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Application of LQAS for
CGPP India
CORE Group Spring Meeting 2012 Wilmington, Delaware, USA
CGPP Coverage - Uttar Pradesh, India
Description of LQAS study
Area:Districts – 10, Blocks - 56
BeneficiariesHouseholds – 571, 506Estimated children under 5 years – 570,000Estimated population – 4,000,000
Functionaries:Implementing NGOs: 10Sub-regional Coordinators (SRCs) - 3District Team Leader (DTL) - 1District Mobilization Coordinators (DMCs) – 13District – MIS Coordinators - 10District Underserved Coordinators (DUCs) - 5Block Mobilization Coordinators (BMCs) – 95 Community Mobilization Coordinators (CMCs) - 1315
KRI
SBD
STP
LLP
HDO
JAL
JNS
AHB
BJN
BAD
BRC
PIL
SHA
MZP
BRL
FTP
BNA
JNP
UNN
AZG
MZN
AGR
ALG
SHP
BBK
HMP
BLS
GND
PTG
KSN
MRD
BRP
RBL
FAI
GZP
BAL
GRPBST
KPN
CKT
MTR
MAI
KPDSULCSN
MHB
ETA
SDN
MRT
LNO
DOR
JPN
FKB
CND
FER
ABN
RMP
MHG
ETW
KNA
KAN
AUR
GZA
HTR
KSM
SRW
MAU
SKN
VRN
BGT
GBN
BDH
Objectives
To assess reach and quality of IPC activities of CMC (Home visits & mothers’ meeting)
To assess awareness of mothers about routine immunisation (Given and due vaccines, vaccination site, etc.)
To know perceptions of mothers towards polio vaccination
To assess practices related to diarrhoea management
Description of LQAS study
Block A
Block F
Block E
Block D
Block C
Block B
District X
CGPP block
Non-CGPP block
MethodologyDescription of LQAS study
Block D
SA 1
SA 2
CMC area (village/ward)
Non-CMC area (village/ward)
Catchment Areas(CA) Work area of a DMC or CGPP work area in a district
13Supervisory Areas(SAs) Work area of a BMC in a block
94
Block G
MethodologyDescription of LQAS study
Round 1 - ProcessDescription of LQAS study
LQAS-2011* Percentages are weighted by population of supervisory areas
Key Findings - Aggregated weighted coverage of 94 SAs
Full Immunization Status (Source: Govt. RI card/Congratulatory card of CGPP)
n=286n=419
CES- 2009, UP CGPP Midline-2010
n=1112n=605n=135
Fully immunised = Received BCG, 3 DPTs, 3 OPVs and measles dose
* Percentages are weighted by population of supervisory areas
Key Findings - Aggregated weighted coverage of 94 SAs
Vaccination status of children aged 10-11months(Source: Govt. RI card/Congratulatory card of CGPP)
n=286
n=1786 n=603n=1786
CGPP Midline-2010 LQAS-2011
* Percentages are weighted by population of supervision areas
Key Findings - Aggregated weighted coverage of 94 SAs
LQAS-2011
* Percentages are weighted by population of supervisory areas
Key Findings - Aggregated weighted coverage of 94 CAs
Home Visits of CMC
n=1783
CGPP Midline-2010
n=603
LQAS-2011* Percentages are weighted by population of supervisory areas
Key Findings - Aggregated weighted coverage of 94 CAs
Attendance in Mothers’ Meetings
n=1777
CGPP Midline-2010
n=603
* Percentages are weighted by population of supervisory areas
Key Findings - Aggregated weighted coverage of 94 SAs
Mothers exposed to IEC material of CGPP, India
n=1786
Set target 40.0
Midline- 2010 7.0
* Percentages are weighted by population of supervision areas
n=521
* DPT3 Status based on routine immunization card and/or mother's recall
Exploratory data analysis - Determinants of DPT3
DPT3 Coverage, Children > 3.5 Months of Age*
n=1256
DPT3 Coverage by Caretaker’s Attendance at Mothers’ Meetings, Children > 3.5 Months of Age*
* DPT3 Status based on routine immunization card and/or mother's recall
Exploratory data analysis - Determinants of DPT3
** Significant adjusting for clustering and weighting
DPT3 Coverage by Mothers exposure to IEC messages, Children > 3.5 Months of Age*
* DPT3 Status based on routine immunization card and/or mother's recall
Exploratory data analysis - Determinants of DPT3
** Significant adjusting for clustering and weighting
[Among mothers exposed to recent Mother's Meeting or IPC home visit]
DPT3 Coverage by Mothers exposure to RI leaflet, Children > 3.5 Months of Age*
Exploratory data analysis - Determinants of DPT3
** Significant adjusting for clustering and weighting
* DPT3 Status based on routine immunization card and/or mother's recall
[Among mothers exposed to recent Mother's Meeting or IPC home visit]
DPT3 Coverage by Mothers exposure to Flash Cards, Children > 3.5 Months of Age*
Exploratory data analysis - Determinants of DPT3
** Significant adjusting for clustering and weighting
* DPT3 Status based on routine immunization card and/or mother's recall
[Among mothers exposed to recent Mother's Meeting or IPC home visit]
DPT3 Coverage by Mother’s recognition of CMC by designation, Children > 3.5 Months of Age*
Exploratory data analysis - Determinants of DPT3
** Significant adjusting for clustering and weighting
* DPT3 Status based on routine immunization card and/or mother's recall
[Among mothers exposed to recent Mother's Meeting or IPC home visit]
DPT3 Coverage by Gender of Child, Children > 3.5 Months of Age*
* DPT3 Status based on routine immunization card and/or mother's recall
Exploratory data analysis - Determinants of DPT3
** Not Significant adjusting for clustering
and weighting
DPT3 Coverage by Mothers Literacy Status, Children > 3.5 Months of Age*
* DPT3 Status based on routine immunization card and/or mother's recall
Exploratory data analysis - Determinants of DPT3
** Not Significant adjusting for clustering
and weighting
DPT3 Coverage by Recent IPC Visit to Home, Children > 3.5 Months of Age*
* DPT3 Status based on routine immunization card and/or mother's recall
Exploratory data analysis - Determinants of DPT3
** Not Significant adjusting for clustering and
weighting (e.g, recent IPC visits were almost universal, sample size small
among those without recent visit)
Strategic decisions based on findings
Some of the identified areas of concern
Routine immunisation status (% received 0 OPV, DPT3, Measles)
Awareness of mothers about vaccination status (given or due) - 0 dose, 3 DPTs, vitamin A
Receiving and retaining of government RI card (% received and able to show)
Receiving and retaining of congratulatory card & poly bag (Given by CGPP) (% received and able to show)
Attendance at mothers meetings
Decisions and actions New born tracking and focused 1-1 contacts
Listing pregnant women and newborns 1-1 contacts to listed houses for delivering messages related to zero
OPV, routine immunization and other messages related to institutional delivery
Scheduling RI sessions/ Conduct RI Camps/ RI drives Review of missed sessions and reasons Discussion with block and district government officials to reschedule
sessions Weekly sharing of status of RI sessions with govt. functionaries
Ensure message delivery during mothers’ meetingsStandardized norms of monitoring routine immunization
Area of concern – Improve zero OPV coverage indicator - % children received OPV 0 Wtd. Average coverage = 49%
An Example- Strategic Actions based on findings
Thanks…….
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