The document provides key facts and figures from immunization data reported in India until December 2015 from various sources:
- National full immunization coverage was 64.5% against the target of 75%, with coverage of individual vaccines like BCG, MCV1, and JE1 ranging from 54.1-67.9%.
- States with coverage above 75% included Mizoram, Delhi, and Punjab while Nagaland had the lowest at 47.3%.
- Data from various sources showed both high and low performing states/UTs for indicators like full immunization coverage, dropout rates, vaccination sessions held, and more.
- The document highlights issues with data quality and calls for improvements to
India launched a large-scale polio immunization programme in 1995 cooperating with international institutions, state governments, and NGOs to eradicate polio by vaccinating all children under 5 years old. While vaccination began in 1978 and expanded in the 1980s and 1990s, India saw its last case of wild poliovirus in West Bengal in 2011 and was declared polio-free by the WHO in 2012. The government implemented pulse polio immunization days along with surveillance and rapid response teams to achieve this goal with the help of millions of vaccinators and volunteers.
Ciprofloxacin is a broad-spectrum fluoroquinolone antibiotic that is highly effective against both gram-positive and gram-negative bacteria. It was the first quinolone developed that could be administered orally to treat serious infections. A new extended release formulation, CiproMega, was developed to provide the benefits of once daily dosing for improved patient compliance compared to the previous twice daily dosing. Clinical trials demonstrated CiproMega was as effective as, and in some cases more effective than, the previous twice daily dosing regimen with fewer side effects.
Immunization protects children from deadly diseases by making their immune systems resistant. It has saved millions of lives through vaccines for diseases like smallpox, polio, measles and more. Vaccines work by exposing the body to a weakened or dead form of the disease so the immune system can build defenses. While very safe, they come with minor side effects like soreness or fever in some cases. Maintaining high global vaccination rates keeps diseases from returning and spreading to new populations.
Malaria is caused by plasmodium parasites and transmitted via mosquito bites. Symptoms include fever, vomiting and organ failure in severe cases. It is diagnosed through blood tests detecting parasites or antigens. Treatment involves antimalarial drugs like chloroquine, primaquine, and artemisinin. Prevention focuses on mosquito control with nets and repellents. The case study describes a 26 year old male patient admitted with malaria symptoms diagnosed as P. vivax malaria through blood tests. He was treated with IV fluids, doxycycline, lariago and discharged with medication and follow up advice.
The document describes a case study presentation of an 8-month-old male child diagnosed with pediatric AIDS (PAID) and severe malnutrition. The child was referred from another hospital with a chief complaint of weight faltering for 3 months and cough for 2 weeks. After admission, the child was started on IV antibiotics and a milk therapy regimen to address his severe malnutrition and dehydration. Through nutritional management and medical treatment, the child's weight and condition gradually improved and he was discharged after 2 weeks.
Growth charts are used to monitor children's physical growth and development over time. They plot weight, height/length, and other anthropometric measurements against age and allow comparisons to reference standards. Monitoring growth helps determine if a child's development is normal or if problems exist that need addressing. Various indicators and classification systems exist to define and assess malnutrition based on anthropometric measurements, including weight-for-age, height-for-age, and weight-for-height. Growth charts first designed by David Morley have been modified over time by organizations like WHO and are an important tool to track children's nutrition and health.
HIV stands for Human Immunodeficiency Virus that causes AIDS.
It stands for Acquired Immunodeficiency Syndrome and it is a final stage of HIV infection.
India launched a large-scale polio immunization programme in 1995 cooperating with international institutions, state governments, and NGOs to eradicate polio by vaccinating all children under 5 years old. While vaccination began in 1978 and expanded in the 1980s and 1990s, India saw its last case of wild poliovirus in West Bengal in 2011 and was declared polio-free by the WHO in 2012. The government implemented pulse polio immunization days along with surveillance and rapid response teams to achieve this goal with the help of millions of vaccinators and volunteers.
Ciprofloxacin is a broad-spectrum fluoroquinolone antibiotic that is highly effective against both gram-positive and gram-negative bacteria. It was the first quinolone developed that could be administered orally to treat serious infections. A new extended release formulation, CiproMega, was developed to provide the benefits of once daily dosing for improved patient compliance compared to the previous twice daily dosing. Clinical trials demonstrated CiproMega was as effective as, and in some cases more effective than, the previous twice daily dosing regimen with fewer side effects.
Immunization protects children from deadly diseases by making their immune systems resistant. It has saved millions of lives through vaccines for diseases like smallpox, polio, measles and more. Vaccines work by exposing the body to a weakened or dead form of the disease so the immune system can build defenses. While very safe, they come with minor side effects like soreness or fever in some cases. Maintaining high global vaccination rates keeps diseases from returning and spreading to new populations.
Malaria is caused by plasmodium parasites and transmitted via mosquito bites. Symptoms include fever, vomiting and organ failure in severe cases. It is diagnosed through blood tests detecting parasites or antigens. Treatment involves antimalarial drugs like chloroquine, primaquine, and artemisinin. Prevention focuses on mosquito control with nets and repellents. The case study describes a 26 year old male patient admitted with malaria symptoms diagnosed as P. vivax malaria through blood tests. He was treated with IV fluids, doxycycline, lariago and discharged with medication and follow up advice.
The document describes a case study presentation of an 8-month-old male child diagnosed with pediatric AIDS (PAID) and severe malnutrition. The child was referred from another hospital with a chief complaint of weight faltering for 3 months and cough for 2 weeks. After admission, the child was started on IV antibiotics and a milk therapy regimen to address his severe malnutrition and dehydration. Through nutritional management and medical treatment, the child's weight and condition gradually improved and he was discharged after 2 weeks.
Growth charts are used to monitor children's physical growth and development over time. They plot weight, height/length, and other anthropometric measurements against age and allow comparisons to reference standards. Monitoring growth helps determine if a child's development is normal or if problems exist that need addressing. Various indicators and classification systems exist to define and assess malnutrition based on anthropometric measurements, including weight-for-age, height-for-age, and weight-for-height. Growth charts first designed by David Morley have been modified over time by organizations like WHO and are an important tool to track children's nutrition and health.
HIV stands for Human Immunodeficiency Virus that causes AIDS.
It stands for Acquired Immunodeficiency Syndrome and it is a final stage of HIV infection.
India accounts for over one-fifth of the global tuberculosis burden with 2.2 million cases annually, the highest of any country. The Revised National Tuberculosis Control Programme (RNTCP) was established to address this large burden. The key components of RNTCP are based on the WHO-recommended DOTS strategy of using short course chemotherapy regimens administered under direct observation to ensure treatment adherence. Diagnosis involves microscopic examination of sputum samples and treatment regimens differ based on whether a patient is newly diagnosed or was previously treated. Regular follow-up during and after treatment is important to monitor symptoms, treatment response, and detect any recurrence of active TB.
Now a days.All the World is facing a serious problem..Dengue
so i make a presentation on dengue to prevent and aware from dengue...and if you have dengue faver then which types of treatment you use for your Health.
The Integrated Disease Surveillance Project (IDSP) aims to establish a decentralized disease surveillance system in India to improve disease control. It integrates existing surveillance programs, coordinates surveillance activities, and establishes quality data collection, analysis, and feedback using information technology. The IDSP covers diseases like malaria, acute diarrheal diseases, tuberculosis, and measles. It is implemented in phases across states and union territories of India and involves strengthening laboratories, training health professionals, and creating an IT network to link surveillance sites. The goal is to provide data to enable efficient public health decision making and interventions for priority diseases.
This document provides an overview of the epidemiology of polio. It describes the polio virus and pathogenesis, including that it primarily infects the gastrointestinal tract and in rare cases the central nervous system. It discusses the various clinical presentations from asymptomatic to paralytic forms. At-risk groups like children are highlighted. Modes of transmission like the fecal-oral route are explained. It covers prevention through immunization with both inactivated and live, attenuated vaccines.
Case study hypertension presentation showKern Rocke
The group members are reviewing a 50-year-old African American male patient with stage 2 hypertension. His chief complaint is difficulty adhering to a low sodium diet. His medical history, lifestyle factors, and lab results indicate issues including overweight status, high cholesterol, family history of hypertension, and high sodium intake. The group developed a nutrition care plan to address his problems through goals of weight loss, improved lab values, normalized blood pressure, and increased adherence to a low sodium diet. A sample menu was created meeting his nutritional needs through a low sodium, low fat diet.
This document defines complementary feeding as providing other foods and liquids to an infant along with breast milk after 6 months when breast milk alone is no longer sufficient. Complementary foods should be introduced timely, adequately in terms of nutrients, and properly through active feeding. Continued breastfeeding for 2 years is important as breast milk provides significant energy and nutrients. Complementary foods should be of appropriate consistency, nutrient-dense, varied, and hygienically prepared and fed to support growth and development from 6 months onwards.
Diarrhoea is a major cause of death in children under 5 years old worldwide. Oral rehydration salts (ORS) are the primary treatment for diarrhoea to prevent dehydration. Zinc supplementation for 14 days is also recommended. Probiotics like Lactobacillus rhamnosus GG and Bifidobacterium lactis BB-12 can help treat diarrhoea. Continued feeding and providing extra fluids is important during and after diarrhoea to prevent malnutrition and further illness.
New vaccine introduction pentavalent vaccine india_b_ankuradrdduttaM
The document provides information about the introduction of the pentavalent vaccine in India. It discusses:
1) The pentavalent vaccine protects against five diseases - diphtheria, pertussis, tetanus, hepatitis B, and Haemophilus influenzae type b (Hib) - in one shot. Hib can cause serious infections like meningitis, pneumonia, and epiglottitis.
2) Key facts about the Hib component include that it kills over 370,000 children annually worldwide, nearly 20% of symptomatic children die in India, and the vaccine can prevent over a third of pneumonia cases.
3) States that have introduced or plan to introduce the p
this presentation deals mainly with dengue as there has been multiple outbreaks in 2015 and etiological factors involved, current scenario in India, preventive and control measures for dengue, recent strains of dengue and recent vaccine trials of dengue vaccine.
Dengue fever is a prevalent mosquito-borne illness caused by dengue virus and transmitted by Aedes aegypti mosquitoes. It affects over 100 countries and causes 50-100 million infections annually. The disease presentation varies from a nonspecific viral syndrome to severe dengue hemorrhagic fever/dengue shock syndrome. There is no vaccine currently available and treatment involves supportive care, with careful fluid management needed for severe cases to prevent shock. Prevention relies on personal protection from mosquito bites and reducing mosquito breeding sites.
Mrs. Vasanthamma, a 30-year old housewife, presented with 8 months of amenorrhea and easy fatigability for the past 2 months. On examination, she was found to be anemic with a hemoglobin level of 8.4 gm%. She was diagnosed with anemia during her current pregnancy. A full obstetric examination estimated her gestational age at 32 weeks with a fetal weight of approximately 2.48 kg in the breech position.
Bcg opv ipv vaccines and catchup vaccination (immunization)Praveen RK
This document provides information on BCG, OPV, IPV, and catch-up vaccination schedules. It discusses the vaccines' composition, administration procedures, immunization schedules, effectiveness, adverse reactions, contraindications and storage requirements. BCG protects against tuberculosis and is given at birth. OPV provides polio immunity orally while IPV is administered via injection. Catch-up vaccination allows children who missed scheduled doses to be protected as quickly as possible through accelerated schedules.
Tuberculosis is caused by Mycobacterium tuberculosis and is a chronic infectious disease characterized by vague symptoms and a protracted course. India accounts for one third of the global TB burden, with 15 million infected people in India and 3-4 million of those being children. Tuberculosis most commonly enters the body through inhalation and can spread through droplets or ingestion. Primary infection typically occurs in the lungs or lymph nodes and may heal or progress to more serious complications affecting multiple organs if not contained. Common symptoms in children include failure to thrive, fever, and painless lymphadenopathy.
1) Samuel era el juez anciano de Israel, pero sus hijos eran malos y abusaban de su poder. 2) El pueblo pidió un rey para gobernarlos en lugar de los hijos de Samuel. 3) Dios le dijo a Samuel que ungiera a Saúl como el primer rey de Israel. Saúl tuvo éxito al principio pero luego desobedeció a Dios y perdió el derecho a reinar.
El magnetismo es la propiedad de atracción de ciertas sustancias como el hierro. Los griegos descubrieron piedras magnéticas llamadas imanes naturales. Los imanes pueden ser naturales o artificiales y tienen polos norte y sur que se atraen o repelen dependiendo de su orientación. El campo magnético representa las líneas de fuerza que rodean a un imán.
This document provides information about the second edition of the book "Public Health for Children" published in September 2015. The 384-page book covers topics related to public health services for children of all ages, including case studies, key issues, policy changes, childhood poverty, health needs of preschool, school-age and adolescent children. It aims to demystify the planning and delivery of public health services and provide insight into meeting the needs of children.
Dampak gangguan prilaku terhadap aspek perkembanganerna_juwita
Gangguan perilaku dapat mempengaruhi berbagai aspek perkembangan anak, termasuk kognitif, motorik, emosi, sosial, dan kepribadian. Secara kognitif, anak dengan gangguan perilaku memiliki tingkat intelegensi normal tetapi prestasi belajar rendah karena kehilangan fokus. Secara motorik, emosi yang tidak stabil dapat menyebabkan gerakan yang tidak terkontrol. Secara emosi, anak menjadi sulit mengontrol emosi dan ber
El documento proporciona una introducción al judaísmo, desde sus orígenes con Abraham y Moisés hasta la actualidad. Resume la historia del pueblo judío en la Tierra Santa, incluyendo la esclavitud en Egipto, el Éxodo, la conquista de Canaán, la monarquía unificada bajo David y Salomón, la división en dos reinos, los profetas, los exilios en Babilonia y la diáspora tras la destrucción del segundo Templo. También describe las persecuciones de los judíos a lo larg
Immunization dashboards aim to improve quality and use of reported data for concrete programmatic action to address the challenges in strengthening UIP.
Know More: http://www.itsu.org.in/immunization-dashboard
India accounts for over one-fifth of the global tuberculosis burden with 2.2 million cases annually, the highest of any country. The Revised National Tuberculosis Control Programme (RNTCP) was established to address this large burden. The key components of RNTCP are based on the WHO-recommended DOTS strategy of using short course chemotherapy regimens administered under direct observation to ensure treatment adherence. Diagnosis involves microscopic examination of sputum samples and treatment regimens differ based on whether a patient is newly diagnosed or was previously treated. Regular follow-up during and after treatment is important to monitor symptoms, treatment response, and detect any recurrence of active TB.
Now a days.All the World is facing a serious problem..Dengue
so i make a presentation on dengue to prevent and aware from dengue...and if you have dengue faver then which types of treatment you use for your Health.
The Integrated Disease Surveillance Project (IDSP) aims to establish a decentralized disease surveillance system in India to improve disease control. It integrates existing surveillance programs, coordinates surveillance activities, and establishes quality data collection, analysis, and feedback using information technology. The IDSP covers diseases like malaria, acute diarrheal diseases, tuberculosis, and measles. It is implemented in phases across states and union territories of India and involves strengthening laboratories, training health professionals, and creating an IT network to link surveillance sites. The goal is to provide data to enable efficient public health decision making and interventions for priority diseases.
This document provides an overview of the epidemiology of polio. It describes the polio virus and pathogenesis, including that it primarily infects the gastrointestinal tract and in rare cases the central nervous system. It discusses the various clinical presentations from asymptomatic to paralytic forms. At-risk groups like children are highlighted. Modes of transmission like the fecal-oral route are explained. It covers prevention through immunization with both inactivated and live, attenuated vaccines.
Case study hypertension presentation showKern Rocke
The group members are reviewing a 50-year-old African American male patient with stage 2 hypertension. His chief complaint is difficulty adhering to a low sodium diet. His medical history, lifestyle factors, and lab results indicate issues including overweight status, high cholesterol, family history of hypertension, and high sodium intake. The group developed a nutrition care plan to address his problems through goals of weight loss, improved lab values, normalized blood pressure, and increased adherence to a low sodium diet. A sample menu was created meeting his nutritional needs through a low sodium, low fat diet.
This document defines complementary feeding as providing other foods and liquids to an infant along with breast milk after 6 months when breast milk alone is no longer sufficient. Complementary foods should be introduced timely, adequately in terms of nutrients, and properly through active feeding. Continued breastfeeding for 2 years is important as breast milk provides significant energy and nutrients. Complementary foods should be of appropriate consistency, nutrient-dense, varied, and hygienically prepared and fed to support growth and development from 6 months onwards.
Diarrhoea is a major cause of death in children under 5 years old worldwide. Oral rehydration salts (ORS) are the primary treatment for diarrhoea to prevent dehydration. Zinc supplementation for 14 days is also recommended. Probiotics like Lactobacillus rhamnosus GG and Bifidobacterium lactis BB-12 can help treat diarrhoea. Continued feeding and providing extra fluids is important during and after diarrhoea to prevent malnutrition and further illness.
New vaccine introduction pentavalent vaccine india_b_ankuradrdduttaM
The document provides information about the introduction of the pentavalent vaccine in India. It discusses:
1) The pentavalent vaccine protects against five diseases - diphtheria, pertussis, tetanus, hepatitis B, and Haemophilus influenzae type b (Hib) - in one shot. Hib can cause serious infections like meningitis, pneumonia, and epiglottitis.
2) Key facts about the Hib component include that it kills over 370,000 children annually worldwide, nearly 20% of symptomatic children die in India, and the vaccine can prevent over a third of pneumonia cases.
3) States that have introduced or plan to introduce the p
this presentation deals mainly with dengue as there has been multiple outbreaks in 2015 and etiological factors involved, current scenario in India, preventive and control measures for dengue, recent strains of dengue and recent vaccine trials of dengue vaccine.
Dengue fever is a prevalent mosquito-borne illness caused by dengue virus and transmitted by Aedes aegypti mosquitoes. It affects over 100 countries and causes 50-100 million infections annually. The disease presentation varies from a nonspecific viral syndrome to severe dengue hemorrhagic fever/dengue shock syndrome. There is no vaccine currently available and treatment involves supportive care, with careful fluid management needed for severe cases to prevent shock. Prevention relies on personal protection from mosquito bites and reducing mosquito breeding sites.
Mrs. Vasanthamma, a 30-year old housewife, presented with 8 months of amenorrhea and easy fatigability for the past 2 months. On examination, she was found to be anemic with a hemoglobin level of 8.4 gm%. She was diagnosed with anemia during her current pregnancy. A full obstetric examination estimated her gestational age at 32 weeks with a fetal weight of approximately 2.48 kg in the breech position.
Bcg opv ipv vaccines and catchup vaccination (immunization)Praveen RK
This document provides information on BCG, OPV, IPV, and catch-up vaccination schedules. It discusses the vaccines' composition, administration procedures, immunization schedules, effectiveness, adverse reactions, contraindications and storage requirements. BCG protects against tuberculosis and is given at birth. OPV provides polio immunity orally while IPV is administered via injection. Catch-up vaccination allows children who missed scheduled doses to be protected as quickly as possible through accelerated schedules.
Tuberculosis is caused by Mycobacterium tuberculosis and is a chronic infectious disease characterized by vague symptoms and a protracted course. India accounts for one third of the global TB burden, with 15 million infected people in India and 3-4 million of those being children. Tuberculosis most commonly enters the body through inhalation and can spread through droplets or ingestion. Primary infection typically occurs in the lungs or lymph nodes and may heal or progress to more serious complications affecting multiple organs if not contained. Common symptoms in children include failure to thrive, fever, and painless lymphadenopathy.
1) Samuel era el juez anciano de Israel, pero sus hijos eran malos y abusaban de su poder. 2) El pueblo pidió un rey para gobernarlos en lugar de los hijos de Samuel. 3) Dios le dijo a Samuel que ungiera a Saúl como el primer rey de Israel. Saúl tuvo éxito al principio pero luego desobedeció a Dios y perdió el derecho a reinar.
El magnetismo es la propiedad de atracción de ciertas sustancias como el hierro. Los griegos descubrieron piedras magnéticas llamadas imanes naturales. Los imanes pueden ser naturales o artificiales y tienen polos norte y sur que se atraen o repelen dependiendo de su orientación. El campo magnético representa las líneas de fuerza que rodean a un imán.
This document provides information about the second edition of the book "Public Health for Children" published in September 2015. The 384-page book covers topics related to public health services for children of all ages, including case studies, key issues, policy changes, childhood poverty, health needs of preschool, school-age and adolescent children. It aims to demystify the planning and delivery of public health services and provide insight into meeting the needs of children.
Dampak gangguan prilaku terhadap aspek perkembanganerna_juwita
Gangguan perilaku dapat mempengaruhi berbagai aspek perkembangan anak, termasuk kognitif, motorik, emosi, sosial, dan kepribadian. Secara kognitif, anak dengan gangguan perilaku memiliki tingkat intelegensi normal tetapi prestasi belajar rendah karena kehilangan fokus. Secara motorik, emosi yang tidak stabil dapat menyebabkan gerakan yang tidak terkontrol. Secara emosi, anak menjadi sulit mengontrol emosi dan ber
El documento proporciona una introducción al judaísmo, desde sus orígenes con Abraham y Moisés hasta la actualidad. Resume la historia del pueblo judío en la Tierra Santa, incluyendo la esclavitud en Egipto, el Éxodo, la conquista de Canaán, la monarquía unificada bajo David y Salomón, la división en dos reinos, los profetas, los exilios en Babilonia y la diáspora tras la destrucción del segundo Templo. También describe las persecuciones de los judíos a lo larg
Immunization dashboards aim to improve quality and use of reported data for concrete programmatic action to address the challenges in strengthening UIP.
Know More: http://www.itsu.org.in/immunization-dashboard
Este documento resume la historia y los tipos de esterilización, incluida la anticonceptiva, terapéutica y eugenésica. Proporciona estadísticas sobre la esterilización en todo el mundo en 1980. Describe los procedimientos de esterilización femenina y masculina. Finalmente, evalúa la esterilización anticonceptiva desde una perspectiva moral católica, concluyendo que no es lícita porque elimina la dimensión procreativa del acto conyugal y no respeta la inviolabilidad
Curso sobre las organizaciones universitarias en las sociedades del conocimiento, dictado en la Universidad de San Andres en Buenos Aires, Argentina en junio del 2007
Immunization dashboard provides state-specific feedback on immunization data quality on a monthly basis by analyzing data captured in HMIS and MCTS.via : https://www.itsu.org.in/monthly-dashboard
Immunization dashboards (I-Dashboards) are shared with MoHFW, routine immunization partner organizations and immunization program managers across the states and union territories.
The document provides immunization coverage data from India's Health Management Information System (HMIS) and Mother and Child Tracking System (MCTS) as of June 2016-2017. It summarizes key findings on national and state-level coverage rates for various childhood vaccines, as well as dropout rates, new vaccines introduced, and feedback on data quality issues. Concurrent monitoring data from WHO-NPSP is also presented showing percentages of villages not mapped and low antigen coverage rates in many states based on MCTS portal data.
Japanese encephalitis - Sep 2019 India epidemiology - Is vaccination needed?Gaurav Gupta
1) Japanese encephalitis (JE) is a viral disease spread by mosquitoes that is endemic in many parts of Asia and the Pacific. India reports the highest number of JE cases annually, with an estimated actual number between 15,000-20,000 cases per year.
2) JE vaccination is the most important preventive measure according to WHO and IAP guidelines. The national vaccination program in India recommends routine vaccination with two doses of JE vaccine for children up to 15 years of age in endemic areas.
3) While mosquito and pig control efforts have not proven reliable at controlling JE, vaccination is currently the single most effective public health approach for prevention in India given the disease burden.
Preventing Invasive meningococcal disease in < 2 year children in IndiaGaurav Gupta
Preventing Invasive meningococcal disease in < 2 year children in India. Use of MCV 4 (Menactra).
Chandigarh March 2018. Incidence of IMD in India, and safety and efficacy of MCV4 vaccination
This document provides an update on India's immunization program. It notes that the program is one of the largest public health interventions in the country, targeting over 26 million infants and 30 million pregnant women in 2009-2010. It is centrally sponsored under the National Rural Health Mission. The document reviews coverage levels by state, discusses progress in training health workers, and outlines plans to introduce additional vaccines like hepatitis B and pentavalent vaccines in more states. It also addresses ongoing challenges like improving routine immunization coverage and strengthening cold chain management.
Strategies to strengthen Mission Indradhanushshayonisen2012
Mission Indradhanush aims to increase full immunization coverage in India from 65% to 90% by 2020 through special catch-up drives. It focuses on conducting immunization rounds in identified districts, targeting pregnant women, children up to age 2, and those up to age 5 for booster doses. Key challenges include only 65% of Indian children being fully immunized and continued disease burden. Strategies proposed to address this include defining state-specific desired outcomes, intensive training, effective communication, and involving community leaders. A patient reminder system is also suggested to identify children due for immunization.
Paper presentation on Rural Health Practitioners at GPH, Sri-Lanka 2014Dr. Suchitra Lisam
The presentation is about the study carried out in Assam in 2013 to assess the role of Rural Health Practitioners (RHPs) towards augmenting health care service delivery at health centers.
The document outlines a proposed network of nurses and auxiliary nurse midwives (ANMs) managed by a public health information system (PHIS) to provide primary healthcare services to rural India's population. The model proposes a 4-tier structure with nurses and ANMs at the grassroots level, supported by doctors at the district level and overseen at state and central levels through PHIS. The summary also provides details of implementation, requirements, impacts, and challenges of the proposed primary healthcare network.
Data Driven Decision Making in Ministry of Health and Family WelfareData Portal India
Data Driven Decision Making in Ministry of Health and Family Welfare presentation by Dr. Vishnu Kant Srivastava, Chief Director D/o Health & Family Welfare.
The document summarizes the status of vector-borne diseases in Gujarat, India. It discusses the organizational structure for control of diseases like malaria, dengue and filariasis. It outlines the state's goals of reducing incidence and mortality of these diseases. It also describes the life cycles of malaria parasites and control strategies employed, including larval source reduction, indoor residual spraying and case management. Monitoring indicators and training facilities available in the state are also mentioned.
The document provides information about the Integrated Disease Surveillance Programme (IDSP) in India. It discusses that IDSP aims to establish a decentralized disease surveillance system to detect early warning signals of outbreaks. Key elements of IDSP include detection and reporting of health events, investigation and confirmation of cases, collection and analysis of surveillance data, and feedback to initiate public health responses. IDSP implementation is organized at the national, state, and district levels with defined roles and reporting structures. The program coordinates surveillance of both communicable and non-communicable diseases using standardized reporting forms.
The document proposes a revolutionary primary healthcare program called Aarogyadoot that uses mobile vans to provide healthcare access to rural villages in India. The vans, called Aarogyadoots, will travel on a fixed route from a Primary Health Center (PHC) in a hub area to surrounding villages, visiting each village every two weeks. They will function as mobile clinics and spread healthcare awareness. The program will be implemented over 10 years in 5 phases, starting with a pilot in Chhattisgarh before expanding to other states. It provides details on the estimated number of villages and vans needed, costs of purchasing and operating the vans, and sources of funding from government and user fees.
The document provides guidelines for conducting maternal death reviews (MDR) at the community and facility levels in India. It outlines the steps for community-based MDR which includes notifying block medical officers of women's deaths, investigating these deaths using a verbal autopsy form, and reviewing cases. It also describes the roles and responsibilities of different individuals involved in the MDR process at the block, district, and state levels.
Assessing the performance of an integrated disease surveillance and response ...MEASURE Evaluation
The document summarizes an assessment of Madagascar's integrated disease surveillance and response system. Key findings include low data quality, weak system management as tools were lacking, and limited training of staff. Few health facilities used surveillance data for prevention activities. While most districts received alerts, only 40% could investigate all alerts. Overall the assessment found weaknesses that require strengthening strategies including data quality, capacity building, and using data for response.
1) Strategies for measles control in India include improving routine immunization coverage, providing a second opportunity for measles immunization, conducting outbreak surveillance, and investigating outbreaks.
2) India had a disproportionate burden of measles mortality, with an estimated 164,000 measles deaths in 2008.
3) A review of global vaccination strategies found that most countries employed routine immunization plus supplemental immunization activities or routine immunization plus catch-up campaigns. India decided to introduce a second dose of measles vaccine (MCV2) in 2010.
The IOSR Journal of Pharmacy (IOSRPHR) is an open access online & offline peer reviewed international journal, which publishes innovative research papers, reviews, mini-reviews, short communications and notes dealing with Pharmaceutical Sciences( Pharmaceutical Technology, Pharmaceutics, Biopharmaceutics, Pharmacokinetics, Pharmaceutical/Medicinal Chemistry, Computational Chemistry and Molecular Drug Design, Pharmacognosy & Phytochemistry, Pharmacology, Pharmaceutical Analysis, Pharmacy Practice, Clinical and Hospital Pharmacy, Cell Biology, Genomics and Proteomics, Pharmacogenomics, Bioinformatics and Biotechnology of Pharmaceutical Interest........more details on Aim & Scope).
All manuscripts are subject to rapid peer review. Those of high quality (not previously published and not under consideration for publication in another journal) will be published without delay.
In India, Reproductive Tract Infection (RTI) including Sexually transmitted Diseases (STDs) produce a huge disease burden. Nursing staff plays a major role in prevention of STI/RTIs. So this study was conducted aimed to know the knowledge about STIs/RTIs of nursing personnel of a tertiary care hospital of Rajasthan. 100 nursing professionals were supervised for practice and interrogated for attitude and knowledge as per a semi- structured schedule. It was found that overall mean score of nurses was 56% and only 52% had scores passing marks (>50%). Although this knowledge about STI/RTI was not found to be associated religion, caste, type of family and socio-economic status but it was found to be associated with sex, marital status and education of nurses. It was also found in this study that gap of training decreases the knowledge and number of training increases the knowledge. It was found to be associated with department where the nurses were working. So all the nurses irrespective of place of posting should be given refresher trainings at regular intervals.
This document provides a summary of S.M. Kadri's educational background and professional experience. It includes:
- Kadri has a Masters in Public Health from the Royal Tropical Institute in Amsterdam and an MBBS degree from Government Medical College in Srinagar, India.
- Professional experience includes serving as an epidemiologist for the Directorate of Health Services in Kashmir, India and heading the Regional Institute of Health and Family Welfare.
- Research interests include clinical and environmental epidemiology as well as disease control for communicable and non-communicable diseases.
- Kadri has over 30 publications in peer-reviewed journals and participated in numerous workshops and training programs related to public
This document outlines the planning and implementation of a measles catch-up immunization campaign. It discusses the rationale for providing a second dose of the measles vaccine, as measles outbreaks were still occurring primarily in children under 10 years old. It describes committees that will be established at the national, state, and district levels to oversee campaign activities. Pre-implementation activities include trainings that will be conducted according to a cascade approach from national to state to district levels.
Current trends & standards in Nursing managementARPITASARASWAT3
The document discusses current trends, standards and challenges in community health nursing in India. It outlines key objectives of community health nursing such as increasing life expectancy and reducing mortality rates. It then summarizes trends in health status including population growth, sex ratio, life expectancy, birth and death rates. It also discusses progress in reducing communicable diseases and emerging health issues. Finally, it outlines developing standards in community health nursing to define the scope of practice and promote excellence.
The Universal Immunization Programme (UIP) in India aims to prevent infectious diseases like diphtheria, hepatitis B, tetanus, measles, mumps and pertussis through vaccination. Vaccination is an effective public health measure that protects both individuals and communities by building immunity. The government of India has implemented vaccination successfully through routine health checkups and immunization drives organized across all regions of the country.
The document introduces the Immunization Coverage Monitoring Tool (ICoMoT), an Excel-based offline tool developed by the Child Immunization division of India's Ministry of Health and Family Welfare to help program managers monitor immunization coverage and other indicators. The tool allows users to enter immunization data from the national Health Management Information System and generate automated dashboards and charts to analyze coverage at the national, state, district and sub-district levels. The document provides background on India's Universal Immunization Program and the need for data analysis, as well as guidelines for downloading HMIS data, entering it into the tool, and using the tool's dashboard and chart outputs to monitor coverage goals, identify gaps, and make timely corrections to
The Immunization Technical Support Unit and Ministry of Health and Family Welfare are working to improve vaccination programs in India. A study identified issues with vaccine logistics and management. This led to the development of an electronic Vaccine Intelligence Network (eVIN) system to provide real-time vaccine stock visibility and ensure vaccines are stored at recommended temperatures. A pilot of the eVIN system in two districts of Uttar Pradesh resulted in 90% reporting rates and a reduction in vaccine stockouts from 70-80% to less than 10%. The system has helped shorten the duration of stockouts from 4 days to 1 day.
ITSU has launched electronic Vaccine Intelligence Network (eVIN) in two districts of Uttar Pradesh I.e. Bareilly & Shahjahanpur districts in collaboration with Logistimo, which provides underlying technology.
via : http://itsu.org.in/
In order to ensure the control, eradication and elimination of diseases, routine immunization is extremely important. Since the Indian climatic condition is extremely disease-prone, one needs to embrace the latest advancements which have ushered into the vaccine and immunization arena. Vaccination initiatives can be made more effective through a routine immunization program in India.
via : https://www.itsu.org.in/
Immunization technical support unit is striving to implement and reach for total eradication of preventable diseases by 2017. It is working towards reaching that goal by working at war footing. The Govt. has made its intentions clear with prime minister taking personal interest in the program’s implementation. Hopefully, we see the vision implemented with India realizing its ambitions as soon as possible.
VIA : https://www.itsu.org.in
Child vaccination program in India is carried under the Universal Immunization Programme. It consists of various vaccines to be administered at various ages. Some of the popular vaccines are BCG, Oral Polio Vaccine, Measles Vaccine, DPT Vaccine, Tetanus Toxoid, Hepatatis B, etc.
via : https://www.itsu.org.in
Logistics support is critical to immunization services to ensure the availability of appropriate equipment and an adequate supply of high-quality vaccines and immunization-related materials to all levels of the programme.
Via : https://www.itsu.org.in
National Cold Chain Plan (NCCP) should be prepared and implemented as a part of Multi Year Strategic Plan. This plan should be comprehensive enough to include cold chain assessment, forecasting, procurement and supply, replacement, program review, logistics and supply chain management.
Comprehensive Multi-year Plan - Universal Immunization Program -
In India Universal Immunization Program - (UIP) is bring forward by the Government, UIP ( Universal Immunization Program) in India is among the most successful vaccination program and cost-effective public health interventions.
Routine Immunization Program in India, Immunization Technical Support, routine immunization services in India, Ministry of Health and Family Welfare, Adverse Event Following Immunization Secretariat, Vaccine logistics and supply chain,Universal Immunization Program in India
The Immunization Supply Chain and Logistics (ISCL) systems, which were designed in the 1980s, have supported the achievement of acceptable vaccination, Vaccine Logistics & Supply chain assessment in Bihar, MP & UP. The success of global immunization since the launch of the Expanded Programme on Immunization.
Vaccine logistics & supply chain, Immunization Policies and Guidelines, Immunization Technical Support Unit, Ministry of Health and Family Welfare, UIP in India, Mission Indradhanush, MoHFW, Universal Immunization Program in India, Child Vaccination program in India, Routine Immunization Program in India, NTAGI and STSC secretariat, GAVI HSS Secretariat, National Health Mission
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The UK is currently facing a Adhd Medication Shortage Uk, which has left many patients and their families grappling with uncertainty and frustration. ADHD, or Attention Deficit Hyperactivity Disorder, is a chronic condition that requires consistent medication to manage effectively. This shortage has highlighted the critical role these medications play in the daily lives of those affected by ADHD. Contact : +1 (747) 209 – 3649 E-mail : sales@trinexpharmacy.com
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
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Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
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This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
2. Note:
Immunization Technical Support Unit (ITSU) is strategic arm of Ministry of Health and Family Welfare (MoHFW)
that works towards strengthening of Universal Immunization Program (UIP).
Program Operation & Monitoring (PO & M) division of ITSU reviews the reported data on Child Immunization
(service delivery) that captured in Health Management Information System (HMIS) and Mother and Child
Tracking System (MCTS). PO &M division of ITSU develops immunization dashboards and provide state specific
feedback on monthly basis by analysing the data. Dashboards provides state wise performance on various
immunization component (timeliness, coverage, AEFI, training, VPD cases, etc.) and concurrent feedback
regarding reported Immunization data to MoHFW, partner organizations and immunization program managers at
state level. Additionally these dashboards collate data provided by WHO-NPSP (World Health Organisation –
National Polio Surveillance Project) and NCCVMRC- NIHFW (National Cold Chain & Vaccine Management
Resource Center – National Institute of Health & Family Welfare) related to concurrent monitoring and
Immunization trainings.
The PO&M division adheres to the fixed timeline (after 20th of every month) for reviewing the immunization data
uploaded onto the HMIS, and MCTS portals. As per the HMIS guidelines, it’s mandatory for all the states to
upload monthly data of the preceding month on or before the 20th of each month. Thus 20th is considered the
threshold for ensuring timely reporting within the HMIS. On a monthly basis, a group of states receives detailed
feedback on Immunization coverage and data quality issues. The following table explains the framework for
categorization of states and union territories that the PO&M division at ITSU follows for providing the feedback.
This feedback cycle is repeated on quarterly basis:
First month: Assam, Bihar, Chhattisgarh, Jharkhand, Madhya Pradesh, Odisha, Rajasthan, Uttar
Pradesh & Uttarakhand.
Second month: Andhra Pradesh, Arunachal Pradesh, Delhi, Haryana, Gujarat, Jammu & Kashmir,
Manipur, Meghalaya, Mizoram, Nagaland, Telangana, Tripura and West Bengal.
Third month: Andaman & Nicobar Island, Chandigarh, Dadra & Nagar Haveli, Daman & Diu, Goa,
Himachal Pradesh, Karnataka, Kerala, Lakshadweep, Maharashtra, Puducherry, Punjab,
Sikkim and Tamil Nadu.
Immunization dashboards aim to improve quality and use of reported data on immunization for concrete
programmatic action for addressing the challenges in strengthening UIP.
Your suggestions for improving these dashboards are always welcome and encouraged.
3. Prepared by ITSU-MoHFW
0 – 11 Months Vaccination (Andhra Pradesh, Assam, Bihar, Chhattisgarh, Jharkhand, Madhya
Pradesh, Punjab, Rajasthan, Telangana, Uttarakhand and West Bengal introduced pentavalent
vaccination in UIP schedule from October 2014. DPT/Penta coverage for national as well for these
states were not analyzed.
Till December 2015, the nation’s full immunization coverage (FIC) was 64.5% against the
expected figure of 75.0% for 9 months. The national coverage for BCG, MCV1 and JE1 were
67.9%, 65.8% and 54.1% respectively.
States / UTs that reported FIC more than the expected 75.0% were Mizoram (79.3%), Delhi
(78.5%) and Punjab (76.1%); Nagaland reported 47.3% coverage, which was the lowest in
the country.
States / UTs that have reported BCG coverage more than the expected 75.0% were
Chandigarh (109.5%), Puducherry (101.4%), Meghalaya (87.9%), Mizoram (84.7%),
Manipur (80.6%), Delhi (79.1%), Tripura (76.9%), Maharashtra (76.6%) and West Bengal
(75.9%) while Daman & Diu (51.9%) was the lowest reporting states / UTs.
States / UTs that have reported DPT3/Penta3 coverage more than the expected 75.0% are
Meghalaya (79.8%) and Mizoram (77.8%) for DPT3 coverage while Puducherry reported
only 47.0% Penta3 coverage and Daman & Diu reported 35.2% DPT3 coverage.
Assam, Bihar, Gujarat, Madhya Pradesh, Punjab and Uttar Pradesh have started IPV in their
Immunization schedule. In December 2015, 389140 infants vaccinated for IPV (Assam –
16948, Bihar – 135439, Gujarat – 58152, Madhya Pradesh – 103823, Punjab – 23224 and
Uttar Pradesh – 51554).
Most JE-endemics states / UTs reported very low coverage of JE-1st
dose, such as Kerala
(6.0%), Arunachal Pradesh (19.4%), Tamil Nadu (21.0%), Nagaland (30.4%), Telangana
(42.7%), Assam (47.4%) and Manipur (48.0%) against expected 75.0%.
States / UTs that reported MCV1 coverage more than the expected (75.0%) coverage were
Delhi (83.4%), Mizoram (81.1%), A&N Islands (77.4%), Punjab (76.8%), Uttarakhand
KEY FACTS
HMIS IMMUNIZATION DATA – TILL DECEMBER 2015
HMIS Portal as on 22nd
January, 2016
4. Prepared by ITSU-MoHFW
(76.7%), Tripura (75.7%) and Telangana (75.5%). Nagaland reported lowest MCV1 coverage
(50.1%).
Hep B birth dose is given within 24 hours of birth and is mandatory for all institutional
deliveries; however, in only 70.1% of institutional deliveries Hep B birth dose was given in
the country. Tamil Nadu reported more than 100% coverage while Mizoram (33.4%),
Assam (44.1%) and Gujarat (47.1%) were three lowest reporting states / UTs.
12 – 23 Months
Till December 2015, the national coverage for MCV2 was only 52.2% against the expected
75.0%, while the coverage for DPT booster and JE second dose (in JE-endemic districts) for
the same period was 59.1%, and 50.2% respectively.
Tamil Nadu reported 20.6% lowest coverage for MCV2 and Arunachal Pradesh reported
the lowest DPT booster coverage of 38.4%. Arunachal Pradesh reported lowest (24.4%) JE
2nd
dose coverage from JE-endemic districts.
Drop-out Rate (DPT1/Penta1 – DPT3/Penta3)
From October 2014, Andhra Pradesh, Assam, Bihar, Chhattisgarh, Jharkhand, Madhya
Pradesh, Punjab, Rajasthan, Telangana, Uttarakhand and West Bengal introduced
pentavalent vaccination in UIP schedule. DPT/Penta dropout for national as well for these
states were not analyzed.
States / UTs that reported negative drop-out are Andaman & Nicobar Islands, Chandigarh,
D & N Haveli, Daman and Diu, Himachal Pradesh, Lakshadweep, Maharashtra, Meghalaya,
Mizoram, Odisha, Sikkim and Tripura. D & N Haveli reported highest negative drop-out (-
56.7%) while Puducherry reported high drop-out of 14.6%.
Other Feedback
Kohima district of Nagaland reported more than 80000 children vaccinated for JE second
dose, led to state coverage as 427.5%. Over reporting needs immediate attention.
The country continues to be polio free for more than three years; however, the HMIS data
pertaining to polio cases remains an issue and needs immediate attention at all levels. Till
December 134 polio cases (7 from Assam, 1 from Gujarat, 61 from Haryana, and 65 from
Tamil Nadu) were reported in HMIS data.
5. Prepared by ITSU-MoHFW
Lowest percentage of children fully immunized: Punjab (65.3%).
State with high percentage of planned immunization sessions not held: Punjab (9.9%).
State with high percentage of immunization sessions where due list was not available:
Punjab (47.4%) and Odisha (38.7%).
State with high percentage of immunization sessions where all vaccines were not available:
Maharashtra (42.5%), Rajasthan (42.5%), Uttarakhand (40.6%) and Madhya Pradesh
(33.8%).
Only 59.33% of data entry for infant was done for the year 2015-16 on pro-rata basis at
MCTS portal till December 2015, with lowest 31.68% being in Nagaland.
Percentage of villages not mapped with any facility at MCTS portal: Total of 31.48% villages
were not mapped in India. Rajasthan (100.0%) and Puducherry (97.41%) have the highest
percentage of villages not mapped at MCTS portal.
All-India coverage for FIC was just 1.70%. Only Delhi, Gujarat, Jammu & Kashmir,
Karnataka, Madhya Pradesh, Maharashtra, Rajasthan, Tamil Nadu, Telangana and Uttar
Pradesh reported more than 1% coverage.
Antigen-wise all-India coverage against registered children in 2015-16:
- Hep B birth dose: 40.26% (Assam, Bihar, Chhattisgarh, Manipur, Meghalaya, Mizoram
and Rajasthan reported less than 20% coverage)
- BCG: 63.12% (Assam, Bihar, Daman & Diu, Rajasthan and Tripura reported less than
45%).
- DPT3: 70.51% (Lakshadweep, Meghalaya, Mizoram reported less than 45%)
WHO-NPSP CONCURRENT MONITORING DATA
Till December 2015
MCTS PORTAL DATA FOR YEAR 2015-16
As on 21st
January 2016
6. Prepared by ITSU-MoHFW
- Measles 1st
dose coverage is just 1.86%. Only Arunachal Pradesh, Chhattisgarh, Dadra
& Nagar Haveli, Delhi Gujarat, Jammu & Kashmir, Karnataka, Madhya Pradesh,
Maharashtra, Rajasthan, Tamil Nadu, Telangana and Karnataka reported more than
1% coverage.
Only 56% of health staff are trained for routine immunization in India, with the lowest in
Himachal Pradesh (6.0%) and West Bengal (6.0%).
IMMUNIZATION TRAINING DATA- NIHFW
Till October 2014
11. Prepared by ITSU-MoHFW
TIMELINESS OF HMIS DATA
PROJECTED FULL IMMUNIZATION COVERAGE
(in Percentage) for Year 2015-16
Apr May Jun July Aug Sep Oct Nov Dec
India 675 70 80 18 46 44 3 32 13 20
A & N Islands 3 2 3 0 2 3 0 2 0 0
Arunachal Pradesh 17 1 2 1 1 1 0 0 1 2 Dibang Valley and Longding
Assam 27 0 0 0 0 0 0 0 0 1 Lakhimpur
Bihar 38 3 3 0 1 0 0 1 0 0
Haryana 21 21 17 2 10 5 0 10 4 1 Mewat
Himachal Pradesh 12 0 1 0 4 2 0 5 1 5 Chamba, Kinnaur, Lahul & Spiti, Sirmaur and Solan
Kerala 14 9 12 7 12 12 3 8 4 5 Idukki, Kozhikkode, Malappuram, Palakkad and Wayanad
Maharashtra 35 0 0 0 1 0 0 1 1 1 Brihan Mumbai
Meghalaya 11 0 0 0 0 0 0 0 0 1 North Garo Hills
Mizoram 9 1 3 0 0 0 0 0 1 2 Lawngtlai and Saiha
Nagaland 11 0 0 1 1 2 0 0 0 0
Odisha 30 14 18 1 6 17 0 2 1 1 Anugul
Puducherry 4 0 0 0 1 0 0 0 0 0
Rajasthan 33 14 14 5 6 1 0 2 0 1 Jaisalmer
Tamil Nadu 32 5 6 0 0 0 0 0 0 0
West Bengal 19 0 1 1 1 1 0 1 0 0
States/UTs
No of
Districts
Names of Districts not reported on schedule in December
2015
No of Districts Not Reported on Schedule
GRAPHS AND CHARTS
ISSUES NATIONAL DATA
HMIS 2015-16 (Data December 2015)
12. Prepared by ITSU-MoHFW
HEPATITIS B BIRTH DOSE COVERAGE
(Against Institutional Delivery – Expected 100%) Till December 2015, Year 2015-16
13. Prepared by ITSU-MoHFW
MCV2 COVERAGE
(HMIS –Expected 75.0%, Till December, 2015 Year 2015-16)
DPT BOOSTER COVERAGE
(HMIS –Expected 75.0%, Till December, 2015 Year 2015-16)
15. Prepared by ITSU-MoHFW
REASON FOR CHILDREN NOT BEING FULLY IMMUNIZED
(In Percentage as on December 2015 – Cumulative)
Source: HTH Monitoring – WHO-NPSP
16. Prepared by ITSU-MoHFW
ANTIGEN WISE COVERAGE
Till December, Year 2015-16, (Expected 75.0% except HepB-0)
FULL IMMUNIZATION COVERAGE
Till December, Year 2015-16, (Expected 75.0%)
State
HepB-0
(Against Inst.
Delivery) BCG DPT1 Penta1 DPT3 Penta3 HepB-3 MCV 1 MCV 2
JE -1st
Dose
JE - 2nd
Dose
DPT
Booster
A&N Islands 59 56 52 - 56 - 55 77 31 NA NA 59
Chandigarh 87 109 26 46 40 23 45 67 59 NA NA 65
D&N Haveli 98 68 25 29 39 17 38 59 51 NA NA 51
Daman & Diu 74 52 23 32 35 15 34 61 54 NA NA 54
Goa 59 66 1 68 1 68 2 75 75 65 64 75
Himachal Pradesh 87 67 42 26 59 8 59 71 64 NA NA 65
Karnataka 80 72 1 72 0 71 0 70 63 75 53 65
Kerala 60 68 0 69 0 65 0 66 25 6 57 65
Lakshadweep 97 55 69 6 72 0 72 72 67 NA NA 66
Maharashtra 61 77 67 7 71 0 71 73 68 52 49 69
Puducherry 86 101 1 55 1 47 0 51 50 NA NA 50
Punjab 68 75 2 68 8 62 8 77 69 NA NA 70
Sikkim 95 53 33 20 47 6 47 57 49 NA NA 52
Tamil Nadu 124 62 0 62 0 61 0 63 21 21 57 63
DATA – SELECTED STATES
HMIS 2015-16 (Data December 2015)
17. Prepared by ITSU-MoHFW
HEPATITIS B BIRTH DOSE COVERAGE
(Against Institutional Delivery) Till December 2015, Year 2015-16
MCV2 COVERAGE
(HMIS –Expected 75.0%, Till December, 2015 Year 2015-16)
19. Prepared by ITSU-MoHFW
Need Clarification
A & N Islands
Low coverage of Hep B Birth dose (59.4%) against institutional deliveries.
Low coverage of BCG (55.6%), DPT first dose (51.7%), DPT third dose (55.9%), HepB third dose
(55.0%), Measles second dose (31.5%) and DPT Booster (59.2%) while Over reporting of Measles
first dose (77.4%).
DPT1-DPT3 dropout rate is negative (-8.1 %) mainly from districts South Andaman (-10.5%) and
North & Middle Andaman (-8.0%). Negative dropout means that the reported DPT3 coverage is
higher than the DPT 1 coverage.
Chandigarh
Over reporting of BCG (109.5%) while low coverage of DPT first dose (25.5%), DPT third dose
(39.6%), HepB third dose (44.6%) and Measles second dose (59.1%).
DPT1-DPT3 dropout rate is negative (-54.9 %). Negative dropout means that the reported DPT3
coverage is higher than the DPT 1 coverage.
State is also reporting data on JE-1st dose (13) though JE is not a part of UIP program in the
state.
D &N Haveli
Low coverage of DPT first dose (24.7%), DPT third dose (38.7%), HepB third dose (37.5%),
Measles first dose (59.1%), Measles second dose (51.2%), Fully Immunized (57.9%) and DPT
Booster (51.4%).
DPT1-DPT3 dropout rate is negative (-56.7 %). Negative dropout means that the reported DPT3
coverage is higher than the DPT 1 coverage.
STATE SPECIFIC ISSUES
HMIS DATA – TILL DECEMBER 2015 – 14 STATES
20. Prepared by ITSU-MoHFW
State is also reporting data on JE-1st dose (10) though JE is not a part of UIP program in the
state.
Daman & Diu
Low coverage of Hep B Birth dose (74.0%) against institutional deliveries.
Low coverage of BCG (51.9%), DPT first dose (22.6%), DPT third dose (35.2%), HepB third dose
(34.4%), Measles second dose (53.6%), Fully Immunized (59.9%) and DPT Booster (53.9%).
DPT1-DPT3 dropout rate is negative (-55.8 %) mainly from districts Daman (-57.4%) and Diu (-
50.9%). Negative dropout means that the reported DPT3 coverage is higher than the DPT 1
coverage.
Goa
Low coverage of Hep B Birth dose (59.3%) against institutional deliveries.
Himachal Pradesh
Low coverage of DPT first dose (42.1%), DPT third dose (58.9%) and HepB third dose (58.9%).
DPT1-DPT3 dropout rate is negative (-40.1 %) mainly from districts Kullu (-47.5%), Lahul Spiti (-
47.3%) and Kangra (-47.1%). Negative dropout means that the reported DPT3 coverage is higher
than the DPT 1 coverage.
State is also reporting data on JE-1st dose (149) and JE-2nd dose (521) though JE is not a part of
UIP program in the state.
Karnataka
Low coverage of Hep B Birth dose (79.5%) against institutional deliveries.
Low coverage of JE second dose (52.7%).
Kerala
Low coverage of Hep B Birth dose (60.5%) against institutional deliveries.
Low coverage of Measles second dose (25.1%), JE first dose (6.0%) and JE second dose (56.9%).
21. Prepared by ITSU-MoHFW
Lakshadweep
Low coverage of BCG (54.8%).
DPT1-DPT3 dropout rate is negative (-5.1 %). Negative dropout means that the reported DPT3
coverage is higher than the DPT 1 coverage.
More than 5% planned RI sessions not held till December 2015.
State is also reporting data on JE-1st dose (4) though JE is not a part of UIP program in the state.
Maharashtra
Low coverage of Hep B Birth dose (60.7%) against institutional deliveries.
Over reporting of BCG (76.6%), JE first dose (52.0%) and JE second dose (48.9%).
DPT1-DPT3 dropout rate is negative (-5.9 %) mainly from districts Kolharpur (-14.6%), Gondiya (-
13.1%) and Thane (-12.8%). Negative dropout means that the reported DPT3 coverage is higher
than the DPT 1 coverage.
Puducherry
Over reporting of BCG (101.4%) while low coverage of Penta first dose (55.0%), Penta third dose
(47.0%), Measles first dose (50.6%), Measles second dose (49.6%), Fully Immunized (49.9%), DPT
Booster (50.0%).
Penta1-Penta3 dropout rate is 14.6% mainly from districts Karaikal (9.3%), Yanam (1.8%) and
Mahe (0.6%).
State is also reporting data on JE-1st dose (52) and JE-2nd dose (7) though JE is not a part of UIP
program in the state.
Punjab
Low coverage of Hep B Birth dose (67.9%) against institutional deliveries.
Over reporting of Measles first dose (76.8%) and Fully Immunized (76.1%).
State is also reporting data on JE-1st dose (42) though JE is not a part of UIP program in the
state.
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Sikkim
Low coverage of BCG (53.4%), DPT first dose (33.3%), DPT third dose (47.1%), HepB third dose
(46.8%), Measles first dose (56.9%), Measles second dose (48.6%), Fully Immunized (55.9%) and
DPT Booster (52.2%).
DPT1-DPT3 dropout rate is negative (-41.5 %) mainly from districts North (-48.1%), East (-43.0%)
and South (-41.7%). Negative dropout means that the reported DPT3 coverage is higher than the
DPT 1 coverage.
Tamil Nadu
Over reporting of Hep B Birth dose (123.6%) against institutional deliveries.
Low coverage of Measles second dose (20.6%), Fully Immunized (59.9%), JE first dose (21.0%), JE
second dose (57.2%).