Presentation of DTF for SNID Sep13 round
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DISTRICT TASK FORCE MEETING
31 Aug 2013
SONBHADRA
Pulse Polio 15 Sep-2013
National Polio Surveillance Project - India
N=181
Percentage of Global Wild Polio Virus Case
Global Wild Poliovirus – 2013*
*Data in WHO HQ as of 13Aug 2013
POLIO UPDATE-2013WorldUp to 13 Aug-13
18105 Countries (Pakistan,Afghanistan,Nigeria,somaliya,kenya)
India (Howara) 1 on Jan 13 -2011
U.P 0 since may 2010
Sonbhadra 0 since 2003
Newly infected Countries in 2011
China,Gabon,Kenya,Somaliya
Last wild poliovirus cases by type, India
WPV2 24/10/1999
Aligarh (UP)
WPV1 13/01/2011
Howrah (WB)
WPV3 22/10/2010Pakur (JH)
* data as on 13 Aug 2013
SurveillanceSonbhadra
National Polio Surveillance Project - India
Comparative AFP survillance indicators – 2011, 2012, 2013 (Week 33)
121
81.8 77.7
99.2
81
10.6
90.1 90.1100
54
96.390.7
100
16.511.2
0
20
40
60
80
100
120
140
AFP case AFP rate % Notification w/n 10days of onset
% Cases with stoolcollected w/n in 14
days
% Investigation w/n48 hrs of notification
2011 2012 2013
Comparative AFP survillance indicators – Corresponding period Week-33
67
14.6
82.1 79.1
98.5
47
9.9
93.6 93.6100
54
11.2
96.390.7
100
0
20
40
60
80
100
120
AFP case AFP rate % Notification w/n 10days of onset
% Cases with stoolcollected w/n in 14
days
% Investigation w/n48 hrs of notification
2011 2012 2013
Notification within 10 days of Onset (week 33)
8055
86 86 82 9073 87 81.8
83100
90 10091 81
75
10090.1
100100
91100
100 100
100
9296.3
0
50
100
150
200
250
300
350
2011 2012 2013
Surveillance Index-2013AFP CaseUp to 17-Aug-13 (Week no.33)
5408 Blocks
AFP Rate 11.2
Cases with stool collected w/in 14 days
90.7%
Notification w/in 10 days of onset
96.3%
investigation w/in 48 hrs of notification
100%
Block AFP Cases% Cases with stool collected w/ in 14 days
% Notification w/ in 10 days of
onsetAFP rate
SBD_BABHANI3 100 100 11.7
SBD_CHATARA4 100 100 16.8
SBD_CHOPAN11 82 91 12.6
SBD_DUDDHI 3100 100 6.9
SBD_GHORAWAL6 83 100 10.6
SBD_MYORPUR8 88 100 5.7
SBD_NAGAWA6 100 100 25.1
SBD_ROBERTSGANJ13 92 92 15.8
District Total 54 90.7 96.3 11.20
AFP surveillance District indicators - 2013 (UPTO WK.33)
Surveillance Issues
•Surveillance Indexes of our district are well above average and we are good performing as compared with previous year.•Total AFP cases reported in district are around 54 in 8 months. •Investigation by MO=2,Nodal=36,SMO=9.•100% case investigation by Trained MOs.•Sensitisation is done by DIO also.
SIASonbhadra
National Polio Surveillance Project - India
District Summary• No of HRA :13 • No of HRG :85• No of Supervisor :214• No of Team :675• No of Booth :1065• No of Transit Team :47• No of Mobile Team : 10
• National Polio Surveillance Project - India
% of Remaining Convertible X Houses-Sonbhadra
14
.66
7.9
6 18
.83
3.8
9 14
.15
35
.16
7.7
2
13
.42 2
7.2
4
16
.26
10
.81
14
.31
20
.75
6.9
2
16
.69
14
.99
9.3
5 9.6
6
17
.75
14
.19
10
.9
6.3
2
14
.72
3.7
7
8.3
7
16
.59
3.1
6
3.9
6
7.6
3
9.8
9
0
10
20
30
40
50
60
70
80
Ba
bh
an
i
Ch
ata
ra
Ch
op
an
Du
dd
hi
Gh
ora
wa
l
My
orp
ur
Na
ga
wa
Ka
kra
hi
Ro
be
rts
ga
nj
To
tal
Feb-13 Apr-13 Jun-13
0
2.6
7
8
0
2.7
3
2.5
0
1.9
2
2.7
6
3.7
5 0
3.3
3.3
3
2.0
4 4.3
2
1.7
5
3.0
7 3
2.5
2.3
3
0
1.6
7
1.7
3
1.6
7
1.5
7 1.8
1
2.8
6
0
2
4
6
8
10
12
14
16
Feb-13 Apr-13 Jun-13
% of False P Houses
% of Unimmunized Kids in HRG area -Sonbhadra
No
ma
d, 0
No
ma
d, 0
No
ma
d, 0
0 0 0 0
0.6
2
2.1
9
0.9
9
0.3
7
No
ma
d, 5
.88
S/C
-B/K
, 4
.45
S/C
-B/K
, 1
3.1
2
S/C
-B/K
, 3
.17
S/C
-B/K
, 6
.2
0
2
4
6
8
10
12
14
Jan-13 Feb-13 Apr-13 Jun-13
Nomad CS PS/TS S/C-B/K
Rate of Conversion of XH
88.8
4
92.2
3
81.4
1
96.0
8
87.2
9
85.0
3
94.8
7
88.2
5
90.8
9
87.7
6
89.6
3
78.8
1
93.3
7
86.5
4
92.3
3
93.3
8
92.0
2
94.2
6
89.4
7
89.1
1
92.3
7
73.6
4 94.4
9
89.4
83.5
2
97.0
9
95.3
4
88.9
4
87.8
7
90.9
1
0
50
100
150
200
250
300B
abhani
Chata
ra
Chopan
Duddhi
Ghora
wal
Myorp
ur
Nagaw
a
Kakra
hi
Robert
sganj
Dis
tric
t
Feb-13 Apr-13 Jun-13
% Total X to P Conversion
54.8
4
47.3
2
52.9
2
50.4
2
69.6
3
63.2
9
53.9
9
63.8
9
56.4
7
55.9
1
63.0
8
45.7
1
52.6
4
51.9
2
64.7
2
61.3
6
54.5
4 66.5
9
56.3
4
52.4
3
54.1
1
32.7
8 44.6
5
42.8
50.2
5
58.0
3
49.0
9
43.8
46.4
4
56.6
3
0
20
40
60
80
100
120
140
160
180
200
Babhani Chatara Chopan Duddhi Ghorawal Myorpur Nagawa Kakrahi Robertsganj District
Feb-13 Apr-13 Jun-13
%Coversion By Supervisors
59.0
2
38.3
9
44.9
2
44.8
8
40.8
3
26.5
40.5
8
34.1
2
25.9
6
37.3
7
59.8
7
35.6
4
41.2
4
46.2
3
42.3
9
26.4
4 40.1
6
34.3
9
30.9
8 36.6
6
66.8
6
41
53.3
51.1
44.8
6
31.3
4
39.3
9
38.6
7
47.4
7 41.8
1
0
20
40
60
80
100
120
140
160
180
200B
ab
han
i
Ch
ata
ra
Ch
op
an
Du
dd
hi
Gh
ora
wal
Myo
rpu
r
Nag
aw
a
Kakra
hi
Ro
bert
sg
an
j
Dis
tric
t
Feb-13 Apr-13 Jun-13
% Conversion of XH
80.58
84.4
82.95
81.66
85.42
87.54 87.76
89.47
87.87
76
78
80
82
84
86
88
90
92
Feb-12 Apr-12. June-12. Sep-12. Nov-12. Jan-13. Feb-13. Apr-13. Jun-13
Rate of Conversion of XH
% False P
3.08
3.62
2
2.43
2.152.06
2.76
3
1.81
0
0.5
1
1.5
2
2.5
3
3.5
4
Feb-12 Apr-12. June-12. Sep-12. Nov-12. Jan-13. Feb-13. Apr-13. Jun-13
% False P
Conversion by Supervisor’s
35.27
32.96 33.19
36.6137.37 36.66
41.81
36.44
38.79
0
5
10
15
20
25
30
35
40
45
Feb-12 Apr-12. June-12. Sep-12. Nov-12. Jan-13. Feb-13. Apr-13. Jun-13
%Conversion
Minutes of DTF June 13 RoundDiscussed on the following Points in DM chairmanship.
•High Remaining Convertible Blocks are Chopan and Ghorawal.
•Total X to P Conversion is High in Myorpur (64.72%) and less in Chopan(45.71%)
•% False P is High in Myorpur(4.32%).•New Born coverage poor in kakrahi, Ghorawal & Chatara.•New Born tracking poor- Myorpur, Chatara.
Summary of DTF Sep 13 Round
•High Remaining Convertible Blocks are Chopan and Myorpur.
•Total X to P Conversion is High in Nagawa (58.03%) and less in Chopan(32.78%)
•% False P is High in Babhani(2.86%).•New Born coverage poor in Robertsganj, Ghorawal & Chatara.•New Born tracking poor- Chopan, nagawa
•Rate of conversion of XH is less in Chopan(73.64)
NO. OF REMAINING CONVERTIBLE X HOUSES SIA JUNE 2013
% New Born Immunized
91 82 96 93 86 94 94 96 87 93
85 8594 77 96
9790
8895
97 85 94
95 93 95 8992
9695 88
0
50
100
150
200
250
300
350
Bab
han
i
Ch
atar
a
Ch
op
an
Du
dd
hi
Gh
ora
wal
Myo
rpu
r
Nag
awa
Kak
rah
i
Ro
ber
tsg
anj
Dis
tric
t
Feb-13 Apr-13 Jun-13
% No. of Teams doing Tracking of New Born child of previous round
100 100
76.19
10092.86
118.18
88.89
100 96.97
0
20
40
60
80
100
120
140B
ab
ha
ni
Ch
ata
ra
Ch
op
an
Du
dd
hi
Gh
ora
wa
l
Myo
rpu
r
Na
ga
wa
Ro
be
rtsg
an
j
Dis
tric
t To
tal
Monitoring Status in HRG- June.-2013
• Total HRG :85
• HRG Monitored :68(80%)
• Child Monitored in HRG :817
• Child Un-immunized in HRG :6
33.15 36.2328.52 28.75 35.61 36.56
52.5736.05 31.9 34.58
33.3134.3
27.94 28.93
35.57 35.28
51.5
36.3833.63 34.15
0
20
40
60
80
100
120
BA
BH
AN
I
CH
AT
AR
A
CH
OP
PA
N
DU
DD
HI
GH
OR
AW
AL
MY
OR
PU
R
NA
GA
WA
KA
KR
AH
I
RO
BE
RT
SG
AN
J
DIS
TR
ICT
Apr'13 Jun'13
Comparative Booth Coverage of Last two roundDist- Sonbhadra
Points to discuss and note during Evening Meeting
• Supervisors to fill X Houses Tracking sheet.• Supervisors to convert at least 10 Houses per day• Action against supervisors with High convertible X
remaining and False P.• Decrease number of X convertible remaining.• New Born Tracking done by Teams• Send written minutes of meeting with issues
identified and actions taken to District through Monitors.
Action Plan for the Coming Round
• Vaccine to be used : Bio-valent (bOPV).
• Timings of the Booth & HTH activities :
09 AM to 4 PM.
• Evening Meeting- 5 to 7 :30pm
• ABSAs and CDPOs to attend Evening Review Meetings every day and collect the list of absentees.
• B Team on 23 Sep 2013.
RISonbhadra
National Polio Surveillance Project - India
% Immunized in 2012
52.9
73.5
46.2
73.957.6
70 70.8 74.264.4
34.9
24.9
32.8
22.6
33.225 26.4 24
27.9
12.21.6
213.5 9.3 5 2.8 1.8 7.7
0
20
40
60
80
100
120
Fully Partial None
% Immunized in 2013(till july)
54.7
40.5
2
25
44.8
36.6
6
48.8
48.9
4
48.9
9
41.7
9
40.1
7
53.9
55.3
3
50.4
53.9
6 49.2
46.8
1
45.9
7
50.4
8
5.13 5.5819.67
4.8 9.382 4.26 4.7 7.68
0
20
40
60
80
100
120
Fully Partial None
R I FEEDBACK – Jan to July 2013, DISTT. SONBHADRA
RI Planning
• ANM Duty roaster and calendar• Cold chain assessment and plan• Maintain stock and Record registers.• Arrange other ANM if on duty ANM on leave for RI• Monthly coverage and achievement assessment of ANM
village wise so as to decide supportive Actions• Waste Management Plan with safety pits• Open Vial policy for all vaccine except BCG and Measles• Zero Dose for BCG, OPV, Hep B• Area Maps and Route Charts
Vit A (oral)
BCG (intradermal)
DPT (intramuscular)Hepatitis B (intramuscular)
Measles (subcutaneous)
OPV (oral)
Thanks…..
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