Routine Immunization Strengthening in Uttar Pradesh Presentation Outline

Routine Immunization Strengthening in Uttar Pradesh

Presentation Outline • Routine Immunization status • Immunization campaigns • Measles Rubella Vaccination Campaign • Routine Immunization strengthening • Immunization roadmap

Immunization status

Full Immunization status (%) Uttar Pradesh Data Source- HMIS

Immunization campaigns

Immunization campaigns (2017 -19) MR Vaccination Campaign E-Gram Swaraj Abhiyan (MI) (08 Districts) Intensified Mission Indradhanu sh (60 districts) Routine Immuniza tion Mission Indradhanus h (12 districts) Gram Swaraj Abhiyan (MI) (74 districts) JE leftover campaign

Coverage in key immunization campaigns Campaign Intensified Mission Indradhanush (Oct 17 - Jan 18) GSA Mission Indradhanush (Apr – June 2018) e. GSA Mission Indradhanush July – Sept 2018 Mission Indradhanush 2018 (Oct – Dec 2018) No. of children targeted vaccinated % Children vaccinated No. of Pregnant Women vaccinated 49, 81, 023 45, 18, 571 91% 9, 32, 990 2, 04, 190 1, 95, 179 95. 6% 58, 581 3, 08, 793 2, 92, 736 95% 96, 920 2, 89, 267 2, 73, 583 95% 73, 116

Impact of Intensified Mission Indradhanush- % FI trend 2017 -18 Oct - 58% Nov - 58% FI of Due Childre n Dec - 66% < 60% 60 - < 70% Jan - 71% > 70% 11/29/2020 8

JE Leftover Campaigns Year 2017 Target 8, 862, 413 Achievement 9, 195, 952 % 103. 76 2018 3, 181, 729 3, 396, 330 106. 74 2019 2, 611, 155 2, 682, 863 102. 75

Measles Rubella Vaccination Campaign

Measles Rubella Campaign: Strengths and Positives • Highest level of political commitment at state. • Intense regular review by PS MHFW & MD NHM. • Exemplary leadership shown by the district magistrates in field. • Strong inter departmental coordination, especially by education deptt. • Distt Immunization officers and CMOs took the challenge positively and whole machinery was involved. • Excellent support by partners; WHO NPSP, Unicef, UNDP, Rotary, Lions, CORE.

Social Media campaign started a month before the launch of MR campaign. Hon’ble Chief Minister, Deputy CM, 14 Cabinet Ministers, MPs, MLA’s, IAP members part of this innovative campaign 41. 4 Million impressions

Advocacy videos – Hon’ble Chief Minister leading the campaign

Advocacy at religious Congregations

Engagement with Radio FM & Community Radio – Mission to reach 855 blocks

Measles Rubella Vaccination Campaign achievement Target – 7, 64, 03, 003 Children Vaccinated – 7, 55, 88, 277 (99. 11 %) % Coverage as per Rapid Convenient Monitoring by WHO – 92% (Data as on 16 Feb 19) >=100% 33 Districts 90%-<100% 41 Districts <90% 01 Districts

Routine Immunization Strengthening

Initiatives taken for Routine Immunization strengthening Institutional Mechanisms- Immunization Working Group formed Monitoring and review - Field monitors through PIP - Regular STFI (4) and DTFI (361) - District (2411) and Block weekly review (20, 806) meetings Strengthening of tracking systems -Tracking missed sessions -Immunization tracking booklet Communication -Social Behavior Change Communication strategy prepared -Communication planning by Social Mobilization Network - Bulawa Parchi -Immunization mobile vans Capacity building -MR Elimination & High Risk Area Reprioritization §-MOs Immunization handbook - 42 Trainers & 11 RFPTC’s principals trained §-HWs Immunization handbook - 300 Trainers & 75 DIOs trained §-PCV workshop for 7 Districts - 34 MOs & DIOs trained §-RI Communication planning workshop conducted in 75 districts §-BRIDGE training

Routine Immunization Boosting Routine Immunization Demand Generation (BRIDGE) Training Status S. No Name of Training Target Achievement 1 BRIDGE Training (IMI 60 Districts) ANM Batch-584 ASHA/AWW Batch-7537 579 ANM batches(99%) and 6509 ASHA/AWW batches(86. 4%) Completed 2 BRIDGE TOT of NON-IMI Districts 5 Batches Planned -135 5 Batches Completed-129 Master Trainers Trained ANM- 69 batches completed 3 BRIDGE Training NON-IMI Districts 23 (15 Districts + 8 1979 ANM trained Urban) ANM -85 Batch ASHA/AWW- 597 batches ASHA/AWW – 874 completed and total ASHA 9691 AWW- 10256 have been Batch trained

Bullawa Parchi & Immunization Tracking Booklet

Cold chain strengthening EVM (Effective vaccine Management) concurrent monitoring UNICEF

Immunization Coverage Improvement Plan (ICIP) indicators UTTAR PRADESH i. CIP Performance UIP review Score i. CIP (Apr-Jun 2019) Governance & accountability 73% 91% Human Resource 71% 69% Training Status MO and ANM 0% AEFI surveillance 47% 0% 90% 56% Waste Management 73% 85% RCH portal data entry status 9% 17% State communication plan 0% 100% Programme Communication District communication plan 0% 89% 100% (2018 data) 57% (2019 data) Urban immunization ANM NUHM 90% MAS constitution 65% 93% 82% Programme Implementation Logistic and Supply chain Data recording and reporting DIO/CCH trained in VCCH module Media workshop NA <50% 5070% 70 -90% >=90%

Routine Immunization Roadmap

Routine Immunization Roadmap 2019 -20 • Identification of 107 low performing Blocks – four rounds of immunization drive • Lowest performing Districts (15) identified for focused review • Focused communication activities in low performing blocks and districts • Health Worker Immunization Handbook trainings planned. • MO Immunization Handbook trainings in progress. § MR Case based Surveillance started § Td vaccine rolled out in all 75 Districts. § Expansion of PCV in remaining 56 Districts.

Uttar Pradesh is committed to reach 90% Full Immunization Coverage