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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
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