je vaccination under ri - coverage and issues - wb

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  • 8/3/2019 JE Vaccination Under RI - Coverage and Issues - WB

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    Dr. Navneet Kumar Dhamija Assistant Commissioner - ImmunizationMinistry of Health & FW, Govt. of India

    Mobiles : 8826772555, 9911220066 Office : 23062993, 23062126, 23062728 E-mail : [email protected]

    JE vaccination Coverage under RI

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    JE Vaccine Supplied for JEvaccination campaigns and RI

    Year Vaccine Supplied (Qty. inlakh doses)

    2006 28.10

    2007 11.00

    2008 22.13

    2009 35.81

    2010 2.402011 3.19

    Total 102.63

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    District wise JE vaccination Coverage under

    RI and Issues

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    Burdwan introduced the JE vaccine in RI in 2009 Feb,about 2 and years late with the coverage of 20%,following which it stopped. Then it was re-started in April 2009. It continued fromApril 2009 - March 2010 with the monthly coverage withwide variations ranging from 2.7% - 48%. The yearlycoverage for 2009- 10 was only 11.7%. In the financial year April Mar 2010 -11, the monthlycoverage dropped further and varied from zero for 7

    months to coverage with wide variations ranging from0.1% - 1.2%. In the financial year 2011-12, no coverage reports havebeen received by the state/ national level even afterfrequent reminders to the districts.

    Burdwan

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    JE vaccination Coverage in RI Birbhum

    Month CoverageCoverage

    %Apr 51 0.6May 46 0.6Jun 26 0.3Jul 0 0.0

    Aug 0 0.0Sep 26 0.3Oct 367 4.6

    Nov 789 9.8

    Dec 0 0.0Jan 0 0.0Feb 0 0.0Mar 0 0.0

    Total 1305 1.4

    2010

    No monthly coverage reports have been received from April 2011 onwards

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    Birbhum

    Birbhum introduced JE vaccine in RI in 2009-10April, 2 years late in Feb 2009 with the monthlycoverage of 20% and then 0 coverage in Marchand re-started in April 2009 10 with the monthly

    coverage with wide variations from 2% - 22.8%. The total yearly coverage was 9%

    In the financial year April 2010 March11, thecoverage was zero for 6 months with a poor

    coverage in the rest of the months ranging from0.3 10%. The total yearly coverage was as low as1.4%

    No coverage reports have been received from April

    2011 even after frequent reminders.

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    JE vaccination Coverage in RI West Medinapur 2010

    Month Coverage Coverage %

    Apr 3542 29.4May 4035 33.5Jun 2393 19.9

    Jul 635 5.3Aug 784 6.5Sep 2070 17.2Oct 1871 15.6

    Nov 2739 22.8

    Dec 0 0.0Jan 0 0.0Feb 0 0.0Mar 0 0.0

    Total 18069 12.5

    No monthly coverage reports have been received from April 2011 onwards

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    West Medinapur

    JE vaccine was introduced in RI in April 2009-10with wide variations in the coverage ranging from0.1% - 40.8% with a yearly coverage of 15.4%

    Then in the financial year 2010-11, JE vaccine wasadministered April Nov after which the coverageshows zero coverage for reasons unknown. Themonthly coverage ranged from 5.3% - 30% and theyearly coverage was 12.5%

    No reports have been received since Dec 2010onwards even after frequent reminders andvaccine having been supplied by the MoHFW

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    JE vaccination Coverage in RI - Howrah

    Month Coverage Coverage %Apr 181 3.2May 127 2.2Jun 27 0.5Jul 11 0.2

    Aug 103 1.8Sep 345 6.0Oct 378 6.6

    Nov 397 6.9Dec 1068 18.6Jan 1613 28.1Feb 1732 30.2Mar 1983 34.6

    Total 7965 11.6

    2010

    No monthly coverage reports have been received from April 2011 onwards

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    Issues -

    Howrah The JE vaccination under RI was introduced one anda half years following the campaigns in Howrah in

    Jan 2010 and continued till Mar 2010. The monthlycoverage ranged from 2.1 5.3%

    In the financial year 2010-11, the monthly againshowed wide variations from 0.2% - 34.6%. with thetotal yearly coverage of only 11.6%

    No coverage reports have been received from April2011 even after frequent reminders.

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    JE vaccination Coverage in RI - Hooghly2010 - 11

    Month Coverage Coverage %

    Apr 192 2.7May 185 2.6Jun 58 0.8Jul 0 0.0

    Aug 10 0.1Sep 15 0.2Oct 0 0.0

    Nov 0 0.0Dec 0 0.0Jan 0 0.0Feb 0 0.0Mar 0 0.0

    Total 460 0.5

    No monthly coverage reports have been received from April 2011 onwards

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    Hoogh

    ly The JE vaccination under RI was introduced one anda half years following the campaigns in Howrah in Jan 2010 and continued till Mar 2010. The monthly

    coverage ranged from 8.2-11.4% and the yearlycoverage for the financial year 2009-10 was only2.4%

    In the financial year 2010-11, zero coverage wasreported in 7 months and in the rest of the months,the coverage varied from 0.1 2.7%

    No coverage reports gave been received from April2011 onwards.

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    Summary of Issues Only 4.5% beneficiaries have been immunized

    under RI against the total target very low JEvaccination coverage in all the 5 districts of WestBengal

    Lack of understanding of guidelines Communication gaps between at various

    departments and at National, State and districtlevel

    Delay and erratic introduction/ integration of JEvaccination conducted under RI Coverage reports not being sent for months

    together even after frequent reminders

    No reasons communicated for zero coverage in aew months in some districts

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    Summary of Issues Discrepancies in target population of beneficiaries Transfers of districts officers Lack of training of new replacements Retirements of officers trained on JE program

    Lack of pressure from higher authorities at theState to districts for streamlining the integration of

    JE vaccine in RI JE cases still being reported from West Bengal.

    New districts emerging endemic for JE

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