This document outlines the planning process for a measles and rubella vaccination campaign in Delhi, India. The goals are to eliminate measles and control rubella/congenital rubella syndrome. Objectives include achieving 95% population immunity through two MR vaccine doses and vaccinating all children aged 9 months to 15 years. An estimated 55 lakh children will be targeted. The plan involves mapping areas, identifying vaccination sites, procuring vaccines and supplies, training staff, conducting social mobilization activities, and monitoring and evaluating the campaign. Implementation will follow the planning cycle of assessment, prioritization, goal-setting, resource assessment, plan formulation, execution with monitoring, and evaluation.

2. Primary management function
PRESENT FUTURE

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)

6. 1.
Assessment
of health
situation
2.
Prioritizing
of health
needs
3.
Establishing
goals and
objectives
4.
Assessment
of resources
5.
Writing up
formulated
plan
6.
Execution
7.
Monitoring
8.
Evaluation
PLANNING CYCLE

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

13.  Manpower
 Money
 Materials
 Skills and knowledge
 Technical needs

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

23.  Continuous process
 Observing
 Recording
 reporting of activities

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

26. 1.
Assessment
of health
situation
2.
Prioritizing
of health
needs
3.
Establishing
goals and
objectives
4.
Assessment
of resources
5.
Writing up
formulated
plan
6.
Execution
7.
Monitoring
8.
Evaluation
PLANNING CYCLE