msd special plan on r.i

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  • 8/9/2019 MSD Special Plan on R.I

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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