emergency preparedness and response planning uttar pradesh 24 th ieag 15 – 16 march 2012
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Emergency Preparedness and Response Planning
Uttar Pradesh24th IEAG
15 – 16 March 2012
Director General, Family Welfare Govt. of UP
Outline of Presentation• Formation of State Emergency Response Group
and Rapid Response Team Members
• Risk Assessment to identify High Risk Areas
• Actions following risk assessment
– Sustaining high Immunity levels
– Routine immunisation & Convergence
– Strengthening AFP Surveillance
• State preparedness for undertaking emergency mop up
Status of Polio in UP• The state of UP has always been one of
the 2 endemic states in India for polio• The transmission of polio virus was
however interrupted twice in the state– No polio case has been reported for the past
23 months• However the threat of re-introduction of
polio virus remains and hence the state has prepared an elaborate plan to deal with such a situation
State Emergency Response Group and Rapid Response Team
• The Govt. of UP has formed a State Emergency Preparedness And Response Group under the chairmanship of Principal Secretary through notification on 1st Jul 2011.
– This group includes 9 members from the State Govt. and other members from partner agencies
• Also a Rapid Response Team has been formed through notification on 1st Jul 2011 which includes 5 senior experienced DIOs
– They have been prepared to move to the affected districts as and when the need arises for supporting the district authorities
Risk Assessment
N=1242 N=88 N=82
N=341
N=305 N=602 N=10
N=29 N=548
2002 2003 2004
2007
2009 2010
20062005
2008
Distribution of Wild Polio Virus cases2002 - 2010
Western UP is the strategic priority area in the state
High Risk Districts in UP* 66 HR Blocks - West UP
* Source : 20th IEAG Jun 2009
High Risk Areas of UP
MIGRATORY
44,130
SETTLED
11,491
1 dot = 10 Sites
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Actions in High Risk Areas following Risk Assessment
Strong oversight to programme
• Regular review meetings by Principal Secretary– State task force meeting before each SIA– Review with DMs and CMOs through video conferencing – Review of SIA and RI quality in monthly/ quarterly DIOs
meeting
• Increasing district administration’s involvement – DO letters to DMs of High risk districts– District Task Force meeting before round chaired by DMs– Daily evening review meeting at district level by the DM /
CMO and block level by the Medical Officer In charge
Engaging community leaders in pockets of Refusals
~ 70% House to House Teams in High Risk Areas are accompanied by influencers during revisits
2006 2007 2008 2009 2010 2011
Declining resistance in high risk districts of West UP
Using every opportunity – Vaccinating children at Melas & Congregations - 2011
Activity DistrictTotal
Children Immunized
Dargah Mela Bahraich 122,908
Magh Mela Allahabad 47,864
Mela Karikot Bahraich 22,463
Lakkad Shah Baba Bahraich 3,998
Ajmer Urs Agra 1,045
Mudiya Poornima Mela
Mathura 3,192
Jai Gurudev Mathura 1,202
Garh Ganga Mela
Ghaziabad 12,771
Total 215,744
Special Activity for Coverage of migrants between Polio Campaigns
SIA Rounds
Vaccination postBlocks with vaccination post
Continuous vaccination along Indo-Nepal border
Total No. of Children Immunized in 2010 – 2,51,243
Total No. of Children Immunized in 2011* – 5,85,116
30 vaccination posts
Percent children < 2 yrs found unimmunized during end of the round survey, Uttar Pradesh
2009 2010 2011 2012
High Coverage Sustained Over SIAs
• Merger of Polio SIA and RI micro plans completed
• Additional immunization camps organized in low coverage areas
• Special RI campaign conducted- 14 Dec to 15 Feb 2012
• Due list of beneficiaries being used by ANMs for tracking Village wise RI coverage
• RI monitoring in all districts, especially in HR blocks
Strengthening Routine Immunization
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Using information from Polio microplans for updating RI microplans to ensure all populations are covered
Polio Microplan
RI Microplan
100000
150000
200000
250000
Areas in included in RI micro plan Areas identified for inclusion in RI Plan from SIA micro plan
~ 23 000 new areas identified for inclusion
in RI Micro plan
2330
41
5257 57
0
10
20
30
40
50
60
70
80
90
100
NFHS-III [2005-06] DLHS-III [2007-08] CES [2009] Jan-11 Aug-11 Dec-11
Data sources: CES- Coverage Evaluation SurveyNFHS III - National Family Health SurveyDLHS- District Level Household & Facility Survey
Evaluated coverage of fully immunized
RI monitoring through NPSP,GOVT,UNICEF, CORE, MCHIP & MI
Initiatives improving RI coverage
Convergence mission in High Risk Blocks WASH Convergence:
• 48,540 dry latrines converted into flush toilets in Badaun
• 51,000 conversions planned in Meerut.
Surveillance quality in High Risk Areas
* Data as on Wk 09, 2012
High Quality Surveillance in 66 HR BlocksNon Polio AFP Rate - 2011
HR Blocks Average – 58
0 to 23 to 56 to 910 and above
Strengthened AFP Surveillance in Migratory Population
* Data as on Wk 09, 2012
299
399
485
0
100
200
300
400
500
2009 2010 2011
AFP Cases in Migrants
Day 0- Alert to State EPRG, RRT, District
Day 1- State EPRG meeting, Order logistic, RRT deployment, Media management
Day 2- RRT in district, MO meeting, Partner meeting,Training schedule
Day 3- DTF, Micro plan review, District official assignment, media briefing
Day 4- BTF, TOT, Cold chain starts, Social mob activities begin
Day 5 & 6- Vaccinator Supervisor trainings, Microplan review, BTF Completion
Day 7- DTF- II, Vaccine & Logistic to block, scale up IEC & Soc mobilization
Day 8- Vaccinator & Sup training completed, IEC display
Day 9- Media release, Monitors briefing
UP Emergency Mop up Timeline
Day 10- Campaign starts
Summary
• Risk assessment completed in the state
• Efforts to sustain high immunity levels
• Intense surveillance for earliest detection of transmission
• State committed to start emergency mop up with in 10 days (if needed)
Thanks…
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