The document summarizes the immunization activities and adverse events following immunization (AEFI) surveillance system in Andhra Pradesh, India. It provides details on the infrastructure for immunization delivery, beneficiary groups, immunization schedules, AEFI reporting channels, investigation process, current reporting status and barriers to reporting. The state has established an AEFI surveillance system with trained personnel, standard guidelines and formats for reporting, investigating and reviewing AEFI cases at the district and state level. However, further efforts are still needed to educate all healthcare workers thoroughly on AEFI reporting.

1. Sri C.B.S. Venkata Ramana, IAS Commissioner of Family Welfare & Ex-officio Secretary Dr. R. Gopal Krishna Rao Joint Director (CHI) A.E.F.I. Surveillance in Andhra Pradesh

6. AEFI – selected conditions

7. Reporting channels HCW DIO/ DM&HO Hospital (Govt/Pvt) MO (PHCs) RIT SEPIO GOI

8. Community Level District Level ANM & MPHA M.O. PHC Physician RRT + DIO DIO/ DM&HO Hospital & private clinics AEFI Committee SEPIO Commissioner FW AEFI investigation team State Level Proposed AEFI reporting system AEFI Clinico-Epid. Data-(AEFI Format) Investigation Communication Strategy Investigation Final report Central level Severe AEFI/Death Y N AEFI Severe & death case Coordinate timely investigation Final report Causality assessment Compile reports Implement corrective measures if any Y N Further data Collect Prelim. Data & Report

21. Thank you