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Emergency Preparedness in Haryana

Emergency Preparedness in Haryana. Dr Suresh Dalpath DDCH / SEPIO Haryana. Contents . . . Situation Analysis Risks Mitigating risks Response Plan Summary. Location of Wild Polio Virus in Haryana (2000-2010). Data as on 8 July 2011. Haryana - High Risk Districts & Blocks.

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Emergency Preparedness in Haryana

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  1. Emergency Preparedness in Haryana Dr Suresh Dalpath DDCH / SEPIO Haryana

  2. Contents . . . • Situation Analysis • Risks • Mitigating risks • Response Plan • Summary

  3. Location of Wild Polio Virus in Haryana (2000-2010) Data as on 8 July 2011

  4. Haryana - High Risk Districts & Blocks HR Blocks (WPV) HR Blocks (Other factors)

  5. Risks . . . • History of Importations of WPV from other parts of country • Huge migration from endemic states • Large number of construction sites • Mewat had WPV every year for last 10 years • Polio High risk areas have poor RI coverage ~ Mewat

  6. Incidences of WPV importation (2005-2010) Importations in >=4 years Importations in 2-3 years Importation in a year with multiple cases No importation or importation in a year with single case Data as on 8 July 2011

  7. Mitigating Risks… • Polio on the priority list of state • Focus on HR districts • Identification and validation of High Risk Areas (migratory & settle population) • Prioritization of HRAs for coverage during SIA and RI activities • Filling up vacant post at HR districts • State officers closely monitoring activities

  8. Slums with Migrants Field Validation Completed Nomads Field Validation Completed Partially Brick Kilns Field Validation Planned Construction Sites Field Validation not yet Planned Others Identification and Validation of High Risk Areas Total Sites Validated = 8838 Total Households = 759834 Total Children 0-5 yrs = 451696 Data as on 8 July 2011

  9. Strengthening SIA activities: Mewat • Focus on 6 High Risk PHC areas • Booth and HtH plan segregated • Extensive revision of microplan. • Training of Supervisors and vaccinators by experts • Close supervision and monitoring by Govt officials and partners

  10. Interventions at HR PHC Areas: (Mewat June SIA) in % Data as on 8 July 2011 Source of data: NPSP Mewat unit.

  11. Out come at HR PHC Areas: Mewat (June 11 intervention)

  12. Below 25% 25% - 50% 50% - 75% Above 75 % Routine Immunization in the State Mewat district had fifth lowest FI coverage in the country OPV 3 Coverage (DLHS III) Fully Immunized Children (DLHS III) Data as on 8 July 2011

  13. RI Challenges at Mewat • Low socio economic condition with poor infrastructure • Vacant post of ANMs & other health staff • Inadequate public transport and difficult terrain • ANM not moving in the field • Not giving sufficient time for RI activity • Supervisors not moving in the field. • Less demand generation

  14. Overcoming RI Challenges (Mewat) Filling up of vacant ANM positions is in process Flexibility in requirement of district program officers Micro plan revision and work rationalization Every PHC is hiring 1-3 vehicles for session days. Earmarked vehicle for every 3-4 sessions. ANMs and Supervisors move from PHC in the morning with logistics Vehicle drops vaccinators one by one, en-route as per plan and collect them after sessions Supervisor/MO supervise simultaneously. Budget is provided by NRHM and Mewat Development Agency

  15. Vaccinators along with supervisor moving from PHC to Session site in earmarked vehicle

  16. Vaccinator reaches remote minority area for RI activity and stays till the vehicle returns back

  17. Increase in RI coverage at Mewat* (Sept-2010- May10-11) Validation exercise done In May 2011 * Based on reported coverage Data as on 8 July 2011

  18. Emergency Preparedness and Response Plan • State EPRG notified on 27 May 2011 • Principal Secretary Health : Chair person • MD NRHM : Vice Chairperson • DGHS : Secretary • All Deputy Commissioners appraised in review meeting chaired by Hon'ble CM. • Meeting of State Steering Committee is planned on 4th of July-2011. • Plan to orient the heads of key Deptt. i.e. Panchayati Raj, Education, Social Welfare etc.

  19. Status of State EPR Data as on 8 July 2011

  20. Emergency Preparedness Plan notified on 27 May 2011

  21. Proposed Emergency Response Plan

  22. Summary . . . • High risk of importation of WPV cases in the state • State has identified HR districts & blocks • Focus on the HRAs for SIA & RI activities • State has Emergency Response Plan in place • State can implement mop up activity on detection of WPV within a week

  23. Please be assured! State is committed !! & Together We will do it…… Thanks

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