December 2009 Feedback December 2009 Feedback to States and Zoneto States and Zone

Routine Immunization Routine Immunization PerformancePerformance

Data as at 15th January 2010 in National Database

Completeness of HF Reporting Dec 2009

% LGA Completeness of Reporting by State: Dec 2009

SUMMARY (1)SUMMARY (1)Improving Access-1.• 20 States had >=90% completeness of HF reporting in December while

others did not meet the 90% target.• Kogi, Taraba Nassarawa, Zamfara and Oyo have below 70% HF

completeness• While, Ogun, Gombe Yobe and Bayelsa have less than 40% of HF

reporting in December 2009• No data from any health facility in Ebonyi State.• HF completeness nationally is just 77.3% • Benue, Gombe, Taraba, Yobe, Nassarawa, Kogi, Niger, Kwara, Enugu,

Ogun and Oyo States had less than 90% of their LGAs reporting in December 2009.

• Reports for 695 out of 774 LGAs received for December 2009

Action point: All States with incomplete reports should follow up with relevant

LGAs /HFs and provide updated reports for Jan –December 2009 by 15th of February 2010

Proportion of Planned Sessions Conducted Dec 2009

0%

20%

40%

60%

80%

100%

120%

140%

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FC

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Kw

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Na

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NC

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Ta

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Za

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NW

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Ab

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An

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on

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En

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SE

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go

s

Og

un

On

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Osu

n

Oyo

SW

Z

Na

tio

na

l

NCZ NEZ NWZ SEZ SSZ SWZ

Proportion of Planned Fixed Sessions Conducted - December 09

0%

50%

100%

150%

200%

250%

300%

350%

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nu

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FC

T

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gi

Kw

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Na

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raw

a

Nig

er

Pla

tea

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NC

Z

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Ba

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Ta

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Yo

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NE

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Jig

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Ka

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a

Ke

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NW

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Ab

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An

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Eb

on

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En

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Imo

SE

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De

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On

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Osu

n

Oyo

SW

Z

Na

tio

na

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NCZ NEZ NWZ SEZ SSZ SWZ

Proportion of Planned Outreach Sessions Conducted -December 09

Summary (2)Summary (2)Improving Access-2Fixed Sessions:• 16/37 States have performance above 80% of planned fixed

sessions• 10/37 States conducted less than 50% of planned sessions!!!• No reports from Kogi, Adamawa, Bauchi, AKS and Bayelsa

StatesOutreach Sessions• 17 States have performance above 80% of planned

outreach sessions.• 7 States conducted less than 50% of planned sessions!!!• No reports from Kogi, Adamawa, Bauchi, AKS, Rivers and

Bayelsa States

DPT3 Monthly Coverage by State: Nov & Dec 2009

DPT3 Cummulative Coverage by State: Dec 2009

Routine Immunization DPT3 Cumulative Coverage Dec 09 Nigeria

HBV3=70%

OPV3=62%DPT3= 70%

< 50 %

50 -79.99%

80 - 100%

Above 100 %

Routine Immunization Performance Cumulative Dec 09 Nigeria

BCG= 73%YF=61%

MV=79%

< 50 %

50 -79.99%

80 - 100%

Above 100 %

Routine Immunization Performance Cumulative Dec 09 Nigeria

DPT3 Coverage Ranges by Zones Dec 2009

Proportion of LGAs DPT3 Coverage Range by State Dec 2009

Proportion of LGAs with DPT3 >=80% Dec 2009

<25% of LGAs

25-50% of LGAs

50-79.9% of LGAs

>=80% of LGAs

DPT3 Coverage.

• December compared to November

– In NCZ; FCT and Plateau States had improved performance in others declined especially Nassarawa State.

– In NEZ improvement occurred in Bauchi and Borno while others declined especially Yobe

– In NWZ, Jigawa, Kebbi and Sokoto had improvement, all others declined.

– In SEZ only Ebonyi declined with others improving and Abia with no change

– In SSZ, CRS and Rivers made some improvement with others declining.

– In SWZ Ekiti, all States declined especially Ogun and Oyo States.

– 10 States have reached the Target of 80% DPT3 coverage for the year 2009.

– Zamfara and Yobe are the only States with DPT3 <50%

– Only Akwa-Ibom State have at least 80% of their LGAs with cumulative DPT3 of 80% for 2009

– Many key states especially in the northwest have more than 50% of their LGAs with DPT3 < 50%, particularly states like Zamfara with 70% of their LGAs and Kano and Yobe with 60% of LGAs having DPT3 less than 50%

SUMMARY (3)SUMMARY (3)

Un-Immunized Children Dec 2009

Routine Immunization Number of Un-Immunized Dec 09 Nigeria

Un-Immunized Children as at December 2009

Kano with over 120,000 unimmunized is surrounded by states with over 60,000 un-immunized children as at December 2009

• Un-Immunized Children– Bauchi, Jigawa, Kaduna, Kano,

Katsina, Zamfara, Ogun, Oyo and Lagos States continues to have high numbers of Un-immunized Children of well over 60,000 un-immunized Children in each State as at December 2009

• However, Kano State has significantly High number of Un-immunized Children of over 200,000 as at December 09!!!.

SUMMARY (4)SUMMARY (4)

DPT1/3 Drop out rates Nov_09

0%

5%

10%

15%

20%

25%

30%

Benu

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ara

Nas

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NCZ

Adam

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Yobe NEZ

Jigaw

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duna

Kano

Kats

ina

Kebb

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NW

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NC NE NW SE SS SW

DPT1/3 Drop out Rate Nov 09

DPT1/DPT3 Drop out Rate Nov 2009

DPT1/3 Drop out Rates.

• Benue, Kogi, FCT, Kwara, Kebbi, Abia, Enugu, Imo, Ekiti, Lagos, Ondo and Osun States have drop out rates within acceptable limits.

• All other states have drop out rates above 10% with States like Yobe and Zamfara having DPT1-3 drop out rates of over 25%

SUMMARY (5)SUMMARY (5)

Vaccine Wastage Rates Profile by Dec 09

Std WR for DPT Std WR for MV

• Vaccine Wastage Rates.– Wastage rates for DPT has remain

generally satisfactory in December except Kano

– Most States had for measles vaccine wastage rates within acceptable limits.

– Plateau Bauchi, Zamfara, Bayelsa, Cross River and Kano with MV wastage rates close to 50%.

SUMMARY (6)SUMMARY (6)

No of Health Facilities and frequency of Planned Community Link Activities August 2009

765 150

4,675

0

500

1,000

1,500

2,000

2,500

3,000

3,500

4,000

4,500

5,000

Weekly Bi-Monthly Monthly

No. of Health Facilities and their Frequency of Planned Community Link/VDC Meetings

Review

Community Link Activities• Most States do not have plans for Community Link

activities– Out of the 22,876 HFs conducting RI in the country only

5,590 (25%) have plans for Community link meetings– 38% (8,815) HF have plans to conduct HE sessions.

• Only 14 States had a report for community Link between August 2009

• Community Link committee Meetings– Out of the 14 States with reports

• 8 states were more than 80% of meetings planned meetings conducted.

• less than 50% of planned meetings were conducted in 4 States

• Health Education Sessions– Similarly for Health Education Sessions

• 6 states had more than 80% of HE session conducted• Less than 50% of planned HE sessions were conducted in 3 States

Review