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  1. Jay Rajgopal
  2. Service delivery
  3. Monday, 10 June 2019

What is a typical frequency of outreach operations for EPI vaccinations? Monthly, quarterly, every six months, annually? Are there any prescribed standards for this? On a related note, are outreach operations typically scheduled at the same locations or do they shift these from place to place? Thanks for any pointers.

Hi every one

Very good discussion on the frequency of outreach.

I am very happy with the answer of Ahmad about categorization.

I am still having question: during campaign couple to the routine immunization, can this be called outreach and in which category are we going to classify this activity?

If we have already a schedule outreach following data,  why are we coupling routine activities to campaigns?

I am wondering about the quality of immunization. With all the effort of completing the gaps we still have problems, what is the next effort of the WHO to reduce those gaps?


  1. more than a month ago
  2. Service delivery
  3. # 1
Bashir Ahmad Accepted Answer

Dear Mr Jay Rajgopal, Hope I am not very late in responding to your query. based on my practical experience the RED or REC strategy provides a comprehensive guideline for routine immunization outreach planning.

According to this strategy initially a training workshop is organized for the immunization staff in which they present the administrative routine immunization data of their area and bsed on the analysis of this admin data a detailed outreached plan is prepared focussing on the areas where there are maximum number of missed children. A categoraization is made in the form of

Category 1 Good access and Good utilization

Category 2 Good access and poor utilization

Category 3 poor access and Good utilization

Category 4 poor access and poor utilization

After this analysis prioritization is done where category 4 becomes priority 1, the whole area is divided into blocks and each block is assigned to a vaccinator. The analysis also includes the calculation of supplies required, preparation of monitoring plan and other relevant information, in such a way a detiled outreach plan is prepared for the whole year. The complete details of this can be found in RED guide on WHO website. The program has already been successfully implemented in many countries and your country might be one of them.

Hope I have answered most of your queries. I am available if you still need any further support. 

  1. more than a month ago
  2. Service delivery
  3. # 2
Shivani gupta Accepted Answer

As a standard norm in resource and access challenged settings, at least 4 outreach sessions in a year i.e. once quarterly would ensure coverage of all due beneficiaries, but with regular areas with a subcentre population of 5000-10000 (per ANM), each outreach session at the same place can be planned on a monthly basis. e.g. -at xyz anganwadi centre in village A every 2nd wednesday, same site, timely vaccinations, update of beneficiary due list, community awareness and compliance.

On the other hand, special campaigns like Mission Indradhanush are planned for seven days each month over 4 consecutive months to complete catch up immunisations of all left outs and drop outs.

  1. more than a month ago
  2. Service delivery
  3. # 3

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