OBIM HEALTH CENTRE II, ALEBTONG DISTRICT LOCAL GOVERNMENT, P.O.BOX 316 LIRA, Date: 30TH /JUNE/2023 REPORT FOR SUPERVISION OF ROUTINE IMMUNISATION OUTREACH AND FOLLOW UP TO IMPROVE COVERAGE CONDUCTED AT OBIM H/C II CATCHMENT AREA FROM APRIL, MAY AND JUNE 2023. INTRODUCTION Routine immunization and follow up of postnatal mothers /missed opportunities are government programme which is offered at various health facilities and community outreach sites. Supplementary immunization activities are also organized and conducted periodically to interrupt disease transmission and spread by boosting population immunity. All vaccines provided by UNEPI are safe, potent and these programs target the following categories of people; All children age 0-1 year of age who are due for routine immunization or who missed opportunity. All children from age six to fifty-nine months to get vitamin A supplementation. All children from age 1-14 years to get dewoming tablets. Pregnant mothers to get Td vaccination. Mothers of child bearing age also to get Td vaccination. 10 years old girls to get HPV vaccination. This programme targets static sessions, outreaches, schools, markets, worship places and any other places where children could be found. The health facility always has routine immunization schedules conducted at least 4 or even five times every month and once or twice in every week of the months. ACTIVITY OBJECTIVES To increase DPT1 access to 90% and to reduce dropout rate of DPT1-DPT3 and DPT1-MEASLES since the missed opportunity would be followed in the community. To dewormed all the children from 1-14 years in order to improve on their health status. To vaccinate all the 10 years old girls with HPV vaccination and this will protect them from cancer of cervix in future. To vaccinate all the pregnant mothers and women of child bearing age with td vaccines and this prepares them for safe delivery and giving birth to normal babies in future. To strengthen the immunity of children age six to fifty- nine years as they received vitamin A supplementation. ACHIEVEMENTS We managed to complete all the sessions within the time frame as planned. There was good mobilization as all the outreaches, targets group were at least reached. The facility immunization performance improved from 80% DPT1 to 98 % as at the end of June 30th from data analyzed in the months of April/2023 to the end of 30th June/2023 So we put a lot of inputs and measures to increase the accessibility to 90% Below are tables showing number of girls, children, both pregnant and non pregnant women immunized including children given VIT A supplementation and deworming tablets. CHILDREN BELOW 1YEAR IMMUNISED Antigens # of children vaccinated BCG 64 DPT PCV (1,2&3) (1,2&3) 282 282 MEASLES ROTA IPV Oral polio (1,2,3) 160 190 93 369 GIRLS, WOMEN IMMUNISE AND CHILDREN GIVEN VIT A /DEWORMING TABLETS. Td Vaccination Pregnant Non pregnant mothers mothers 139 142 HPV VIT A Vaccination Supplement 10-12yrs girls Six to fifty- Deworming 1-14yrs nine yrs 110 3,287 2,915 CHALLAGES DURING ACTIVITY Limited transport since there is only one motorcycle already broken up needs serious repair for EPI activities to reach hard to reach far distances and to run all other health facility activities within the Sub County & district. Being at the borderline district affects performance where not all the catchment population is reached. RECOMMENDATION GAVI to provide facility with more functional transport means like new motorcycle for EPI Department to help reach far hard to reach places of outreaches since the health facility has a very old one that needs repair most of the time. Rain protective gears e.g. gumboots, raincoats are to be provided to health workers especially when such activity is taking place during rainy season. CONCLUSION Appreciation to district leaders the CAO, DHO, ADHO-MCH, Chairman LCV, secretary Health and MOH for the support making the activity successful through PHC funds. I do request other IPs to always come in whenever such a programme is taking place in the district/country this would improve on the health of our poor Ugandan, Reports compile by Name………………………………………………… Title…………………………………………………. Sign/stamp…………………………………………