ippi - kurnool
DESCRIPTION
Presentation made during District Task Force Committee meeting at Kurnool.TRANSCRIPT
District Immunization, Child Health& Nutrition Management Unit
Kurnool
Intensified Pulse Polio Immunization
IPPI _ 2013
January 20th & February 24th Two drops for polio, every child, every time
Give 2 drops
Background
• [PPI] Program is the largest endeavor.
• PPI is a gigantic program to control Poliomyelitis which is one of the seven vaccine preventable disease.
• PPI in India launched in December, 1995
Goal
• Eradication of Poliomyelitis
Reach every CHILD
Objective
• REPLACEMENT OF HARMFUL WILD POLIO VIRUS IN THE COMMUNITY
Strategy
• INTENSIFIED PULSE POLIO IMMUNIZATION PROGRAMME
Children to be covered this year5,26,058
Cover all HTR areas
What is PPI
1.SIMULTANEOUS2.SUDDEN3.MASS IMMUNIZATION4.TO ALL CHILDREN OF 0-
59 MONTHS OF AGE5.ON FIXED DATE6.THROUGHT THE
COUNTRY
What is IPPI?
1.Followed by2.Intensive H2H search3.With Immunization of
missed children4.Immunization of children
in HRGs5.Immunization of children
in transit
GPEI _ 2010 - 2012
Don’t forget to ink mark
Strategic Planning
• Developing a plan of action
• Publicity and mass awareness
• Management of vaccination day
• Managing the immunization post
• Managing H2H search
Issues of concern
• India is at the fringe of eradication of polio.
• HOWEVER• Complacency• Serious immunization
gaps• Inadequate RI
Challenge• The biggest challenge is to
contain the spread of polio virus, especially in the urban areas, slums, and areas with migratory population and difficult to reach areas.
• Ensuring coverage of all children under five years from apartments, slums, hard to reach areas shall be our priority this time.
No more of this . . .
Lacunae
• Sense of emergency and sense of commitment on the part of all the concerned health workers as observed in the first 4 or 5 years of PPI program are now on the wane.
• This is quite natural because it is too much taxing on the nerve of any human being to be continuously subject to such an emergency for years.
Lacunae
• It may be observed that there is symptom of fatigue in the entire system now.
• It is difficult to motivate the thousands of workers for the same type of dedication on their part as observed in the beginning of the program.
Lacunae Preparations begin too late Vaccines distributed too late Inadequate awareness about PPI in
masses Inadequate distribution of vaccines
and manpower to the centres Long lines at vaccination centres Posts open late or not open during
lunch hours for working parents Team members not clear about
their duties Inadequate supervision &
monitoringInadequate feed back
Reach every CHILD
Lacunae _ Preparatory Phase
• Micro planning 1. Not updated2. Poor focus on
HRGs• Trainings 1. Quality poor
especially• VVM,• CCM,• House
marking• Logistics support
Satisfactory
Implementation Stage
Booth activity Booths not planned in certain areasLess team membersPoor mobile team activity
H2H activity Poor knowledge in house markingNon uniform distribution of teamsIrregular distribution of workload
Implementation phase
• Booth activity & H2H activity is poorly planned & supervised in border areas (Inter state & district).
Implementation Stage
Supervision Poor by route supervisors (No route maps)
H2H activity • Less involvement of other line departments•No active participation of NGOs_IMA, Rotary
Suggestions
• Quality is to be improved, especially in urban areas
• Prior preparation of action plan with map need to be updated
• Based on action plan & Route maps more booths & teams to be allotted
• Better cooperation with Municipal, UHCs, ICDS authorities
Suggestions
• Efficiency in utilization of available resources to be improved
• Better planning & Proper implementation plan to be prepared
• Team members familiar with the area should be deployed in the booth
House marking is very essential
Suggestions
• Strengthening of training process
• Stress on VVM, CCM, Proper house marking
• Strengthening the supervisory mechanism
• Mobile teams to be sensitized about their importance
Suggestions
• Focus on HRGs• Urban slums• Nomads• Brick kilns• Construction sites• Congregation sites
Take home message
• Update your MAPs• Update the HRGs status• Develop sense of commitment• Be proud to be part of
eradication process of Polio• Focus on border areas (Inter
state, Inter districts)
Make every effort to cover HRGs/HRPs
Take home messages
• Focus on Quality• Train on Proper House
marking, VVM, Tally marking, Ink marking
• Involve Rotary clubs where ever available
• Use this window of opportunity to sensitize the community about RI activities
Surveillance is very important
Take home messages
• Rejuvenate yourself• Motivate UR self & Others• Develop sense of commitment• Use the opportunity to
develop your strategic planning skills
• Do not get fatigued
Take home message
• Plan, & Micro plan • Because
• Failing to PLAN• Is• Planning to FAIL
Reach every CHILD
Reach every CHILD
Take home message
• Propel India towards victory in war against Polio
Children to be covered this year
5,26,058
Is to develop ownership, commitment, dedication to further enhance focus and momentum gained.
Any distraction or loss of quality at this stage will imperil all the strenuous efforts made to date, and risk failure at the brink of success
Need of the hour …
What is expected from U . . . • Booth activity
• H 2 H activity• Transit site activity• Activity in HR & US areas• Activity in
– Brick kilns,– construction sites,– congregation sites, – urban areas
Meticulous planning
What is expected from U . . . • Supervision
• Mapping of areas• Training • Vaccine, Cold chain
maintenance, logistics, transportation.
• IEC/Social mobilization• Recording & Reporting• Review of microplans
Meticulous planning
Cold chain management
1.Keep in touch with AE, APTRANSCO2.Get your generators ready & repaired3.No sessions on 18th Saturday4.Ice/Ice packs preparation5.Keep thermostat at maximum
Mapping
PHC
SAMPLE
MAP
Mapping
SAMPLEMAPOFSUPERVISOR
MAPPING
SAMPLEMAPOFTEAM
FORM 1 Manpower Planning form
FORM 2 Vaccine & Cold chain Planning form
FORM 3 Logistics & Transport Planning form
FORM 4 A Booth Planning template
FORM 4 B H 2 H Planning template
FORM 4 c Transit Point Planning
FORM 4 D High Risk Area planning formMobile team planning form
FORM 5 Daily Miking Format
FORM 6 Checklist for Preparing/Reviewing Microplans
FORM 7 A Supervisors checklist for Booth activity
FORM 7 B Supervisors tally sheet
FORM 8 B X marked houses information sheet
FORM 8 C Tally sheet for booth/Transit/mobile
FORM 8 D Tally sheet for H 2 H activity
FORM 9 A Daily supervisor reporting format
FORM 9 B MO daily reporting format
HRA Template for HRA Listing
Dr. Anil Kumar KorrapatiDistrict Immunization and Child Health Manager,KURNOOL