Block-Level Routine Immunization Microplanning Tool INSTRUCTION MANUAL FOR USING THE MICROPLANNING TOOL TO DEVELOP A BLOCK-LEVEL MICROPLAN May 2014
The Maternal and Child Health Integrated Program (MCHIP) is the USAID Bureau for Global Health’s flagship maternal, neonatal and child health (MNCH) program. MCHIP supports programming in maternal, newborn and child health, immunization, family planning, malaria, nutrition, and HIV/AIDS, and strongly encourages opportunities for integration. Cross-cutting technical areas include water, sanitation, hygiene, urban health and health systems strengthening. This report was made possible by the generous support of the American people through the United States Agency for International Development (USAID), under the terms of the Leader with Associates Cooperative Agreement GHS-A-00-08-00002-00. The contents are the responsibility of the Maternal and Child Health Integrated Program (MCHIP) and do not necessarily reflect the views of USAID or the United States Government.
Block-Level Routine Immunization Microplanning Tool iii
Table of Contents ABBREVIATIONS ....................................................................................................................................... iv
ACKNOWLEDGEMENTS ............................................................................................................................. v
LIST OF CONTRIBUTORS .......................................................................................................................... vi
INTRODUCTION .......................................................................................................................................... 1
HOME PAGE ............................................................................................................................................... 2
INDEX PAGE ............................................................................................................................................... 3
FORMATS FOR IMMUNIZATION MICROPLANNING ................................................................................... 4 Facility Profile ................................................................................................................................................... 5 Block-Level Human Resource ......................................................................................................................... 8 Prioritization of Areas .................................................................................................................................... 11 Estimation of Beneficiaries and Number of Immunization Sessions ........................................................ 17 Antigen Wise Estimation of Beneficiaries .................................................................................................... 18 Sub Center and Village/Area Wise Estimation of Vaccine Vials and Other Logistics (Month Wise) ........ 19 Logistic Requirements Summary Sheet ...................................................................................................... 20 Immunization Work Plan for Health Worker and Alternate Vaccinators .................................................... 22 Immunization Calendar (ANM Roster) ......................................................................................................... 25 Social Mobilization Plan ............................................................................................................................... 26 Alternate Vaccine Delivery Plan ................................................................................................................... 27 Session Day-Wise Vaccine Vial and Logistic Distribution Plan ................................................................... 28 Supervision Plan ........................................................................................................................................... 29 Hepatitis B and Japanese Encephalitis Immunization Microplans ............................................................ 30
iv Block-Level Routine Immunization Microplanning Tool
Abbreviations ANM Auxiliary Nurse Midwife
ASHA Accredited Social Health Activist
AWW Anganwadi Worker
BCG Bacillus Calmette-Guerin
BHW Basic Health Worker
CDPO Child Development Project Officer
CHC Community Health Center
CMO Chief Medical Officer
DPT Diphtheria, Pertussis, Tetanus
ICDS Integrated Child Development Services
JE Japanese Encephalitis
LHV Lady Health Visitor
MCHIP Maternal and Child Health Integrated Program
MPW Multi- Purpose Worker
NGO Non Government Organization
NRHM National Rural Health Mission
OPV Oral Polio Vaccine
PHC Primary Health Center
RI Routine Immunization
TBA Traditional Birth Attendant
TT Tetanus Toxoid
Block-Level Routine Immunization Microplanning Tool v
Acknowledgements Microplaning tool has been developed by MCHIP to assist the block managers to prepare a comprehensive microplan at the block level. Usually the preparation of the microplan is time consuming and tedious process because of manual entries. This tool is user friendly and self generates most of the formats by incorporating bare essential information and saves time. ‘Instruction manual’ is prepared to guide the block level health functionaries to use microplanning tool to develop comprehensive block level microplan. The MCHIP India immunization team would like to acknowledge the support and contributions of the Ministry of Health and Family Welfare, Government of India, State Governments of Jharkhand and Uttar Pradesh, USAID India Mission, MCHIP immunization team at headquarters, colleagues who have been part of the MCHIP immunization team, health officials and frontline workers who have been a part of this endeavor and development partners from CARE, WHO, UNICEF, NIPI and PATH.
vi Block-Level Routine Immunization Microplanning Tool
List of Contributors Dr. Rajesh Singh National Team Leader, RMNCH+A MCHIP, India Dr. Vijay Kiran Senior Consultant, Immunization MCHIP, India Dr. Gunjan Taneja State RMNCH+A Team Leader Jharkhand MCHIP, India Dr. Manish Jain Team Leader Strategic Planning Uttar Pradesh Technical Support Unit Dr. Akshat Jain Strategic Planning Expert Uttar Pradesh Technical Support Unit Michael Favin Senior Technical Advisor, Immunization MCHIP HQ Ms. Anjali Vaishnav Documentation Consultant MCHIP, India We would also like to acknowledge contribution of former collogues- Dr. Karan Singh Sagar Former Country Representative MCHIP, India Dr. Bhupendra Tripathi Former Team Leader-Immunization MCHIP, India
Block-Level Routine Immunization Microplanning Tool 1
Introduction MCHIP (the USAID-funded Maternal and Child Health Integrated Program) devised a Microsoft Excel-based microplanning tool designed to assist Block Managers develop a microplan for routine immunization (RI) activities. The tool incorporates all possible items that are necessary for comprehensive planning as well as National Rural Health Mission provisions and recent initiatives like Hepatitis B and Japanese Encephalitis vaccinations in selected states and districts. The tool greatly facilitates local immunization planning by automatically: estimating target beneficiaries (pregnant women and infants) – annual and monthly.
• Identifying available human resource
• Estimating vaccine requirement and other logistics on monthly basis
• Developing a detailed ANM work plan
• Developing an immunization calendar, social mobilization plan and alternate vaccine delivery plan
• Day-wise vaccine and logistic distribution plan to assist cold chain handlers
• Preparing a supervisory plan.
2 Block-Level Routine Immunization Microplanning Tool
Home Page
Background Once you open the tool, first sheet is home page. The home page introduces you to objectives and scope of the tool.
Click to enter the tool and start micro planning
Block-Level Routine Immunization Microplanning Tool 3
Index Page
Background The next sheet after the home page is the menu, giving a list of steps to perform.
This sheet provides a total of 13 steps, and access to view all the types of formats before you start developing a microplan.
Click on the any particular step to initiate microplanning process.
Click on “FORMATS” to view all the types of formats.
If you are using this tool for first time, it is advisable to view all the formats so that you will have an idea of what all information is required to develop microplan
Click to view a list of formats and level of manual entry required in these formats (Full/Partial/Not required)
Click on any of the13 steps to start micro-planning for different aspects of RI
4 Block-Level Routine Immunization Microplanning Tool
Formats for Immunization Microplanning
Level of manual entry required for respective formats (Full/Partial/Not required)
Click to view any of the formats to see information required to fill
under each head for microplanning
Background This sheet presents a list of 13 formats in microplanning and the level of manual entry required for each format. For example, information in formats 1,2,3,8 and 13 must be filled manually; format 11 requires a few manual entries; rest of the formats does not require any manual entries self-generates the information. This sheet provides freedom to select and view any of the formats with options to switch back to ‘INDEX’ or ‘START MICROPLANNING’
Block-Level Routine Immunization Microplanning Tool 5
FACILITY PROFILE
Click to start micro-planning and fill facility profile in menu page
Blo
ck-L
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l 6
FAC
ILIT
Y P
RO
FILE
Writ
e th
e ty
pe o
f po
pula
tion
of th
e bl
ock,
whe
ther
to
tally
urb
an,
tota
lly r
ural
or
mix
of
urb
an a
nd r
ural
.
Writ
e th
e ye
ar
cove
red
by th
e m
icro
plan
.
If th
e bi
rth
rate
or
infa
nt
mor
talit
y ra
te o
f th
e bl
ock
is
diff
eren
t fro
m
this
, ent
er it
. O
ther
wis
e st
anda
rd r
ates
fo
r In
dia,
alre
ady
ente
red,
are
us
ed fo
r es
timat
ion
of
bene
ficia
ries.
Bac
kgro
und
This
she
et r
epre
sent
s pr
ofile
s of
eac
h he
alth
care
faci
lity
(blo
ck).
It in
clud
es d
emog
raph
ic d
etai
ls a
nd in
form
atio
n ab
out f
acili
ty in
-cha
rge.
Fi
ll in
all
the
deta
ils in
all
blan
k sp
aces
(lig
ht b
lue
cells
) sta
rtin
g w
ith th
e na
me
of th
e st
ate
and
nam
e of
the
dist
rict,
to th
e na
me
of fa
cilit
y in
-cha
rge.
O
nce
you
clic
k on
thes
e em
pty
cells
, det
aile
d in
stru
ctio
ns fo
r ea
ch e
ntry
will
app
ear
to g
uide
you
on
wha
t inf
orm
atio
n to
fill
in.
S
ome
cells
hav
e dr
op-d
own
men
u to
fill
the
deta
ils fr
om d
efau
lt op
tions
. The
det
ails
of “
tota
l pop
ulat
ion”
and
“pr
iorit
y-w
ise
dist
ribut
ion
of v
illag
es”
will
be
auto
ge
nera
ted
from
oth
er li
nked
she
ets.
Th
e co
mpl
eted
faci
lity
form
at w
ill lo
ok li
ke th
e sa
mpl
e gi
ven
belo
w.
Blo
ck-L
evel
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uniz
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icro
plan
ning
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l 7
Th
is c
ompl
etes
you
r ‘B
LOC
K P
RO
FILE
’ for
mat
, to
acce
ss th
e ne
xt fo
rmat
,clic
k on
‘NEX
T S
TEP’
on
the
top,
rig
ht h
and
side
.
Blo
ck-L
evel
Rou
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uniz
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BLO
CK
-LEV
EL H
UM
AN
RES
OU
RC
E
Ente
r nu
mbe
r of
pos
ts s
anct
ione
d fo
r S
uper
inte
nden
t/D
eput
y C
MO
for
this
pa
rtic
ular
blo
ck.
Ente
r nu
mbe
r of
Sup
erin
tend
ent/
Dep
uty
CM
O a
ctua
ll y p
oste
d in
the
bloc
k.
If yo
u w
ant t
o m
ake
any
com
men
t, w
rite
in
this
cell.
Bac
kgro
und
Th
is fo
rmat
rep
rese
nts
the
hum
an r
esou
rce
stat
us a
t blo
ck le
vel a
gain
st th
e sa
nctio
ned
stre
ngth
. Als
o, in
form
atio
n fr
om th
e IC
DS
sec
tor
shou
ld b
e fil
led-
in a
t the
end
of
form
at. T
he a
bove
info
rmat
ion
will
be
avai
labl
e w
ith th
e co
ncer
ned
bloc
k or
dis
tric
t lev
el o
ffic
ial.
Blo
ck-L
evel
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uniz
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BLO
CK
-LEV
EL H
UM
AN
RES
OU
RC
E S
TATU
S (C
ON
TIN
UED
)
Ente
r nu
mbe
r of
per
sonn
el s
anct
ione
d fo
r th
is b
lock
.
Ente
r nu
mbe
r of
MPW
/BH
W a
ctua
lly
post
ed in
the
bloc
k.
A tr
aditi
onal
birt
h at
tend
ant i
s de
fined
as
a pe
rson
who
as
sist
s th
e m
othe
r du
ring
child
birt
h an
d w
ho in
itial
ly
acqu
ired
her
skill
s by
del
iver
ing
babi
es h
erse
lf or
th
roug
h an
app
rent
ices
hip
to o
ther
TB
As*
.
A S
elf-h
elp
grou
p (r
egis
tere
d or
unr
egis
tere
d) is
a h
omog
enou
s gr
oup
with
sim
ilar
soci
al a
nd e
cono
mic
bac
kgro
unds
for
mut
ual
aid
and
acco
mpl
ishm
ent o
f a c
omm
on p
urpo
se.
Writ
e nu
mbe
r of
soc
ial a
nd n
on-
gove
rnm
ent o
rgan
izat
ions
wor
king
in
heal
th s
ecto
r, in
the
bloc
k, in
ord
er to
en
gage
them
in s
ocia
l mob
iliza
tion.
*Def
initi
on b
y W
HO
10 Block-Level Routine Immunization Microplanning Tool
Guidance to fill information
Cadre- Medical Officer Entries for Medical Officers (sanctioned and filled) should be made on the basis their posting, i.e. whether they are posted at health facility or at additional/new PHCs. Also, if there are any Medical Officers that have been posted on a contractual basis, they should be entered separately. Cadre- Health Supervisor/Health Inspector Entries for the post of Health Inspectors and Health Supervisors (sanctioned and filled) should be made separately for male and female supervisors/LHV. Cadre- Staff Nurse Similarly, entries for staff nurses should be made on the basis on of sanctioned numbers and actually filled posts. Cadre- ANM Entry for Health Worker Female (ANM) should be similar to that of Medical Officers, on the basis of posting. Enter the number of ANMs posted at different types of health facilities. The number of ANMs posted on a contractual basis should be indicated separately. Other Cadres Enter the number of MPW/BHW, Immunization Officers, pharmacists and investigators cum clerk posted for this particular block. Similarly, enter the numbers for alternate vaccinators and mobilizers. *Mobilizers: Mobilizers are voluntary workers who provide assistance to health workers in mobilizing and tracking beneficiaries. Under NHM, they are named as ASHAs. They have different names in some states (i.e., Sahiya, Sahyogini and Link Worker). Information for ICDS department and TBA Enter number of Child Development Project Officers, supervisors and Anganwadi Workers under ICDS department (both sanctioned and filled). Also fill the number of traditional birth attendants, self-help groups and NGOs working in the block region. Traditional birth attendants may serve as mobilizers and may update the records of health workers regarding the new births or pregnant women in the community. In the last section, fill in the name of persons responsible for cold chain maintenance, vaccine distribution, recording and reporting and logistics. The name and designation of In-charge will be self-generated from the information entered in previous sheet under the signature section.
Block-Level Routine Immunization Microplanning Tool 11
PRIORITIZATION OF AREAS
Background This is one of the most important formats in microplanning, so it should be filled carefully. The information entered in this format helps in generating estimates for village/urban areas of beneficiaries, logistics and prioritization of the areas as per immunization coverage and accessibility. While filling in the information, ensure that all the areas are included in the drop down lists. All the columns in this format are to be filled manually. This format will guide you at each and every step to fill the required information (click on ‘HELP ON THIS FORMAT’ on the right hand side of format).
12 Block-Level Routine Immunization Microplanning Tool
Guidance to fill information
Column A to G
• Enter the name of PHC/CHCs or Urban Health Posts for this block. In the next column enter the name of sub-centers or Urban Health Units, and in next column add the name of village or urban area. Enter the serial numbers in columns B and D.
• Enter the population of village/urban in sixth column (Column F). You can get population numbers from headcount (Survey Data) from Anganwadi Worker or from latest ‘Census of India’ data. Correct population numbers will give correct estimate of beneficiaries, which would help in planning to improve immunization coverage.
• In next column (Column G), enter the distance of particular village/ urban area from Block Headquarters or the Block cold chain point. If the cold-chain point is not available in the block and vaccines are distributed from an adjacent block or other area, give the distance from that particular point to the village. This is important because it assists in proper planning for ‘Alternate Vaccine Delivery (AVD) mechanism’. The distance also is an important factor to prioritize the area.
Column J, L and N
• Areas are prioritized on the basis of information filled in these three columns (Column J, L & N). The priority criteria is decided on the basis of
• Type of Area or Terrain (Column J)
• Accessibility (Column L)
• RI coverage for DPT 3rd dose. (Column N)
• Select one of the options from the drop down menu (with cells) in these three columns.
• Detailed scoring pattern for Prioritization is given in the following table
POPULATION SCORE DISTANCE SCORE AREA/
TERRAIN SCORE ACCESSIBILITY SCORE
Less than 1000 1 Less than 5 Km 1 Plain 1 Motorable 1
1000 to 3000 2 5 to 10 Km 2 Forest 2 Partially Motorable
2
More than 3000 3 More than 10 Km 3 River/Swamp 3 Mixed 3
Tribal 4 Only cycle 4
Hilly 5 Only Walking 5
Urban Slum 7
Total Score: Less than 6 Low Priority
6 to 10 Moderate Priority More than 10 High Priority
Block-Level Routine Immunization Microplanning Tool 13
• The tool calculates final scores on the basis of scoring criteria shown above. Calculated scores reflect priorities (Low/Moderate/High) in last column (Column P) with the color coding, i.e. green for low, orange for moderate and red for high priority.
• After completing the entry for one village / urban area in one row, get on to the next row for next village/area. Entries in Column A, B & C are to be repeated if the area is included under same PHC area and sub center/health unit. You can either retype the names or select the cell and press CTRL+‘D’ to duplicate the entry.
• Likewise enter the name of next sub-center/health unit and fill the information as detailed above. Ensure that no cell is left blank for any village/urban area.
• Once entries are completed for all villages/urban areas, you may make a printout of the plan. Go to ‘VIEW’ on Tool Bar and select ‘Page Break Preview’. You may adjust the page breaks by stretching the blue line border breaking the pages. Give print command once you are done with page adjustments.
Blo
ck-L
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4
• A
n im
port
ant
feat
ure
avai
labl
e in
the
she
et is
to
filt
er t
he s
peci
fic
info
rmat
ion
requ
ired
. For
thi
s, d
rop-
dow
n lis
ts a
re p
rovi
ded
in a
ll co
lum
ns in
Row
10
. If y
ou w
ant
to s
ee a
ll th
e vi
llage
s in
clud
ed u
nder
a p
arti
cula
r P
HC
/CH
C o
r U
rban
Hea
lth
Pos
t, c
lick
on t
he d
own
arro
w k
ey in
Col
umn
A, R
ow 1
0.
Thi
s w
ill s
how
you
the
list
of a
ll P
HC
s’/P
osts
tha
t yo
u ha
ve e
nter
ed.
• S
elec
t th
e on
e w
hich
you
wan
t to
see
. By
doin
g so
, ent
ries
from
cho
sen
PH
C/P
ost
will
be
visi
ble
and
rem
aini
ng r
ows
will
hid
e. T
o re
vert
to
all v
illag
es,
agai
n cl
ick
on s
ame
dow
n ar
row
and
sel
ect
“AL
L”
on t
he t
op o
f lis
t.
Clic
k on
‘Pag
e br
eak
prev
iew
’ to
brea
k th
e pa
ges
in
orde
r to
take
prin
t out
of t
he p
lan.
Ad
just
the
page
bre
ak-u
ps b
y st
retc
hing
this
bl
ue b
orde
r.
Block-Level Routine Immunization Microplanning Tool 15
Step 1: Click here to see list of CHC’s/PHC’s entered in the format.
Step 2: Click here to see information for the particular CHC/PHC.
16 Block-Level Routine Immunization Microplanning Tool
• Similarly, it could be done for filtering villages/areas of particular sub centers\health units and also to look into villages/areas with specific features with respect to Area/Terrain, Accessibility and RI coverage.
• By filtering out the priority areas, you can get priority-wise list of villages/ areas. It helps in close monitoring and supervision of high-priority areas.
• Click on NEXT STEP to go to next format after completing the entry in this format.
Click here to visit the next format after completing entries in this sheet.
Block-Level Routine Immunization Microplanning Tool 17
ESTIMATION OF BENEFICIARIES AND NUMBER OF IMMUNIZATION SESSIONS
Interpretation
The total numbers of estimated beneficiaries and immunization sessions required per month are given in Row 11.
• Estimated beneficiaries are calculated on the basis of population and other demographic indicators (birth rates and mortality rates).
• Immunization sessions required are calculated on the basis of the number of estimated beneficiaries to be reached out on monthly basis in a particular area.
• If -“VALUE#” appears in the cells, it indicates an error and is because of some blank cells in the previous formats. To correct this, you may check for entries done in previous formats by clicking on “PREVIOUS” at the top of format.
• All other features are available as in previous formats (BACK TO INDEX, PREVIOUS STEP, NEXT STEP and HELP) at the top of the format.
• A “drop-down key” is available in Row 11 for “number of additional PHC/health units” and “number of sub centers/health posts” to select a particular area and see the results.
Background This is a self-generating format, i.e. the user doesn’t need to fill the format. All the information entered in the previous formats will appear in this format. This format gives an estimation of beneficiaries (pregnant women and infants) in village and urban areas on an annual and monthly basis. Thus, it facilitates better planning and resource management.
Blo
ck-L
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8
Tota
l
Villa
ge w
ise
AN
TIG
EN W
ISE
ESTI
MA
TIO
N O
F B
ENEF
ICIA
RIE
S
Num
ber
of e
stim
ated
ben
efic
iarie
s as
per
ant
igen
s
Bac
kgro
und
Bec
ause
thi
s is
als
o se
lf-ge
nera
ting
form
at,
man
ual
entr
ies
are
not
requ
ired.
Thi
s fo
rmat
pro
vide
s an
tigen
-wis
e es
timat
ion
of b
enef
icia
ries,
whi
ch a
ssis
ts B
lock
M
anag
er, s
uper
viso
rs a
nd h
ealth
wor
kers
to
plan
for
imm
uniz
atio
n se
ssio
ns a
nd in
vent
ory
man
agem
ent.
In a
dditi
on, t
his
form
at a
lso
prio
ritiz
es t
he v
illag
es a
nd u
rban
ar
eas
on th
e ba
sis
of n
umbe
r of
est
imat
ed b
enef
icia
ries.
Blo
ck-L
evel
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uniz
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icro
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l 1
9
SU
B C
ENTE
R A
ND
VIL
LAG
E/A
REA
WIS
E ES
TIM
ATI
ON
OF
VAC
CIN
E VI
ALS
AN
D O
THER
LO
GIS
TIC
S (M
ON
TH W
ISE)
Bac
kgro
und
This
sel
f-gen
erat
ing
form
at g
ener
ates
vill
age/
urba
n ar
ea-w
ise
estim
atio
ns o
f:
Va
ccin
e vi
als
requ
ired
for
all a
ntig
ens
D
iluen
ts fo
r B
CG
&m
easl
es
Im
mun
izat
ion
card
s
AD
syr
inge
s (b
oth
0.1
ml f
or B
CG
& 0
.5 m
l for
oth
er v
acci
nes)
R
econ
stitu
tion
syrin
ges
for
BC
G &
mea
sles
Th
is fo
rmat
ass
ists
blo
ck-le
vel I
mm
uniz
atio
n O
ffic
ers
and
cold
cha
in h
andl
ers
to e
stim
ate
thei
r m
onth
ly r
equi
rem
ents
of v
acci
nes
and
logi
stic
s an
d th
eref
ore
faci
litat
es
timel
y in
dent
ing
(ord
erin
g) fr
om th
e di
stric
t. Th
is fo
rmat
take
s in
to c
onsi
dera
tion
the
was
tage
fact
or fo
r lo
gist
ics.
All
othe
r fe
atur
es a
re s
ame
as in
pre
viou
s fo
rmat
s.
20 Block-Level Routine Immunization Microplanning Tool
LOGISTIC REQUIREMENTS SUMMARY SHEET
Block-Level Routine Immunization Microplanning Tool 21
LOGISTIC REQUIREMENTS SUMMARY SHEET (CONTINUED...)
Logistic Requirements Summary Sheet Background This sheet summarizes logistics requirements (including vaccines, AD syringes, reconstitution syringes and vitamin A), generated from previous sheets.
Rows at top of the sheet give basic information about health facilities covered under the block, manpower, total population, and number of immunization sessions required and planned.
Information from Row 26 onwards shows monthly requirements for vaccine vials. - As per the estimated targets (obtained from sheets on Sub center and Village/area-wise
Estimations of Vaccine Vials and other Logistics). - As per Health Worker Work Plan and Vaccine Distribution Plan (This gets filled from the Health
Worker Work Plans and is obtained from the “Session Day-wise Vaccine and Logistic Distribution Plan” sheet).
- Required Monthly Stock (including 25% buffer) – an extra 25% in buffer stock is considered necessary to prevent stock-outs caused by unforeseen shortages or demands.
Vitamin A is estimated in 2 sections, one for the initial 5 doses and the second for doses 6 to 9.
The last two sections give requirements for forecasting Hepatitis B & JE needs.
Blo
ck-L
evel
Rou
tine
Imm
uniz
atio
n M
icro
plan
ning
Too
l 2
2
IMM
UN
IZA
TIO
N W
OR
K P
LAN
FO
R H
EALT
H W
OR
KER
AN
D A
LTER
NA
TE V
AC
CIN
ATO
RS
Bac
kgro
und
Th
is is
one
of
the
mos
t im
port
ant
form
ats,
and
it h
as t
o be
fill
ed m
anua
lly.
The
info
rmat
ion
requ
ired
to c
ompl
ete
this
for
mat
sho
uld
be f
inal
ized
in c
onsu
ltatio
n w
ith
supe
rvis
ors
and
heal
th w
orke
rs. T
here
are
sep
arat
e fo
rmat
s fo
r ea
ch h
ealth
wor
ker,
whi
ch a
llow
ent
erin
g in
form
atio
n fo
r up
to
50
hea
lth w
orke
rs. P
leas
e no
te t
hat
the
form
at p
lans
for
imm
uniz
atio
n ac
tiviti
es o
nly.
Th
e fo
rmat
allo
ws
plan
ning
for
10
ses
sion
s. If
few
er t
han
10
ses
sion
s ar
e pl
anne
d, t
he r
emai
ning
cel
ls m
ay b
e le
ft b
lank
. The
she
et h
as p
age
sepa
rato
rs a
ccor
ding
to
indi
vidu
al h
ealth
wor
ker’
s pl
ans
to m
ake
prin
ting
conv
enie
nt. I
t is
impo
rtan
t to
fill i
nfor
mat
ion
in a
ll th
e ce
lls.
Blo
ck-L
evel
Rou
tine
Imm
uniz
atio
n M
icro
plan
ning
Too
l 2
3
Inst
ruct
ions
for
fillin
g th
e fo
rmat
Ente
r th
e da
y of
mon
th o
n w
hich
ses
sion
will
be
orga
nize
d. F
or e
.g. 1
st W
edne
sday
or
3rd
Sat
urda
y et
c.
Ente
r th
e tim
e of
ses
sion
. For
e.g
. 9am
-4pm
or
2pm
-6pm
.
Ente
r th
e na
me
of v
illag
e or
urb
an a
rea
(or
nam
e of
hea
lth fa
cilit
y if
it is
a fi
xed
sess
ion)
Ente
r th
e ex
act a
ddre
ss o
f ses
sion
site
in v
illag
e or
urb
an a
rea
whi
chev
er y
ou h
ave
ente
red
abov
e
Ente
r th
e po
pula
tion
whi
ch is
to b
e se
rved
by
this
ses
sion
. Thi
s is
impo
rtan
t to
estim
ate
sess
ion
wis
e lo
gist
ics
Ente
r th
e na
me
of s
ecre
tary
of v
illag
e he
alth
and
fam
ily w
elfa
re c
omm
ittee
con
stitu
ted
unde
r pa
ncha
yat r
aj
Blo
ck-L
evel
Rou
tine
Imm
uniz
atio
n M
icro
plan
ning
Too
l 2
4
Ente
r th
e na
me
of A
ngan
wad
i wor
ker
of v
illag
e or
urb
an a
rea.
If n
o an
ganw
adi w
orke
r is
pos
ted,
leav
e th
e ce
ll bl
ank
Ente
r th
e na
me
of A
SH
A/lin
k w
orke
r w
ho h
ave
resp
onsi
bilit
y fo
r m
obili
zatio
n &
trac
king
of b
enef
icia
ries
Ente
r th
e m
ode
of v
acci
ne tr
ansp
orta
tion
to th
e se
ssio
n si
te e
.g. c
ycle
, aut
o or
thro
ugh
ANM
Writ
e th
e na
me
of p
erso
n w
ho is
res
pons
ible
for
tran
spor
tatio
n of
vac
cine
s an
d lo
gist
ics
to s
essi
on s
ite
Writ
e th
e na
me
of S
elf H
elp
Gro
up (S
HG
)/m
ahila
man
dal/
loca
l NG
O. I
f the
re is
no
such
bod
y in
the
area
, lea
ve th
e ce
ll bl
ank
Block-Level Routine Immunization Microplanning Tool 25
Notes:
• Estimated population to be covered by the session: If total population of a village is 2700 and two sessions are to be organized (first on 1st Wednesday and second on 3rdWednesday), then enter these two sessions in different columns. Suppose the first session serves population of 1300 living in one community cluster, and the second session population covers 1400; then enter the populations under different sessions instead of writing the total of 2700. This is important because session-wise planning of logistics and vaccines would be done for this population.
• Name of ASHA or Link Worker: Enter the name of mobilizer including Sahiya, Sahyogini or other local mobilizer who is supposed to receive honorarium mobilizing the beneficiaries (provision under NHM).
After completing entries for one health worker, you may move towards the next. A copy of this work plan is to be available with health worker, so that s/he is aware of session schedule in the area. To take print out, go to ‘print preview’, and print a single work plan per page (the print area need not be adjusted). To view the work plan for a particular health worker (suppose for 47th health worker), the serial number of the health worker needs to be selected from the drop-down list with first left-most column (Column A). Again, to revert back to see all the work plans, select “all” from same drop-down list. Click on “NEXT STEP” to move forward. IMMUNIZATION CALENDAR (ANM ROSTER)
Background This format self generates the information and develops a calendar for immunization activities and a detailed roster for ANMs from every block. The format does not accept any manual entries. A printed copy of this calendar should be displayed at health facilities and cold chain units for better execution by all concerned and also the calendar acts as a ‘PULL’ factor from community
Blo
ck-L
evel
Rou
tine
Imm
uniz
atio
n M
icro
plan
ning
Too
l 2
6
SO
CIA
L M
OB
ILIZ
ATI
ON
PLA
N
Clic
k he
re to
see
dro
p-do
wn
men
u an
d se
lect
a p
artic
ular
o p
tion
to s
ee s
peci
fic in
form
atio
n.
Bac
kgro
und
Th
is fo
rmat
sel
f gen
erat
es a
soc
ial m
obili
zatio
n pl
an o
n th
e ba
sis
of in
form
atio
n fil
led
in “
heal
th w
orke
r w
ork
plan
” fo
rmat
. It p
rovi
des
a lis
t of h
ealth
wor
kers
, AW
W,
ASH
A an
d se
lf-he
lp g
roup
s/N
GO
’s w
ho p
rovi
de s
uppo
rt to
imm
uniz
atio
n ac
tiviti
es fo
r m
obili
zatio
n an
d tr
acki
ng o
f ben
efic
iarie
s in
eac
h vi
llage
/urb
an a
rea.
Thi
s pl
an
can
be u
sed
by s
uper
viso
rs to
ens
ure
supp
ort f
rom
all
conc
erne
d m
obili
zers
and
NG
Os/
SH
Gs
in a
par
ticul
ar a
rea.
Th
e fo
rmat
has
a p
rovi
sion
to fi
lter
and
view
info
rmat
ion
of a
par
ticul
ar a
rea,
hea
lth w
orke
r an
d im
mun
izat
ion
sess
ion
day
thro
ugh
a dr
op-d
own
list i
n R
ow 8
from
C
olum
ns A
to D
. To
reve
rt a
nd s
ee th
e co
mpl
ete
list,
sele
ct “
ALL”
from
the
sam
e dr
op-d
own
list.
Blo
ck-L
evel
Rou
tine
Imm
uniz
atio
n M
icro
plan
ning
Too
l 2
7
ALT
ERN
ATE
VA
CC
INE
DEL
IVER
Y P
LAN
Ente
r th
e es
timat
ed e
xpen
ditu
re fo
r va
ccin
e de
liver
yto
imm
uniz
atio
n se
ssio
n si
tes
Bac
kgro
und
This
form
at s
elf g
ener
ates
info
rmat
ion
and
help
s to
pla
n an
alte
rnat
e va
ccin
e de
liver
y m
echa
nism
for
ever
y im
mun
izat
ion
sess
ion.
The
form
at r
equi
res
man
ual e
ntry
for
“app
roxi
mat
e ex
pend
iture
to b
e in
curr
ed in
vac
cine
del
iver
y” (l
ast c
olum
n) o
n th
e ba
sis
of d
ista
nce
betw
een
cold
cha
in p
oint
s an
d im
mun
izat
ion
sess
ion
site
s an
d lo
cal
rate
s. T
otal
exp
endi
ture
est
imat
ed fo
r va
ccin
e de
liver
y w
ould
app
ear
in th
e ye
llow
cel
l in
top
of th
is c
olum
n (R
ow 9
).
Sim
ilar
to p
revi
ous
form
ats,
ther
e is
a p
rovi
sion
to fi
lter
and
see
the
spec
ific
info
rmat
ion
(For
a p
artic
ular
hea
lth w
orke
r, s
ub c
ente
r or
ses
sion
day
) fro
m d
rop-
dow
n bu
tton
s pr
ovid
ed in
Row
9 (C
olum
ns A
to D
). To
rev
ert b
ack
and
see
the
com
plet
e lis
t, se
lect
“AL
L” fr
om th
e sa
me
drop
-dow
n lis
t.
Blo
ck-L
evel
Rou
tine
Imm
uniz
atio
n M
icro
plan
ning
Too
l 2
8
SES
SIO
N D
AY-
WIS
E VA
CC
INE
VIA
L A
ND
LO
GIS
TIC
DIS
TRIB
UTI
ON
PLA
N
Num
ber
of v
acci
ne v
ials
, dilu
ents
, AD
syr
inge
s an
d re
cons
titut
ion
syrin
ges
requ
ired
of a
ses
sion
Bac
kgro
und
This
for
mat
sel
f ge
nera
tes
the
dist
ribut
ion
plan
for
vac
cine
via
ls a
nd lo
gist
ics
per
imm
uniz
atio
n se
ssio
n, in
dica
ting
the
num
ber
of v
acci
ne v
ials
, dilu
ents
(fo
r B
CG
and
m
easl
es),
AD s
yrin
ges
and
reco
nstit
utio
n sy
ringe
s (re
fer t
o th
e fig
ure)
.Thi
s is
dev
elop
ed o
n th
e ba
sis
of in
form
atio
n in
pre
viou
s fo
rmat
s.
It th
eref
ore
help
s to
impr
ove
vacc
ine
and
logi
stic
s pl
anni
ng.
Sim
ilar
to th
e pr
evio
us fo
rmat
, pro
visi
on to
filte
r an
d se
e pa
rtic
ular
info
rmat
ion
is a
vaila
ble
in R
ow 9
(Col
umn
A to
D).
Clic
k on
“N
EXT
STE
P” fo
r ne
xt fo
rmat
.
Blo
ck-L
evel
Rou
tine
Imm
uniz
atio
n M
icro
plan
ning
Too
l 2
9
SU
PER
VIS
ION
PLA
N
Sup
ervi
sors
can
be
Med
ical
Off
icer
s, o
ther
non
-med
ical
sup
ervi
sory
sta
ff
incl
udin
g H
ealth
Insp
ecto
rs, H
ealth
Sup
ervi
sors
(Mal
e &
Fem
ale)
, LH
V or
su
perv
isor
y st
aff f
rom
ICD
S a
nd o
ther
rel
ated
dep
artm
ent o
r ag
ency
.
To fi
ll th
e se
ssio
ns to
be
visi
ted,
you
can
take
hel
p of
Imm
uniz
atio
n C
alen
dar
(for
mat
no.
9),e
.g. o
n se
ssio
n da
y 1
, sup
ervi
sor
ABC
wou
ld b
e vi
sitin
g se
ssio
n si
tes
UVW
and
XYZ
oth
er r
elat
ed D
epar
tmen
t or
Agen
cy.
Bac
kgro
und
This
form
at p
lans
sup
ervi
sory
vis
its to
the
imm
uniz
atio
n se
ssio
ns fo
r m
onito
ring
and
supe
rvis
ion.
Thi
s is
the
last
form
at in
Rou
tine
Imm
uniz
atio
n M
icro
-pla
nnin
g fo
r th
e bl
ock
and
requ
ires
man
ual e
ntrie
s. A
fter
com
plet
ing
the
form
at, y
ou c
an p
rint a
cop
y an
d di
spla
y th
e sa
me
at th
e he
alth
faci
lity.
Clic
k on
“B
ACK
TO
IND
EX”
to a
cces
s th
e H
epat
itis
B a
nd J
E m
icro
-pla
ns
Blo
ck-L
evel
Rou
tine
Imm
uniz
atio
n M
icro
plan
ning
Too
l 3
0
HEP
ATI
TIS
B A
ND
JA
PA
NES
E EN
CEP
HA
LITI
S IM
MU
NIZ
ATI
ON
MIC
RO
PLA
NS
Clic
k he
re to
acc
ess
Hep
atiti
s B
mic
ropl
an
Clic
k he
re to
acc
ess
JE m
icro
plan
Bac
kgro
und
Yo
u ca
n ta
ke p
rinte
d co
pies
for
eith
er o
r bo
th o
f Hep
atiti
s B
* a
nd/o
r Ja
pane
se E
ncep
halit
is v
acci
natio
n m
icro
-pla
ns, i
f the
y ar
e in
clud
ed in
Rou
tine
Imm
uniz
atio
n in
the
dist
rict/
bloc
k. N
eith
er o
f the
se s
elf-g
ener
ated
form
ats
acce
pts
any
man
ual e
ntrie
s.
* H
epat
itis
–B
was
mad
e un
iver
salin
20
11
.
Blo
ck-L
evel
Rou
tine
Imm
uniz
atio
n M
icro
plan
ning
Too
l 3
1
Clic
k to
see
the
drop
dow
n m
enu
and
filte
r to
see
par
ticul
ar in
form
atio
n/pl
an
Blo
ck-L
evel
Rou
tine
Imm
uniz
atio
n M
icro
plan
ning
Too
l 3
2
Clic
k to
see
the
drop
dow
n m
enu
and
filte
r to
see
par
ticul
ar in
form
atio
n/pl
an
