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