Workshop of an valid objective that works on the performance of health HR

1. Objectives of the workshop
National Workshop on Intensified Mission Indradhanush 5.0
23 June 2023
New Delhi

2. Objective
• Capacity building and consultative effort on strengthening and
sustaining routine immunization; including recovery from Covid-19
pandemic impact.
• Appreciate importance of IMI 5.0; big leap towards measles rubella
elimination and improving routine immunization.
• Recognize importance of Head count survey and microplanning.
• Focus on high priority areas.
• Understand importance of effective communication strategy.
• Roll out UWIN across the country.

3. Overview of IMI 5.0
Rationale, Focus & Strategy
Dr Bijay Kumar Panigrahy
Director FW, Odisha

4. Progress of Odisha in Routine Immunization Program
36.1
43.7
51.8
78.6
90.5
0
10
20
30
40
50
60
70
80
90
100
NFHS 1 NFHS 2 NFHS 3 NFHS 4 NFHS 5
52.7 51.6
75
79.2
92 90.2
0
10
20
30
40
50
60
70
80
90
100
URBAN RURAL
NFHS 3 NFHS 4 NFHS 5
State has achieved consistent improvement in Full Immunization coverage.
Odisha topped among all States in Full Immunization Coverage in NFHS-5

5. District wise full immunization coverage %(NFHS – 5 Report)
79.5
82.0 82.8 83.7 84.4 86.0 87.0 87.9 88.5 88.6 90.4 90.5 91.3 91.3 91.8 92.6 92.7 94.1 94.8 94.8 95.8 95.8 95.9 96.1 96.8 97.0 97.6 98.0 98.0 98.0 100.0
0.0
20.0
40.0
60.0
80.0
100.0
120.0
National Average: 76.4%
• 11 districts have more than 95% full Immunization coverage & 10
districts below 90%

6. MR-1 to MR-2 Drop Put, HMIS, 2022-23
District Name MR 1 % MR 2 % Diff
BOLANGIR 92.0 83.6 8.5
NUAPADA 100.4 93.2 7.2
SAMBALPUR 69.2 62.7 6.6
SONEPUR 90.4 84.0 6.4
DEBAGARH 96.9 90.4 6.4
NABARANGAPUR 99.1 92.8 6.4
JHARSUGUDA 75.0 68.9 6.1
MALKANGIRI 96.8 90.8 5.9
KENDRAPARA 81.5 76.3 5.2
KALAHANDI 88.3 83.6 4.7
DHENKANAL 84.8 80.1 4.6
KHORDHA 92.1 87.8 4.4
BARGARH 80.9 76.5 4.4
BOUDH 83.2 78.9 4.3
JAJAPUR 89.1 84.9 4.2
BHADRAK 86.6 82.5 4.1
District Name MR 1 % MR 2 % Diff
RAYAGADA 95.9 92.0 3.8
KENDUJHAR 87.5 83.8 3.7
SUNDARGARH 68.7 65.1 3.7
BALASORE 87.3 84.1 3.1
JAGATSINGHAPUR 76.3 73.2 3.1
GAJAPATI 95.1 92.2 2.9
ANUGUL 93.2 90.8 2.4
CUTTACK 73.4 71.2 2.2
NAYAGARH 87.6 85.6 2.0
GANJAM 90.4 88.6 1.8
MAYURBHANJ 86.6 85.0 1.6
KANDHAMAL 100.4 99.4 1.1
KORAPUT 98.4 97.8 0.7
PURI 97.9 97.3 0.6
STATE 87.3 83.6 3.7
MR 1 to MR 2 Drop rate more than 5% in 9 districts
MR 1 Coverage is more than 95% in 9 districts & MR 2 coverage More than 95% in 3 Districts

7. Head Count Survey validation, Odisha, 2023
• A systematic assessment of HCS is conducted during
Jun-Jul 23
• 1,387 area and 6,121 no. of 0-2year children
captured across all 30 district and validate by
independent monitors
Head Count Survey validation : Urban Vs Rural
• Head count survey validation Indicators
• Area HCS done: 72% (N=1,387)
• House marked: 3% (N= 10,910 )
• Household captured: 86% (N=10,910 )
• 0–2year children captured: 85% ( N=6,121 )
• 2-5year children captured: 43% (N= 4,152)
100
98
97
90
89
89
89
87
87
85
83
83
82
81
80
80
77
76
71
71
68
66
61
61
57
43
38
34
31
13
DEOGARH
MAYURBHANJ
KEONJHAR
NABARANGPUR
MALKANGIRI
KENDRAPARA
BHADRAK
KANDHAMAL
GANJAM
DHENKANAL
GAJAPATI
JHARSUGUDA
KORAPUT
JAGATSINGHPUR
SUNDARGARH
ANGUL
PURI
CUTTACK
JAJPUR
BARGARH
BALASORE
NAYAGARH
KHURDA
RAYAGADA
BOUDH
BOLANGIR
SONEPUR
KALAHANDI
SAMBALPUR
NUAPADA
% of Area Head Count Survey done (72)
Indicator Urban Rural
% of Area covered 44 70
% of House Hold captured in HCS 53 86
% of PW captured in HCS 58 71
% of 0–2-year children captured in HCS 60 93

8. Areas with Zero Dose Children
Missed communities: Home to
clusters of zero-dose/unvaccinated
children & they often face multiple
deprivations and vulnerabilities. Urban Slums & Peri-urban Population Underserved Population
Migratory population Tribal population
Pocket of Vaccine Hesitancy Hard to Reach Population
Focus on reaching Zero dose
children does not stop at
providing a first dose of the
Pentavalent vaccine. The goal
is to ensure these children are
fully vaccinated with all age-
appropriate vaccines.

9. RI Strengthening/Reduction in Zero dose: Indicators
9
47
32
29
26
23
19
15 15 13 12 12 11 11 11 10 9 9 8 8 6 5 5 5 5 4 3 3 2 2 1
KHURDA
KANDHAMAL
CUTTACK
KEONJHAR
JAGATSINGHPUR
GANJAM
BOUDH
JHARSUGUDA
BARGARH
SAMBALPUR
BALASORE
ANGUL
SUNDERGARH
GAJAPATI
JAJPUR
MAYURBHANJ
KALAHANDI
RAYAGADA
PURI
NUAPADA
BHADRAK
KENDRAPARA
KORAPUT
NAYAGARH
DHENKANAL
BOLANGIR
SONEPUR
MALKANGIRI
NABARANGPUR
DEOGARH
No. of Zerodose Children Monitored
State - 361
Google link for the data entry of Zero Dose children and their tracking -
https://docs.google.com/spreadsheets/d/1xL9NkSw0EZxzBl2XqPENLU1ebSCGbZdFs8eHPxTrqKs/edit?usp=sharing
123 blocks/PUs of 17-districts not reporting Zero Dose children out of 332 blocks/PUs
0 0 0
4
5
6
12
5
9
13
4 4
0 0 0 0 0 0 0 0 0 0
9
7
6 6
13
9
3
8
Bhadrak
Balasore
Kendrap…
Khurda
Nayagarh
Puri
Koraput
Malkana…
Nabaran…
Ganjam
Gajapati
Kandha…
Angul
Deogarh
Keonjhar
Mayurb…
Bargarh
Boudh
Jharsugu…
Sambalpur
Sonepur
Sunderg…
Cuttack
Dhenkanal
Jagatsing…
Jajpur
Bolangir
Kalahandi
Nuapada
Rayagada
No. of Blocks not doing Zero Dose Tracking

10. Strategy for IMI 5.0

11. Highlights of IMI 5.0
Objective: To Identify and vaccinate all left-out and drop-out children under 5 years of age and
pregnant women
All Districts of all
States/UTs
Partial/Unvaccinated:
0-5 years children
Pregnant Women
Platform:
To be used to plan,
implement, report &
review IMI 5.0
Leverage IMI for Achieving MR Elimination Goal

12. Target Beneficiaries
• Children from 0 to 2 years (0 – 23 months) who are left out or dropped out of
age-appropriate doses,
• All children between 2-5 years who have missed MR 1 & MR 2, and booster
doses for DPT & OPV
• Unvaccinated/partially vaccinated pregnant women

13. Timeline for IMI 5.0
Three rounds to be conducted - one each in September, October & November 2023
Each round of IMI 2023 will be spread over 6 working days i.e., including RI days.
RI session plan should not be disturbed, and additional sessions should be planned in high
risk areas not covered by RI.
11th -16th September 2023
Round
1
6th – 11th November 2023
9th -14th October 2023
Round
3
Round
2

14. Geographical Prioritization
Special focus on high-risk districts/ blocks/ areas identified by the state -
1. Areas with high number of zero dose, left out and drop out children
2. High Risk areas for Measles
3. Areas with low coverage of new vaccines introduced under UIP
4. Areas having large number of vaccination sessions as not held, against planned and areas with vacan
sub centres
5. High Risk Areas (HRAs) - migratory and non- migratory (settled)
6. Urban areas - special focus on slums and peri urban settlements
7. Areas with recent measles, diphtheria and pertussis outbreaks in 2022-23
8. Areas with vaccine hesitancy

15. oRegistration of eligible beneficiaries
oSession planning and Management
oReal time recording of Vaccine doses
administered
Issuing of e-Vaccination certificate to beneficiary
AEFI reporting (Integration with SAFE-VAC)
Cumulative real time reports for Program managers
Operationalization of IMI through U-WIN

16. Accountability Framework
• MoHFW for overall guidance and review
• Training/Orientation of state health
officials
• Communication strategy, prototype of IEC
materials
National
• State Steering Committee
• State Task Force for Immunization
• State review committee
• State level training of all district level
master trainers
• Allocation of funds to districts
State
• District/ City Task Force for Immunization
(DTFI/CTFI)
• District Review Committee
• District health official as nodal officer for each
block/Urban units
• Distribution of funds, vaccines, IEC materials
Logistics to blocks/Urban units
District
/
City
• Block task force (BTF) headed by BDO
• Block review committee to review progress and
ensure timeliness
• Timely distribution of funds, IEC materials,
logistics and training of HW
• Micro planning with adequate HR allocation
Block

17. IMI 2023 - The Big step towards MR Elimination
01
03
04
02
05
All children up to 5 years of age and
pregnant women to get due doses of
vaccination
Reduce Immunity gap
especially for measles and
rubella
Reaching out to underserved
communities –
‘Jan Bhagidari’
Digitalization of paper based
recording & reporting- U-WIN
Improving the coverage of
newer vaccines

18. Thank You