emergency preparedness in haryana
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Emergency Preparedness in Haryana
Dr Suresh Dalpath DDCH / SEPIO Haryana
Contents . . .
• Situation Analysis
• Risks
• Mitigating risks
• Response Plan
• Summary
Location of Wild Polio Virus in Haryana (2000-2010)
District P1 P3
AMBALA 2 0
FARIDABAD 6 2
FATEHABAD 1 0
GURGAON 4 1
HISAR 4 0
JHAJJAR 2 0
KAITHAL 1 0
KARNAL 1 0
KURUKSHETRA 1 0
MEWAT 22 7
PALWAL 7 1
PANCHKULA 4 1
PANIPAT 6 2
ROHTAK 0 1
SIRSA 1 0
SONEPAT 5 1
YAMUNANAGAR 1 0Data as on 8 July 2011
HR Districts District WPV
WPV Cases >=4 Years 3 45
WPV Cases 2-3 Years 7 32
WPV Cases 1 Years 7 7
No WPV Case 4 0
Total 21 84
HR Blocks (WPV)
HR Blocks (Other factors)
Haryana - High Risk Districts & Blocks
Risks . . .
• History of Importations of WPV from other parts of country
• Huge migration from endemic states• Large number of construction sites• Mewat had WPV every year for last 10 years• Polio High risk areas have poor RI coverage
~ Mewat
Importations in >=4 years
Importations in 2-3 yearsImportation in a year with multiple cases
No importation or importation in a year with single case
Incidences of WPV importation (2005-2010)
HARYANA MEWAT
HARYANA FARIDABAD
HARYANA HISAR
HARYANA JHAJJAR
HARYANA PANCHKULA
HARYANA PANIPAT
HARYANA SONEPAT
Data as on 8 July 2011
Mitigating Risks…• Polio on the priority list of state
• Focus on HR districts
• Identification and validation of High Risk Areas (migratory & settle population)
• Prioritization of HRAs for coverage during SIA and RI activities
• Filling up vacant post at HR districts
• State officers closely monitoring activities
Slums with Migrants
Nomads
Brick Kilns
Construction Sites
Others
Field Validation Completed
Field Validation Completed Partially
Field Validation Planned
Field Validation not yet Planned
Total Sites Validated = 8838Total Households = 759834Total Children 0-5 yrs = 451696
Identification and Validation of High Risk Areas
Data as on 8 July 2011
Strengthening SIA activities: Mewat
• Focus on 6 High Risk PHC areas
• Booth and HtH plan segregated
• Extensive revision of microplan.
• Training of Supervisors and vaccinators by experts
• Close supervision and monitoring by Govt officials and partners
Interventions at HR PHC Areas: (Mewat June SIA) in
%
Source of data: NPSP Mewat unit. Data as on 8 July 2011
Out come at HR PHC Areas: Mewat (June 11 intervention)
Below 25%25% - 50%50% - 75%Above 75 %
OPV 3 Coverage(DLHS III)
Routine Immunization in the State
Fully Immunized Children (DLHS III)
Mewat district had fifth lowest FI coverage in the country
Data as on 8 July 2011
RI Challenges at Mewat• Low socio economic condition with poor
infrastructure• Vacant post of ANMs & other health staff • Inadequate public transport and difficult
terrain – ANM not moving in the field– Not giving sufficient time for RI activity– Supervisors not moving in the field.
• Less demand generation
Overcoming RI Challenges (Mewat)• Filling up of vacant ANM positions is in process• Flexibility in requirement of district program officers• Micro plan revision and work rationalization• Every PHC is hiring 1-3 vehicles for session days. • Earmarked vehicle for every 3-4 sessions.• ANMs and Supervisors move from PHC in the
morning with logistics• Vehicle drops vaccinators one by one, en-route as
per plan and collect them after sessions• Supervisor/MO supervise simultaneously.• Budget is provided by NRHM and Mewat
Development Agency
Vaccinators along with supervisor moving from PHC to Session site in earmarked vehicle
Vaccinator reaches remote minority area for RI activity and stays till the vehicle returns back
Increase in RI coverage at Mewat* (Sept-2010- May10-11)
Antigen % Increase
BCG 21%
DPT-1 29%
DPT-2 42%
DPT-3 49%
Measles 29%
* Based on reported coverage Data as on 8 July 2011
Validation exercise done In May 2011
Emergency Preparedness and Response Plan
• State EPRG notified on 27 May 2011– Principal Secretary Health : Chair person– MD NRHM : Vice Chairperson– DGHS : Secretary• All Deputy Commissioners appraised in
review meeting chaired by Hon'ble CM.• Meeting of State Steering Committee is
planned on 4th of July-2011.• Plan to orient the heads of key Deptt. i.e.
Panchayati Raj, Education, Social Welfare etc.
Status of State EPRAction list Status
State EPRG Formed Yes ( notified on 27 May 2011)
State Rapid Response Team (RRT) identified Yes
No. of RRTs identified Six
Training conducted for RRT Yet to be conducted
HR Districts and HR areas within Districts identified Yes
Senior Govt Officials identified and assigned to HR Districts Yes
Communication Risk Analysis Undertaken In process
Communication Plan developed In process
Media Response Plan developed Initiated Developed a plan to increase polio SIA
Coverage in HRAs Yes
Developed a Plan to increase RI Coverage in HRAs 1st draft ready, being reviewed
Data as on 8 July 2011
Emergency Preparedness Plan notified on 27 May 2011
Events DayConfirmation of WPV 0
State EPRG Meeting 1
Intensified HR Plan (state , Partners) 2
Operationalize Media Plan 2
District Task Force Meetings 2
Micro plan Review and Orientation of workers 3-5
Inter - Agency Coordination Meeting 3
Procurement of Marker pen & IEC materials 4
Distribution of logistics 5
Mop up activity starts 7
Post activity review and report 12
Proposed Emergency Response Plan
Summary . . .• High risk of importation of WPV cases in
the state• State has identified HR districts & blocks• Focus on the HRAs for SIA & RI activities• State has Emergency Response Plan in
place• State can implement mop up activity on
detection of WPV within a week
Thanks
Please be assured!State is committed !! &Together
We will do it……
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