qtr1 (jan-mar 2009) feedback to states and zone routine immunization performance data as at 15 th...
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Qtr1 (Jan-Mar 2009) Feedback Qtr1 (Jan-Mar 2009) Feedback to States and Zoneto States and Zone
Routine Immunization Routine Immunization PerformancePerformance
Data as at 15th April 2009 in National Database
Completeness of HF Reporting Jan- Mar 2009
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Ben
ue
FC
TK
og
iK
war
aN
asar
awa
Nig
erP
late
auN
CZ
Ad
amaw
aB
auch
iB
orn
oG
om
be
Tar
aba
Yo
be
NE
Z
Jig
awa
Kad
un
aK
ano
Kat
sin
aK
ebb
iS
oko
toZ
amfa
raN
WZ
Ab
iaA
nam
bra
Eb
on
yiE
nu
gu
Imo
SE
Z
Akw
a-Ib
om
Bay
elsa
Cro
ss R
iver
Del
taE
do
Riv
ers
SS
Z
Eki
tiL
ago
sO
gu
nO
nd
oO
sun
Oyo
SW
Z
Nat
ion
al
NC NE NW SE SS SW
% HFs Completeness of Reporting_Jan-Mar 09
% LGA Completeness of Reporting by State: Jan-Mar 2009
SUMMARY (1)SUMMARY (1)Improving Access-1.
• 35 States had >=90% completeness of HF reporting
cumulatively for Jan-Mar 2009 while others did not
meet the 90% target.
• Plateau Yobe and Enugu States reported less than
70% of their Health Facilities for the same period.
• 2 States (Plateau and Nassarawa) have less than 70%
of their LGAs reporting for the 1st quarter 2009.
DPT3 Monthly Coverage by State: Feb & Mar 2009
0%
20%
40%
60%
80%
100%
120%
140%
160%
180%
200%Be
nue
FCT
Kogi
Kwar
aN
asar
awa
Nig
erPl
atea
uN
CZ
Adam
awa
Bauc
hiBo
rno
Gom
beTa
raba
Yobe
NEZ
Jiga
wa
Kadu
naKa
noKa
tsin
aKe
bbi
Soko
toZa
mfa
raN
WZ
Abia
Anam
bra
Ebon
yiEn
ugu
Imo
SEZ
Akw
a-Ib
omBa
yelsa
Cro
ss R
iver
Del
taEd
oR
iver
sSS
Z
Ekiti
Lago
sO
gun
Ond
oO
sun
Oyo
SWZ
Nat
iona
l
NC NE NW SE SS SW
%Feb 09 DPT3 coverage %Mar 09 DPT3 coverage
DPT3 Cummulative Coverage by State: Jan – Mar 2009
0%
20%
40%
60%
80%
100%
120%
140%
160%
180%
Ben
ue FCT
Kog
iK
war
aN
asar
awa
Nig
erP
late
auN
CZ
Ada
maw
aB
auch
iB
orno
Gom
beTa
raba
Yob
eN
EZ
Jiga
wa
Kad
una
Kan
oK
atsi
naK
ebbi
Sok
oto
Zam
fara
NW
Z
Abi
aA
nam
bra
Ebo
nyi
Enu
gu Imo
SE
Z
Akw
a-I
bom
Bay
elsa
Cro
ss R
iver
Del
taE
doR
iver
sS
SZ
Eki
tiLa
gos
Ogu
nO
ndo
Osu
nO
yoS
WZ
Nat
iona
l
Cummulative DPT3 coverage_Jan-Mar 09
Routine Immunization Performance Cumulative Jan – Mar 09 Nigeria
HBV3
OPV3
DPT3
< 50 %
50 -79.99%
80 - 100%
Above 100 %
BCG
YF
MV
< 50 %
50 -79.99%
80 - 100%
Above 100 %
Routine Immunization Performance Cumulative Jan – Mar 09 Nigeria
DPT3 Cumulative Coverage Ranges by Zones Jan - Mar 2009
77
49
52
48
87
71 384
31
37
67
42
26
54257
13
26
67
5 10 12133
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
NCZ NEZ NWZ SEZ SSZ SWZ National
No of LGA with DPT3 >80% No of LGA with DPT3 50-79% No of LGA with DPT3 <50%
Proportion of LGAs DPT3 Cummulative Coverage Range by State_ Jan - Mar 2009
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Be
nu
e
FC
T
Ko
gi
Kw
ara
Na
sara
wa
Nig
er
Pla
tea
u
NC
Z
Ad
am
aw
a
Ba
uch
i
Bo
rno
Go
mb
e
Ta
rab
a
Yo
be
NE
Z
Jig
aw
a
Ka
du
na
Ka
no
Ka
tsin
a
Ke
bb
i
So
koto
Za
mfa
ra
NW
Z
Ab
ia
An
am
bra
Eb
on
yi
En
ug
u
Imo
SE
Z
Akw
a-Ib
om
Ba
yels
a
Cro
ss R
ive
r
De
lta
Ed
o
Riv
ers
SS
Z
Eki
ti
La
go
s
Og
un
On
do
Osu
n
Oyo
SW
Z
NC NE NW SE SS SW
No of LGA with DPT3 <50% No of LGA with DPT3 50-79% No of LGA with DPT3 >80%
Proportion of LGAs with cumulative DPT3 >=80%
<25% of LGAs
25-50% of LGAs
50-79.9% of LGAs
>=80% of LGAs
• DPT3 Coverage.
– Most States in had improvement in March for DPT3 when
compared February especially Benue, Niger, Borno, Taraba,
Akwa-Ibom, Ondo and Oyo States. This can be attributed to
the IPDs of March 2009
– In spite of the IPDs a few States made either no gains or just
minimal ones and some even deteriorated in performance
(SE states except Imo; Kaduna, Sokoto Kebbi and Osun had
minimal improvements; while Ogun and Zamfara dropped in
performance.)
SUMMARY (2)SUMMARY (2)
– 23 States have reached or cross the cumulative Target of 80 DPT3
coverage for the first quarter of 2009.
– Noteworthy is the fact that no State in the NWZ has reach this target
with Zamfara State having only 45% cumulative DPT3 coverage.
– The National cumulative coverage is 84.3% as at the first quarter of
2009
– Akwa-Ibom, Bayelsa, Kwara, Niger, FCT and Nassarawa States have at
least 80% of their LGAs with cumulative DPT3 of 80% or more as at the
end of quarter 1 of 2009
– However States like Lagos, Kebbi, Zamfara and Yobe have less that
25% of their LGAs with DPT3 =>80%!!
SUMMARY (3)SUMMARY (3)
Un-Immunized Children Mar 2009
0
20000
40000
60000
80000
100000
120000
Ben
ue FCT
Kog
iK
war
aN
asar
awa
Nig
erP
late
au NC
Z
Ada
maw
aB
auch
iB
orno
Gom
beTa
raba
Yob
eN
EZ
Jiga
wa
Kad
una
Kan
oK
atsi
naK
ebbi
Sok
oto
Zam
fara
NW
Z
Abi
aA
nam
bra
Ebo
nyi
Enu
gu Imo
SE
Z
Akw
a-Ib
omB
ayel
saC
ross
Riv
erD
elta
Edo
Riv
ers
SS
Z
Eki
tiLa
gos
Ogu
nO
ndo
Osu
nO
yoS
WZ
Nat
iona
l
NC NE NW SE SS SW
No of Un-immunized Children Mar 09
• Un-Immunized Children
– North-west Zone has a significantly high number of un-
immunized children 9over 100,000 under 1 children
cumulative Jan-March 2009)
– Bauchi, Kaduna, Kano, Zamfara, and Lagos States have high
numbers of Un-immunized Children with over 20,000 un-
immunized Children cumulated for quarter one 2009.
• Lagos and Kano States has significantly High number of Un-
immunized Children- close to 40,000 under 1 children each, accumulated
in the first quarter of 2009
SUMMARY (4)SUMMARY (4)
DPT1/DPT3 Drop out Rate March 2009
-5%
0%
5%
10%
15%
20%
25%
30%
35%
40%
Ben
ue
FC
T
Ko
gi
Kw
ara
Nas
araw
a
Nig
er
Pla
teau
NC
Z
Ad
amaw
a
Bau
chi
Bo
rno
Go
mb
e
Tar
aba
Yo
be
NE
Z
Jig
awa
Kad
un
a
Kan
o
Kat
sin
a
Keb
bi
So
koto
Zam
fara
NW
Z
Ab
ia
An
amb
ra
Eb
on
yi
En
ug
u
Imo
SE
Z
Akw
a-Ib
om
Bay
elsa
Cro
ss R
iver
Del
ta
Ed
o
Riv
ers
SS
Z
Eki
ti
Lag
os
Og
un
On
do
Osu
n
Oyo
SW
Z
NC NE NW SE SS SW
DPT1/3 Drop out rates Mar09
DPT1/3 Drop out Rates.
• All States in the NE and NWZ have very high drop out rates except Gombe
State.
• States in the SSZ have DPT1/3 drop out rates that are just above 10-15 %
• States in SEZ and SWZ have fairly good drop out rates except Anambra,
Ebonyi and Oyo States
• In the NCZ, DPT1/3 drop out rates are very high in Taraba, Yobe, and
Nassarawa States, and within acceptable limits except in Plateau, Niger and
Kwara State.
• However FCT State had Negative DPT1/3 drop out rate in first quarter of
2009!!
SUMMARY (5)SUMMARY (5)
0
5
10
15
20
25
30
35
40
45
50
55
Ben
ue
FC
TK
ogi
Kw
ara
Nas
araw
aN
iger
Pla
teau
NC
Z
Ada
maw
aB
auch
iB
orn
oG
ombe
Tara
baY
obe
NE
Z
Jiga
wa
Kad
un
aK
ano
Kat
sin
aK
ebbi
Sok
oto
Zam
fara
NW
Z
Abi
aA
nam
bra
Ebo
nyi
En
ugu
Imo
SE
Z
Akw
a-Ib
omB
ayel
saC
ross
Riv
erD
elta
Edo
Riv
ers
SS
Z
Eki
tiLa
gos
Ogu
nO
ndo
Osu
nO
yoS
WZ
Nat
ion
al
NC NE NW SE SS SW
Wastage Rate Profile by State _Mar 09
% DPT3 wastage Mar 09 %MV wastage Mar 09
Vaccine Wastage Rates Profile by March 09
Std WR for DPTStd WR for MV
• Vaccine Wastage Rates.
– Wastage rates for DPT has remain generally
satisfactory in the first quarter of 2009 except in
Katsina and Kano with very high DPT wastage.
– Similarly most States had for measles vaccine
wastage rates within acceptable limits.
– Plateau, Anambra, Bauchi, and Kano States have
MV wastage rates close to 50%.
SUMMARY (6)SUMMARY (6)