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Chapter 4.3 Immunization

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Chapter 4.3 Immunization State Programme Implementation Plan 2011-12 CHAPTER 4.3 IMMUNIZATION National Rural Health Mission Page 283 State Programme Implementation Plan 2011-12 CHAPTER 4.3- IMMUNIZATION UNIVERSAL IMMUNIZATION PLAN SITUATIONAL ANALYSIS OF IMM. PROGRAMME 1. Current scenario of implementation of Immunization Programme : STATE PROFILE : Total Population (2001) 2,66,34,407 Census 2001 Projected Population (2009) 3,10,66,714 As per RGI report Projected Population (2011-12) 3,08,06,271 Rural % 87.28 Census 2001 Urban % 12.72 Census 2001 Infant Mortality Rate (IMR) 64/1000 SRS 2008 Below Poverty Line (BPL) 36.09% NFHS 3 Crude Birth Rate (CBR) 23.9 SRS 2008 Growth Rate (GR) 1.67 SRS 2008 Infant / year (2011-12) 686265 Pop x CBR (1-IMR) Pregnancies / year (2011-12) 806508 Pop x 23.9 (1-0.64) States 1 Divisions 49 Districts 27 Block 219 Gram Panchayat 2490 Villages 29248 Towns / Urban Areas 125 National Rural Health Mission, Assam Page 284 State Programme Implementation Plan 2011-12 Template for estimation beneficiaries per session-2011-12, ASSAM Vaccination Annual Target Monthly Target Sl. District BPHC/ CC Sub- ANM/ Addl. Projected Infants No urban centre Centre MPHW ANM Village Sites Population PW Infants PW 2011-12 1 Kamrup 13 43 305 339 285 1613 1193 1590849 41648 35439 3471 2953 2 Kamrup (M) 5 27 99 122 153 327 899 1122690 29392 25010 2449 2084 3 Dibrugarh 7 20 232 235 187 1255 1231 1310976 34321 29204 2860 2434 4 Cachar 9 27 272 321 248 1160 1818 1704628 44627 37974 3719 3164 5 Nagaon 12 50 359 419 238 1971 2059 2609236 68310 58125 5692 4844 6 Goalpara 6 21 151 150 152 1470 1123 943343 24697 21015 2058 1751 7 Dhubri 8 44 246 225 252 1359 1488 1922011 50318 42816 4193 3568 8 Kokrajhar 4 35 175 102 117 876 953 855055 22385 19048 1865 1587 9 Chirang 3 27 76 58 114 684 534 502039 13143 11184 1095 932 10 Barpeta 8 37 264 293 291 900 1487 1626657 42586 36237 3549 3020 11 Darrang 5 18 163 201 176 565 1075 977166 25582 21768 2132 1814 12 Udalguri 4 18 142 111 152 940 842 855758 22404 19064 1867 1589 13 Sonitpur 8 44 276 267 262 2031 1766 1948164 51003 43399 4250 3617 15 Jorhat 8 41 143 223 185 866 1110 1085635 28422 24184 2368 2015 16 Sibasagar 9 26 223 262 302 881 1476 1328399 34777 29592 2898 2466 National Rural Health Mission Page 285 State Programme Implementation Plan 2011-12 17 K-Anglong 9 30 136 193 64 1843 1125 883879 23140 19690 1928 1641 18 N.C.Hills 4 12 65 93 60 627 454 208903 5469 4654 456 388 19 Lakhimpur 7 34 156 228 171 1625 1130 1146312 30010 25536 2501 2128 20 Golaghat 6 35 144 179 141 1086 1282 1029236 26945 22928 2245 1911 21 Nalbari 5 42 121 199 130 837 881 786561 20592 17522 1716 1460 22 Baksa 6 23 157 166 147 767 808 964719 25256 21491 2105 1791 23 Morigaon 4 30 125 146 107 790 1024 922398 24148 20548 2012 1712 24 Bongaigaon 5 23 101 94 73 575 614 678373 17760 15112 1480 1259 25 Dhemaji 6 24 92 119 96 1447 915 665252 17416 14820 1451 1235 26 Tinsukia 5 24 164 121 330 1151 1125 1237106 32387 27559 2699 2297 27 Hailakandi 5 16 105 119 103 530 771 678436 17761 15113 1480 1259 ASSAM 177 788 4709 5215 4726 29248 30450 30806271 806508 686265 67209 57189 National Rural Health Mission, Assam Page 286 State Programme Implementation Plan 2011-12 CURRENT ORGANATIONAL STRUCTURE : Organizational Structure of Health & Family Welfare Deptt., Govt. of Assam : HEALTH & FAMILY WELFARE DEPTT. GOVT. OF ASSAM MINISTRY OF HEALTH & FAMILY WELFARE ADDL. CHIEF SE CRETARY, GOVT. OF ASSAM, HEALTH & FW COMMISSIONER & SECRETARY, GOVT. OF ASSAM, HEALTH & FW SE CRETARY, HEALTH & F AMILY WELFARE, GOVT. OF ASSAM Addl. Secy. Jt. Secy. OSD Sr. FA Under Secy. Sr. RO DHS (FW) State FW Bureau Jt. DHS Jt. DHS MCIO Demog- AO Supdt. Jt. DHS FAO Asstt. to DHS (UIP) (MCH) rapher Offset (SIHFW,Trg) Press CCO DISTRICT FW BUREAU Addl. Chief Medical & Health Officer (FW) DIO DEMO Dy. DEMO Supporting Staffs MO Urban FW Center PPC Block PHC (RFWC) (Registrar, Birth and Deaths) Sub Center (FHW) MO, PHC (FW) LHV, BEE, Computer, Field Worker National Rural Health Mission Page 287 State Programme Implementation Plan 2011-12 Situational Analysis: Comparison of Reported and Evaluated Coverage 2005/06 – 2010/11 (%) Reported Reported Reported Reported Reported Reported NFHS-3 DLHS-3 RRC (NE) ANTIGEN Coverage Coverage Coverage Coverage Coverage Coverage (05-06) (07-08) (2009) 05 – 06 06 – 07 07-08 08-09 09-10 10-11 (upto Dec’10) Fully 31.6 50.9 57.6 78.40 81.54 70.23 75.29 82.40 65.07 Vaccinated 62.6 97.89 83.8 85.7 99.94 92.57 BCG 98.72 105.69 72.78 DPT-3 88.75 45.1 86.80 60.4 73.9 99.89 86.44 67.01 94.55 OPV-3 88.52 59.2 89.13 64.9 73.5 99.88 86.16 92.29 66.55 37.5 85.58 64.4 68.5 82.37 84.23 66.77 Measles 87.14 88.70 Drop-out 25.1 12.57 - - 17.6 9.0 BCG 15.16 16.07 8.3 Measles TT 2 + - 77.10 - 77.41 - 71.97 73.71 16.93 62.56 Booster National Rural Health Mission Page 288 State Programme Implementation Plan 2011 -12 Present Status: Indicator Assam India MMR 480 333 254 (Source2004 -06, RGI) (Source 2009, CES, (Source 2004-06, RRC-NE) RGI) IMR 64 46 53 ( Source SRS, ( Source 2009, ( Source SRS, RGI, RGI,Oct’2009) CES,RRC-NE) October,2009) Change In Full Immunization Coverage of Children 47 50 41 45 40 35 30 17 25 F.Imm 20 15 10 5 0 DLHS - 1 DLHS -2 DLHS -3 Routine Immunization Performance ( % of Full Immunized Child : Source DLHS,2007 -08) Fully Immunized % (DLHS-3) 90 80 80.3 73.5 68.2 70 67.3 Assam 50.9% 58.9 57.6 56.8 56.5 60 56.4 54.5 54.2 53.5 51.3 50.9 50 49.1 49 47.3 47.1 50 46.7 38.6 36.5 34.8 40 34.6 34.1 32.9 30 23.2 20 % of Fully Immunized Fully of % 10 0 Jorhat Baska Dhubri Cachar Nalbari Barpeta Chirang Nagaon Darrang Sonitpur Udalguri Tinsukia Dhemaji N.C.Hills Golaghat Sibsagar Morigaon Goalpara Kokrajhar Dibrugarh Karimganj Lakhimpur Bongaigaon Karbianglong Kamrup Rural Kamrup Kamrup Metro Kamrup Hailakahandhi District National Rural Health Mission Page 289 State Programme Implementation Plan 2011-12 FULL IMMUNIZATION COVERAGE OF CHILDREN AGED 12-23 MONTHS BY DISTRICTS Routine Immunization Performance ( % of Full Immunized Child : Source CES-RRC-NE-2009) % of Fully Immunied within 12 months of age 100.0 91.7 Assam 70% 88.3 86.3 86.3 90.0 85.7 82.3 78.7 78.3 77.7 80.0 74.7 72.7 66.0 70.0 64.9 64.0 60.7 59.7 59.0 58.7 56.7 60.0 55.0 53.0 50.0 40.3 40.0 % of % FI of 30.0 20.0 10.0 0.0 Jorhat Dhubri Nalbari Cachar Nagaon Barpeta Tinsukia Sonitpur Dhemaji Darrang Darrang Golaghat Goalpara Morigaon Kokrajhar Dibrugarh Sivasagar Karimganj Lakhimpur Hailakandi Kamrup (M) Kamrup Kamrup (R) (R) Kamrup Bongaigaon District National Rural Health Mission, Assam Page 290 State Programme Implementation Plan 2011-12 RECENT PERFORMANCE : YEAR : 2006- 07 ANTIGEN TARGET ACHIEVEMENT % BCG 716086 702868 97.93 DPT -1 716086 691086 96.29 DPT -2 716086 634203 88.36 DPT -3 716086 621956 86.65 OPV -1 716086 687702 95.81 OPV -2 716086 624819 87.05 OPV -3 716086 637402 88.81 Measles 716086 612258 85.30 Fully Immunized 716086 538014 74.96 TT -1 846984 546242 64.38 TT -2+ Booster 846984 652089 76.86 Session planned/Held 258292 241317 93.43 YEAR : 2007- 08 ANTIGEN TARGET ACHIEVEMENT % BCG 689,922 729154 105.69 DPT -1 689,922 724339 104.99 DPT -2 689,922 690879 100.14 DPT -3 689,922 652294 94.20 OPV -1 689,922 702649 101.84 OPV -2 689922 665036 96.39 OPV -3 689,922 636749 92.29 Measles 689,922 611986 88.37 Fully Immunized 689,922 568494 82.40 TT -1 820,769 586042 71.40 TT -2+ Booster 820,769 617384 75.22 Session planned/Held 449,606 420783 93.58 YEAR : 2008-09 ANTIGEN TARGET ACHIEVEMENT % BCG 708,896 708480 99.94 DPT -1 708,896 708150 99.89 DPT -2 708,896 670118 94.53 DPT -3 708,896 631006 89.01 OPV -1 708,896 708050 99.88 OPV -2 708,896 669164 94.40 OPV -3 708,896 632553 89.23 Measles 708,896 583953 82.37 Fully Immunized 708,896 555741 78.40 TT -1 826,354 586593 70.98 TT -2+ Booster 826,354 594760 71.97 Session planned/Held 434788 390440 89.81 National Rural Health Mission, Assam Page 291 State Programme Implementation Plan 2011-12 YEAR : 2009-10 ANTIGEN TARGET ACHIEVEMENT % BCG 710332 657552 95.57 DPT -1 710332 640263 90.14 DPT -2 710332 629507 88.62 DPT -3 710332 614009 86.44 OPV -1 710332 639709 90.06 OPV -2 710332 627008 88.27 OPV -3 710332 611994 86.16 Measles 710332 598334 84.23 Fully Immunized 710332 579217 81.54 TT -1 808001 582319 72.07 TT -2+ Booster 808001 595597 73.71 Session planned/Held 213081 205437 96.41 YEAR : 2010-11 ( upto Dec’10) ANTIGEN TARGET ACHIEVEMENT % BCG 668040 422500 72.78 DPT -1 668040 404756 70.14 DPT -2 668040 397988 68.55 DPT -3 668040 393379 67.01 OPV -1 668040 402582 69.51 OPV -2 668040 399628 68.06 OPV -3 668040 390220 66.55 Measles 668040 389253 66.76 Fully Immunized 668040 381660 65.0 7 TT -1 754486 413229 60.83 TT -2+ Booster 754486 420548 62.55 Session planned/Held 235261 210911 91.76 National Rural Health Mission, Assam Page 292 State Programme Implementation Plan 2011-12 FULLY IMMUNIZATION PERFORMANCE FOR LAST FEW YEARS 2005-06, 2006-07, 2007-08 ,2008-09,2009-10 & 2010-11 ( Upto Dec’10) 2010-11 DISTRICT 2005-06 2006-07 2007-08 2008-09 2009-10 ( upto Dec’10) 1 BARPETA 55.17 69.93 93.34 82.65 73.05 68.70 2 BONGAIGAON 64.12 80.85 73.92 77.97 72.094 66.50 3 BAKSA - - - - 81.88 52.09 4 CHIRANG - - - - 73.16 45.28 5 CACHAR 79.7 87.62 66.01 77.16 80.96 60.66 6 DARRANG 64.34 66.23 99.32 83.14 80.26 57.44 7 DHEMAJI 64.63 85.38 76.72 95.24 93.34 73.72 8 DHUBRI 69.09 74.14 83.45 74.05 77.68 68.10 9 DIBRUGARH 68.69 99.71 92.09 94.5 86.34 71.61 10 GOALPARA 68.2 92.71 82.77 86.79 80.33 61.16 11 GOLAGHAT 71.6 66.89 56.33 72.1 76.3 69.60 12 HAILAKANDI 67.97 88.72 74.69 65.84 79.11 72.33 13 JORHAT 84.38 91.52 82.09 94.89 79.01 66.46 14 KAMRUP (R) 83.2 91.48 71.20
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