Microplanning

Planning Planning Immunization Immunization

ServicesServices

Planning Planning Immunization Immunization

ServicesServices

Immunization MicroplanImmunization Microplan

District 1 District 3District 2

District Plan = Area map, Compiled PHC plans + supervision, budget, IEC, training etc.

State Level State Plan = Compiled District Plans + state specific activities

SC Plan = Area Map, estimation of beneficiaries, vaccine logistics and ANM work plan

Sub-Centres

PHC Plan = Area map, Compiled SC plans, supervision plan + alternate vaccine delivery, waste disposal

Primary Health Centres

STEPS IN PREPARING A SUB-CENTER MICROPLAN

STEPS IN PREPARING A SUB-CENTER MICROPLAN

Step 2

• Write population of each village and hamlet based on actual headcount (in column Total Population)

Step 1

• List all villages and hamlets in SC area (in column Village)

• If hamlets have too small a population, tag these along with larger nearby villages.

Estimation of beneficiariesEstimation of beneficiaries

Steps 3 and 4

• Write the annual target of pregnant women and infants (in the column Annual Target)

Steps 5 and 6

• Write the monthly target of pregnant women and infants (in the column Monthly Target)

Estimation of beneficiariesEstimation of beneficiariesStep 7

• Calculate the beneficiaries per month for each vaccine and Vitamin A (in columns e to l)

TT = Monthly target of pregnant women x 2 dosesBCG = Monthly target of infants x 1 doseDPT = Monthly target of infants x 4 doses OPV = Monthly target of infants x 4 doses HepB = Monthly target of infants x 3 dosesMeasles = Monthly target of infants x 1 doseDT = Monthly target of infants x 1 doseVit.A = Monthly target of infants x 9 doses

Estimation of vaccines & logistics Estimation of vaccines & logistics Step 8

• Calculate the requirement of vaccine vials and Vitamin A per month (in columns m to t)

TT/BCG/DPT/HepB/DT = Beneficiaries per month X 1.33* 10OPV = Beneficiaries per month X 1.33 20Measles = Beneficiaries per month X 1.33* 5VitA = {(monthly target of infants x 1 ml) + (monthly target of

infants x 2 ml x 8)} x 1.11*** Vaccines = 25% wastage rate or 1.33 WMF (Wastage Multiplication

Factor) * *VitA= 10% wastage rate or 1.11 WMF

• •

Estimation of vaccines & logistics Estimation of vaccines & logistics

Estimation of vaccines & logistics Estimation of vaccines & logistics Step 9

• Calculate the requirement of Syringes per month (in columns u, v and w)

0.1 ml ADS = Beneficiaries for BCG x 1.1*

0.5 ml ADS = Beneficiaries for (TT+DPT+HepB+Measles+DT) x 1.1*

Reconstitution Syringes = (BCG + Measles vials) X 1.1*

* Syringes = 10% wastage rate or 1.11 WMF (Wastage Multiplication Factor)

ANM Work Plan/ RosterANM Work Plan/ RosterSteps 10 to 13• List all villages & hamlets in

Sub-Center area in the same order as Step 1 (in column village)•Write distance of village from

the closest ILR (in column distance)• List names of the AWW and

ASHA (in column AWW, ASHA)•Write the monthly injection load per village (in

column injections per month)

ANM Work Plan/ RosterANM Work Plan/ RosterStep 14 to 15• Calculate the number of sessions required per month

(in column sessions required per month)

•Write day of immunization session in village (in column month)

Outreach sites Fixed sites • 1-24 injections = 1 session every

alternate month• 25-50 injections= 1 session per month• 51-100 injections = 2 sessions per

month, etcFor hard-to-reach areas with popn. less

than 1000 = minimum of 4 sessions a year

• 1-39 injections = 1 session every alternate month

• 40-70 injections= 1 session per month• 71-140 injections = 2 sessions per

month, etcFor a busy CHC/RH, plan daily

sessions.

Area MapArea MapStep 16

• Prepare a map of the Sub-Center area including all villages and hamlets with their:

• Total population and annual target infants

• Anganwadi Centers and session sites

• Distance from the ILR point and transport mode

• Landmarks e.g. Panchayat, school, roads etc.

• Sessions days

ADDITIONAL STEPS IN PREPARING A PHC MICROPLAN

ADDITIONAL STEPS IN PREPARING A PHC MICROPLAN

Area MapArea MapStep 16

• Prepare a map of the PHC area based on SC Maps, including the route chart for alternate vaccine (and logistics) delivery (AVD) to session sites from cold chain storage points

Supervision PlanSupervision PlanStep 17

• Prepare a quarterly supervision plan at the PHC level. Health Facility: PHC Garhi Month: May

Sub-Center Supervisor Post Session Site Planned visit Conducted (Y/N)

Remarks

Kushalgarh Kashinath Soni

HA(M)

Piplod 11 May Yes

Talwara Dr B Singh MO Sailana 18 May Yes

Arthuna Rita Matthew

LHV Arthuna 25 May No SIA, visit next wed.

Jhalod Dr Geeta Joshi

MOIC Jhalod 31 May No SIA, visit next wed.

Group WorkGroup Work

• Draw map of the area showing the villages with immunization site; distance of village from the sub-centre; total and target population

• Prepare the micro plan as per the format given