Purple Pinkies_Choudhary_5.3.12

Application of LQAS for

CORE Group Spring Meeting 2012
Wilmington, Delaware, USA

CGPP India

Description of LQAS study

CGPP Coverage - Uttar Pradesh, India
Area:
Districts – 10, Blocks - 56

Beneficiaries
Households – 571, 506
Estimated children under 5 years – 570,000
Estimated population – 4,000,000
SHP

Functionaries: MZN BJN

Implementing NGOs: 10
BGT
MRT
JPN
GZA MRD RMP
GBN

Sub-regional Coordinators (SRCs) - 3
BRL PIL
BLS

BAD KRI
ALG SHA

District Team Leader (DTL) - 1
KAN
BRC SRW
MTR HTR ETA STP BRP
FKB
FER HDO SDN

District Mobilization Coordinators (DMCs) – 13
MAI MHG
AGR GN D
KNA
BBK SKN KSN
ETW LNO BST
GR P
AUR FA I
UNN

District – MIS Coordinators - 10 KPD ABN DOR
CSN
KPN SUL
JAL RBL
AZG MAU
PTG BAL

District Underserved Coordinators (DUCs) - 5
FTP
HMP JNP
JNS GZP
BNA KSM
MHB BDH VRN CND
CKT AHB

Block Mobilization Coordinators (BMCs) – 95 LLP
MZP

Community Mobilization Coordinators (CMCs) - 1315
SBD


Objectives
 To assess reach and quality of IPC activities of
CMC (Home visits & mothers’ meeting)

 To assess awareness of mothers about routine
immunisation (Given and due vaccines, vaccination site, etc.)

 To know perceptions of mothers towards polio
vaccination

 To assess practices related to diarrhoea
management


Methodology
Catchment Areas(CA)
Work area of a DMC or 13
Supervisory Areas(SAs)
Work area of a BMC in a block
94
CGPP work area in a district

Block D

District X
Block G SA 1
Block D

Block F

Block A
Block C

Block E

Block B CGPP block

Non-CGPP block

CMC area
(village/ward)

SA 2 Non-CMC area
(village/ward)


Methodology


Round 1 - Process

Key Findings - Aggregated weighted coverage of 94 SAs
Full Immunization Status
(Source: Govt. RI card/Congratulatory card of CGPP)

n=419 n=286 n=135 n=605 n=1112

* Percentages are weighted by population of supervisory areas Fully immunised = Received BCG, 3 DPTs, 3 OPVs and measles dose
LQAS-2011 CGPP Midline-2010 CES- 2009, UP


Vaccination status of children aged 10-11months
(Source: Govt. RI card/Congratulatory card of CGPP)

n=286

* Percentages are weighted by population of supervisory areas


n=1786 n=1786 n=603

* Percentages are weighted by population of supervision areas

LQAS-2011 CGPP Midline-2010

Key Findings - Aggregated weighted coverage of 94 CAs

Home Visits of CMC

n=1783 n=603



Key Findings - Aggregated weighted coverage of 94 CAs

Attendance in Mothers’ Meetings

n=1777
n=603



Mothers exposed to IEC material of CGPP, India
n=1786


Midline- 2010 7.0
Set target 40.0

* Percentages are weighted by population of supervision areas

Exploratory data analysis - Determinants of DPT3

DPT3 Coverage, Children > 3.5 Months of Age*

n=1256

* DPT3 Status based on routine immunization card and/or mother's recall


DPT3 Coverage by Caretaker’s Attendance at Mothers’
Meetings, Children > 3.5 Months of Age*

** Significant adjusting for
clustering and weighting



DPT3 Coverage by Mothers exposure to IEC messages,
Children > 3.5 Months of Age*
* DPT3 Status based on routine
immunization card and/or
mother's recall


[Among mothers exposed to recent Mother's Meeting or IPC home visit]


DPT3 Coverage by Mothers exposure to RI leaflet, Children >
3.5 Months of Age*
mother's recall




DPT3 Coverage by Mothers exposure to Flash Cards,
Children > 3.5 Months of Age*
mother's recall




DPT3 Coverage by Mother’s recognition of CMC by
designation, Children > 3.5 Months of Age*
mother's recall




DPT3 Coverage by Gender of Child, Children > 3.5 Months of Age*

** Not Significant
adjusting for clustering
and weighting



DPT3 Coverage by Mothers Literacy Status, Children > 3.5 Months
of Age*

** Not Significant
adjusting for clustering
and weighting



DPT3 Coverage by Recent IPC Visit to Home, Children > 3.5
Months of Age*

** Not Significant adjusting
for clustering and
weighting (e.g, recent IPC visits
were almost universal, sample size small
among those without recent visit)


Strategic decisions based on findings

Some of the identified areas of concern
 Routine immunisation status (% received 0 OPV,
DPT3, Measles)
 Awareness of mothers about vaccination status (given or
due) - 0 dose, 3 DPTs, vitamin A
 Receiving and retaining of government RI card (% received
and able to show)

 Receiving and retaining of congratulatory card & poly bag
(Given by CGPP) (% received and able to show)
 Attendance at mothers meetings

An Example- Strategic Actions based on findings
Area of concern – Improve zero OPV coverage
indicator - % children received OPV 0
Wtd. Average coverage = 49%

Decisions and actions
New born tracking and focused 1-1 contacts
 Listing pregnant women and newborns
 1-1 contacts to listed houses for delivering messages related to zero
OPV, routine immunization and other messages related to
institutional delivery
Scheduling RI sessions/ Conduct RI Camps/ RI drives
 Review of missed sessions and reasons
 Discussion with block and district government officials to reschedule
sessions
 Weekly sharing of status of RI sessions with govt. functionaries
Ensure message delivery during mothers’ meetings
Standardized norms of monitoring routine immunization

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