IPPI 2024 TRAINING MATERIAL FOR HEALTH CARE PROVIDER

1. 1
Micro-plan Review During SNID

2. 2
Basic Principles for Microplan Review
• Review micro-plan at planning unit/ PHC
and submit to district
• Use data generated from previous rounds to revise/update/ improve
existing microplans
• Medical officer of planning unit must involve supervisors and vaccinators
in the review of microplans
• Microplans submitted to district must be reviewed by DIO, CMO
supported by SMO

3. 3
Review of Microplans
•Booth microplans
•House-to-House activity microplans
•Microplans for transit sites & special areas
•Cold chain and logistics microplans
•IEC/Social Mobilization microplans

4. 4
Booth Micro plans

5. 5
NID / SNID Form 4 A
Booth planning template
Name of District / Block / Urban Area: ________________________ Round: Dec 2023
Name of Supervisor: __________________________
Booth Number Booth Location Name of Team Members
Name of local
influencer/s

6. Booth Activity: Key issues to be addressed
• Proper placement of booths – minimize travel
of beneficiaries
• Location of booth – placement in well
ventilated rooms/ areas
• Manpower issues – new vaccinators, if
deployed, should be local and trained
• Covid appropriate behaviours to be followed,
if there are COVID cases/ high number of
respiratory infections found in the area in the
recent past
• Overcrowding at booths to be avoided
• Not more than 5 beneficiaries mobilized at any
time
• Split booths with high coverage (>200 children)

7. 7
Improving Quality of Booth Activities…1
• Booth timings
Booth should start functioning from early in the morning and close in evening as per
schedule decided by State / District administration
• Avoid crisscross movement at booth – have separate entry and exit, if possible
• Vaccinators, Anganwadi, ASHA workers & volunteers to mobilize children to the
booth in small batches
• Avoid unnecessary recording of information

8. Improving Quality of Booth Activities…2
• IEC for booth activities
• Health workers to meet village/local leaders/
religious leaders to inform about booth
locations and day of booth activity
• Proper visibility of booths through prominent
display of banners and posters a week before
NID
• Plan for announcements from public address
system / religious places
• Miking to continue throughout the booth day
• Launch ceremonies may be organized
8
Photo courtesy: UNICEF

9. 9
House-to-House Microplans
Implement revised microplan formats to ensure all populations are
covered for both polio & routine immunization

10. 10
Use Template for Identifying Supervisors & Team Areas within
Blocks Requiring Interventions
Name of
Supervisor
Team
No
No of
houses
visited
No of
children
immunized
% X houses
generated
% X houses
remaining at
end of activity
% false P
houses
Any
operational
problems
• The above template filled with past coverage, is useful to identify areas requiring changes/ additional
intervention prior to beginning the review of micro-plans for the current round

11. 11
Issues
• Have teams in the past rounds generating X houses? What is their proportion
of total houses?
• Is there a plan to revisit all X houses? At what time?
Actions
• If poor X house generation identify such teams and address in trainings
• If X houses are identified but later poor X to P conversions, identify reasons
• What is the plan to revisit all X houses?
• Are revisit timings appropriate?
• Are influencers accompanying teams wherever required?
• Involve local influencers for covering X households
Improving Quality of House-to-House Activity…(5)

12. Improving Quality of House-to-House Activity…(1)
Issues
• Will it be feasible for teams to cover all allocated households in current situation?
• Are all areas included in house-to-house microplans?
• Were missed areas detected during previous SIAs?
• Are RI services available for all areas?
Actions
• Review plans with Supervisors
• Use data from census, revenue, local municipal body, elected representatives to ensure all areas
included
• Supervisors/Vaccinators to walk through areas during planning phase and field validate
• Proper area allocation to teams with clear cut demarcation, esp. for new vaccinators
• Mapping of all areas
• Border area meetings to synchronize activities along borders
• All teams must carry copies of micro plans and maps during activity 12

13. 13
• Well defined start & end points with landmarks and rational workload based on local
situation; ensure rational workload
• Write number of houses covered by each team each day in format below
• Identify teams with irrational workloads – high or low
Day 1 Day 2 Day 3 Day 4 Day 5
Tally sheet analysis
Team no.
Houses visited
Actions
•Rationalize the workload of teams that have to
cover more than 100 houses in a day
•Redistribute workload or increase number of
teams of volunteers in areas with high workload
Note: Analyze the data of last SIA
Improving Quality of House-to-House microplanning

14. NID/ SNID
Template for House to House planning
District:_______________________ Block/ Urban area: ______________________________ Planning Unit: __________________________ Round: Dec 2023
Name & Mobile No of Supervisor_________________ Designation: ________________ Name and Mobile No of MOIC: _____________
Team No Name of vaccinator Day 1 Day 2 Day 3 Day 4 Day 5
Name and description of the area to be covered
Designation Is this an identified HRA? Yes/ No Yes/ No Yes/ No Yes/ No Yes/ No
If yes, type of HRA
1/ 2/ 3/ 4/ 5/ 6/ 6A/
6B/ 6C/ 6D/ 6E
1/ 2/ 3/ 4/ 5/ 6/ 6A/
6B/ 6C/ 6D/ 6E
1/ 2/ 3/ 4/ 5/ 6/ 6A/
6B/ 6C/ 6D/ 6E
1/ 2/ 3/ 4/ 5/ 6/ 6A/
6B/ 6C/ 6D/ 6E
1/ 2/ 3/ 4/ 5/ 6/ 6A/
6B/ 6C/ 6D/ 6E
Mobile No Name & address of first house owner with landmarks
Special landmarks in the area & detailed route description
(via)
Name of vaccinator Via
Name & address of last house owner with landmarks
Designation Meeting point before afternoon activity
No of houses in the area
Mobile No Name and mobile no of the influencer/s
Area specific Routine Immunization information
Name of Sub centre
Name of A.N.M
Location of site where RI session is held
Day of RI
Name of ASHA/ local mobilizer/ link worker supporting RI session
Name of AWW supporting RI session
1-Slum with migration; 2- Nomads;3- Brick Klin; 4- construction sites;5- Others (Migratory);6-Urban Slums; 6A - Hard to Reach Area;6B- VPD OB Areas;6C- Unserved / Vacant;sub centre 6D- Underserved / Vaccine Hesitancy /
Refusal Area; 6E- Others
Signature of Supervisor Signature of Medical Officer I/C

15. • Letters from Municipality/Corporations to resident welfare associations (RWAs)
for cooperation with vaccinators
• Use of medical college/nursing college students as vaccinators after training
• Enlist support from Rotary (where possible) during the house-to-house activities
• Look out for nomadic / construction sites during house-to-house visits
15
Improving Quality of House-to-House Activity…(3)

16. 16
• Selection of manpower
• Accountable female vaccinators from ANMs, Anganwadi & ASHA preferred
• If AWW/ASHA are not part of house-to-house team they must accompany
the team in their village and assist in mobilization & ensure complete
coverage
• Prefer local vaccinators for enhanced community acceptance
• At least one female vaccinator from the locally predominant community in
HRA
• Local influencers to accompany teams to all ‘X’ houses during revisits
(biphasic activity) in areas with mobilization issues
• Community / religious leaders / economic /medical / dai
• Panchayati Raj: Pradhan, Panchayat Secretary, Ration Dealers, Lekhpal
Improving Quality of House-to-House Activity…(4)

17. 17
Plans for Special Areas
• List all High Risk Areas – slums with migration, nomadic sites, construction sites, brick
kilns & others (river islands, isolated populations)
• They may be covered by mobile team plan (exclusive) or house-to-house teams (use
Form 4D for planning )
• The mobile teams should conduct HtH vaccination activity in the HRAs areas from day 1
• Plan to ensure that each HRA is visited by a Mobile/ HtH vaccination team at least twice
during the NIDs in view of frequent migration / shift timings of the population.
• The mobile team visits to coincide with timing of population movement: (e.g. Migrant
families involved in harvesting may be available during evening hours)

18. 18
SNID Form 4 D
Template for special area planning (brick kilns, construction sites, nomadic population groups etc.)
Name of District/ Block/ Urban area: ________________________________ Name & Mobile No of Medical Officer I/C ____________________ Name & Mobile No of Supervisor: _____________________
Team No: ________ Team members: 1. ___________________ 2. ____________________ Round: Dec 2023
Site 1 Site 2 Site 3 Site 4
Day 1
Timing of visit
Address of area
Is this a HR site? Yes / No Yes/ No Yes/ No Yes/ No
Type of site
Nomad / Brick kiln / Construction
site / Other
Nomad / Brick kiln / Construction
site / Other
Nomad / Brick kiln / Construction
site / Other
Nomad / Brick kiln / Construction
site / Other
Is this site linked to RI session site Yes/ No Yes/ No Yes/ No Yes/ No
Site specific Routine Immunization information
Name of Sub centre
Name of ANM
RI session site
Day of RI session
Supporting ASHA/ link worker/ mobilizer
AWW supporting the session

19. • Identify all target children in household, ask
one family member to bring children
• Ask for suspected cases of acute flaccid
paralysis, and fever with rash - report to
medical officer
Interaction during House-to-House activity

20. 20
Micro plans for Transit Points
and Congregation Sites

21. 21
Transit points & Congregation Sites Microplans
• List all transit points and congregation sites
• Railway stations, bus stands, markets, haats, weekly bazaars, major hospitals &
prominent doctors’ clinics, picnic spots
• Develop local event calendar & ensure coverage of congregations till they continue
• Plan to cover Transit points on all days of polio campaign days
• Physically visit each site to decide the placement, number of
vaccinators/supervisors & shifts
• Shifts to coincide with timing of population movement
• Multiple shifts/round the clock shifts wherever required
• Develop maps clearly indicating the entry/exit points and placement of vaccinators
• Consult authorities/timetables to cover peak periods

22. 22
Improving Quality of Transit Site Activity
• Is the location selected appropriate?
• Is the selected manpower appropriate? (energetic)
- Has help been sought from NCC, NSS or other local youth organizations?
- Whether the organizers of major congregations met with and involved in
planning?
• Is there a plan for a separate training of all transit team members?
• Are logistics such as vaccine vials, marker pen, tallysheet etc.
provided to vaccinators to work independently?
• Have frequent supervisory visits been planned to transit sites?
• Has coordination mechanism been established with
railways/roadways?

23. 23
Cold Chain and Logistics Microplans

24. 24
Estimate Vaccine Requirement
• OPV doses requirement per round = Number of target children x 1.22 (vaccine
wastage factor)
• OPV vials required = OPV doses required
20
(rounded off to next higher whole figure)
Plan for storage of vaccine at district and block level – cold chain equipment
Plan for vaccine movement from district to block to teams
Open vial policy to be followed

25. 25
Assess Cold Chain at District/PHC
• Power supply?
• Cold chain equipment maintained and in order?
• Temperature monitoring inside DF/ILR?
• Plan for freezing of ice packs in DF/Alternate freezing
plans in ice factories?
• Stacking of ice packs in deep freezer?
• VVM status of OPV vials stocked for SNID?
• Plan for reuse of partially used vials after checking
VVM?
• Plan for distribution of vaccine and logistics including
vehicle deployment developed?

26. 26
Plan for Procurement & Distribution of Logistics
NID/SNID Form 3
Logistics and Transport planning Form
Name of District / Block / Urban Area: ________________ Round: Dec 2023
Name of the Area
Logistics for Supervisors Other logistics
Transport for supply of vaccine and
logistics
Transport for transit point, mela/ bazaar,
mobile teams
Transport for supervision
Check
lists
P
sweep
tally
sheet
Reporting
formats
Vaccinator
tally
sheets
OPV
vial
openers
Chalk/
Geru
Indelible
ink
marker
pen
Aprons
for
transit
point
team
members
only
Armbands/
Identity
cards
Vehicles
required
Vehicles
available
Addnl.
Vehicles
needed
Specify
type
Vehicles
required
Vehicles
available
Addnl.
Vehicles
needed
Specify
type
No.
of
supervisors
No.
of
supervisors
using
own
transport
Addnl.
vehicles
required
for
supervisors
Specify
type
Total

27. 27
Review Transport Plans
• Has transport been planned for:
• Supervisors, supply of vaccine and logistics, Miking, Mobile teams?
• Availability of Govt. vehicles assessed?
• Shortfall assessed and hiring planned?
• Types of vehicles required determined?
• Two wheelers/three wheelers/jeep/car, rickshaws, ferry/boats, animals, …….etc.
• Is there a route chart for every vehicle?
Use Logistics & Transport Planning Form 3

28. 28
Transport for supply of vaccine and logistics Transport for transit point, mela/ bazaar, mobile teams Transport for supervision
Vehicles
required
Vehicles
available
Addnl.
Vehicles
needed
Specify
type
Vehicles
required
Vehicles
available
Addnl.
Vehicles
needed
Specify
type
No.
of
supervisors
No.
of
supervisors
using
own
transport
Addnl.
vehicles
required
for
supervisors
Specify
type
Plan for Procurement & Distribution of Logistics
Use Logistics & Transport Planning Form 3

29. 29
IEC/Social Mobilization Microplans

30. IEC/Social Mobilization Preparedness…
• Plan for Miking/drum beating (use Form 5)
• Preparation of audio messages in local
language
• Plan for route chart for miking/drum beating
utilizing slow moving vehicles
• Plan for miking from religious and other fixed
sites
• Should be before and during the activity
• Plan for utilization of local cable network
• Utilize social networking, SMS messages, wall
writing
30

31. 31
NID/SNID : Dec 2023 Form 5
Daily Miking Format
Block: ___________
S. No. Type of Vehicle Description of the area to be covered
Time
Name of person monitoring miking
Time
Name of person monitoring miking
Time
Name of person monitoring miking

32. 32
IEC/Social Mobilization Preparedness…(2)
• Plan for preparation, distribution & display of Posters/Handbills/Banners
• Involve all Panchayati Raj, local influencers, community leaders, Resident
Welfare Associations and religious leaders
• Plan to conduct a meeting of local influencers prior to the NID round to enlist their
support
• Get the written/ video appeals from local influencers, and key leaders. Get them shared
through social media
• Plan for programme launch – ensure adequate infection prevention measures
• Plan for involving local press – press conference, media release

33. 33
Summary
• Ensure sufficient booths to cover all areas - especially high-risk areas
• Avoid overcrowding at booths – split high coverage booths, mobilize 5
beneficiaries at a time, one caregiver to accompany beneficiary
• Maximum involvement of manpower from ICDS/ASHA/Other Govt. depts
• Ensure all high-risk areas are included in micro-plans for coverage and are
supervised by senior officials of block/district
• Use polio microplans to ensure RI coverage in all areas
• Ensure teams to cover all prominent transit points, congregations and other
such special sites
• COVID appropriate behaviour in areas with surge of COVID-19 cases