EPI Review- 2013

MOH Area:…………………………….

Background information 1-MOH area

2-DPDHS area

3-Estimated Population for the year 2013

4-Actual Population for the year 2013

5-Reasons for differences in actual and estimated populations

6-Crude Birth Rate for District 2013

7-Crude Birth Rate for Province 2013

8-Estimated Number of Births in the year 2013

Based on the Actual Population

Based on the Estimated Population

District BR

Provincial BR

9-Number of Immunizations performed in the year 2013 (institutions and field) (Sum of relevant data from four Q/ EPI returns, 2013)

PVV1 PVV2 PVV3

10-Number of pregnant mothers registered for the area in 2013

11-Number of actual births reported for the area in 2013

12- Number of infants registered for the area in 2013

13-The most probable number of births for the MOH area*

Background information……cont Approved number

Number available

Average Population covered by each category / clinic

Population Range

12-PHMs

13-PHIs

14-SPHMs

15-PHNS

16-SPHI

17-MOHs/AMOHs

18. MCH Clinics

Area Map indicating access to immunization(Please present a map indicating immunization clinics and population served by each clinic )

Coverage of BCG vaccination among infants born between 1st of January 2013 to 31st of December 2013 and the protection of their mothers from Tetanus and Rubella vaccination at the time of delivery

Number of registered infants under care*

(A)

A = (V+W+X) - (Y+-Z)

Number of infants born between 1st of January 2013 to 31st of December 2013

Registered within 3 months of birth

(V)****

Registered after 3 months of birth to date^^

(W)****

Came newly into the area & registered to date^^

(X)

Left the areato date^^

(Y)

Died to date^^

(Z)

Coverage of OPV1 /PVV 1 vaccination among infants born between 01st of November 2012 to 31st of October 2013

Number of registered infants under care*

(A)

A = (V+W+X) - (Y+-Z)

Number of infants born between 1st of November 2012 to 31st of October 2013

registered within 3 months of birth

(V)****

registered after 3 months of birth to

date^^

(W)****

came newly into the area registered to

date^^(X)

left the areato date^^

(Y)

Died to date^^

(Z)

Coverage of LJEV vaccination among infants born between 01st of April 2012 to 31st of March 2013

Number of registered infants under care*

(A)

A = (V+W+X) - (Y+-Z)

Number of infants born between 1st of April 2012 to 31st of March 2013

registered within 3 months of birth

(V)****

registered after 3 months of birth to

date^^

(W)****

came newly into the area registered to

date^^(X)

left the areato date^^

(Y)

Died to date^^

(Z)

Coverage of MMR1 vaccination among infants born between 1st of January 2012 to 31st of December 2012

Number of registered infants under care*

(A)

A = (V+W+X) - (Y+-Z)

Number of infants born between 1st of January 2012 to 31st of December 2013 registered within 3

months of birth

(V)****

registered after 3 months of birth to

date^^ (W)****

came newly into the area registered to

date^^(X)

left the areato date^^

(Y)

Died to date^^

(Z)

Coverage of DPT4/OPV4 vaccination among infants born between 1st of July 2011 to 30th June 2012

Number of registered infants under care*

(A)

A = (V+W+X) - (Y+-Z)

Number of infants born between 1st of January 2011 to 30th of June 2012 registered within 3

months of birth

(V)****

registered after 3 months of birth to date^^

(W)****

came newly into the area registered to

date^^(X)

left the areato date^^

(Y)

Died to date^^

(Z)

Coverage of MMR2 vaccination among infants born between 1st of January 2010 to 31st of December 2010

Number of registered infants under care*

(A)

A = (V+W+X) - (Y+-Z)

Number of infants born between 1st of January 2010 to 31st of December 2010registered within 3

months of birth

(V)****

registered after 3 months of birth to date^^

(W)****

came newly into the area registered to

date^^(X)

left the areato date^^

(Y)

Died to date^^

(Z)

Coverage of DT/OPV5 vaccination among infants born between 1st of January 2008 to 31st of December 2008

Number of registered infants under care*

(A)

A = (V+W+X) - (Y+-Z)

Number of infants born between 1 st of January 2008 to 31st of December 2008registered within 3

months of birth

(V)****

registered after 3 months of birth to date^^

(W)****

came newly into the area registered to

date^^(X)

left the areato date^^

(Y)

Died to date^^

(Z)

Vaccine PHMM areas with low immunization coverage (%) according to

estimated births registered infants under care age appropriate immunizations

PHM area % PHM area % PHM area %

BCG

TT( Maternal)

Rubella(Maternal)

PVV1/OPV1

LJEV

MMR1

DPT4/OPV4

MMR2

DT/OPV5

PHM areas with low immunization coverage(Please include the data for the 3 PHMM areas where the lowest immunization coverages have been reported

under each category)

Coverage of aTd vaccination among school children in grade 7 during 2013 by PHI areas

No PHI area Number on roll in

grade 7

Number of children

immunized ingrade 7

% of immunized children in

grade 7

Number of children

immunized inother grades

Total number immunized in

year 2013

1

2

3

4

5

6

7

8

9

10

Total

Comparison of coverage’s of antigens according to the advancing birth cohorts

Number of immunizations performed and difference against the antigen which ever has the highest number of immunizations(PVV1, PVV2, PVV3) during infancy ( 1st year of life) in MOH area by antigen in 2013

Number of Immunizations Performed & Difference aginst DPT1Immunizations in MOH Division …………………………………., 2004

18,188

14565

18891 18640 18413 19,13618274

15,975 16,345

10,100

14,108

-703

-4326

-251 -478

245

-617

-2,916 -2,546

-8,791

-4,783

-10,000

-5,000

0

5,000

10,000

15,000

20,000

TT+ BCG DPT1 DPT2 DPT3 Measles DPT4 MR DT aTd Rub. 8-15

Antigen

Co

vera

ge

No. of Immunizations

Difference aginst DPT1

Antigen Book balance

as of 31st December

2012

(A)

Total receipts during 2013

(B)

Book balance as of 31st

of December

2013

(C )

No of doses

discarded due to expiry or

cold chain failure during 2013 (D)

Total number of doses

used during 2013 for

vaccination

( E)=(A+B)-(C +D)

Highest book balance in a given time during the year 2013 (F)

No. ofImmunizationsPerformed by

clinics/ schools/ estates/GPs

( Based on the four EPI quarterly

Returns for year 2013)

( G )

No. of dosesDistributed to

Clinics/schools/GPs

(Based on the MOH Office

vaccine movement register for year 2013)

( H )

Usage %

( I )=G/E * 100

Wastage %

( J )=(100- I )

B.C.G

Penta

DPT

OPV

LJEV

DT

TT

aTd

MMR

Other

Form 11 Status of vaccine wastage in the MOH area by antigen in 2013

Adverse events following immunization (A.E.F.I.)No. of Monthly AEFI Returns expected to be sent to the Epidemiological Unit during 2013 12

No. of Monthly AEFI Returns sent

No. of Monthly AEFI Returns sent in time

No of “Nil” returns sent

Type of AEFI Number Reported No Investigated % Investigated

Injection site abscess

BCG lymphadenitis

Severe local reactions

Encephalitis/Encephalopathy

Meningitis

Seizures (Febrile + Afebrile)

Anaphylaxis

Persistent Screaming

HHE

Types of AEFIs reported during 2013

Antigen Type of AEFI Number of AEFI

Reported (A)

No of doses administered†

(B)

AEFI Rate

( C ) (C

=(A)/(B)*100000

National Rates for 2013

BCG BCG lymphadenitisPenta Seizures (Febrile +

Afebrile)AnaphylaxisPersistent ScreamingHHEAllergic reaction

Measles Seizures (Febrile + Afebrile)

AnaphylaxisAllergic reaction

MMR Seizures (Febrile + Afebrile)

AnaphylaxisAllergic reaction

ParotitisJE Seizures (Febrile +

Afebrile)AnaphylaxisAllergic reactionEncephalitis/Encephalopathy

MeningitisOther*

Rates of AEFIs reported during 2013

Information regarding cold chain equipment in MOH office in 2013

Please bring the temperature charts and printouts of data lodger recordings for year 2013 to the review.

Refrigerator Working order

(Yes/No)

Year of manufacture

Capacity

(liters)

Thermometer in working Order

(Yes/No)

Data lodger in working Order

(Yes/No)

Temp. Chart maintained daily during the reporting

period (12 months)(Yes/No)

Refrigerator 1

Refrigerator 2

Freezer

1 Were there any cold chain breakdowns during the reporting period?(If yes, please describe such situations)

2 Who is in charge of the refrigerator and vaccine?

3 Who is in charge of the daily recording of temperature?

4 How often data lodger printout are being taking?

6 How many print outs available in the file for the year under review?

7 Were there situations vaccines exposed to sub zero temperatures?

8 Were there any mismatch in temperature recordings and data lodger recordings?(If yes, please describe such situations with possible reasons)

Calculation of minimum refrigerator capacity required for storage of vaccines for MOH area

Incidence of infant deaths, neo natal deaths and their causes – 2013 **Please use national Infant mortality rate (9.0 per 1000 live births) to calculate the estimated number of live births for year 2013

Notification and investigation of EPI target diseases- 2013

Disease No. Reported

(A)

No. Investigated*

(B)

No, confirmed

(C)

% Investigated

(D)

(D)=(B)/(A)*100

No. of special investigation forms sent

(E)

% of special investigation forms sent

(F)

(F)=(E)/(C)*100Whooping Cough

Tetanus

NNT

Measles

Rubella

CRS

AFP

Encephalitis

Meningitis

Mumps

Total