measles rubella vaccination campaign mr camapign ap iea… · television and print media commitment...

Measles Rubella

Vaccination Campaign Andhra Pradesh

(1st Aug to 16th Sept 2017)

Measles-Rubella Vaccination Campaign August 2017 Andhra Pradesh

Key actions undertaken • Highest level of Political & Administrative commitment

• Series of advocacy meetings & micro planning trainings right from state to district level

• Excellent coordination with partner agencies & Sensitization of key stakeholders

• DO letters & Budgetary guidelines well in advance

• District level taskforce under the leadership of District collector for review & greater Interdepartmental coordination

• Meticulous micro planning & urban area planning

• Strong AEFI awareness & management network

• Communication & social mobilization


• Hon’ble Health Minister interacted with team of National preparedness assessment and assured full political commitment for the campaign

Commitment at the highest level • IEC materials in Telugu released by

Honourable Chief Minister and Health Minister on 14th July


• Joint video conference of 3 line dept. by health minister addressing all district Collectors and other officials giving a strong state commitment

Official state launch of MR campaign by Hon’ble Chief Minister and Health Minister

State Inauguration tweeted by official handle of CM and posted on official Facebook page of CM and covered by all major television and print media

Commitment at the highest level


State Steering committee under chairmanship of Chief secretary

• Along with political commitment accountability of the highest administrative order set the right tone for the campaign and lead to good inter-departmental co-ordination

• Chief Secretary also conducted video

conference with the district collectors: – 31/07/17: To review preparedness of the

campaign one day before campaign inauguration

– 23/08/17: Chief secretary reviewed progress mid-way through the campaign


Supervision and monitoring through VCs by Principal Secretary- Health and CHFW

• Regular state Video Conferences by PS-Health & Commissioner-HFW with DMHOs and district officials were crucial in guiding and reviewing districts through the campaign


• 13 state Nodal officers deputed for overseeing the preparedness and implementation of campaign in all 13 districts. Visited thrice during preparation and implementation

• Supervisory areas assigned to all Program officers in the district.

• State Planning Workshop TOT: 30th & 31st May, 2017

• State orientation workshop for district Statistical officers was conducted on 20/06/16

• District Education officers were addressed through state VC by Commissioner School Education on 12/07/17


State Planning-Technical workshop

• State Communication workshop for DEMOs & Dy. DEMOs on 22/6/2017

• State level workshop for District cold chain Handlers on 17/07/17

• State AEFI Meeting conducted

State Planning-Technical workshop


Excellent coordination with partner agencies & Sensitization of key stakeholders

• IAP state Orientation workshop on 16/07/17 at Rajahmundry

• State orientation for District Lion’s coordinators on 25/07/17


• WHO – NPSP lead technical support partner at State and district level

10 Officers stationed in State/Districts for > 3 months

• UNICEF supporting social mobilization efforts/Cold chain monitoring

• Lion’s International; supporting in creating awareness

• IAP, IMA mobilize doctors community- Educate parents, support AEFI

DO letters & Budgetary guidelines well in advance

• Commissioner – HFW wrote D.O letters to;

- All major line departments at state level (Education, WCD)

- All District collectors (with 8 page annex of detailed roles and responsibilities of each line department)

- All corporation Commissioners

- All P.O-ITDAs (Integrated Tribal Development Authority)

- Chairmen's of five large Institutions of private schools


Workshops, Training, Meetings- District/Sub District level

• District and Sub district level micro-planning trainings held for MOs and frontline Health workers.

• District and Mandal level orientations held for Education and WCD departments .

• IAP and IMA sensitization meetings at districts held.

• All Medical Colleges oriented and involved in the programme.

• All cold chain handlers and data entry officers trained at the district

• Separate training of Medical officers and vaccinators prior to campaign on AEFI preparedness and management.



Workshops, Training, Meetings- District/Sub District level

Medical officers Training ICDS / CDPOs Training Education departments trng.

Private school teachers trng Divisional level trng for HW ASHA/ AWW training

District level accountability ensured through good leadership and oversight by District collectors


• Three rounds of DISTRICT TASK FORCE meetings conducted chaired by District Collector

• District collectors conducted regular video-conference and teleconferences with planning units to review preparedness before campaign and progress during the campaign

• Joint Collectors-Health involved well in all the districts

District Task Force Meeting Chaired by DC at Vizag

Campaign Inauguration by DC Vizag

Meeting with Prvt. School Reps chaired by DC Nellore

MR Signature campaigns in districts

PD ICDS

SMO, WHO

DEO

DIO

DTCO

District Collector

DCHS


• Duration of the campaign planned well keeping in consideration Sweeping activity- campaign calendar issued

• High Risk Area planning / Special Teams planning to cover migratory population

– Target Children – 1.18 Crore

– Total sessions planned – 98,488 and around 17,398 vaccinators & 2000 Supervisors

• Micro plan review meetings at district/divisional levels

• School planning facilitated by Education department

Micro-planning


Urban Area planning • Strong ownership by corporation

commissioners made program successful

• corporation commissioners support:

– Schools listing, communication through sanitary inspectors

– Conducted meetings of school managements

– Put up large hoardings of MR campaign from corporation budget

– Supported in district level inaugurations

– Accountability through City task force meetings


Separate task force meetings for large Corporations to deal with

Urban Specific issues

AEFI – Preparedness and Management

• All MOs and vaccinators trained AEFI management just prior to campaign.

• Availability of AEFI kits in all sessions (MAK centers also) including dosage chart.

• Deputation from Director and medical Education- PGs/Senior Residents (clinical /para clinical) , Pediatric departments faculty and house surgeons deployed to all big schools/ urban slums/religious institutes for AEFI

management in some districts.

• Detailed administrative guidelines

issued for AEFI preparedness



A E F I

…AEFI – Preparedness and Management

Kits

Communication and Social Mobilization

• State communication orientation workshop conducted for all 13 district extension media officers (Demo)

• State/ district media sensitization was held on 25/7/17

• Standard communication materials & branding done at state and sent to districts for printing - Posters/Banners/ Hoardings/Leaflets

• Audio messages, jingles in Radio- Multiple channels / Whatsapp

• News paper add

• Television- Cable TV scrolls, Panel discussions

• Standee Vijayawada Airport. All airports IEC display

• Announcements-bus & railway stations / Auto Miking across


School advocacy- PTM meetings and addressing school Assemblies


Religious influencer meetings- helped in better preparedness in over coming challenges of Resistance

Religious Advocacy meetings Addressing Religious gatherings

Addressing school assemblies & PTM Rallies by school children & interaction with students

IEC activities conducted…..

Large hoarding by Municipality in Urban

Branding on long route buses by State govt.


Hoardings at Cinema theatres

Inauguration by Political & administration

MR campaign stickering on doors Rallies before the launch Tableaux on Independence day

Air balloons in urban areas

Rallies, Tableaux, Inauguration…..

Several Positive Media articles on MRC in local editions

Countless Media coverage of Various Activities district level


Social media

Official Health department of AP twitter handle Support for MR campaign messages from IAP/IMA


Communication through Whatsapp groups at state as well as district level

Challenges

1. Planning for major city campaigns especially Manpower issues

2. Reluctance from private schools & Large chain of schools

3. Management of Co-incidental AEFI death

4. Anti-vaccine propaganda through Whatsapp

5. Reaching the last house in tribal & Migratory population

6. Competing priorities – addressing seasonal disease


1. Planning for major city campaigns

– Strong ownership by Commissioners in 14 large corporations through City task force meetings

– Deployment of ANMs from rural to urban areas across the state

– Good area demarcation in urban for micro-planning purpose.

– Deployment of Nurses from Nursing colleges as Vaccinators and Mobilizers

– Deployment of Medical college staff- Pediatricians/Post graduates / senior residents from clinical and Para-clinical fields for Monitoring AEFI management.

– Municipal Commissioners took lead in urban area implementation: Providing vehicles for transportation, Vehicle facility for teams, additional incentives & food for deployed vaccinators, Co-ordination with other departments for mobilizers


Challenges addressed effectively

Challenges addressed effectively

2. Reluctant schools – – Individual D.O letters from Commissioner HFW & School education to

• Large schools chains like Bhashyam, Narayana, Rathnam, Ravindra Bharathi Srichaitanya

– They have more than 100 schools each in their franchisee across the state.

– These state letters helped a lot in advocacy in districts.

3. Management of Co-incidental AEFI death reported on 18/09/17

– State officials talked to each of media reporters clarifying regarding safety of MR vaccine

– Most of media carried a neutral news or no news regarding AEFI death due to immediate state intervention

– Swift action by district and state AEFI committees in investigation


Community refusal addressed effectively in Ananthapur & Nellore districts

• City Mayor Mr. Aziz immediately addressed press and were telecasted in local cable network

• Minority welfare officer organised meeting with Religious leaders & issued Letter to all Masjids for Elaan

• 3-4 small group community meetings were conducted to condemn rumors & create awareness, with help of MEPMA


Covering Migratory High Risk & Tribal areas by special teams….

Relentless Hard work of health workers in reaching the difficult terrain...

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13Day wise coverage

Day wise coverage

MR Campaign Andhra Pradesh

Day-wise coverage against Estimated Target Cumulative coverage = 1,14,58,376 Lakhs, Cumulative achievement = 96.67 %

Data up to 17th Oct 2017

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Day wise coverage Cumulative coverage Estimated Target

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• Education and WCD departments state level orientations is crucial for smooth implementation of the campaign.

• Private School management associations (CBSE, ICSE, Private schools etc) should be oriented and taken in loop very early during micro-planning

• School MR communication Kit : Should be shared during state and district workshops- All prototype letters communications & brief on importance of campaign etc in one folder for one school

• Separate High Risk areas listing and focus will be required

• Supervision and monitoring by State and district officials needs strengthening during the sweep activity phase of the campaign , to ensure best coverage

Recommendation (1)

Communication & social mobilization

• All finalized IEC materials in Regional language should be ready by time of state workshop and prototypes should be given to districts

• State workshop should be followed by communication workshops at district level so that the HE cadre are specifically trained and involved in campaign

• IEC printing at state level ensures uniformity and quality but states should have enough time for tendering process

• State media briefing should be conducted one month before campaign so that media carry only positive messages

• State IEC campaign should start one month ahead of campaign in a limited way rather than waiting for all IEC before 10 days of campaign

Recommendation (2)

Thank you

measles rubella vaccination campaign mr camapign ap iea… · television and print media commitment...

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