EPI Review- 2013 RDHS Area:……………………………. Background information 1-RDHS area 2-Estimated Population for the year 2013 3-Actual Population for the year 2013 4-Reasons for differences in actual and estimated populations 5-Crude Birth Rate for District 2013 6-Crude Birth Rate for Province 2013 7-Estimated Number of Births in the year 2013 Based on the Based on the Estimated Actual Population Population District BR Provincial BR 8-Number of Immunizations performed in the year PVV1 2013(institutions and field) (Sum of relevant data from four conslidated Q/ EPI returns, 2013] 9-Number of pregnant mothers registered for the area in year 2012 10-Number of actual births reported for the are in year 2013 11- Number of infants registered for the area in year 2013 12-The most probable number of births for the RDHS area* PVV2 PVV3 Background information……cont Approved number 11-PHMs 12-PHIs 13-SPHMs 14-PHNS 15-SPHI 16-MOHs/AMOHs 17- MCH Clinics Number available Average Population covered by each category / clinic Population Range FORM 1 a Calculation of No. of registered infants under care among infants born between •1st of January 2013 to 31st of December 2013 (eligible for BCG vaccination in year 2013) MOH area Number of pregnant mothers registered in year 2012 (AA) Number of registered infants under care* (A) A = (V+W+X) - (Y+-Z) Registered within 3 months of birth Registered after 3 months of birth to date^^ (V)**** (W)**** Came newly Left the Died into the area & area to registered to to date^^ date^^ date^^ (X) (Y) (Z) Form1 b •Coverage of BCG vaccination among infants born between 1st of January 2013 to 31st of December 2013 and protection of their mothers from Tetanus and Rubella vaccination at the time of delivery MOH area BCG Maternal TT (AA) (A) (B) (C) (D) (E) (F) Number of Number of Number of Number of Number & % Number of Coverage pregnant registered estimated vaccinations of age vaccines according to mothers infants births for according to appropriate given Estimated registered under care 2013 BI registers vaccinations according Registered infants births in year * according to to Q/ EPI under care * 2012 BI registers** return (D/A)*100 Total (C/A) *100 (C/B)* 100 Maternal Rubella (G) (H) Number of Number of mothers mothers protected protected from from Rubella at TT at the time of the time of delivery delivery according to according to pregnant pregnant mother mothers registers registers /mothers /mothers cards cards FORM 2 a Calculation of No. of registered infants under care among infants born between 01st of November 2012 to 31stof October 2013 (eligible for OPV1/ PVV1 vaccination in year 2013) MOH area Number of pregnant mothers registered in year 2012 (AA) Number of registered infants under care* (A) A = (V+W+X) - (Y+-Z) Registered within 3 months of birth Registered after 3 months of birth to date^^ (V)**** (W)**** Came newly Left the Died into the area & area to registered to to date^^ date^^ date^^ (X) (Y) (Z) Form 2b Coverage of OPV1 /PVV 1 vaccination among infants born between 01st of November 2012 to 31st of October 2013 MOH area Total (AA) (A) (B) Number of Number of Number of pregnant registered estimated mothers infants births registered under For 2013 in 2012 care* Coverage of OPV1 /PVV 1 (C) (D) (E) according to Number of Number & % Number of vaccinations of age vaccines Registered Estimated Age Number of according to appropriate given infants births appropriate vaccines BI registers vaccinations according under care* ness given as per according to to Q/ EPI Q/ EPI BI registers** return returns (C/A) *100 (C/B)* 100 (D/A) *100 (C/E)* 100 FORM 3a Calculation of No. of registered infants under care among infants born between 1st of April 2012 to 31st of March 2013 (eligible for LJE vaccination in year 2013) MOH area Number of pregnant mothers registered in year 2011 (AA) Number of registered infants under care* (A) A = (V+W+X) - (Y+-Z) Registered within 3 months of birth Registered after 3 months of birth to date^^ (V)**** (W)**** Came newly Left the Died into the area & area to registered to to date^^ date^^ date^^ (X) (Y) (Z) Form 3b Coverage of LJE vaccination among infants born between 1st of April 2012 to 31st of March 2013 MOH area Total (AA) (A) (B) Number of Number of Number of pregnant registered estimated mothers infants births registered under For 2012 in 2011 care* Coverage of LJEV (C) (D) (E) according to Number of Number & % Number of vaccinations of age vaccines Registered Estimated Age Number of according to appropriate given infants births appropriate vaccines BI registers vaccinations according under care* ness given as per according to to Q/ EPI Q/ EPI BI registers** return returns (C/A) *100 (C/B)* 100 (D/A) *100 (C/E)* 100 FORM 4a Calculation of No. of registered infants under care among infants born between 1st of January 2012 to 31st of December 2012 (eligible for MMR 1 vaccination in year 2013) MOH area Number of pregnant mothers registered in year 2011 (AA) Number of registered infants under care* (A) A = (V+W+X) - (Y+-Z) Registered within 3 months of birth Registered after 3 months of birth to date^^ (V)**** (W)**** Came newly Left the Died into the area & area to registered to to date^^ date^^ date^^ (X) (Y) (Z) FORM 4 b Coverage of MMR 1 vaccination among infants born between 1st of January 2012 to 31st of December 2012 MOH area Total Coverage of MMR1 (AA) (A) (B) (C) (D) (E) according to Number of Number of Number Number of Number of Number of pregnant registered of vaccinations age vaccines Registered Estimated Age Number of mothers infants estimated according to appropriate given infants births appropriate vaccines registered under births BI registers vaccinations according under care* ness given as per in 2011 care* For 2012 according to to Q/ EPI Q/ EPI BI registers** return returns (C/A) *100 (C/B)* 100 (D/A) *100 (C/E)* 100 FORM 5a Calculation of No. of registered infants under care among infants born between 1st of July 2011 to 30th of June 2012 (eligible for DPT4/ OPV4 vaccination in year 2013) MOH area Number of pregnant mothers registered in year 2010 (AA) Number of registered infants under care* (A) A = (V+W+X) - (Y+-Z) Registered within 3 months of birth Registered after 3 months of birth to date^^ (V)**** (W)**** Came newly Left the Died into the area & area to registered to to date^^ date^^ date^^ (X) (Y) (Z) FORM 5b Coverage of DPT4/OPV4 vaccination among infants born between 1st of July 2011 to 30th of June 2012 MOH area Coverage of DPT4/OPV4 (AA) (A) (B) (C) (D) (E) according to Number of Number of Number Number of Number of Number of pregnant registered of vaccinations age vaccines Registered Estimated Age Number of mothers infants estimated according to appropriate given infants births appropriate vaccines registered under births BI registers vaccinations according under care* ness given as per in 2010 care* For 2012 according to to Q/ EPI Q/ EPI BI registers** return returns (C/A) *100 Total (C/B)* 100 (D/A) *100 (C/E)* 100 FORM 6 a Calculation of No. of registered infants under care among infants born between 1st of January 2010 to 31st of December 2010 (eligible for MMR2 vaccination in year 2013) MOH area Number of pregnant mothers registered in year 2009 (AA) Number of registered infants under care* (A) A = (V+W+X) - (Y+-Z) Registered within 3 months of birth (V)**** Registered after Came newly 3 months of into the area & birth to date^^ registered to date^^ (W)**** Left the area to date^^ (X) Died to date^^ (Z) (Y) Form 6b Coverage of MMR2 vaccination among infants born between 1st of January 2010 to 31st of December 2010 MOH area Total Coverage of MMR2 (AA) (A) (B) (C) (D) (E) according to Number of Number of Number Number of Number of Number of pregnant registered of vaccinations age vaccines Registered Estimated Age Number of mothers infants estimated according to appropriate given infants births appropriate vaccines registered under births BI registers vaccinations according under care* ness given as per in 2009 care* For 2010 according to to Q/ EPI Q/ EPI BI registers** return returns (C/A) *100 (C/B)* 100 (D/A) *100 (C/E)* 100 FORM 7a Calculation of No. of registered infants under care among infants born between 1st of January 2008 to 31stof December 2008 (eligible for DT/ OPV5 vaccination in year 2013) MOH area Number of pregnant mothers registered in year 2007 (AA) Number of registered infants under care* (A) A = (V+W+X) - (Y+-Z) Registered within 3 months of birth (V)**** Registered after Came newly 3 months of into the area & birth to date^^ registered to date^^ (W)**** Left the area to date^^ (X) Died to date^^ (Z) (Y) FORM 7b Coverage of DT/OPV5 vaccination among infants born between 1st of January 2008 to 31stof December 2008 MOH area (AA) (A) (B) (C) (D) Number of Number of Number Number of Number of pregnant registered of vaccination age mothers infants estimated s according appropriate registered under births to BI vaccinations in 2007 care* For 2008 registers according to BI registers** Coverage of DT/ OPV5 (E) according to Number of vaccines Registered Estimated Age Number of given infants births appropriat vaccines according under care* eness given as per to Q/ EPI Q/ EPI return returns (C/A) *100 (C/B)* 100 (D/A) *100 Total (C/E)* 100 Form 8 Coverage of aTd vaccination among children in grade 7 during 2013 No MOH area 1 2 3 4 5 6 7 8 9 10 Total Number on roll in grade 7 Number of children immunized in grade 7 % of immunized children in grade 7 Number of children immunized in other grades Total number immunized in year 2013 Form 9 Comparison of vaccine coverage according to the advancing birth cohorts Vaccine (AA) (A) Number of pregnant mothers registered in respective years Number of registered infants under care *( for respective birth cohorts under review ) (B) (C) Number of Number of estimated vaccinations births ( for given respective according to birth BI registers cohorts under review ) % Coverage according to Registered Estimated Number of Number of DPT 1 doses Number births births vaccines given given according to Q/ EPI of as per Q/ EPI return for the years of vaccines returns for the respective birth cohorts given years of under review according respective birth cohorts No. of to Q/ EPI returns under review YEAR doses 2013 (C/A) *100 (C/B)* 100 (C/E)* 100 (D) PVV1 2013 2012( 4Q) 2013( 1,2,3 Q) LJEV 2012(2,3,4 Q) 2013– (1Q) BCG 2012 MMR1 DPT 4 2011-(3,4 Q) 2012-(1.2 Q) MMR2 2010 2008 DT aTd (E) Form 10 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 RDHS area by antigen in 2013 Prepare and present a Bar Chart as given in the example below, based on data in four consolidated EPI quarterly returns of 2013 Please include another bar for number of LJEV given to the children who have completed one year in the current cohort Number of Immunizations Performed & Difference aginst DPT1Immunizations in MOH Division …………………………………., 2004 20,000 18891 18,188 18640 19,136 18413 18274 15,975 16,345 14565 14,108 15,000 10,100 Coverage 10,000 5,000 245 0 TT+ -703 BCG DPT1 -251 DPT2 DPT3 -478 Measles DPT4 -617 MR -2,916 -5,000 DT aTd Rub. 8-15 -2,546 -4326 -4,783 No. of Immunizations Difference aginst DPT1 -8,791 -10,000 Antigen Form 11 Status of vaccine wastage in the RDHS area by antigen in 2013 Antigen Book Total Book No of balance as receipts balance as doses of 31st during of 31st of discarded December 2013 December due to 2012 2013 expiry or cold chain failure during 2013 (A) B.C.G Penta DPT OPV LJEV DT TT aTd MMR Other (B) (C ) (D) Total number of doses used during 2013 for vaccination ( E)= (A+B)-(C +D) Highest No. of No. of doses book Immunizations Distributed to balance Performed by Clinics/schools/ in a clinics/ schools/ GPs(Based on given estates/GPs the MOH Office time ( Based on the vaccine during four EPI movement the year quarterly register for year 2013 Returns for year 2013) 2013) (F) (G) (H ) Usage % Wastage % ( I )= (G/H)*100 ( J )= (100- I ) Form 12 a: Adverse events following immunization (A.E.F.I.) in year 2013 ** Injection site abscess, BCG lymphadenitis, Severe local reactions ,Encephalitis/Encephalopathy , Meningitis Seizures (Febrile + Afebrile) Anaphylaxis ,Persistent Screaming ,HHE MOH area Total No. of Monthly AEFI Returns received No. of Monthly AEFI Returns received in time No. of “Nil” Monthly AEFI returns received Total No. of AEFI** reported Total No. of AEFI investigated ( %) Form 12 b : Rates of AEFIs reported in the district during 2013 Antigen Type of AEFI BCG BCG lymphadenitis Penta Seizures (Febrile + Afebrile) Anaphylaxis Persistent Screaming HHE Allergic reaction Measles Seizures (Febrile + Afebrile) Anaphylaxis Allergic reaction MMR Seizures (Febrile + Afebrile) Anaphylaxis Allergic reaction Parotitis JE Seizures (Febrile + Afebrile) Anaphylaxis Allergic reaction Encephalitis/Encephalopathy Number of AEFI Reported No of doses administered† (A) (B) AEFI Rate (C) (C ) =(A)/(B)*100000 National Rates for 2013 Form 13a Incidence of infant deaths, neo natal deaths and their causes in the district – 2013 Please use national Infant mortality rate (9.0 per 1000 live births) to calculate the estimated number of live births for year 2013 MOH area Total Estimated No. of live births Estimated No. of infant deaths Estimated No. of neonatal deaths No of infant deaths reported No. of infant deaths investigated % of infant deaths investigated Form 13 b Causes for the neonatal deaths in year 2013 Causes 1. Prematurity 2. Congenital Abnormalities 3. 4. 5. 6. Total No. reported % Form 14 Notification and investigation of EPI target diseases- 2013 *No. Investigated = No. reported – No. not attended by a MOH/PHI OR *No. investigated = (Number confirmed+ Number identified as a non notifiable disease+ Number unable to trace+ Number belongs to other MOH area+ Number re notified) Disease Whooping Cough Tetanus NNT Measles Rubella CRS AFP Encephalitis Meningitis Mumps Total No. Reported No. Investigated* No. confirmed (A) (B) (C) % Investigated (D) (D)=(B)/(A)*100 No. of special investigation forms sent (E) % of special investigation forms sent (F) (F)=(E)/(C)*100