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  1. Narayana Holla
  2. Programme management
  3. Friday, 30 August 2019

Dear viewers

The following illustration emphasizes the importance of keeping vaccination data up to date on a regular basis and to explore the measures to promote EIR. 

PHC Kollamogru is one of the 3 planning units attached to KVG Medical College Sullia located in the interior hilly area with sparse population, rich with forest, rubber plantation, coconut trees, plantains etc. It has a population of 9692, five sub-centers, an estimated 130 pregnant women, 117 below one year children [birth rate 12/1000 per year], 521 under five years residing in 2084 houses  [child house ratio of 0.25  & people @4.6 per house].

This PHC is enumerating / line listing vaccination data in the “Extended Immunogram” since April 2013 coinciding with introduction of Pentavalent in the National Immunization Schedule [NIS].

Proactively, on updating vaccination data as a routine, we prepared the duelist for the month of August 2019. With the introduction of RCH Portal, ANMs became busy in entering data to RCH portal, poor connectivity drastically retarded the process and resulted in the following:

  1. Provisional duelist had 62 children – 53% of annual target, about 10% more than Expected Due Children (EDC).

[Calculating EDC: A child has to visit 5 times as per present NIS in India for completing FIC below one year and booster before 2nd year excluding newborn vaccination. i.e. 117×5=585 visits. 585÷12= ~49; 41.88% of annual target  of 117. Since vaccination is done once a month in the outreach and once a week at the PHC, EDC will be a little more than 42% of annual target].

  1. On updating the data, the list got shortened to 47 by 24.2% [40.17% of annual target – more specific].
  2. Data of 9 children (19.1%) yet to be fed to RCH portal hence not in Electronic Immunization Register [EIR]. EIR has ~20% less data than in manual register.
  3. On 29th August 2019 dose wise mobilization of children is given in the table below:

Dose

1st dose

2nd dose

3rd dose

MR1

Booster

MR2

Total

FIC

 

Due in Aug

7

9

3

10

24

53

10

Vaccinated in Aug

4

8

3

8

10

33

8

  1. Following is the table with dose wise due children prepared on updating the data in the Extended Immunogram master register at the PHC for the month of September 2019. We wish to study the proportion of mobilization

Dose

1st dose

2nd dose

3rd dose

MR1

Booster

MR2

Total

FIC

 

Due in Sep

10

10

7

6

23

56

 

Vaccinated in Sep

             
  1. In this list 15 children of 56 (26.78%) are yet to be entered in to RCH portal. At any given time, in the existing situation and process, EIR is having about 25% less data than actual and hence the indicators are not reliable for performance review to guide the programme.

So what: An expert team has to genuinely study and explore as to how to make the RCH Portal very useful for the grass root level workers and managers at all levels. All PHCs can easily replicate Kollamogru model.

best wishes

Holla n Team

 

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