msd special plan on r.i
TRANSCRIPT
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Murshidabad
District
N
BPHC
Farrakka
Dhuliyan M
Suti I
Raghunathganj I
Suti II
Raghunathganj II
Lalgola
Bhagabangola IISagardighi
Samsherganj
Bhagabangola I
Raninagar I Jalangi
Domkal
Jiagunje Azimgunje M
Hariharpara
Beldanga I
Nowda
Beldanga II
Nabagram
Khargram
Kandi
Kandi MBurwan
Bharatpur I
Bharatpur II
Lalbagh M
Jangipur M
Murshidabad Jiagunje
Baharampur M
Baharampur
Raninagar II
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District Profile
Total No of Block- 26
Total No of Subdivision = 5
Total No of G.P= 254 Total No of PHC= 70
Total No of S/C = 832
Total No P.P unit= 4
Total no. of cold Chain point - 57
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Blocks with poor RI -2007
Source:
Analysis of 2250 AFP cases in2007
AFP cases with less than 3 RI
doses in 6-24mns. age group in
11 blocks & 1 Municipalities
Total AFP cases in
6-24 mns age
group - 372
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Assessment of RI Status Key Indicators
Mortality IMR 24, MMR 165
BCG Coverage - 102.57%
OPV Coverage 100.48%
DPT3 Coverage 103.79%
MSL coverage 97.75%
Fully Immunized 87.91%
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288
474
902
802817
1664
998
1289
2354
218168
415
0
500
1000
1500
2000
2500
2007(July-Dec) 2008 2009 2010(till Mar)
Uttar Dinajpur
Malda
Murshidabad
9
2
213
5
2
9
7
2
1
1
Reported Clinical Measles Cases & Deaths -2007-2010
Deaths
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D istrict Block
% of
Vaccinated
1-4 Y ea rs
age g roup
% of
Vaccinated
5-9 Y ea rs
age g roup
% of
Vaccinated
All ag e
groups
Resu lt
of the
Out brea k
Year
GOALPOKHAR I 8.9% 4.9% 6.5% MEASLES 2008
ISLAMPUR 0.0% 4.5% 5.1% MEASLES 2008
KARANDIGHI 21.6% 0.0% 9.1% MEASLES 2008
RAIGANJ 72.7% 55.9% 48.0% MEASLES 2008
GOALPOKHAR I 4.0% 8.7% 5.0% MEASLES 2009
GOALPOKHAR II 2.9% 0.0% 1.3% MEASLES 2009
GOALPOKHAR II 6.8% 0.0% 3.9% MEASLES 2009
GAZOLE 100.0% 88.9% 50.0% RUBELLA 2008
OLD MALDA 95.0% 0.0% 45.2% MEASLES 2008
ENGLISH BAZAR 34.6% 26.4% 22.1% RUBELLA 2009
HARISHCHANDRAPUR-II 66.7% 31.3% 27.7% RUBELLA 2009
KALIACHAK-II 71.2% 69.8% 55.9% RUBELLA 2009
CHANCHAL-II 43.5% 0.0% 16.4% MIXED 2009
CHANCHAL-I 76.5% 64.0% 45.6% RUBELLA 2009
NOWDA 88.2% 37.3% 39.9% RUBELLA 2008
SAMSHERGANJ 21.9% 0.0% 9.9% RUBELLA 2008
SUTI-I 44.4% 28.6% 32.3% MIXED 2008
KANDI 62.5% 23.7% 24.5% RUBELLA 2009
BURWAN 100.0% 87.5% 64.3% RUBELLA 2009
SUTI-II 27.6% 27.3% 22.5% MIXED 2009
LALGOLA 38.9% 4.0% 21.2% MIXED 2009
BERHAMPORE 30.8% 16.7% 16.9% MIXED 2009
RAGHUNATHGANJ-I 61.9% 46.9% 38.3% RUBELLA 2009
BHARATPUR-II 60.0% 50.0% 43.6% RUBELLA 2009
BHARATPUR-I 25.0% 35.7% 22.9% MIXED 2009
BELDANGA-II 20.0% 15.4% 12.8% MIXED 2009
RANINGAR-I 9.1% 9.4% 7.9% MEASLES 2009
BELDANGA-I 33.3% 20.0% 23.7% MIXED 2009
MURSHIDABAD
UTTAR DINAJPUR
MALDA
MCV1 coverage %
in All outbreaks
conducted -
District & Year
wise
5/12 P
s
/17 P
s
14/33 P
s
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Block Prioritisation
Low R.I (F.I) Coverage Below 80%-Farakka, Samserganj, Raninagar I
Low Measles Vaccination coverage :- (Below85%)
Farakka, Samserganj, Suti- I
High Resistance Zone:- Farakka, Samserganj, Suti II Drop out Rate > 10% :-(DPT1-Measles) Farakka,
Samserganj, suti I,Lalgola, Beldanga II.
Border With National and International:- Farakka,Samserganj, Suti II, Suti I (High No of Migration)
High no of Hard to reach Areas and High Risk Areas:-Farakka, Samserganj, Suti I, Suti II.
H.P Blocks Identified:- Farakka, Samserganj,Suti I, Suti IIs
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Name of TheBlock
Availablity Accessibility Utilization FullyCoverage
Quality Convergence &other issues
Frakka 1 out of 35 ANM, 2ndANM 11 out of 35
vaccant, 1st ANM & 2ndANM Irruguler ( BPHN
vaccant )
To long distancefrom district HQ,
HTR area 5 village& backward village -
28
High number ofresistance area, Lack
of Awarness atcommunity level. (
Muslim community-70%, other-30%)
Measlesl- 88.51%,
FI -
78.49% (Tracking
poor)
AEFI - 0, MSL -12, Poor
monitoring &supervision ,
feedbackmachnisam is
poor
Lack ofconvergence
between ICDS,PRI & general
administrtion, lackof skilledmanpower
Samserganj 2 out of 33 ANM, 7 out of33 2nd ANM, One Cold
Chain Point, Long
distance from CC point -Max distance from CCpoint 20 Km. ( BPHN &
PHN vaccant)
HTR village - 4,bavkward village -
16
MSl-88.36, FI-82.73%
AEFI - 0, MSL -44,
Suti - I 5 out of 22 ANM, TwoCold chain point, more
distance from Cold chainpoint
Flood prone area (6 SC out of 22), poorcomunication. HTR
area 8 village,Backward village -
19.
MSl - 89.40%,FI-88.44%
AEFi- 0, Partuisis- 2, MSl - 55,
Suti - II 6 out of 31 ANM, 11 outof 31 2nd ANM vaccant,One Cold chain point,
Max distance from Coldchain point -25Km.
( PHN vaccant )
HTR village - 4,bavkward village -
15
MSl-92.45%, FI- 86.59%
AEFI- 0, MSl - 55,
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Special Planning on R.I
Meeting With Dist. Authorities on Special Planning with Dr. Prabir Chatterjee,
Unicef.
Explain and Presentation shown by ADHS (EPI) on why 6 priority district andDiscussion by Dy CMOH III, ACMOH Kandi, DPHNO, District Extender,DSM on Swabhumi plan given by the Murshidabad District.
Meeting with NGOs on Special Camp for Vaccination for Beedi workers andmobilization.
On. 29.6.10 G.P level Meeting at Bahutali G.P for Special Planning on R.I werealso present Dr. Probir Chatterjee, UNICEF.
Meeting With BMOH, BPHN and Health Supervisor of Suti I, Samserganj, SutiII, Farakka and S.I of Dhuliyan Municipality on special plan for straightening ofR.I.
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Action Point
Distribution of Priorities Blocks among key districtofficials with specific responsibility regarding planningimplementation and monitoring.
District level coordination meeting with other department.
Establishing cold chain points in Suti II and Samserganjfor Hard to Reach Areas.
Deployment of social mobilizer in resistance zone.
Training of cold chain Handlers and field level workerson R.I specially 2ndANM (Total no of 2ndANM- 544).
Regularizing of 3rd Saturday S/C level , 4th Saturday G.PH/Q Convergence meeting, VHND, outreach session inHigh Risk Areas.
Need filling up of 17 Health Supervisor, 230 2ndANM, 171stANM.
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Action Points
Mobile Camps in Hard to Reach areas
Specially in Farakka, Samsergan and Suti I.
Field Survey of R.I Coverage in SelectedHigh Risk Areas of Priorities Blocks by key
district officials.
Proper Micro planning after field validation.
Increasing awareness of General public in
resistance zone.
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Special Planning on R.I
District level Special Planning Meeting on R.I at CMOH Bungalow on
20.7.10 at 3.00 pm.a. CMOH, DY-CMOH III, DMCHO, DPHNO, ACMOH- Jangipur, ACMOH-
Kandi, BMOHs of Farakka, Suti I, Samserganj, Mo- Suti II, BPHN/PHN ofFarakka, Samserganj, Suti I and Suti II, S.I of Dhuliyan M were also presentand they are discussed about R.I .
b. Discussion by Dr. Probir Chatterjee Explained why 4 priority blocks andMunicipalities.
c. Block level special planning meeting will be held on:-
1. On 26.7.10 at Farakka BPHC at 11 am, Supervision Monitoring by Dy-CMOH III.
2. 0n 27.7.10, at Ahiron BPHC (Suti I block) at 10.30 am, Supervision
monitoring by DMCHO.3. On 29.7.10, at Mahesail BPHC (Suti II block) at 11 am, Supervision
monitored by- DPHNO.
4. On 3.8.10, at Anupnagar BPHC with Dhuliyan M at 11 CMOH will presentthe Meeting.
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New Postings
DMCHO Dr Subhabrata Ghosh
Deputy III suspended on 21.07.2010