Kurnool District Immunization Profile [Mar’2013]

D i s t r i c t I m m u n i z a t i o n & C h i l d H e a l t h M a n a g e m e n t U n i t

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Kurnool District Immunization Profile

Dr.Korrapati.Venkata.Naga.Shiva,

Anil Kumar

Disrict Immunization & Child

Health Officer

KURNOOL

Kurnool District Immunization Profile [Mar’2013]

D i s t r i c t I m m u n i z a t i o n & C h i l d H e a l t h M a n a g e m e n t U n i t

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KURNOOL DISTRICT PROFILE

Geophysiography

Kurnool (Telugu: కర్నూలు Urdu: ول رن is a city and administrative seat ( ک

of Kurnool district of Andhra Pradesh state in southern India, about 212 kilometres (132 mi) south of state capital, Hyderabad, located in the west-central part of the state on the southern banks of the Tungabhadra and Handri rivers

It is also the seventh most populous city of Andhra Pradesh, is the gateway to Rayalaseema and the largest city in the area.

Kurnool served as the capital of Andhra State from 1 October 1953 to 31 October 1956

COMPOSITION

At present Kurnool District comprises 3 Revenue Divisions, 54 Revenue Mandals 53 Mandal Parishads, One Municipal Corporation , 3 Municipalities, 899 Gram Panchayats(Notified – 7, Non notified – 862 ) , 920 Revenue Villages and 615 Hamlet Villages.

PHYSIOGRAPHY

Nallamalas and Erramalas are the two important mountain ranges in the district running in parallel from North to South. The Erramalas divide the district into two well defined tracts from East to West. Between Erramalas and Nallamalas lies the Eastern part of the district comprises Nandikotkur, Pagidyala,Kothapalli, amulapadu, Atmakur, Velgodu, Jupadu Bunglow, Midthur, BandiAtmakur, Gadivemula, Nandyal, Mahanandi, Panyam, Banaganapalli, Owk, Koilakuntla, Rudravaram and Chagalamarri Mandals. This tract is crossed by the crest of Krishna and Pennar, watershed at the North part of the Pagidyala mandal at about 1000 above the sea level. From this height the ground slopes to the South along the river Kundu till it traverses into Pennar valley. Major part of its tract is predominantly black cotton soils

Kurnool District Immunization Profile [Mar’2013]

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SOCIODEMOGRAPHIC PROFILE

Description 2011 2001

Actual Population 4,046,601 3,529,494

Male 2,040,101 1,796,214

Female 2,006,500 1,733,280

Population Growth 14.65% 18.72%

Area Sq. Km 17,658 17,658

Density/km2 229 200

Proportion to Andhra Pradesh Population

4.78% 4.63%

Sex Ratio (Per 1000) 984 965

Kurnool District Immunization Profile [Mar’2013]

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Child Sex Ratio (0-6 Age) 937 958

Average Literacy 61.13 53.22

Male Literacy 71.36 65.96

Female Literacy 50.81 40.03

Total Child Population (0-6 Age) 477,198 537,606

Male Population (0-6 Age) 246,345 274,560

Female Population (0-6 Age) 230,853 263,046

Literates 2,182,149 1,592,172

Male Literates 1,279,938 1,003,659

Female Literates 902,211 588,513

Child Proportion (0-6 Age) 11.79% 15.23%

Boys Proportion (0-6 Age) 12.08% 15.29%

Girls Proportion (0-6 Age) 11.51% 15.18%

Urban Agglomerations inside Kurnool District

Population Male Female

Kurnool (Urban Agglomeration) 478,124 239,401 238,723

Nandyal (Urban Agglomeration) 211,787 106,034 105,753

Adoni (Urban Agglomeration) 184,771 92,006 92,765

Cities inside Kurnool District Population Male Female

Kurnool (Municipal Corporation) 424,920 211,875 213,045

Nandyal (Municipality) 200,746 100,770 99,976

Adoni (Municipality) 166,537 82,743 83,794

Kurnool District Immunization Profile [Mar’2013]

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HEALTH PROFILE 1. Health Infrastructure

No. of Clusters 20 No. of PHCs 83

No. of UHCs 20 No. of PP Units 3

No. of UFWC 2 No. of MCH Centers 3

No. of CHCs 18

No. of Area Hospital 1 No. of WCH at par with AH 1

No. of General Hospital 1 No. of Sub Centers 542

No. of Sub centers in Urban area 55

Kurnool District Immunization Profile [Mar’2013]

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2. Human Resources for Immunization and Child Health activities at District level.

Position Sanctioned In position

Dist. Immunization Officer 1 1

Statistical Officer (UIP) 1 1 Asst. SO (UIP) 0 0

Refrigeration mechanic 1 1 Driver (dedicated to UIP vehicles) 1 1

Attender 1 1

Others drawn on deputation Designation Work allotted

Regional Vaccine Stores incharge Supply chain and CC management District Vaccine Stores incharge Supply chain and CC management

Other Contractual Staff Computer Assistant Data Management

3. Health Indicators

IMR 51.5

Under 5 MR 48

Under 5 Malnutrition 49

4. Immunization performance indicators 4.1. Performance for the years 2009 -10, 2010-11, 2011-12

Antigen

YEAR 2009-10

YEAR 2010-11

YEAR 2011-12

ELA Achmnt ELA Achmnt ELA Achmnt TT(PW) 83026 81222 90533 84604 90120 84791

BCG 70771 71085 77461 75097 77678 76188 POLIO 70771 70030 77461 72470 77678 74144

DPT 70771 70030 77461 73169 77678 74144

Hep-B 70771 70030 77461 72348 77678 74144 Measles 70771 70147 77461 69536 77678 72970

FI 70771 70147 77461 69536 77678 72970 JE 77460 61696 71352 65182 71354 63094

DPT Booster

61820 49258 68121 59125 71353 55698

MCV2 71353 25121

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4.2. Immunization performance (April’2011-Mar’2012) NHSRC Analysis

Percentage of coverage (0-11) against reported live births (Apr’11-Mar’12) as percentage

4.3. Number of sessions planned and conducted (Apr’2011 to Mar’2012)

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4.4. Dropout Rates – April 2011– March 2012 Dropout Rate BCG to

DPT Dropout BCG to Measles Dropout rate DPT3 to

Measles 3% 4% 1%

4.5. AEFI (April 2011 – March 2012) Abscess 145 Deaths 0

Others 0

4.6. Immunization Performance Mar 2012 – Feb 2013 Antigen ELA Prop.ELA Achvmnt %

BCG 74082 67908 66586 98

OPV3 74082 67908 66153 97 DPT3 74082 67908 63522 94

Measles 74082 67908 66337 98 MCV 2 71216 65281 35184 54

JE 71216 65281 45694 70 DPT 5 71632 65663 37522 57

TT(PW) 85812 78661 69594 88

4.7. Immunization performance Apr 2012 – Feb’2013

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4.8. Immunization Performance (Apr’2012-Feb’2013)

4.9. DROPOUT RATES _ March 2012 – Feb 2013 DPT1 – DPT 3 BCG - Measles DPT - Measles

6.88% 2.99% 5.09%

4.10. AEFI 2012 - 2013

Abscess 98 Deaths 2

Others 45

4.11. Sessions planned Vs Conducted (Apr’2012 – Feb’2013)

Sessions planned In the year

Sessions planned Upto Feb 2013

Sessions conducted up to Feb 2013

% of performance

56964 52217 49986 95.7%

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5. Details of Cold Chain system

S.No Description Number

1 Regional Vaccine Stores 2 Walk-in-Coolers 2 District Vaccine Stores 1

3 Peripheral Cold Chain points 120 a) PHCs 75

b) UHCs 20 c) PP Units 3

d) UFWCs 2

e) Private 2 d) CHCs 16

e) Unani Medical College 1 f) Shantiram Medical College

(Private) 1

4 Vaccine delivery van 1

Total ILR points in the Periphery: 120

6. Routine Immunization services Delivery norms

a) Fixed day and Fixed site b) Along with VHND c) Special Immunization Weeks (Jan 2nd, Feb 2nd ,March 2nd Weeks)

7. Details of Sessions

1 Total Sessions planned 4747 56964

2 Total No. of sessions planned in Rural area including Tribal 4052 48624

2.1 No. of Sessions planned at Sub centre level (Rural) 3393 42888

2.2 No. of sessions planned at PHCs 332 3984

2.3 No. of sessions planned at CHCs 64 768

2.4 No. of sessions planned with hired Vaccinators 88 1056

2.5 No. of sessions planned in Tribal PHCs 659 7908

3 No. of session conducted on fixed day and fixed site in the District. 4682 56184

3.1 No. of Fixed Outreach Saturday Sessions planned in the district 1875 22500

Kurnool District Immunization Profile [Mar’2013]

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3.2 No. of Fixed Wednesday sessions planned in the district 2807 33684

4 No. of Sessions in Urban Areas 571 6852

4.1 No. of Sessions in Government sector(Urban) 499 5988

4.2 No. of Sessions in Other Government Sectors(Urban) 32 1728

4.3 No.of Sessions in Private Sector(Urban) 16 192

4.4 No. of Sessions in NGOs sector 24 288

5 No. of Sessions planned in Border Villages 79 948

6 No. of sessions planned in Tribal PHCs 659 7908

6.1 No. of Sessions planned in Tribal plain areas 466 6744

6.2 No. of sessions in Tribal vulnerable population{RIAs(Remote Interior Areas)} Sugali Thandas and Chenchu Gudems

103 1236

7 No. of session with hired vaccinators 212 2544

7.1 No. of Sessions with hired vaccinators in Urban Slums & Periurban areas

124 1488

7.2 No. Of Sessions with hired vaccinators in Rural areas 88 1056

8. VHND details

Total No. of Imm. Sessions with VHND 1484

a) Wednesdays 593 b) Saturdays 891

Total No. of VHND days only without sessions 1285

a) Wednesdays 242

b) Saturdays 398 c) 1st Tuesdays 645

Total No. of VHNDs 2769

a) Wednesdays 835 b) Saturdays 1289

c) 1st Tuesdays 645

9. Other Activities

I. IPPI II. Vitamin A Campaign (March 18 – 23rd 2013)

III. ORS Campaign

Kurnool District Immunization Profile [Mar’2013]

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I. IPPI Performance

Description February -

2013 January –

2013 April – 2012

February – 2011

February – 2010

Total Estimated Children 505576 505576 495955 499481 489478

Total Booth Coverage (DAY 1)

465496 465583 443551 433061 452934

H to H Day 2 33884 24772 38240 40061 24068

H to H Day 3 16890 14393 22426 20098 18802

H to H Day 4 (URBAN) 1521 1739 1359 2735 3677

Total Children Covered 517791 506487 505576 495955 499481

Percentage 102.42 100 102 99.29 102.04

II. Vitamin A action plan

Expected Beneficiaries in the District

No. of Beneficiaries

No. of beneficiaries in the age group

09 – 11 months 12 – 60 months

32936 494040

Girls Boys Girls Boys

526976 15974 16962 239609 254431

Vitamin A requirement

Description Target Requirement

Total no. of beneficiaries up to 11 months 32936 36230 ml

Total no. of beneficiaries from 12 to 60 months 494040 1086888 ml

Total Vitamin A required 1123118 ml

Total no of sites where Vitamin A to be administered: 1576

III. ORS Campaign(July – August 2012)

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10. Capacity building

a) All SPHOs trained in Routine Immunization b) All Medical Officers trained in RI c) Health Workers training will be conducted in the month of April 2013

11. New Born care services a) NBCCs established in all Round the clock and 24X7 PHCs b) SNCUs established at GGH Kurnool, District Hospital Nandyal and CHC Sunnipenta. SNCUs at Kurnool, Nandyal are fully functional. SNCU at CHC Sunnipenta is ready with all equipment installed and Human Resources to be put in place. c) NRC is established at GGH, Kurnool and it is fully functional.

12. Financial Performance Intervention Amount Allotted Expenditure

incurred % of expenditure

Vaccine mobility

DIO mobility

AVD Hired ANMs services in underserved and Urban slums

CC maintenance

Computer accessories

13. Innovations 1. Provision of Solar paneled ILR to Yerramattam PHC_Tribal_New

construction under way 2. All ILR fitted with inverters for power backup.

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