The objective of the immunization programme is in line with the
objectives framed under NRHM with additional inputs from GOI, it is
envisaged to attain a level of immunization coverage in line with the
National goals.
OUTCOMES
STATE
INDIA
Current status
Goal
Current status
Goal
07-08
09-10
06-07
09-10
MMR
306 (NFHS 3)
(SRS – 99)
285
200
306
200
<100
IMR
61 (NFHS 3)
(NFHS – II)
55
42
66
(SRS-01)
45
<30
NMR
41.8(NFHS 2)
(NFHS – II)
35
25
45(SRS 98)
(SRS 98)
26
2
Expected
Outcome
PROCESS/ INTERMEDIATE INDICATOR
CURRENT STATUS
GOAL
07-08
08-09
09-10
Full Immunization
28%
35
45
>70
Antenatal Coverage
(3 ANC)
9.7%
17
30
>5
Summary
of Activities
a). To improve coverage by increasing the access through Govt.
facilities.
In lower belt / soft area numbering 224 SC of the total SCs, ors would
be organized (896 ors / month) The districts would prepare detail work
plan at the sc level for conducting ors and would be ensured that the
activities are implemented as per the plan.
A PHC level team / district level immunization team will be
constituted comprising of MOs, ANM, LHV, HA, AWW, ASHA for providing
outreach sessions in 224 SC area every month wherever there is no
manpower. Additional mobility support is absolutely necessary due to
lack of staff at the sc level or non-functional status of majority of
the SCs in the state. AWW / ASHA will be engaged for mobilization of
children during immunization sessions at a rate stipulated by GOI.
b). To increase immunization coverage in
inaccessible areas
In 154 inaccessible sc areas, ors (4 times / month / SC) would be
conducted which will need special consideration in terms of funding
for vaccine lifting and mobility support (TA, DA) This is absolutely
necessary due to lack of staff at the SC level or non-functional
status of majority of the SCs in the state.
c). To
provide routine immunization to all children in urban areas by
increasing access through government and society run facilities.
Apart from the proposed outreached sessions under urban health
program (Itanagar-Naharlagun and Pasighat), an additional immunization
camps will be organized in all the district headquarters at the rate
of 2 Immunization camps per district headquarter (2 Slum areas) per
month in 15 district headquarters (360 Immunization camps per year).
The mobility support would be provided along with logistics at GOI
norms. Manpower would be provided from the District Hospital after
establishing a proper mobile unit. Apart from involving 2 society run
Hospitals to conduct immunization sessions on a fixed day, an
additional NGOs would be involved to organize vaccination camps along
with the above proposals in the urban areas.
d). Mobilization of children by AWW / ASHA to the
Immunization site.
In all
the session sites village-wise, mobilization of children would be done
through AWW / ASHA / Link worker etc and the support involved would be
provided at Rs 50 /- for AWW / ASHA per session for all sessions.
e). Strengthening the Cold Chain Systems.
Proper
maintenance of cold chain equipments and storage will be ensured at
all level and the old equipments will be phased out. Provision for 20
solar operated refrigerators in non-electrified PHCs during the year.
Fund for cold chain maintenance would be provided to 1 WIC
(State cold chain room), 16 districts, 25
CHCs and 81 PHCs where cold chain systems are in place to ensure
timely procurement of spares as per GoI norms. The supply of AD
syringes, Hub cutter and plastic bags along with vaccines would be
made available to all the facilities providing immunization services.
position of Cold chain equipments in the state
TYPE
CFC
Non-CFC
Total
Large
Small
Large
Small
ILR
41
00
112
9
162
DF
39
12
51
15
117
ILR cum DF
00
22
00
00
22
Solar
Refrigerators
00
00
00
30
30
f). Orientation training of ANM, Technician and
doctors on immunization
g). strengthening program management and supervision.
It will
be strengthened to improve services, identify bottlenecks, timely
corrective intervention for optimal utilization of resources. The
state level Officer would be provided mobility supports for
supervisory visit to districts 2 times each district per year in the
form of TA / DA, POL.
Mobility
support would be provided for supervisory visit to the field area in
the district (1 visit to all the area within the district per month)
by the DRCHO as per GOI allocation norms.
Computerization of MIS system with introduction of RIM at the state
and district headquarters will be ensured. For which, 4 Computers
with accessories and a computer operator each to state and all the
districts will be provided on contract at the rate of Rs. 6500/- per
month.
h). Program evaluation.
A quarterly review of the
immunization
program will be organized for one day among State and District level
immunization officials at the state headquarters for assessing service
delivery, supplies, equipments, logistics, manpower resource and
district performances (16 districts X3 person @ Rs 1250 per person including stationery expenses).
Similarly, the DRCHO will hold at least one review meeting per 2
months with the program personnel. All the activities under this PIP
would be evaluated at all level. The program outcome indicators and
performance level would be reviewed at the end of every year so as to
ascertain the level of achievements.
i). Waste management
Waste
disposal mechanism would be put in place in all the PHCs, CHCs and
wherever cold chain systems are in place (n=40) during the year at the
rate of Rs 20000/- per centre. Remaining health centres would be taken
in a phased manner.
j).Provision
for Diesel Generator
In view
of no power supply in many far flung areas, in the identified health
centre, provision for Diesel generator would be provided to 15 Health
Centres (Rs 1 lakh/ set) and POL provision would be made from the RCH
fund at the rate of Rs 2000/- per centre.
k). Additional Manpower
In view
of the acute shortage of Refrigerator Mechanic (RM), 4 nos. of RM will
be appointed on contract for 4 districts presently without RM. This is
necessary in order to minimize the sick time of the cold chain
equipments. It is very often seen that RM has to travel several
hundred kilometers to repair sick cold chain equipments either from
state headquarters or neighboring districts. An additional
Refrigerator Mechanic has been appointed on contract basis to oversee
the cold chain repair and maintenance from state headquarters at a
consolidated pay of Rs 8000/- per month. This is absolutely
necessary considering the experience gained over the years on cold
chain maintenance and would continue.
l). Mobility (POL) support for vaccine lifting
An
additional need are mobility support for lifting of vaccines from
nearest airport Guwahati (10 lifting per year) to the state cold chain
system (POL support may be provided at the rate of Rs 5000/- per
collection), lifting of vaccines from state cold chain room to 16
districts whenever required would be made available (6 times per year)
and for lifting of vaccines from district cold chain room to all the
CHCs and PHCs. An amount of Rs. 5000/- per month per district would be
provided as POL / DA support.
m). Provision for Immunization Card/ Register
It is
proposed to procure the necessary Immunization Card (100,000 nos) at
the state level yearly at the rate of Rs. 3/- per card (as per GOI
norms) and provision of Rs 200000/- for provision of Immunization
registers.
n). IPPI (Intensified Pulse Polio Immunization)
The IPPI
program would be implemented in the state as and when GoI directions
are received. The fund requirement for such IPPI program is Rs.1 Crore.
o). Helicopter Sorties.
There are
11 exclusively airfed and hard to reach areas which requires
helicopter sorties. The areas will be covered 4 times per year.
Therefore total sorties required is 44 and the rate for each sortie (3
hours / sortie – average) is Rs 120000/ -. Therefore for 44 sorties
the total requirement will be Rs 5280000/- per year. The above
requirement is absolutely required.
Other Activities
a. With
the introduction of Immunization weeks during the last two years the
immunization coverage level has gone up many fold. The State plan to
organize more immunization week during the year on alternate months.
The fixed
Immunization Days in the state is on Tuesday & Saturday and outreach
session are carried out as per the microplan of the particular areas.
The state strives to generalize availability of microplan in all the
health facilities.
b. State
Level steering committee is in place for special immunization drive
like IPPI etc.
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