dr.satish gupta

8/11/2019 Dr.satish Gupta

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1

Routine Immunization in India


2/12

69% of partially and

un-immunized

children in 6 states:

Uttar Pradesh

Bihar

Madhya Pradesh,

Rajasthan

West Bengal

Gujarat

RAJASTHAN

ORISSA

GUJARAT

MAHARASHTRA

MADHYA PRADESH

BIHAR

UTTAR PRADESH

KARNATAKA

ANDHRA PRADESH

JAMMU & KASHMIR

ASSAM

TAMIL NADU

CHHATTISGARH

PUNJAB

JHARKHAND

WEST BENGAL

ARUNACHAL PR.

HARYANA

KERALA

UTTARANCHAL

HIMACHAL PRADESH

MANIPUR

MIZORAM

MEGHALAYA

NAGALAND

TRIPURA

SIKKIM

GOA

A&N ISLANDS

D&N HAVELI

PONDICHERRY

LAKSHADWEEP

Below 40

40 to 50

50 to 60

60 to 70

Above 70

Fully immunized children

(12 23 months)

Coverage Evaluation Survey (CES) 2009

Snap shot Inequity Key drivers

>7 millions children not immunized in India

0

10

20

30

40

50

60

70

80

90

100

BCG DPT3 Polio 3 Measles Fully

immunized

Aru.. Pr.

Aru.. Pr.

Aru.. Pr.

Aru.. Pr.

Nagaland

Andra Pr

Himalaya Pr

Himalaya Pr

Punjab

Sikkim


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87.9

85.

3

83.6

81.5

78.6

78.0

77.3

75.8

73.7

71.7

71.5

71.5

68.0

66.6

66.0

64.9

61.0

60.8

59.7

59.5

59.1

57.3

56.6

53.8

5

1.9

49.

0

42.9

40.9

27.8

0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

80.0

90.0

100.0

Full Immunization (%)-State wise coverage

Source: CES (2009)

Reaching the 7 millions children un immunized

All? (>80%) India immunized children


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DLHS-3 (2007-08)

DPT-3 in India Districts

Less than 20%

20% - 40%

40% - 60%

60% - 80%

>=80%

Not available

403 / 601 (67%) Districtswith


5/12


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~ 256,000 Migrant sites

Migrant sites

High risk areas in

settled population

~ 166,000 HR areas in settled population

= 10 Migrant sites = 10 HR sites

Identification of High Risk Areas, India, February 2013

N k i i d b UNICEF


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Mosques with public

announcement system

8500

Networks maintained by UNICEFs

Social Mobilization Network

Number ofInformers

10,450

Community Influencers

35,000

Religious and

Educations

institutions

500

Source: SMNet MIS Data as on Feb 28, 2014

E i i I i i M bili


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Same community female (98% Female) from HRAsCovers 500 household in neighborhood

Tracking pregnant mother and children, ensuring every child for polio, RI

Equity in Immunization: Mobilizers

deployed from high risk areas

Reaching 3 million household with messages every month


9/12

New RI campaignlogo,

posters, TV & radio spot

launched on 29 April.

New Routine Immunization Campaign developed

& launched


10/12

reaching the Unreachable

Raising Awareness

Generating demand

Empowering the most at risk

Health

Routine Immunization

ORS ZINC

Water

Sanitation

hygiene

Nutrition

Infant Young

child feeding


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How media can be instrumental to

Routine immunization

Influencing key decision makers

System in place

Keep services functioning and accountable forquality of routine immunization

Generating demand

Reaching the Most excluded

Empowering communities

Innovative approach (?adolescent, mobile ?)

Crucial role of reliable information when

adverse effects


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Lets work together

to protect our

children &

immunized.

Thanks

dr.satish gupta

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