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EPI Review- 2013 RDHS Area:…………………………….

EPI Review- 201 3

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EPI Review- 201 3. RDHS Area :……………………………. Background information. Background information……cont. FORM 1 a Calculation of No. of registered infants under care among infants born between 1 st of January 201 3 to 31 st of December 201 3 (eligible for BCG vaccination in year 201 3 ). - PowerPoint PPT Presentation

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Page 1: EPI Review- 201 3

EPI Review- 2013

RDHS Area:…………………………….

Page 2: EPI Review- 201 3

Background information 1-RDHS area

2-Estimated Population for the year 2013

3-Actual Population for the year 2013

4-Reasons for differences in actual and estimated populations

5-Crude Birth Rate for District 2013

6-Crude Birth Rate for Province 2013

7-Estimated Number of Births in the year 2013

Based on the Actual Population

Based on the Estimated Population

District BR

Provincial BR

8-Number of Immunizations performed in the year 2013(institutions and field) (Sum of relevant data from four conslidated Q/ EPI returns, 2013]

PVV1 PVV2 PVV3

9-Number of pregnant mothers registered for the area in year 201310-Number of actual births reported for the are in year 2013

11- Number of infants registered for the area in year 201312-The most probable number of births for the RDHS area*

Page 3: EPI Review- 201 3

Background information……cont Approved number

Number available

Average Population covered by each category / clinic

Population Range

11-PHMs

12-PHIs

13-SPHMs

14-PHNS

15-SPHI

16-MOHs/AMOHs

17- MCH Clinics

Page 4: EPI Review- 201 3

MOH area

Number of pregnant mothers

registered in year 2012

(AA)

Number of registered infants under care*

(A) A = (V+W+X) - (Y+-Z)

Registered within 3

months of birth

(V)****

Registered after 3 months of

birth to date^^

(W)****

Came newly into the area & registered to

date^^

(X)

Left the area

to date^^

(Y)

Died to

date^^

(Z)

FORM 1 aCalculation of No. of registered infants under care among infants born between

•1st of January 2013 to 31st of December 2013 (eligible for BCG vaccination in year 2013)

Page 5: EPI Review- 201 3

Form1 b•Coverage of BCG vaccination among infants born between 1st of January 2013 to 31st of December 2013

and protection of their mothers from Tetanus and Rubella vaccination at the time of delivery

Page 6: EPI Review- 201 3

MOH area

Number of pregnant mothers

registered in year 2012

(AA)

Number of registered infants under care*

(A) A = (V+W+X) - (Y+-Z)

Registered within 3

months of birth

(V)****

Registered after 3 months of

birth to date^^

(W)****

Came newly into the area & registered to

date^^

(X)

Left the area

to date^^

(Y)

Died to

date^^

(Z)

FORM 2 aCalculation of No. of registered infants under care among infants born between 01st of November 2012 to 31stof

October 2013 (eligible for OPV1/ PVV1 vaccination in year 2013)

Page 7: EPI Review- 201 3

Form 2bCoverage of OPV1 /PVV 1 vaccination among infants born between 01st of November 2012 to 31st of October 2013

Page 8: EPI Review- 201 3

MOH area

Number of pregnant mothers

registered in year 2011

(AA)

Number of registered infants under care*

(A) A = (V+W+X) - (Y+-Z)

Registered within 3

months of birth

(V)****

Registered after 3 months of

birth to date^^

(W)****

Came newly into the area & registered to

date^^

(X)

Left the area

to date^^

(Y)

Died to

date^^

(Z)

FORM 3aCalculation of No. of registered infants under care among infants born between 1st of April 2012 to 31st of March 2013

(eligible for LJE vaccination in year 2013)

Page 9: EPI Review- 201 3

Form 3b Coverage of LJE vaccination among infants born between 1st of April 2012 to 31st of March 2013

Page 10: EPI Review- 201 3

FORM 4aCalculation of No. of registered infants under care among infants born between

1st of January 2012 to 31st of December 2012 (eligible for MMR 1 vaccination in year 2013)

MOH area

Number of pregnant mothers

registered in year 2011

(AA)

Number of registered infants under care*

(A) A = (V+W+X) - (Y+-Z)

Registered within 3

months of birth

(V)****

Registered after 3 months of

birth to date^^

(W)****

Came newly into the area & registered to

date^^

(X)

Left the area

to date^^

(Y)

Died to

date^^

(Z)

Page 11: EPI Review- 201 3

FORM 4 bCoverage of MMR vaccination among infants born between 1st of January 2012 to 31st of December 2012

Page 12: EPI Review- 201 3

FORM 5a Calculation of No. of registered infants under care among infants born between 1st of July 2011 to 30th of June 2012

(eligible for DPT4/ OPV4 vaccination in year 2013)

MOH area

Number of pregnant mothers

registered in year 2010

(AA)

Number of registered infants under care*

(A) A = (V+W+X) - (Y+-Z)

Registered within 3

months of birth

(V)****

Registered after 3 months of

birth to date^^

(W)****

Came newly into the area & registered to

date^^

(X)

Left the area

to date^^

(Y)

Died to

date^^

(Z)

Page 13: EPI Review- 201 3

FORM 5bCoverage of DPT4/OPV4 vaccination among infants born between 1st of July 2011 to 30th of June 2012

Page 14: EPI Review- 201 3

FORM 6 aCalculation of No. of registered infants under care among infants born between

1st of January 2010 to 31st of December 2010(eligible for MMR2 vaccination in year 2013)

MOH area

Number of pregnant mothers

registered in year 2009

(AA)

Number of registered infants under care*

(A) A = (V+W+X) - (Y+-Z)

Registered within 3

months of birth

(V)****

Registered after 3 months of

birth to date^^

(W)****

Came newly into the area & registered

to date^^

(X)

Left the areato

date^^

(Y)

Died to

date^^

(Z)

Page 15: EPI Review- 201 3

Form 6bCoverage of MMR2 vaccination among infants born between 1st of January 2010 to 31st of December 2010

Page 16: EPI Review- 201 3

FORM 7aCalculation of No. of registered infants under care among infants born between 1st of January 2008 to 31stof December 2008

(eligible for DT/ OPV5 vaccination in year 2013)

MOH area

Number of pregnant mothers

registered in year 2007

(AA)

Number of registered infants under care*

(A) A = (V+W+X) - (Y+-Z)

Registered within 3

months of birth

(V)****

Registered after 3 months of

birth to date^^

(W)****

Came newly into the area & registered

to date^^

(X)

Left the areato

date^^

(Y)

Died to

date^^

(Z)

Page 17: EPI Review- 201 3

FORM 7bCoverage of DT/OPV5 vaccination among infants born between 1st of January 2008 to 31stof December 2008

Page 18: EPI Review- 201 3

NoMOH area

Number on roll in

grade 7

Number of children immunized in

grade 7

% of immunized children in

grade 7

Number of children immunized inother grades

Total number immunized in

year 2013

1

2

3

4

5

6

7

8

9

10

Total

Form 8Coverage of aTd vaccination among children in grade 7 during 2013

Page 19: EPI Review- 201 3

Form 9Comparison of vaccine coverage according to the advancing birth cohorts

Page 20: EPI Review- 201 3

Form 10Number of immunizations performed and difference against the antigen which ever has the highest number of

immunizations(PVV1, PVV2, PVV3) during infancy ( 1st year of life) in RDHS area by antigen in 2013 Prepare and present a Bar Chart as given in the example below, based on data in four consolidated EPI quarterly returns of 2013

Please include another bar for number of LJEV given to the children who have completed one year in the current cohort

18,188

14565

18891 18640 1841319,136

18274

15,975 16,345

10,100

14,108

-703

-4326

-251 -478

245

-617

-2,916 -2,546

-8,791

-4,783

-10,000

-5,000

0

5,000

10,000

15,000

20,000

TT+ BCG DPT1 DPT2 DPT3 Measles DPT4 MR DT aTd Rub. 8-15

Co

vera

ge

Antigen

Number of Immunizations Performed & Difference aginst DPT1Immunizations in MOH Division …………………………………., 2004

No. of Immunizations Difference aginst DPT1

Page 21: EPI Review- 201 3

Antigen Book balance as

of 31st December

2012

(A)

Total receipts during 2013

(B)

Book balance as of 31st of

December 2013

(C )

No of doses

discarded due to

expiry or cold chain

failure during 2013

(D)

Total number of doses

used during 2013 for

vaccination

( E)=(A+B)-(C +D)

Highest book

balance in a

given time

during the year

2013

(F)

No. ofImmunizationsPerformed by

clinics/ schools/ estates/GPs

( Based on the four EPI quarterly

Returns for year 2013) ( G )

No. of dosesDistributed to

Clinics/schools/

GPs(Based on the MOH Office

vaccine movement

register for year 2013)

( H )

Usage %

( I )=(G/H)*100

Wastage %

( J )=(100- I )

B.C.G

Penta

DPT

OPV

LJEV

DT

TT

aTd

MMR

Other

Form 11Status of vaccine wastage in the RDHS area by antigen in 2013

Page 22: EPI Review- 201 3

MOH area No. ofMonthly AEFI

Returns received

No. ofMonthly AEFI Returns

received in time

No. of“Nil” Monthly AEFI

returns received

Total No. of AEFI** reported

Total No. of AEFI investigated

( %)

Total

Form 12 a: Adverse events following immunization (A.E.F.I.) in year 2013** Injection site abscess, BCG lymphadenitis, Severe local reactions ,Encephalitis/Encephalopathy ,

Meningitis Seizures (Febrile + Afebrile) Anaphylaxis ,Persistent Screaming ,HHE

Page 23: EPI Review- 201 3

Antigen Type of AEFI Number of AEFI

Reported

(A)

No of dosesadministered†

(B)

AEFI Rate

( C )

(C ) =(A)/(B)*100000

National Rates for 2013

BCG BCG lymphadenitis

Penta Seizures (Febrile + Afebrile)

Anaphylaxis

Persistent Screaming

HHE

Allergic reaction

Measles Seizures (Febrile + Afebrile)

Anaphylaxis

Allergic reaction

MMR Seizures (Febrile + Afebrile)

Anaphylaxis

Allergic reaction

Parotitis

JE Seizures (Febrile + Afebrile)

Anaphylaxis

Allergic reaction

Encephalitis/Encephalopathy

Form 12 b : Rates of AEFIs reported in the district during 2013

Page 24: EPI Review- 201 3

MOH area Estimated No. of live births

Estimated No. of infant deaths

Estimated No. of neonatal deaths

No of infant deaths reported

No. of infant deaths investigated

% of infant deaths investigated

Total

Form 13aIncidence of infant deaths, neo natal deaths and their causes in the district – 2013

Please use national Infant mortality rate (9.0 per 1000 live births) to calculate the estimated number of live births for year 2013

Page 25: EPI Review- 201 3

Form 13 bCauses for the neonatal deaths in year 2013

Page 26: EPI Review- 201 3

Disease No. Reported

(A)

No. Investigated*

(B)

No. confirmed

(C)

% Investigated

(D)(D)=(B)/(A)*100

No. of special investigation

forms sent(E)

% of special investigation forms sent

(F)(F)=(E)/(C)*100

Whooping Cough

Tetanus

NNT

Measles

Rubella

CRS

AFP

Encephalitis

Meningitis

Mumps

Total

Form 14Notification and investigation of EPI target diseases- 2013

*No. Investigated = No. reported – No. not attended by a MOH/PHI

OR*No. investigated = (Number confirmed+ Number identified as a non notifiable disease+ Number unable to trace+ Number belongs to other MOH area+ Number re notified)