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EPI Review- 2014
MOH Area:…………………………….
Background information 1-MOH area
2-DPDHS area
3-Estimated Population for the year 2014
4-Actual Population for the year 2014
5-Reasons for differences in actual and estimated populations
6-Crude Birth Rate for District 2014
7-Crude Birth Rate for Province 2014
8-Estimated Number of Births in the year 2014
Based on the Actual Population
Based on the Estimated Population
District BR
Provincial BR
9-Number of Immunizations performed in the year 2013 (institutions and field) (Sum of relevant data from four Q/ EPI returns, 2014)
PVV1 PVV2 PVV3
10-Number of pregnant mothers registered for the area in 2013
11-Number of actual births reported for the area in 2014
12- Number of infants registered for the area in 2014
13-The most probable number of births for the MOH area*
Background information……cont Approved number
Number available
Average Population covered by each category / clinic
Population Range
12-PHMs
13-PHIs
14-SPHMs
15-PHNS
16-SPHI
17-MOHs/AMOHs
18. MCH Clinics
Area Map indicating access to immunization(Please present a map indicating immunization clinics and population served by each clinic )
Coverage of BCG vaccination among infants born between 1st of January 2014 to 31st of December 2014 and the protection of their mothers from Tetanus and Rubella vaccination at the time of delivery
Number of registered infants under care*
(A)
A = (V+W+X) - (Y+-Z)
Number of infants born between 1st of January 2014 to 31st of December 2014
Registered within 3 months of birth
(V)****
Registered after 3 months of birth to date^^
(W)****
Came newly into the area & registered to date^^
(X)
Left the areato date^^
(Y)
Died to date^^
(Z)
Coverage of OPV1 /PVV 1 vaccination among infants born between 01st of November 2013 to 31st of October 2014
Number of registered infants under care*
(A)
A = (V+W+X) - (Y+-Z)
Number of infants born between 1st of November 2013 to 31st of October 2014
registered within 3 months of birth
(V)****
registered after 3 months of birth to
date^^
(W)****
came newly into the area registered to
date^^(X)
left the areato date^^
(Y)
Died to date^^
(Z)
Coverage of OPV3 /PVV 3 vaccination among infants born between 01st of July 2013 to 31st of June 2014
Number of registered infants under care*
(A)
A = (V+W+X) - (Y+-Z)
Number of infants born between 01st of July 2013 to 31st of June 2014
registered within 3 months of birth
(V)****
registered after 3 months of birth to
date^^
(W)****
came newly into the area registered to
date^^(X)
left the areato date^^
(Y)
Died to date^^
(Z)
Coverage of LJEV vaccination among infants born between 01st of April 2013 to 31st of March 2014
Number of registered infants under care*
(A)
A = (V+W+X) - (Y+-Z)
Number of infants born between 1st of April 2013 to 31st of March 2014
registered within 3 months of birth
(V)****
registered after 3 months of birth to
date^^
(W)****
came newly into the area registered to
date^^(X)
left the areato date^^
(Y)
Died to date^^
(Z)
Coverage of MMR1 vaccination among infants born between 1st of January 2013 to 31st of December 2013
Number of registered infants under care*
(A)
A = (V+W+X) - (Y+-Z)
Number of infants born between 1st of January 2013 to 31st of December 2013 registered within 3
months of birth
(V)****
registered after 3 months of birth to
date^^ (W)****
came newly into the area registered to
date^^(X)
left the areato date^^
(Y)
Died to date^^
(Z)
Coverage of DPT4/OPV4 vaccination among infants born between 1st of July 2012 to 30th June 2013
Number of registered infants under care*
(A)
A = (V+W+X) - (Y+-Z)
Number of infants born between 1st of July 2012 to 30th of June 2013registered within 3
months of birth
(V)****
registered after 3 months of birth to date^^
(W)****
came newly into the area registered to
date^^(X)
left the areato date^^
(Y)
Died to date^^
(Z)
Coverage of MMR2 vaccination among infants born between 1st of January 2011 to 31st of December 2011
Number of registered infants under care*
(A)
A = (V+W+X) - (Y+-Z)
Number of infants born between 1st of January 2011 to 31st of December 2011registered within 3
months of birth
(V)****
registered after 3 months of birth to date^^
(W)****
came newly into the area registered to
date^^(X)
left the areato date^^
(Y)
Died to date^^
(Z)
Coverage of DT/OPV5 vaccination among infants born between 1st of January 2009 to 31st of December 2009
Number of registered infants under care*
(A)
A = (V+W+X) - (Y+-Z)
Number of infants born between 1 st of January 2009 to 31st of December 2009registered within 3
months of birth
(V)****
registered after 3 months of birth to date^^
(W)****
came newly into the area registered to
date^^(X)
left the areato date^^
(Y)
Died to date^^
(Z)
Vaccine PHMM areas with low immunization coverages (%) according to
estimated births registered infants under care age appropriate immunizationsPHM area % PHM area % PHM area %
BCG (ex.) 12 3
%%%
123
%%%
123
%%%
TT( Maternal)
Rubella(Maternal)
PVV1/OPV1
LJEV
MMR1
DPT4/OPV4
MMR2
DT/OPV5
PHM areas with low immunization coverages(Please include the data for the 3 PHMM areas where the lowest immunization coverages have been reported
under each category)
Vaccine PHMM areas with high immunization coverages (%) according to
estimated births registered infants under care age appropriate immunizations
PHM area % PHM area % PHM area %BCG (ex.) 1
2 3
%%%
123
%%%
123
%%%
TT( Maternal)
Rubella(Maternal)
PVV1/OPV1
LJEV
MMR1
DPT4/OPV4
MMR2
DT/OPV5
PHM areas with High immunization coverages(Please include the data for the 3 PHMM areas where the highest immunization coverages have been reported
under each category)
Identified PHMM areas with low immunization coverages for estimated births
Action taken
PHM area 1………………………………….
PHM area2…………………………………….
PHM area3 …………………………………..
Action taken to overcome the low immunization coverages according to estimated births & according to low age appropriate immunizations
(Based on previous year EPI review)
Identified PHMM areas with low immunization coverages for age appropriate immunizations
Action taken
PHM area 1……………………………………
PHM area2……………………………………….
PHM area3 ……………………………………….
Coverage of aTd vaccination among school children in grade 7 & other grades during 2014 by PHI areas & clinics
No PHI area Number on roll in
grade 7
Number of children
immunized ingrade 7
% of immunized children in
grade 7
Number of children
immunized inother grades( or from other areas)
Total number immunized in
year 2014
1
2
3
4
5
6
7
8
9
10
Clinics
Total
Comparison of coverage’s of antigens according to the advancing birth cohorts
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 MOH area by antigen in 2014(Please include another bar for number of LJEV given to the children who have completed one year in the current cohort)
Antigen Book balance
as of 31st December
2013
(A)
Total receipts during 2014
(B)
Book balance as of 31st
of December
2014
(C )
No of doses
discarded due to expiry or
cold chain failure during 2014(D)
Total number of doses
used during 2014 for
vaccination
( E)=(A+B)-(C +D)
Highest book balance in a given time during the year 2014 (F)
No. ofImmunizationsPerformed by
clinics/ schools/ estates/GPs
( Based on the four EPI quarterly
Returns for year 2014)
( G )
No. of dosesDistributed to
Clinics/schools/GPs
(Based on the MOH Office
vaccine movement register for year 2014)
( H )
Usage %
( I )=G/E * 100
Wastage %
( J )=(100- I )
B.C.G
Penta
DPT
OPV
LJEV
DT
TT
aTd
MMR
Other
Form 11 Status of vaccine wastage in the MOH area by antigen in 2014
Antigen Book balance as of 31st December 2013
(A)
Total receipts during 2014
(B)
Book balance as of 31st of
December 2014
(C )
No of doses
discarded due to
expiry or cold chain
failure during 2014
(D)
Total number of doses
used during 2014 for
vaccination
( E)=(A+B)-(C+D)
Highest & Lowest book balances
in agiven time during the
year 2014
No. ofImmunizatio
nsPerformed by clinics/ schools/
estates/GPs ( Based on the four EPI
quarterly Returns for year 2014)
( G )
No. of doses
Distributed to Clinics/schools/
GPs(Based on the MOH
Office vaccine
movement register
2014( H )
Usage%
( I )=G/E * 100
Wastage%
( J )=(100- I )
Highest(F1)
Lowest(F2)
B.C.G
Penta
DPTOPVLJEVDTTTaTdMMR
Form 11 Status of vaccine wastage in the MOH area by antigen in 2014
Adverse events following immunization (A.E.F.I.)No. of Monthly AEFI Returns expected to be sent to the Epidemiological Unit during 2014 12
No. of Monthly AEFI Returns sent
No. of Monthly AEFI Returns sent in time
No of “Nil” returns sent
Type of AEFI Number Reported No Investigated % Investigated
Injection site abscess
BCG lymphadenitis
Severe local reactions
Encephalitis/Encephalopathy
Meningitis
Seizures (Febrile + Afebrile)
Anaphylaxis
Persistent Screaming
HHE
Types of AEFIs reported during 2014
Antigen Type of AEFI Number of AEFI
Reported (A)
No of doses administered†
(B)
AEFI Rate
( C ) (C
=(A)/(B)*100000
National Rates for 2014
BCG BCG lymphadenitisPenta Seizures (Febrile +
Afebrile)AnaphylaxisPersistent ScreamingHHEAllergic reaction
Measles Seizures (Febrile + Afebrile)
AnaphylaxisAllergic reaction
MMR Seizures (Febrile + Afebrile)
AnaphylaxisAllergic reaction
ParotitisJE Seizures (Febrile +
Afebrile)AnaphylaxisAllergic reactionEncephalitis/Encephalopathy
MeningitisOther*
Rates of AEFIs reported during 2014
Information regarding cold chain equipment in MOH office in 2014
Please bring the temperature charts and printouts of data lodger recordings for year 2014 to the review.
Refrigerator Working order
(Yes/No)
Year of manufacture
Capacity
(liters)
Thermometer in working Order
(Yes/No)
Data lodger in working Order
(Yes/No)
Freeze tag in working order
(Yes/No)
Temp. Chart maintained daily during the reporting
period (12 months)(Yes/No)
Refrigerator 1
Refrigerator 2
Freezer
1 Were there any cold chain breakdowns during the reporting period?(If yes, please describe such situations)
2 Who is in charge of the refrigerator and vaccine?
3 Who is in charge of the daily recording of temperature?
4 How often data lodger printout are being taking?
6 How many print outs available in the file for the year under review?
7 Were there situations vaccines exposed to sub zero temperatures?
8 Were there any mismatch in temperature recordings and data lodger recordings?(If yes, please describe such situations with possible reasons)
Calculation of minimum refrigerator capacity required for storage of vaccines for MOH area
Incidence of infant deaths, neo natal deaths and their causes – 2014 **Please use national Infant mortality rate 9.9 per 1000 live births to calculate the estimated number of infant deaths for year 2014 ( 7.4 Neonatal mortality rate-75% of Infant mortality )
Notification and investigation of EPI target diseases- 2014
Disease No. Reported
(A)
No. Investigated*
(B)
No, confirmed
(C)
% Investigated
(D)
(D)=(B)/(A)*100
No. of special investigation forms sent
(E)
% of special investigation forms sent
(F)
(F)=(E)/(C)*100Whooping Cough
Tetanus
NNT
Measles
Rubella
CRS
AFP
Encephalitis
Meningitis
Mumps
Total