Media Work Shop-Dr Sinha

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    Status of Routine Immunization

    in Bihar

    Media Workshop

    24/9/2014 - 25 /9/2014Patna

    Dr. N.K Sinha,State Immunization Officer ,Bihar

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    Vaccine Preventable Diseases

    Diseases Tuberculosis

    Polio Diphtheria Pertusis Tetanus.

    Measles Hepatitis-B J.Enchephalitis

    Vaccines :BCG

    OPVDPTMeaslesHep-B

    JEPentavalent (Awaited)

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    The goal is to fully immunized each child i.e. give BCG, 3 doses of DPT ,Hep-B ,OPV and 1

    dose of Measles before 1 year of age

    AND Complete Immunization

    give Measles 2nddose, DPT-Booster-1 and OPV-

    Booster before 2 years of age.

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    Evaluated % Children Fully Immunized in Bihar 1998-2013

    11.0% 11.6%18.6%

    32.8%

    38.0%41.4%

    54.0%

    64.5%

    66.8% 65.6%

    69.9%

    0%

    10%

    20%

    30%

    40%

    50%

    60%

    70%

    80%

    90%

    100%

    NFHS 2 98-99 CES 2002 CES 2005 NFHS 3 05-06 CES 06-07 DLHS 07-08 FRDS 08-09 AHS

    (Jul.10:Mar.11)

    FRDS 10-11 AHS 12-13 AHS 12-13

    Intensification

    of RI.

    4 IW Week

    Held in 2012,2013,2014Harmonization with Polio

    Microplan (2010)

    Intensified RI monitoring

    Muskan launched

    (Oct 07)

    Launching RI augmentation

    Drive (Aug 05)

    RI monitoring started

    *NFHS; National Family Health Survey;CES: Coverage Evaluation Survey, GOI;DLHS: District Level Household Survey;

    FRDS: Formative Research Development Services, Govt of Bihar;AHS: Annual Health Survey, GOI

    Introduction of Newborn booklet

    & distribution of RI cards in PulsePolio (Jan06)

    * Data till Jan to May

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    % Children aged 12-23 months Fully Immunized

    Data Source: Annual Health Survey 2012 - 13 Fact Sheet

    86.9

    79.674.9 74.2

    69.9 68.866.4 64.4

    52.7

    0

    10

    20

    30

    40

    50

    60

    70

    80

    90

    100as per AHS 2012-13

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    % Children Received Antigen: aged 12-23 months(Bihar)

    Data Source: Annual Health Survey 2012 - 13 Fact Sheet

    94.7

    81.6 82.7 80.3

    69.9

    0

    10

    20

    30

    40

    50

    60

    70

    80

    90

    100

    BCG

    D

    PT3dose

    tO

    PV3dose

    Measles F

    I

    as per AHS 2012-13

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    % Children aged 12-23 months Fully Immunized

    87.8

    84.8

    84.3

    80.9

    80.2

    79.7

    79.1

    78.6

    78.2

    76.6

    76.5

    76

    74.8

    74.8

    74.8

    74.4

    73.1

    72.6

    70.4

    69.9

    69.6

    69.3

    69.3

    69.1

    69.1

    68.9

    68

    67.9

    67.8

    67.3

    65.7

    65.2

    64.2

    59.9

    53.9

    50

    44

    32.2

    0

    10

    20

    30

    40

    50

    60

    70

    80

    90

    100

    Madhubani

    Khagaria

    Samastipur

    Purnia

    Madhepura

    Saran

    Jehanabad

    Aurangabad

    Sheikhpura

    Siwan

    Vaishali

    Patna

    Gopalganj

    Nalanda

    Saharsa

    Munger

    Nawada

    Supaul

    Rohtas

    Bihar

    Sitamarhi

    Gaya

    Katihar

    Kaimur(Bhabua)

    Sheohar

    Darbhanga

    Bhagalpur

    Bhojpur

    Buxar

    Lakhisarai

    Banka

    Begusarai

    Muzaffarpur

    Araria

    Pa

    shchim

    Champaran

    Jamui-

    PurbaChamparan

    Kishanganj

    as per AHS 2012-13

    18 District Belowthe State Average

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    Gaya

    Patna

    Jamui

    Rohtas

    Purnia

    Kaimur

    Banka

    Saran

    Araria

    Katihar

    Siwan

    Supaul

    Madhubani

    Champaran West

    Nawada

    Bhojpur

    Buxar

    NalandaBhagalpur

    Muzaffarpur

    Aurangaabad

    Vaishali

    Champaran East Sitamarhi

    Darbhanga

    Samastipur

    Saharsa

    Gopalganj

    Begusarai Khagaria

    Kishanganj

    Munger

    Madhepura

    ArwalLakhisaraiJehanabad

    Sheikhpura

    Sheohar

    % Children aged 12-23 months Fully Immunizedas per AHS 2012-13

    State Average: 69.9%

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    Reasons of low Coverage of Immunization

    Not holding Imm.sessions as per micro plan. Drop out of children. Not reaching to every one.

    Parents/community not aware aboutImmunization. Resistance population or Stigma attached to

    community to receive even Imm.session site isnear by.

    Missed Opportunity Improper logistic management / Shortage ofVaccine.

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    New Initiatives in RI, Bihar

    ANDWell established TSU in RI cell , Different UniqueRegisters up to Block Level & Barcoding of Vaccines is in

    process

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    The state user can monitor inventory of drugsposition at any time. Every label of user can monitor of his own and

    under label stores.

    User friendly Dashboard to alert, expiry of drugsand shortage of drugs.

    MIS & Graphical report can be generated at a click. High level of information security Complete flow of management as per the hierarchy

    label.

    Benefits of BVLMS:

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    Questions?

    Comments? Suggestions?

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    Thanks