epi review- 2011 moh area:…………………………….. background information 1-moh area...
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EPI Review- 2011
MOH Area:…………………………….
Background information 1-MOH area2-DPDHS area
3-Estimated Population for the year 20114-Actual Population for the year 2011
5-Reasons for differences in actual and estimated populations
6-Crude Birth Rate for District 2011
7-Crude Birth Rate for Province 20118-Estimated Number of Births in the year 2011
Based on the Actual Population
Based on the Estimated Population
District BR
Provincial BR
9-Number of Immunizations performed in the year 2011 (institutions and field) (Sum of relevant data from four Q/ EPI returns, 2011)]
PVV1 PVV2 PVV3
10-Number of actual births reported for the area in 2011
11-The most probable number of births for the MOH area*
Background information……cont Approved number
Number available
Average Population covered by each category / clinic
Population Range
12-PHMs
13-PHIs
14-SPHMs
15-PHNS
16-SPHI
17-MOHs/AMOHs
18. MCH Clinics
Area Map indicating access to immunization(Please present a map indicating immunization clinics and population served by each clinic )
Coverage of BCG vaccination among infants born between 1st of January 2011 to 31st of December 2011 and the protection of their mothers from Tetanus and Rubella vaccination at the time of delivery
Number of registered infants under care* (A)
A = (w+X) - (Y+-Z)
Number of infants
registered as a birth (W) newly came into the area (X) left the area(Y) Died(Z)
Coverage of DPT1/Hep B1/OPV1 /PVV 1 vaccination among infants born between 01st of November 2010 to 31st of October 2011
Number of registered infants under care* (A)
A = (w+X) - (Y+-Z)
Number of infants
registered as a birth (W) newly came into the area (X) left the area(Y) Died(Z)
Coverage of Measles/MMR1 vaccination among infants born between 01st of April 2010 to 31st of March 2011
Number of registered infants under care* (A)
A = (w+X) - (Y+-Z)
Number of infants
registered as a birth (W) newly came into the area (X) left the area(Y) Died(Z)
Coverage of LJE vaccination among infants born between 1st of January 2010 to 31st of December 2010
Number of registered infants under care* (A)
A = (w+X) - (Y+-Z)
Number of infants
registered as a birth (W) newly came into the area (X) left the area(Y) Died(Z)
Coverage of DPT4/OPV4 vaccination among infants born between 1st of July 2009 to 30th June 2010
Number of registered infants under care* (A)
A = (w+X) - (Y+-Z)
Number of infants
registered as a birth (W) newly came into the area (X) left the area(Y) Died(Z)
Coverage of MR/MMR2 vaccination among infants born between 1st of January 2008 to 31st of December 2008
Number of registered infants under care* (A)
A = (w+X) - (Y+-Z)
Number of infants
registered as a birth (W) newly came into the area (X) left the area(Y) Died(Z)
Coverage of DT/OPV5 vaccination among infants born between 1st of January 2006 to 31st of December 2006
Number of registered infants under care* (A)
A = (w+X) - (Y+-Z)
Number of infants
registered as a birth (W) newly came into the area (X) left the area(Y) Died(Z)
Vaccine PHMM areas with low immunization coverage (%) according to
estimated births registered infants under care
age appropriate immunizations
PHM area % PHM area % PHM area %
BCG
TT( Maternal)
Rubella(Maternal)
PVV1/OPV1
Measles+ MMR1
LJEV
DPT4/OPV4
MR+MMR2
DT/OPV5
PHM areas with low immunization coverage
Coverage of aTd vaccination among school children in grade 7 during 2011 by PHI areas
No PHI area Number on roll in
grade 7
Number of children
immunized ingrade 7
% of immunized children in
grade 7
Number of children
immunized inother grades
Total number immunized in
year 2011
1
2
3
4
5
6
7
8
9
10
Total
Comparison of coverage’s of antigens according to the advancing birth cohorts
Number of immunizations performed and difference against the antigen which ever has the highest number of immunizations(PVV1, PVV2, PVV3,Measles/MMR1) during infancy ( 1st year of life) in MOH area by antigen in
2011
Number of Immunizations Performed & Difference aginst DPT1Immunizations in MOH Division …………………………………., 2004
18,188
14565
18891 18640 18413 19,13618274
15,975 16,345
10,100
14,108
-703
-4326
-251 -478
245
-617
-2,916 -2,546
-8,791
-4,783
-10,000
-5,000
0
5,000
10,000
15,000
20,000
TT+ BCG DPT1 DPT2 DPT3 Measles DPT4 MR DT aTd Rub. 8-15
Antigen
Co
vera
ge
No. of Immunizations
Difference aginst DPT1
Please include another bar for number of LJEV given to the children who have completed one year in the current cohort too***
***LJEV immunizations given for children who have completed one year in the current cohort = Total LJEV given - (Number of LJEV given for infants who have completed nine months according to the new schedule + LJEV given for children who missed out in previous years)
Status of vaccine wastage in the MOH area by antigen in 2011
Antigen Book balance as of 31st Dec 2010
(A)
Total receipts during 2011
(B)
Book balance
as of 31st of Dec 2011
(C )
No of doses discarded
due to expiry or cold chain failure during
2011
(D)
Total number of doses
used during 2011 for vaccination
( E)=(A+B)-(C +D)
Highest book
balance in a
given time during
the year 2011
(F)
No. ofImmunizationsPerformed by
clinics/ schools/
estates/GPs ( Based on the
four EPI quarterly
Returns for year 2011)
( G )
No. of dosesDistributed to
Clinics/schools/GPs
(Based on the MOH Office
vaccine movement register for year 2011)
( H )
Usage %
( I )=(G/H)*100
Wastage %
( J )=(100- I )
B.C.G
Penta
DPT
OPV
Measles
LJEV
MR
DT
TT
aTd
MMR
Adverse events following immunization (A.E.F.I.)No. of Monthly AEFI Returns expected to be sent to the Epidemiological Unit during 2011 12
No. of Monthly AEFI Returns sent
No. of Monthly AEFI Returns sent in time
No of “Nil” returns sent
Type of AEFI Number Reported No Investigated % Investigated
Injection site abscess
BCG lymphadenitis
Severe local reactions
Encephalitis/Encephalopathy
Meningitis
Seizures (Febrile + Afebrile)
Anaphylaxis
Persistent Screaming
HHE
Types of AEFIs reported during 2011
Antigen Type of AEFI Number of AEFI Reported
(A)
No of doses administered†
(B)
AEFI Rate
( C )
(C =(A)/(B)*1000BCG BCG lymphadenitisPenta Seizures (Febrile + Afebrile)
AnaphylaxisPersistent ScreamingHHEAllergic reaction
Measles Seizures (Febrile + Afebrile)
AnaphylaxisAllergic reaction
MMR Seizures (Febrile + Afebrile)
AnaphylaxisAllergic reactionParotitis
JE Seizures (Febrile + Afebrile)AnaphylaxisAllergic reactionEncephalitis/Encephalopathy
MeningitisOther*
Rates of AEFIs reported during 2011
Information regarding cold chain equipment in MOH office in 2011
Please bring the temperature charts and printouts of data lodger recordings for year 2011 to the review.
Refrigerator Working order
(Yes/No)
Year of manufacture
Capacity
(liters)
Thermometer in working Order
(Yes/No)
Data lodger in working Order
(Yes/No)
Temp. Chart maintained daily during the reporting
period(Yes/No)
Refrigerator 1
Refrigerator 2
Ice pack freezer
1 Were there any cold chain breakdowns during the reporting period?(If yes, please describe such situations)
2 Who is in charge of the refrigerator and vaccine?
3 Who is in charge of the daily recording of temperature?
4 How often data lodger printout are being taking?
6 How many print outs available in the file for the year under review?
7 Were there situations vaccines exposed to sub zero temperatures?
8 Were there any mismatch in temperature recordings and data lodger recordings?(If yes, please describe such situations with possible reasons)
Information regarding maximum refrigerator capacity required for storage of vaccines for MOH area
Incidence of infant deaths, neo natal deaths and their causes – 2011 **Please use national Infant mortality rate (8.5 per 1000 live births) to calculate the estimated number of live births for year 2011
Incidence and investigation of EPI target diseases notified to the MOH through the routine notification system- 2011
Disease No.
Reported
(A)
No. Investigated*
(B)
No, confirmed
(C)
% Investigated
(D)
(D)=(B)/(A)*100
No. of special investigation forms sent
(E)
% of special investigation forms sent
(F)
(F)=(E)/(C)*100Whooping Cough
Tetanus
NNT
Measles
Rubella
CRS
AFP
Encephalitis
Meningitis
Mumps
Total