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Microplanning for Routine Immunization

Microplanning for Routine Immunization. What is a Micro plan?. Helps you identify What needs to be provided Who will provide Where to provide (including hard to reach) When to provide How to provide How many to provide for (beneficiaries) How much to provide (vaccines & logistics).

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Microplanning for Routine Immunization

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  1. Microplanning for Routine Immunization

  2. What is a Micro plan? Helps you identify • What needs to be provided • Who will provide • Where to provide (including hard to reach) • When to provide • How to provide • How many to provide for (beneficiaries) • How much to provide (vaccines & logistics)

  3. State Plan = Aggregation of District Plans + state specific activities State Level District Plans = Aggregation of PHC plans + mobile strategy, supervision, monitoring, IEC, Trg. and coordination etc. District 1 District 2 District 3 PHCs =Compilation of detailed operational plans of subcentres and add alternate vaccine delivery, waste disposal plan, supervisory plan etc. HSC = ANM with AWW, ASHA, PRIs etc Primary Health Centres Health Sub-Centres Process of Microplanning: Bottom Up

  4. How to plan number of sessions Fixed Sites (SC / PHC / CHC etc.) • 40 – 70 injections = one session per month • > 70 injections = two sessions per month Outreach: • 25-50 injections = one session per month • > 50 injections = two sessions per month • < 25 injections = one session in alternate month

  5. Steps in preparation of Micro plan • Step 1 – List all villages and hamlets • Step 2 – Write the population of each village • Step 3 – Write the number of beneficiaries • Step 4 - Prepare a map of the sub center / PHC

  6. 1st Sat 4thWed 2nd Sat 2nd Wed 1st & 3rd Wed Map of Sub-center

  7. Estimating Beneficiaries In a Sub-centre Area

  8. Calculating Beneficiaries for each Vaccine • TT = No. PW X 2 • BCG = No. infants X 1 • OPV = No. infants X 4 • DPT = No. infants X 4 • Measles = infants X 1 • DT = No. children at 5 yrs X 1

  9. Estimation of vaccine vials • Each session should have one vial of BCG No. beneficiaries / session * 1.33 • TT = ------------------------------------------------ 10 No. beneficiaries / session * 1.33 • BCG = -------------------------------------------- 10 No. beneficiaries / session * 1.33 • OPV = --------------------------------------------- 20

  10. No. beneficiaries / session * 1.33 • DPT = ----------------------------------------------- 10 No. beneficiaries/ session * 1.33 • Measles = ----------------------------------------- 5 No. beneficiaries/ session * 1.33 • DT = ----------------------------------------------- 10 Vitamin A Solution Children below 1 year of age (1 dose of 1lakh unit) = 141 Children between 1-3 yrs. (4 doses of 2 lakh units) = 259x2=518 doses

  11. Diluents with vaccines • No. of Sodium chloride ampoules = No. of BCG vials • No. of Double distilled water ampoule = No. of Measles vials

  12. Estimation of ADS and Disposable Syringes • 0.1 ml = (No. of beneficiaries for BCG) + 10 % • 0.5 ml = (Beneficiaries of DPT + Measles + DT + TT ) + 10 % • 5 ml reconstitution = (No. of BCG vials + No. of Measles vials )+ 10 %

  13. Regular monitoring and review of Micro plan • Monthly reports • coverage monitoring chart • Quarterly Review meeting • review missed sessions • other problems • revise session plan and work plan (if needed) • Supportive supervisory visits • monitoring the work in the field, • providing on-the-job training, • taking notes for future discussion at review meetings.

  14. Group 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

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