Qtr1 (Jan-Mar 2009) Feedback to States and Zone Routine Immunization Performance Data as at 15 th April 2009 in National Database.

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)