Dashboard

IMMUNISATION DASHBOARD JUNE 2014

CHILD HEALTH & IMMUNIZATION DIVISION MINISTRY OF HEALTH & FAMILY WELFARE GOVERNMENT OF INDIA

1

HMIS IMMUNIZATION DATA FOR JUNE 2014 HMIS Portal as on 26 July 2014

0 – 11 Months Vaccination Till June 2014, the nation's full immunization coverage (FIC) was 19.5 % against the expected ď€ gure of 25.0 % for 3 months. The national coverage for BCG, DPT3, Penta3, MCV1, JE1 was 19.0%, 19.9%, 19.7%, 19.7% and 11.1% respectively.

State / UT that reported FIC more than the expected 25.0% was Delhi (26.2%); Arunachal Pradesh reported 11.4 % coverage, which was the lowest in the country.

States / UTs that have reported BCG coverage more than the expected 25.0% are Chandigarh (32.4%), Manipur (27.5%), Meghalaya (30.9%), Mizoram (32.3%) and Puducherry (41.2%) while Bihar (14.2%) and Kerala (14.2%) are the two lowest reporting states / Uts. States / UTs that have reported DPT3/Penta3 coverage more than the expected 25.0% are Manipur (27.4%), Meghalaya (27.7%), Mizoram (28.2%) and Tripura (26.4%) while Puducherry reported only 12.8% Penta3 coverage and Arunachal Pradesh reported 13.8% DPT3 coverage. Andhra Pradesh, Chandigarh, Maharashtra and Sikkim reported data related to pentavalent though these states are not giving pentavalent vaccine as per state UIP schedule.

Most JE-endemics states / UTs reported very low coverage of JE-1st dose , such as Arunachal Pradesh (1.8%), Nagaland (11.2%), Manipur (4.2%), Uttar Pradesh (9.3%), Assam (13.8%), West Bengal (14.3%), Andhra Pradesh (4.1%), Jharkhand (0.0%), Maharashtra (13.3%) and Kerala (1.9%) against 25.0%.

State/UT that reported MCV1 coverage more than the expected (25.0%) coverage were Delhi (30.0%) and Lakshadweep (28.1%).

Arunachal Pradesh reported lowest MCV1 coverage (12.2%).

Hep B birth dose is given within 24 hours of birth and is mandatory for all institutional deliveries; however, in only 63.7% of institutional deliveries Hep B birth dose is given in the country. Andhra Pradesh reported more than 100% coverage while Manipur (21.2%), Gujarat (30.5%) and Kerala (30.3%) are three lowest reporting states / UTs.

2

HMIS IMMUNIZATION DATA FOR JUNE 2014 HMIS Portal as on 26 July 2014

12– 23 Months Vaccination Till June 2014, the national coverage for MCV2 was only 12.5% against the expected 25.0%, while the coverage for DPT booster and JE second dose (in JE-endemic districts) for the same period was 17.4%, and 14.2% respectively.

Rajasthan reported 0.0% coverage for MCV2 and Arunachal Pradesh reported the lowest DPT booster coverage at 9.4%. Jharkhand reported lowest (0.0%) JE 2nd dose coverage from JE-endemic districts.

Drop-out Rate (DPT1/Penta1 – DPT3/Penta3) Till June 2014, the national drop-out rate for DPT1–DPT3/ Penta1-Penta3 was -1.7%. In states/ UTs using Pentavalent, drop-out rate between the rst and the third dose is 1.2% whereas this rate in states/ UTs using DPT is -2.0%. Negative drop out means that the reported DPT3/Penta3 coverage is higher than the DPT1/Penta1 coverage.

All the states / UTs have reported negative drop-out except A & N Islands, Arunachal Pradesh, Chhattisgarh, Daman & Diu, Delhi, Goa, Jammu & Kashmir, Karnataka, Kerala, Lakshadweep, Maharashtra, Manipur, Meghalaya, Mizoram, Nagaland, Odisha, Puducherry, Tamil Nadu, Tripura and Uttar Pradesh.

The country continues to be polio free for more than three years; however, the HMIS data pertaining to polio case reporting remains an issue and needs immediate attention at all levels. In India 1 polio cases (from Karnataka) was reported till June 2014 in HMIS data.

3

AEFI REPORTING - HMIS PORTAL FOR JUNE 2014 As on 26 July 2014 & Serious AEFI MoHFW report Till June 2014

Till June 2014, the HMIS portal reported 352 AEFI deaths whereas the ministry had received documents only for 39 deaths (of the total 144 serious AEFI cases reported to ministry with documents).

Number of AEFI deaths reported in HMIS as against serious AEFI reported to MOHFW 타

States and UTs reported more AEFI deaths in HMIS than they did to MOHFW - Andhra Pradesh, Assam, Chhattisgarh, Delhi, Gujarat, Jharkhand, Karnataka, Maharashtra, Manipur, Meghalaya, Uttar Pradesh and Uttarakhand reported more number of deaths in HMIS than they did to MoHFW serious AEFI reports.

타

Bihar, Jammu & Kashmir, Kerala, Madhya Pradesh, Nagaland, Puducherry, Rajasthan, Tamil Nadu and West Bengal reported fewer cases in HMIS than it did to MOHFW.

WHO-NPSP CONCURRENT MONITORING DATA June 2014

Lowest percentage of children fully immunized in the WHO-NPSP monitored states and UTs: Punjab (53.0%).

State with high percentage of planned immunization sessions not held: Odisha (12%) and Haryana (10%).

State with high percentage of immunization sessions where Due list not available: Himachal Pradesh (100%) and Odisha (60%).

State with high percentage of immunization sessions where all vaccines were not available: Tamil Nadu (88%) and Rajasthan (58%).

4

MCTS PORTAL DATA FOR YEAR 2014-15 As on 30 June 2014

Only 42.31% of data entry for infant was done for the year 2014–15 on pro-rata basis at MCTS portal till June 2014, with lowest 13.55% being in Meghalaya.

Percentage of villages not mapped with any facility at MCTS portal: Total of 42.34% villages were not mapped in India. Rajasthan (100.0%) and Puducherry (97.6%) has the highest percentage of villages not mapped at MCTS portal.

All-India coverage for FIC is just 0.67%. Only Rajasthan, Karnataka and Tamil Nadu reported more than 1% coverage.

Antigen-wise all-India coverage against registered children in 2014–15: Ÿ

Hep B birth dose: 33.83% (A & N Islands, Chhattisgarh, Delhi, Manipur, Odisha, Tamil Nadu and Tripura reported less than 1% coverage)

Ÿ

BCG: 68.92% (A & N Islands, Delhi, Manipur, Odisha and Tripura reported less than 1%).

Ÿ

DPT3: 3.2% (All states and UTs except Arunachal Pradesh, Chhattisgarh, Karnataka, Rajasthan and Tamil Nadu reported less than 1% coverage)

Ÿ

Measles 1st dose coverage is just 0.77%. Only Rajasthan, Tamil Nadu and Karnataka reported more than 1% coverage.

IMMUNIZATION TRAINING DATA From NIHFW till June 2014

Only 55.6% of health staff are trained for routine immunization in India, with the lowest in Himachal Pradesh (6.0%) and West Bengal (6.0%).

5

DATA TABLES AUGUST’ 2014

6

ROUTINE IMMUNIZA

August

Sr. No

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35

State,UT and % FULLY IMMUNIZED EVALUATED COVERAGE*

India Nagaland Tripura Meghalaya Arunachal Pradesh Haryana U ar Pradesh Manipur Andhra Pradesh Tamil Nadu Gujarat Himachal Pradesh Assam Puducherry Maharashtra Madhya Pradesh Jammu & Kashmir Punjab Odisha Bihar Jharkhand Mizoram A&N Islands D&N Haveli Daman & Diu Lakshadweep Delhi Rajasthan Chha sgarh Karnataka West Bengal U arakhand Kerala Sikkim Chandigarh Goa

64.5 27.8 48.0 48.9 49.2 52.1 52.7 54.1 55.4 56.2 56.6 63.0 64.4 66.0 66.2 66.4 66.6 68.4 68.8 69.9 69.9 71.2 71.3 71.3 71.3 71.3 71.5 74.2 74.9 77.6 79.5 79.6 82.5 85.2 85.8 89.1

Total Es mated Children "NOT FULLY IMMUNIZED"** (In Lakhs)

No. of Planned Sessions "NOT HELD" (HMIS Cumula ve Jun-14)

94.6 0.2 0.3 0.4 0.1 2.7 26.4 0.2 6.6 5.1 5.7 0.4 2.5 0.1 6.5 6.6 0.8 1.4 2.6 9.1 2.6 0.1 0.0 0.0 0.0 0.0 0.9 4.7 1.6 2.6 3.1 0.4 0.9 0.0 0.0 0.0

96684 209 269 3052 309 1620 35187 613 3683 2347 2187 159 2212 60 3764 7026 2212 803 460 5378 3858 86 86 13 0 14 977 5328 3819 5359 2850 2659 27 7 51 0

Concurrent M

Field monitoring Field monitorin % Session "NOT % Due List "NO HELD" AVAILABLE"

10.1 7.3

27.7 16.0

7.7 3.7 3.8 0.0 0.0

25.5 11.5 20.0 100.0 20.0

5.8 7.7

50.9 40.6

5.8 11.8

45.7 60.0

8.8

23.2

0.0

50.0

1.9 1.1 0.0 3.2 0.9 8.6 0.0

39.6 19.5 23.1 48.2 45.0 58.7 13.6

0.0

0.0

Color and coverage criteria : Red - <60%, Yellow - >60% and <70%, Light Green - >70% and <80% and >80% - Green * Include AHS 2013 data(9 High Focus States), CES 2009 (Gujarat, Delhi, J & K, Nagaland, D & N H, A & N I, D & D and Lakshadweep) and ** For AHS states Immunization Coverage, Birth Rate and Infant Mortality Rate taken from Annual Health Survey and for rest of the state ***-Percentage of children aged between 9 and 11 months who have been fully immunised (BCG+DPT123+OPV123+Measles) # Source is NPSP Monitoring Data June 2014 ## Coverage of JE are calculated for the states and districts who introduced JE in RI # ##Source of training data - NIHFW RI Training Division - June-14 NR- No Report, NA- Not Applicable

ATION DASHBOARD

t 2014

Monitoring Data #

ng OT

% Sessions where All Vaccine were "NOT AVAILABLE"

HMIS - Cumula ve ll June 14 % Coverage (Expected for 3 months-25.0%) Field monitoring % "FULLY IMMUNIZED"

16.8 28.1

68.0 59.1

27.1 88.5 37.3 0.0 57.1

84.4 91.7 80.1

32.1 52.8

57.4 64.0

27.2 33.3

53.2 80.0 69.1 75.7

42.0

88.6

0.0 21.3 58.1 30.8 33.0 15.8 40.9 54.5

58.3 81.4 66.7 68.3 79.8 72.7 0.0

0.0

79.4

JE## BCG

Fully Immunized***

MCV2

19.0 20.8 23.9 30.9 16.1 17.8 17.3 27.5 23.4 21.2 20.7 20.9 19.1 41.2 21.5 15.0 21.1 20.5 21.8 14.2 20.1 32.3 23.1 19.9 17.5 15.9 17.8 17.3 19.0 24.0 23.9 21.7 14.2 16.6 32.4 20.7

19.5 14.9 20.8 23.7 11.4 17.8 18.9 21.7 24.6 20.4 19.9 24.1 18.7 17.0 24.1 16.9 22.5 24.5 19.4 14.3 18.4 23.7 17.7 17.4 18.5 21.0 26.2 17.7 17.9 22.4 22.6 22.8 15.4 19.7 24.5 20.5

12.5 11.9 14.8 17.7 5.7 18.6 8.2 12.9 8.9 20.1 15.0 22.9 16.5 17.0 17.6 10.1 15.5 24.3 18.6 11.8 15.2 23.8 7.6 13.0 15.7 9.6 4.4 0.0 13.4 16.9 22.6 19.4 0.4 18.1 21.6 26.2

1st 2nd Dose Dose 11.1 11.2 NA NA 1.8 18.1 9.3 4.2 4.1 22.0 NA NA 13.8 NA 13.3 NA NA NA NA 16.0 0.0 NA NA NA NA NA NA NA NA 17.9 14.3 26.1 1.9 NA NA 19.9

14.2 17.1 NA NA 2.5 18.2 14.4 4.0 8.2 22.7 NA NA 13.2 NA 15.2 NA NA NA NA 18.5 0.0 NA NA NA NA NA NA NA NA 16.1 14.6 22.1 9.1 NA NA 22.3

Measles cases Reported

Reported Serious AEFI (FIR) Jun-14

% of Health StaďŹ&#x20AC; Trained###

25370 29 139 211 105 63 7790 40 1119 38 978 2 1160 64 1250 1032 298 7 228 987 584 69 5 11 12 0 710 215 329 924 6661 190 76 13 16 15

144 1 1 NR NR 8 13 NR 3 12 5 NR 11 1 14 1 9 NR 3 3 NR NR NR NR NR NR 6 2 1 2 8 NR 35 NR NR 5

56 254 135 25 61 109 11 31 107 20 70 6 77 19 87 66 35 122 102 25 81 31 77 14 77 24 40 40 18 96 6 89 103 76 52 79

HMIS Data as on - 26.07.2014

d DLHS 4 data for rest of the states all these indicators taken from SRS Dec 11. For population Census 2011 data has been taken

Prepared by ITSU-MoHFW

8

MONTHLY PROGRAM

August

State/UT

S. No

Es mated HepB0Popula on of Coverage Infants 2014-15 against (in lakhs) Ins tu onal Delivery

India

Coverage for Immuniza on in % ( against Total Es mated Popula Expected Annualized Coverage - 25.0 %

BCG

DPT1

Penta1

DPT3

Penta3

HepB-3

MCV 1

MCV 2 *

A

B.1

B.2

B.3

B.4

B.5

B.6

B.7

B.8

B.9

260.91

63.7

19.0

19.5

20.0

19.9

19.7

15.8

19.7

12.5

1

A&N Islands

0.06

56.5

23.1

20.6

0.0

19.4

0.0

19.3

19.1

7.6

2

Andhra Pradesh

14.62

107.0

23.4

21.1

0.1

21.8

0.1

21.7

22.4

8.9

3

Arunachal Pradesh

0.27

69.7

16.1

14.6

0.0

13.8

0.0

13.5

12.2

5.7

4

Assam

6.92

37.2

19.1

22.0

0.0

22.2

0.0

21.7

19.0

16.5

5

Bihar

28.84

90.9

14.2

15.9

0.0

18.1

0.0

17.9

14.6

11.8

6

Chandigarh

0.18

78.7

32.4

19.6

5.0

21.8

4.2

22.4

24.8

21.6

7

Chha sgarh

6.24

71.4

19.0

19.0

0.0

18.8

0.0

18.6

18.1

13.4

8

D&N Haveli

0.10

79.6

19.9

16.6

0.0

17.7

0.0

16.9

17.6

13.0

9

Daman & Diu

0.05

84.1

17.5

16.6

0.0

16.3

0.0

16.1

18.6

15.7

10

Delhi

3.13

86.0

17.8

3.5

16.0

4.4

15.9

4.2

30.0

4.4

11

Goa

0.21

66.8

20.7

0.2

22.2

0.1

21.4

0.2

24.0

26.2

12

Gujarat

12.82

30.5

20.7

1.0

19.3

0.9

19.4

0.2

20.2

15.0

13

Haryana

5.55

64.6

17.8

0.1

16.9

0.3

18.8

0.4

19.6

18.6

14

Himachal Pradesh

1.11

90.4

20.9

20.9

0.0

22.6

0.0

22.6

24.1

22.9

15

Jammu & Kashmir

2.21

79.7

21.1

0.8

21.4

0.6

19.3

0.7

22.1

15.5

16

Jharkhand

8.22

56.5

20.1

20.7

0.0

20.9

0.0

20.6

18.9

15.2

17

Karnataka

11.33

70.7

24.0

0.7

23.7

0.6

23.1

0.6

22.3

16.9

18

Kerala

5.03

30.3

14.2

0.1

16.3

0.1

15.4

0.0

15.6

0.4

19

Lakshadweep

0.01

61.1

15.9

22.3

0.0

20.4

0.0

21.4

28.1

9.6

20

Madhya Pradesh

19.24

82.6

15.0

16.5

0.0

17.3

0.0

17.2

17.5

10.1

21

Maharashtra

19.04

35.8

21.5

24.4

0.1

23.7

0.1

23.4

23.9

17.6

22

Manipur

0.43

21.2

27.5

28.3

0.0

27.4

0.0

24.7

22.9

12.9

23

Meghalaya

0.70

54.4

30.9

31.4

0.0

27.7

0.0

26.4

24.7

17.7

24

Mizoram

0.18

34.0

32.3

28.2

0.0

28.2

0.0

28.8

24.4

23.8

25

Nagaland

0.31

67.2

20.8

19.9

0.0

19.0

0.0

18.3

16.1

11.9

26

Odisha

8.14

71.1

21.8

20.1

0.0

19.8

0.0

19.8

19.6

18.6

27

Puducherry

0.23

90.7

41.2

5.7

15.0

2.4

12.8

2.4

17.2

17.0

28

Punjab

4.45

64.8

20.5

21.3

0.0

24.7

0.0

24.6

24.7

24.3

29

Rajasthan

17.79

65.4

17.3

17.8

0.0

18.2

0.0

18.0

18.1

0.0

30

Sikkim

0.11

90.6

16.6

15.8

1.2

17.5

0.7

17.6

19.8

18.1

31

Tamil Nadu

11.32

88.1

21.2

0.0

21.0

0.0

20.4

0.0

21.6

20.1

32

Tripura

0.52

44.8

23.9

26.9

0.0

26.4

0.0

25.3

23.7

14.8

33

U ar Pradesh

54.99

55.5

17.3

18.7

0.0

18.0

0.0

17.4

18.5

8.2

34

U arakhand

1.89

72.9

21.7

22.9

0.0

24.3

0.0

24.0

23.9

19.4

35

West Bengal

14.67

62.3

23.9

23.0

0.0

24.5

0.0

24.0

23.7

22.6

Fully

-Pentavalent states - Coverage calculated from states pentavalent coverage reports.

NR - Data not reported * MMR coverage is taken for the states (Delhi, Goa, Sikkim and Puducherry) giving MMR in Immunization Schedule and for the rest of the **Percentage of children aged between 9 and 11 months who have been fully immunised (BCG+DPT123+OPV123+Measles) # Negative ď&#x20AC; gure indicate that there is no drop-out but increase from DPT1/Penta1 to DPT3/Penta3

MONITORING (HMIS)

t 2014

Detailed HMIS Data (Cumula ve ll June - 2014)

a on)

y Immunized**

Number of Cases of Childhood Diseases Reported

DPT Booster

Drop Out DPT1-DPT3 Penta1-Penta3

No. of Planned Sessions NOT HELD Diptheria

Pertusis

Tetanus Neonatarum

Measles

AEFI Cases

Abscess

Death

Others

B.10

B.11

B.12

C

D.1

D.2

D.3

D.5

E.1

E.2

E.3

19.5

17.4

-1.7

96684

2413

219

154

25370

7237

352

46970

17.7

18.0

6.0

86

0

0

0

5

0

0

38

24.6

19.9

-3.1

3683

361

25

20

1119

238

230

375

11.4

9.4

5.8

309

1

0

0

105

0

0

5

18.7

17.9

-0.7

2212

16

6

0

1160

74

27

530

14.3

13.8

-13.6

5378

91

11

24

987

1333

0

3113

24.5

24.0

-11.4

51

10

0

0

16

0

0

0

17.9

16.0

0.9

3819

16

0

0

329

536

2

3716

17.4

14.8

-6.6

13

0

0

0

11

0

0

0

18.5

17.2

1.8

0

0

3

0

12

1

0

0

26.2

20.4

1.1

977

9

1

0

710

13

7

20

20.5

27.2

3.5

0

0

0

0

15

1

0

2

19.9

17.9

-0.5

2187

102

4

2

978

255

6

3615

17.8

19.5

-11.2

1620

0

0

0

63

130

2

706

24.1

23.3

-8.1

159

0

0

0

2

3

0

7

22.5

18.4

9.6

2212

0

0

0

298

51

0

17

18.4

16.5

-1.0

3858

8

6

0

584

1647

16

1525

22.4

19.6

2.7

5359

500

3

0

924

110

7

1152

15.4

17.2

5.5

27

0

12

0

76

16

0

337

21.0

16.0

8.5

14

47

0

0

0

0

0

0

16.9

14.8

-4.4

7026

10

0

4

1032

215

0

974

24.1

22.2

2.9

3764

4

2

0

1250

60

19

4097

21.7

21.3

3.2

613

0

0

0

40

1

1

0

23.7

21.0

11.8

3052

46

1

0

211

6

4

8

23.7

26.3

0.2

86

0

0

0

69

7

0

18

14.9

13.9

4.7

209

0

0

0

29

21

0

0

19.4

18.9

1.3

460

0

0

0

228

587

2

15909

17.0

17.1

14.6

60

0

0

0

64

29

0

1050

24.5

24.3

-15.7

803

0

0

0

7

24

0

410

17.7

13.6

-2.5

5328

11

77

0

215

42

1

60

19.7

19.9

-10.8

7

0

0

0

13

0

0

20.4

20.8

2.9

2347

NR

NR

NR

38

497

20.8

21.3

1.8

269

0

0

0

139

10

1

3

18.9

14.6

3.7

35187

1180

68

104

7790

1060

18

614

22.8

21.4

-5.7

2659

0

0

0

190

25

8

272

22.6

23.5

-6.6

2850

1

0

0

6661

245

1

4076

1 4320

HMIS Data as on - 26.07.2014

e states MCV 2 Coverage has been taken

Prepared by ITSU-MoHFW

10

MONTHLY PROGRAM

August

*Registra on Details State/Country

S.No.

India

**Facili es not repor ng on MCTS Server

% of Villages not Registered Pro-Rata % of Es mated Count mapped with Children during Data Entry in of Infants 2014-15 any sub-facility 2014-2015 2014-2015 Jun-14

District

Block

Health Facility

Hep

A

B

C

D

E.1

E.2

E.3

F.1

2,72,23,862

37,54,960

42.31

42.34

0.34

12.12

31.17

33.8

15,24,900

2,97,916

59.92

37.90

0.00

2.26

12.81

67.0

6,200

433

21.42

42.69

0.00

77.78

79.41

0.0

1

Andhra Pradesh

2

A&N Islands

3

Arunachal Pr.

28,000

1,767

19.36

42.33

6.25

69.31

67.91

38.7

4

Assam

7,32,100

55,157

23.11

58.22

0.00

3.47

23.99

14.7

5

Bihar

30,12,800

2,95,438

30.08

20.56

0.00

12.36

44.30

25.3

6

Chandigarh

18,200

3,441

57.99

18.52

0.00

0.00

17.78

79.2

7

Chha sgarh

6,55,000

78,377

36.70

5.26

0.00

1.36

16.98

0.0

8

D&N Haveli

10,100

1,666

50.59

3.85

0.00

0.00

11.11

68.1

9

Daman & Diu

5,100

1,280

76.98

2.70

0.00

0.00

0.00

33.8

10

Delhi

3,20,400

28,788

27.56

83.04

0.00

0.00

13.46

0.0

11

Goa

20,900

2,841

41.69

0.55

0.00

8.33

3.45

57.9

12

Gujarat

13,32,900

2,21,913

51.07

0.03

0.00

0.00

14.11

2.1

13

Haryana

5,78,300

59,114

31.35

22.39

0.00

14.89

22.68

27.2

14

Himachal Pradesh

1,15,662

22,871

60.65

78.10

0.00

0.00

19.10

69.0

15

Jammu & Kashmir

2,30,100

21,096

28.12

8.34

0.00

4.17

34.66

62.7

16

Jharkhand

8,53,700

47,188

16.95

50.10

0.00

18.27

60.48

25.0

17

Karnataka

11,69,800

82,941

21.75

25.26

0.00

12.99

84.53

56.5

18

Kerala

5,09,300

1,38,576

83.46

14.39

0.00

1.86

7.20

48.0

19

Lakshadweep

1,000

63

19.32

70.37

0.00

70.00

70.00

76.1

20

Madhya Pradesh

20,37,600

4,26,591

64.22

21

Maharashtra

19,51,900

3,46,636

54.47

22

Manipur

39,000

1,946

15.30

33.62

11.11

56.41

56.00

0.0

23

Meghalaya

74,400

3,287

13.55

29.23

0.00

20.51

45.26

10.8

24

Mizoram

18,600

1,628

26.85

59.53

0.00

0.00

52.63

33.8

25

Nagaland

32,100

1,717

16.41

10.10

0.00

30.70

38.50

42.7

26

Odisha

8,60,100

1,50,112

53.53

10.26

0.00

0.64

8.17

0.0

27

Puducherry

22,600

1,801

24.44

97.62

0.00

0.00

12.96

90.6

28

Punjab

4,57,400

71,659

48.05

5.50

0.00

1.12

62.56

49.0

29

Rajasthan

18,70,000

3,03,269

49.74

100.00

0.00

0.00

19.51

40.5

30

Sikkim

10,900

1,156

32.53

24.49

0.00

6.25

9.09

75.2

31

Tamil Nadu

11,56,100

3,29,120

87.32

2.87

0.00

8.78

0.12

0.0

32

Tripura

53,100

9,603

55.47

53.71

0.00

15.00

19.83

0.0

33

U ar Pradesh

58,04,200

5,07,431

26.82

82.69

0.00

22.67

27.15

21.9

34

U arakhand

1,95,700

26,754

41.93

27.66

0.00

1.05

48.96

43.8

35

West Bengal

15,15,700

2,11,384

42.78

85.24

0.00

1.17

60.35

29.0

Source of information : Scheduled Reports from MCTS portal as mentioned below *

Health Facili es not Repor ng in the MCTS Portals (June-14)

A- State wise Mother & Child Count ** L-District wise facilities not entering data *** H- State & District Dashboards NR - No Report

NR

72.3

NR

25.6

MONITORING (MCTS)

t 2014

***Infant Immuniza on Service details (%)

p B0

BCG

DPT1

Penta1

DPT3

Penta3

Hep B3

MCV1

MCV2

Fully Immunized

JE

DPT Booster

1

F.2

F.3

F.4

F.5

F.6

F.7

F.8

F.9

F.10

F.11

F.12

Drop out DPT1DPT3 H.1

83

68.92

22.98

5.28

3.20

0.59

3.33

0.77

0.01

0.67

0.03

0.12

86.29

05

78.95

22.70

0.00

0.03

0.00

0.03

0.00

0.00

0.00

0.00

0.00

99.89

00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

73

79.73

30.40

0.00

2.56

0.00

2.74

0.64

0.00

0.06

0.00

0.70

97.51

76

44.07

26.92

0.00

0.18

0.00

0.17

0.00

0.00

0.00

0.00

0.00

99.37

39

42.49

6.50

0.00

0.33

0.00

0.32

0.16

0.01

0.03

0.02

0.08

97.47

22

95.92

30.71

0.80

0.03

0.00

0.03

0.00

0.00

0.00

0.00

0.00

99.90

00

54.63

28.56

0.00

1.03

0.00

9.42

0.00

0.00

0.00

0.00

0.00

96.60

10

88.37

20.40

0.00

0.12

0.00

0.12

0.00

0.00

0.00

0.00

0.00

99.39

86

44.87

25.44

0.00

0.25

0.00

0.25

0.00

0.00

0.00

0.00

0.00

99.02

00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

90

90.18

0.04

33.03

0.00

0.19

0.00

0.00

0.00

0.00

0.00

0.00

100.00

14

74.02

0.03

43.98

0.01

6.26

0.00

0.02

0.00

0.01

0.00

0.01

57.58

20

59.39

0.18

21.18

0.00

0.54

0.00

0.01

0.00

0.00

0.01

0.00

100.00

05

88.13

27.27

0.03

0.13

0.00

0.14

0.00

0.00

0.00

0.00

0.00

99.55

78

83.41

1.74

28.78

0.03

0.60

0.00

0.00

0.00

0.00

0.00

0.00

99.73

01

68.28

12.72

0.00

0.22

0.00

0.35

0.04

0.00

0.00

0.00

0.01

99.06

59

59.29

2.48

9.83

1.74

4.93

1.67

3.71

0.14

3.00

0.38

0.90

30.04

09

87.85

0.27

35.92

0.00

0.68

0.00

0.00

0.00

0.00

0.00

0.00

99.71

19

76.19

33.33

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

100.00

33

79.39

22.20

0.00

0.43

0.00

0.43

0.01

0.00

0.00

0.00

0.00

98.11

66

68.31

30.29

0.05

0.92

0.00

0.94

0.02

0.00

0.01

0.00

0.01

96.99

00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

86

59.32

15.33

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

100.00

86

71.47

29.53

0.00

0.69

0.00

0.69

0.00

0.00

0.00

0.00

0.00

97.66

79

88.51

33.81

0.00

0.12

0.00

0.12

0.18

0.00

0.00

0.06

0.12

99.82

00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

61

93.29

0.57

59.10

0.00

1.14

0.00

0.00

0.00

0.00

0.00

0.00

100.00

00

71.70

23.68

0.01

0.68

0.00

0.68

0.00

0.00

0.00

0.00

0.00

97.20

53

55.44

34.10

0.00

16.81

0.00

16.22

6.03

0.10

5.69

0.00

0.91

50.72

24

86.18

39.72

0.35

0.70

0.00

0.70

0.00

0.00

0.00

0.00

0.00

98.24

00

96.75

66.11

0.00

17.23

0.00

17.11

1.08

0.00

1.06

0.00

0.00

73.95

00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

99

62.19

20.31

0.00

0.43

0.00

0.52

0.17

0.00

0.01

0.11

0.04

98.56

83

82.58

25.74

0.00

0.26

0.00

0.28

0.01

0.00

0.00

0.00

0.00

99.34

07

70.13

27.15

0.00

0.26

0.00

0.32

0.01

0.00

0.00

0.00

0.00

99.11

MCTS Data as on - 30.07.2014

Prepared by ITSU-MoHFW

12

MONTHLY PROGRAM

August

Serious Events

Sr. No.

State

All India

Total AEFI cases reported #

144

No of FIR received

No of FIR No of PIR received received on me

No of cases completely No of PIR No of DIR No of DIR inves gated received received received (FIR+ on me on me PIR+DIR received)

142

32

66

28

1

2

1

3

1

1

1

1

1

1

`

ANDHRA PRADESH

3

3

2

ASSAM

11

11

3

BIHAR

3

3

4

CHHATTISGARH

1

1

5

DELHI

6

6

6

GOA

5

5

7

GUJARAT

5

5

8

HARYANA

8

8

4

6

3

1

4

1

9

JAMMU & KASHMIR

9

9

10

KARNATAKA

2

2

11

KERALA

35

35

12

MADHYA PRADESH

1

1

13

MAHARASHTRA

14

14

NAGALAND

15

ODISHA

16

PUDDUCHERRY

17

RAJASTHAN

2

2

18

TAMIL NADU

12

19

TRIPURA

20 21 22

A&N ISLANDS

23

ARUNACHAL PRADESH

24

CHANDIGARH

25

D&N HAVELI

26

DAMAN & DIU

27

HIMACHAL PRADESH

28

JHARKHAND

29

LAKSHADWEEP

30

MANIPUR

31

MEGHALAYA

32

MIZORAM

33

PUNJAB

34

SIKKIM

35

UTTARAKHAND

1

15

14

15

Deaths

Hospitaliz a on

Cluster cases##

39

77

18

1

1

9

2

1

3

1

1

1

1

1

1

4

4

4

1

1

1

1 5 3

4

1 6

17

3

2

2

2

13

6

7

6

4

3

4

1

1

1

1

1

3

2

2

3

1

1

1 2

3

3

6

1

1

3

31

4

1 2

5

1 2 1

1

1

1

1

1

1

1

12

7

4

2

10

1

1

1

1

1

UTTAR PRADESH

13

13

5

7

2

WEST BENGAL

8

8

1

2

2

1

1

1

# AEFI cases inlcudes any notiď&#x20AC; cation either from FIR, PIR or DIR ## include 11 cluster Hospitalized cases from Assam (9), Gujarat (1) & Maharashtra (1) ### inludes community and parental concern cases, disability, recovered or not known cases * includes cases from DT , TT , MMR, Vit A, Rotarax, Rubella or JE etc Grey shaded states not reported any serious AEFI by direct reporting but reported in HMIS NR - Not reported Against Total AEFIs reported, More than one Antigen possible in one case All the data is cumulative for the period April 2014 to June 2014 to MoHFW by all states

1

1

9

3

4

4

5

O

M MONITORING (AEFI)

t 2014

Vaccine An gen Wise (Mul pe an gen reported in one FIR)

Others## #

BCG

HEP-B

DPT

OPV

Penta

Measles

10

8

29

65

93

40

22

2

2

2

3

1

1

1

1

1

2

3

1

1

1

1

1

3

1

1 2

1

1

51

36

Injec on Reac on

Program Error

Unknown

6

1

4

11

2

1

1

1

3

2

2

54207

1

230

613

11

27

2

1

5

6

1

1

2

8

6

1

2

1

21

27

11

1

1

1

5

7

6

1

1

1

1

3

3

4252 33

1

6

3870

1

3

2

836

1

8 7

1262

5

1

3

1 3

26

14

1

7

5

2

1

1 1

1

3

68

19

353

1 2

1189

7

19

4157

1

2

16496

1

21

2 1

1

1

5

6

1

1

1

1

7

9

10

3

4

1

5

4

6

1

1

1079 2

6

604 4446

7

5

4

1

1

352

2 1

3

Serious AEFI Non serious (Deaths) AEFI

86

1

4

2

AEFI cases reported (HMIS) Not Classified

Vaccine Reac on

9

3

1

2

Coinciden Others* tal

1 3

2

Working hypothesis (District AEFI commi ee) / Causality Classifica on (State AEFI Commi ee)

6

5

1

1 3

1

6

102 4817

1

13

3

7

18

1674

2

6

1

4321 38 5

1 10 16

3172

1

1

4

14 25 434 1

8

297

Status as on - 23.07.2014

Prepared by ITSU-MoHFW

14

GRAPHS AND CHARTS HMIS 2014 -15 (Data June 2014)

Table 1.

Timeliness of HMIS Data (Districts Reporting HMIS Data by 20th of Next Month) States/Uts

No of Districts

No of Districts Reported on Schedule Apr May June 621 571 631 14 15 14

India Arunachal Pradesh

663 16

Bihar

38

25

21

30

Haryana

21

21

6

14

Himachal Pradesh

12

12

0

10

Kerala

14

14

3

5

Maharashtra Manipur Meghalaya Mizoram Nagaland Odisha Puducherry Punjab Rajasthan Tamil Nadu West Bengal

34 9 11 9 11 30 4 20 33 32 19

34 9 6 9 11 29 4 20 20 25 18

33 9 9 8 10 21 3 19 22 23 18

34 8 11 9 10 30 4 20 32 30 19

Name of Districts not Reported on schedule in June 2014

Dibang Valley and West Kemang Banka, Bhojpur, Jamui , Jehanabad , Samas pur , Sheikhpura, Sheohar and Sitamarhi Ambala, Bhiwani , Faridabad , Kurukshetra , Mewat , Panchkula and Panipat Chamba and Sirmaur Alappuzha, Ldukki , Kannur , Kasargod , Kollam ,Mallapuram, Pathanamthi a , Thiruvananthapuram and Wayanad Thoubal

Pheren

Rajsamand Chennai and Krishangiri

Graph1: Projected Full Immunization Coverage (in Percentage) for Year 2014-15 100.0

100.0

90.0

86.7

80.0

78.0

70.0 60.0 50.0 40.0 25.0

30.0 20.0

19.5 17.9

10.0 0.0 Apr

May

Jun

Jul

Aug

Sep

Oct

Monthly Expected Achievement Achievement for Year 2013-14 Achievement ll June 2014 and projected for Year 2014-15

Nov

Dec

Jan

Feb

Mar

15

Map 1: Coverage of MCV2 (HMIS- expected 25.0% in three month) Jammu and Kashmir

Himachal Pradesh Chandigarh

Punjab

Uttarakhand

Haryana Delhi

Arunachal Pradesh Sikkim

Uttar Pradesh

Rajasthan

Assam Bihar

Nagaland

Meghalaya

Manipur Tripura

Jharkhand West Bengal

Madhya Pradesh

Gujarat

< 20%

Mizoram

< 20% - 40%

Chhattisgarh Orissa

Daman and Diu

Dadra and Nagar Haveli

< 40% - 60%

Maharashtra

< 60% - 80% Andhra Pradesh

> 80%

Goa Karnataka

Pondicherry

Tamil Nadu Kerala Andaman and Nicobar Islands Lakshadweep

Map 2: Coverage of DPT Booster (HMIS- expected 25.0% in three month) Jammu and Kashmir

Himachal Pradesh Chandigarh

Punjab

Uttarakhand

Haryana Delhi

Rajasthan

Arunachal Pradesh Sikkim

Uttar Pradesh

Assam Bihar

Nagaland

Meghalaya

Manipur Tripura

Jharkhand West Bengal

Madhya Pradesh

Gujarat

Mizoram

Chhattisgarh

Daman and Diu

Orissa Dadra and Nagar Haveli

< 20%

Maharashtra

< 20% - 40% Andhra Pradesh

< 40% - 60%

Goa Karnataka

< 60% - 80% Pondicherry

> 80%

Tamil Nadu Kerala Andaman and Nicobar Islands Lakshadweep

16

Graph3: Drop-Out Rate

DPT1/Penta1 to DPT3/Penta3 Drop-out 20.0 14.6 11.8 9.6

10.0

8.5 6.0

5.8

5.5

4.7

3.7

3.5

3.2

2.9

2.9

2.7

1.8

1.8

1.3

1.1

0.9

0.2

0.0

DPT1/Penta1 to DPT3/Penta3 Drop- out

0.0 -0.5

-10.0

-0.7

-1.0

-2.5

-3.1

-4.4

-5.7

-6.6

-6.6

-8.1 -10.8 -11.2 -11.4 -13.6 -15.7

-20.0

17

Table 2. % Reason for Children not being Fully Immunized (June 2014)

% Reason for Children not Being Fully Immunized Chandigarh

100

Punjab

0

80

Maharashtra

18

27

45

Karnataka

36

U arakhand

36

Haryana

4

24

28

9

38

33

49

Delhi

52

Rajasthan

24

12

23

8

30

13

6

8

7

32

13

Andhra Pradesh 0

20

45

100

West Bengal

42

Jharkhand

35

31

6

22

Assam 0

17

28

18

100

Gujarat

44

0

19

Madhya Pradesh

3

34

83

U ar Pradesh

32 0%

10%

10

30 20%

30%

Awareness & informa on gap

40%

50%

AEFI gap

10 60%

70%

Opera onal gap

0 7

27 80%

90%

100%

Others

Source: HTH monitoring - WHO-NPSP

18

FEEDBACK OF HMIS DATA ON CHILD IMMUNIZATION June 2014 (14 States)

Antigen Wise Coverage States A&N Islands Chandigarh D&N Haveli Daman & Diu Goa Himachal Pradesh Karnataka Kerala Lakshadweep Maharashtra Puducherry Punjab Sikkim Tamil Nadu

BCG 23 32 20 18 21 21 24 14 16 21 41 20 17 21

Coverage - Jun- 2014 Cumula ve (25 % annualised) Hep B-0 DPT1 Penta1 DPT3 Penta3 (Against Ins. HepB3 MCV 1 MCV 2 Delivery) 21 20 17 17 0 21 1 0 22 24 6 21 16 0

0 5 0 0 22 0 24 16 0 0 15 0 1 21

19 22 18 16 0 23 1 0 20 24 2 25 17 0

0 4 0 0 21 0 23 15 0 0 13 0 1 20

56 79 80 84 67 90 71 30 61 36 91 65 91 88

19 22 17 16 0 23 1 0 21 23 2 25 18 0

19 25 18 19 24 24 22 16 28 24 17 25 20 22

8 22 13 16 26 23 17 0 10 18 17 24 18 20

FIC 18 25 17 18 20 24 22 15 21 24 17 24 20 20

JE-1st JE-2nd DPT Dose Dose Booster NA NA NA NA 20 NA 18 2 NA 13 NA NA NA 22

Full Immunization Coverage Fully Immunized Coverage-Till Jun-Year 2014-15(25.0% annualised)

Fully Immunized - Till Jun - 14

Fully Immunized Projected for year 2014-15

NA NA NA NA 22 NA 16 9 NA 15 NA NA NA 23

18 24 15 17 27 23 20 17 16 22 17 24 20 21

19

Hepatitis B birth Dose

Hep Birth dose coverage (Against Ins. Delivery) Till June 2014-15 100 90 80 70 60 50 40 30 20 10 0

91

91

90

88

84

80

79

71

67

65

61

56 36

30

MCV2 Coverage MCV2 coverage Till June 2014-15 (Annualised 25.0%) 30 25 20 15 10 5 0

26

24

23

22

20

18

18

17

17

16 13 10

8 0

20

Session Not Held Against Planned

Drop-out Rate DPT1/ Penta1 to DPT3/Penta3

21

AEFI Reporting

Routine Immunization Trainings

States A&N Islands Chandigarh D&N Haveli Daman & Diu Goa Himachal Pradesh Karnataka Kerala Lakshadweep Maharashtra Puduchery Punjab Sikkim Tamil Nadu

Health Worker 125.8% 54.8% 0.0% 83.3% 88.8% 0.0% 108.7% 86.4% 14.5% 151.1% 0.0% 88.6% 58.7% 0.0%

% Health Staff Training Cold chain handles 100.0% 40.0% 0.0% 0.0% 65.7% 28.5% 42.9% 149.2% 375.0% 75.3% 123.3% 430.7% 227.5% 100.0%

Medical Officer 29.3% 74.7% 100.0% 91.7% 71.3% 9.6% 122.6% 91.9% 31.6% 51.4% 100.0% 105.5% 185.9% 82.2%

Total Health Staff 77.3% 52.1% 13.7% 77.4% 79.0% 6.5% 95.6% 102.8% 24.3% 86.5% 19.3% 122.3% 75.9% 19.6%

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STATE SPECIFIC ISSUES Need Clarication

A & N Islands Low coverage of Hep B Birth dose (56.5%) against institutional deliveries.

Low coverage of DPT3 (19.4%), Hep B3 (19.3%), Measles rst dose (19.1%), Measles second dose (7.6%), FIC (17.7%) and DPT Booster (18.0%) against expected (25.0%).

More than 5 % Planned RI Session not held till June 2014.

Chandigarh Low coverage of Hep B Birth dose (78.7%) against institutional deliveries Low coverage of DPT1 (19.6%) against expected (25.0%).

Over reporting of BCG (32.4%) against expected (25.0%).

DPT1-DPT3 dropout rate is negative (-11.4%). Negative drop out means that the reported DPT3 coverage is higher than the DPT 1 coverage.

D & N Haveli Low Coverage of BCG (19.9%), DPT1 (16.6%), DPT3 (17.7%), Hep B3 (16.9%), Measles rst dose (17.6%), Measles second dose (13.0%), Full Immunization (17.4%) and DPT Booster (14.8%) against expected (25.0%).

DPT1-DPT3 dropout rate is negative (-6.6%). Negative drop out means that the reported DPT3 coverage is higher than the DPT 1 coverage.

Daman & Diu Low coverage of BCG (17.5%), DPT1 (16.6%), DPT3 (16.3%), Hep B3 (16.1%), Measles rst dose (18.6%), Measles second dose (15.7%), Full Immunization (18.5%) and DPT Booster (17.2%) against expected (25.0%).

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Goa Low coverage of Hep B Birth dose (66.8%) against institutional deliveries.

Over reporting of Measles second dose (26.2%) and DPT Booster (27.2%) against expected (25.0%).

No AEFI death reported in HMIS till June 14 but 5 FIR sent by State for serious AEFI cases which need clariď&#x20AC; cation.

Himachal Pradesh Total 02 districts (Chamba & Sirmaur) out of 12 districts did not report for the month of June-14.

DPT1-DPT3 dropout rate is negative (-8.1%), mainly from Hamirpur (20.4%), Una (-22.0%), Kangra (-17.8%), Mandi (-10.4%). Negative drop out means that the reported DPT3 coverage is higher than the DPT 1 coverage.

State is also reporting the immunization data on JE 1st (2 Doses), JE 2nd (5 Doses) in June 2014, though JE is not a part of UIP program in the state.

Karnataka Low coverage of HepB birth dose (70.7%) against institutional delivery.

Low coverage of Measles second dose (16.9%), DPT Booster (19.6%), JE 1st Dose (17.9%) and JE second dose (16.1%) against expected coverage (25.0%).

More than 5 % Planned RI Session not held till June 2014.

State has reported 500 cases of Diphtheria which is second highest in the Country.

State has reported one Polio case from Belgaum district.

Total 7 AEFI deaths reported (Bijapur-5, Ramnagar-2) in HMIS till June 2014, but 2 FIR sent by State for serious AEFI cases which need clariď&#x20AC; cation.

State is also reporting the immunization data on MMR (13790 doses) in June 2014, though MMR is not a part of UIP program in the state.

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Kerala Total nine districts out of 14 districts did not report for the month of June14.

Low coverage of HepB birth dose (30.3%) against institutional delivery.

Low coverage of BCG (14.2%), Penta 1 (16.3%), Penta 3 (15.4%), Measles rst dose (15.6%), Measles second dose (0.4%), FIC (15.4%), DPT Booster (17.2%), JE 1st Dose (1.9%) and JE 2nd Dose (9.1%) against expected (25.0%).

State has sent 35 FIRs against AEFI death cases but no death reported by the State in HMIS data which needs clarication.

State is reporting the immunization data on MMR (85095 doses) till June 2014, though MMR is not a part of UIP program in the state.

Lakshadweep Low coverage of HepB birth dose (61.1%) against institutional delivery.

Low coverage of BCG (15.9%), Measles second Dose (9.6%) and DPT Booster (16.0%) against expected (25.0%).

Over reporting of Measles rst dose (28.1%).

More than 5 % Planned RI Session not held till June 2014.

Maharashtra Low coverage of HepB birth dose (35.8%) against institutional delivery Low coverage of Measles second dose (17.6%) JE 1st dose (13.3%) and JE 2nd dose (15.2%) against expected (25.0%).

State has reported 1250 cases of Measles which is third highest in the country.

Total 19 AEFI deaths reported in HMIS mostly from Buldana-11, Bid-3, Gadchiroli-2, Satara-1, Ahmadnagar-1, Thane-1 till June 2014, but only 14 FIRs sent by State for serious AEFI cases which need clarication.

State is reporting the immunization data on MMR (295551 doses) till June 2014, though MMR is not a part of UIP program in the state.

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Puducherry Low coverage of Penta 1 (15.0%), Penta3 (12.8%), Measles rst dose (17.2%), Measles second dose (17.0%), Full Immunization (17.0%) and DPT Booster (17.1%) against expected (25.0%).

Over reporting of BCG (41.2%) against expected (25.0%).

State Reported (14.6%) Penta1-Penta3 dropout rate till June-14.

State has sent 1 FIR against AEFI death cases but no death reported by the State in HMIS data which needs clarication.

State is also reporting the immunization data on JE-1st Dose (1) till June 2014, though JE is not a part of UIP program in the state.

Punjab Low coverage of HepB birth dose (64.8%) against institutional delivery.

DPT1-DPT3 dropout rate is negative (-15.7%), mainly from Nawashahar (-34.9%), Gurdaspur(-25.8%), Kapoorthala (-25.3%), Taran Taran (24.5%), Hoshiyarpur (-23.0%), Patiala (-21.7%) and Barnala (-21.4%).

State is also reporting the immunization data on JE 1st (496 Doses), JE 2nd (15 Doses) till June 2014, though JE is not a part of UIP program in the state.

Sikkim Low coverage of BCG (16.6%), DPT1 (15.8%), DPT3 (17.5%), Hep B3 (17.6%), Measles rst dose (19.8%), Measles second dose (18.1%), Fully Immunization (19.7%) and DPT Booster (19.9%) against expected (25.0%).

DPT1-DPT3 dropout rate is negative (-10.8%). Negative drop out means that the reported DPT3 coverage is higher than the DPT 1 coverage.

State is also reporting the immunization data on JE 2nd (2 Doses) till June 2014, though JE is a part of UIP program in the state.

Tamil Nadu Two districts (Chennai and Krishnagiri) out of 32 districts did not report for the month of June 2014.

State has sent 12 FIRs against AEFI death cases but no death reported by the State in HMIS data which needs clarication.

This analysis is done based on HMIS data for June 2014 month (HMIS portal as on July 26rd, 2014), Pentavalent immunization coverage reported from state to MoHFW and NIFHW training reports

For any questions or clarications please Contact : laxman.sharma@ph.com