance focus and momentum gained. Any distraction or loss of quality at this stage will imperil all the strenuous efforts made to date, and risk failure at the brink of success
What isexpectedfrom U . . . • Booth activityMeticulous • H 2 H activityplanning • Transit site activity • Activity in HR & US areas • Activity in – Brick kilns, – construction sites, – congregation sites, – urban areas
What isexpectedfrom U . . . • SupervisionMeticulous • Mapping of areasplanning • Training • Vaccine, Cold chain maintenance, logistics, transportation. • IEC/Social mobilization • Recording & Reporting • Review of microplans
Cold chain management1.Keep in touch with AE, APTRANSCO2.Get your generators ready & repaired3.No sessions on 18th Saturday4.Ice/Ice packs preparation5.Keep thermostat at maximum
FORM 1 Manpower Planning formFORM 2 Vaccine & Cold chain Planning formFORM 3 Logistics & Transport Planning formFORM 4 A Booth Planning templateFORM 4 B H 2 H Planning templateFORM 4 c Transit Point PlanningFORM 4 D High Risk Area planning form Mobile team planning formFORM 5 Daily Miking FormatFORM 6 Checklist for Preparing/Reviewing MicroplansFORM 7 A Supervisors checklist for Booth activityFORM 7 B Supervisors tally sheetFORM 8 B X marked houses information sheetFORM 8 C Tally sheet for booth/Transit/mobileFORM 8 D Tally sheet for H 2 H activityFORM 9 A Daily supervisor reporting formatFORM 9 B MO daily reporting formatHRA Template for HRA Listing
Dr. Anil Kumar KorrapatiDistrict Immunization and Child Health Manager,KURNOOL