3. GOAL: Ultimate desired state towards which the
objectives and resources are directed.
OBJECTIVES: Precise point to be achieved by
implementation of the proposed programme.
TARGET: Discrete activity that tells about the
degree of achievement to be attained.
4. POLICIES: Guiding principles
PROGRAMME: Sequence of activities designed to
implement policies to achieve objectives
SCHEDULE:Time sequences
PROCEDURE: Set of rules for carrying out work
5. “Orderly process of defining community health
problems, identifying unmet needs, survey the
resources available to meet them, establish priority
goals that are realistic and feasible and projecting
administrative action to accomplish the purpose of the
proposed programme.” (WHO)
7. Preparation of planning with pre-conditions:
Government interest
Administrative capacity
Legislation
Organization for planning
8. Universal Immunization Programme has
been a highly effective public health
intervention.
India was highly committed to the SEARC
resolution to eliminate Measles and
Rubella/CRS by 2020.
9. Population statistics
Morbidity and mortality
Manpower
Existing medical care facilities
Geographical distribution and epidemiology
Training facilities available
Attitudes and beliefs
10. Measles is one of the leading cause of death among young
children despite availability of safe and cost-effective vaccine
Unimmunized individuals form a large cohort of susceptible for
measles.
According to HMIS report:
1. Coverage of MCV1 is 83%
2. Coverage of MCV2 is 66%
Routine immunization data shows MCV2 coverage to be just
40%
Rubella transmission is widespread in communities across
India
Efficacy of the vaccine is 89% at 9 mths and 99% at >12 mths
11. At all levels
Authority
Specific
Measurable
Achievable
Relevant
Time-bound
12. GOAL: Eliminate measles and control Rubella/CRS
OBJECTIVES:
1. Achieve and maintain at least 95% population immunity with 2
doses of MR vaccine, in a phased manner
2. Develop and sustain a sensitive and case-based measles, rubella
and CRS surveillance system and lab network
3. Vaccinate all children of 9 months to <15 years of age group with
one additional dose of MR vaccine irrespective of prior
immunization status
4. Introduce MR vaccine in NIS after the campaign.
TARGET (for Delhi): Immunize 55 lakh children with MR vaccine
14. Sites: schools, identify session sites, fixed in-facility sites
Mobile vans with drivers for mobile sites
Procure vaccines
Cold chain
AEFI kits
Auto-disposable syringes
Hub cutters
Waste management bags
Teachers
Medical Officers
15. 1 vaccinator (ANM/ Male HWs/ LHV/ retired ANM/ Nurses/
LHVs/ Pharmacists)
3 Mobilisers (any of the following):
1 Link worker or similar staff (for urban areas)
1 Anganwadi Worker
1Volunteer
If either link worker orAWW not appointed/available,
she can be substituted by a volunteer.
16. Magnitude
Morbidity and mortality
Frequency and severity of complications
Residual damage
Potential risk of epidemics
Social stigma
Collateral benefits
Feasibility
Vulnerability
Trend
Financial support
International pressures
Political consideration
17. Improve immunity of the high risk areas
Immunize all children in the target age group
in a phased manner
Introduce MR vaccine in routine
immunization
Strengthen routine immunization
18. Complete in all aspects to execute project
Detailed relating of input and output
Working guidance for execution
Built-in evaluation
19. Conduct state, district and sub-district level meetings.
Formulate plans for:
1. Mapping of children
2. Session site plan
3. Cold chain plan
4. Logistics distribution plan
5. Waste management plan
6. Training plan
7. Communication and social mobilization plan
8. AEFI management plan
9. Supervise and monitoring plan
20. Assign and fix responsibilities
Define roles and tasks
Selection, training, motivation and
supervision
Organization and communication
Efficiency of health institutions
21. 23
Schools Community
Last week
sweeping in low
performing areas
4-5 weeks activity 1 week sweeping
Schools Community
Last week
sweeping in low
performing areas
4-5 weeks activity 1 week sweeping
22. Schools and teachers : sensitize and mobilize children,
ensure quality vaccination
Mukhya sevika, CDPO, DPO: microplanning and
supervisory process
AWW/ANM/ASHA /other link workers: mapping target
children, support organize mother’s meetings and
sensitize communities before the campaign in their
respective areas .
ANM: vaccination of children
Medical Officer: supervise vaccination team
24. Monitoring to be done by state/district observers and external
monitors
Pre-campaign monitoring:
4-6 weeks prior to campaign and weekly on preparedness
Intra campaign monitoring
Medical Officers, Supervisors and independent monitors to monitor
the campaign & check children of each team
Rapid assessment of coverage by supervisors & independent monitors
on a daily basis
Daily evening feedback meeting at block and district to review the
activity.
25. Degree to which objectives have been
achieved, targets fulfilled and quality of
results obtained
1. First identify the purpose of evaluation
2. Collect information
3. Compare the results with the
objectives/targets
4. Judge extent of achievement
5. Decide : continue/ change/ stop
6. Feedback
Total duration of campaign 4 weeks (first in schools and then in community) and 1 week sweeping activity in low performing areas
Vaccination will be provided at: schools, health facilities and routine immunization session sites. Migratory sites to be approached through mobile teams
Regular RI sessions will be conducted as per usual planning