catch-upnewsletter jan2012 (1)
TRANSCRIPT
Campaign Alert!(States starting campaign in January 2012)
States Date No of Districts
Rajasthan Jan 9 5
Tripura Jan 12 1
Jan 30 Remaining 2
Haryana Jan 18 Remaining all
Gujarat Jan 30 5
No 2, January 2012
MEASLES
Measles second dose interventionwill reduce India’s disease burdenGLOBALLY an estimated 400 children die from measles every
day. Approximately three-fourths of these deaths are
happening in India alone – 60,000 to 100,000 child deaths
annually!! Active measles infection reduces immunity and
makes the child
vulnerable to complications such as
pneumonia, diarrhea, encephalitis, and middle-ear infection.
Malnourished children are especially at risk of complications
and death after an acute attack of measles.
While India has made considerable progress in child survival,
measles remains a leading cause of death and disability among
young children. Routine measles vaccination coverage is 74%,
and with vaccine efficacy of 85% when given at 9 months of
age, it is estimated that 41% of children in each birth cohort
continue to remain susceptible to measles due to dropout, left
out, and failure to develop immunity.
One of the goals of the multi-year strategic plan of the
Government of India, therefore, is to reduce the number of
measles deaths by 90% in 2013 relative to 2000 estimates. The
Government of India launched the second dose in the
campaign mode with specific objectives to:
Provide a second opportunity for measles immunization to
eligible children ensuring more than 90% coverage.
Achieve at least 90% Measles Containing Vaccine (MCV1)
coverage nationally, and at least 80% MCV1 coverage in all
districts.
Conduct measles surveillance within an integrated vaccine
preventable disease surveillance system.
Achieve full investigation and appropriate clinical case
management of all measles outbreaks.
Fourteen states were identified by the National Technical
Advisory Group on Immunization (NTAGI) as having less than
80% coverage. These states were advised to introduce a
measles catch-up drive for children between the ages of
9 months to 10 years. In the rest of the country, the second
dose of measles vaccination will be given as part of the
Routine Immunization (RI) programme.
4.15 crore children to be
vaccinated against measles
in Phase-2 of campaign
AFTER COMPLETING the first phase of
the national measles catch-up campaign
successfully, the second phase has been
launched to immunize more than
4 crore children in the country in 157
districts in 14 states.
This national-level campaign gives
evidence of high-level commitment by
the Centre and states, political support,
and strategic planning in implementing
the campaign with the objective to
make India’s children safe from measles.
Measles Vaccination Catch-up Campaign – India: Phase 2 Page 2
PROGRAMME
Measles campaign completed in entire state
Measles campaign will be completed in entire
state in FY 2012-13
Measles campaign will be completed in entire
state in 1st
Quarter of 2012 (FY 2011-12)
Status of Measles Catch-up
Campaign in India (As of 31st
Dec 2011)
Out of the 14 states, 5 finished the campaign in 2011 and 4 will finish in the first quarter of 2012. The
challenge will be to finish the campaign in the remaining 5 states which have the major bulk of the target
beneficiary population to be covered. This will need a meticulous plan and appropriate action. Those districts
completing catch-up campaign will also start the 2nd dose of measles in RI six months after.
Reporting of MCV2 in RI for Phase 1 campaign districts(Source HMIS: Data analysed for Oct-Dec 2011, as on January 19, 2012)
S. No. State No. of Districts in
Phase 1
Measles 2nd
dose
reported in HMIS
1 Arunachal Pradesh 1 0
2 Assam 1 0
3 Bihar 5 4
4 Chhattisgarh 9 6
5 Gujarat 5 0
6 Haryana 5 1
7 Jharkhand 5 1
8 Madhya Pradesh 5 4
9 Manipur 1 0
10 Meghalaya 1 1
11 Nagaland 1 1
12 Rajasthan 5 4
13 Tripura 1 1
Total 45 23
Note: Uttar Pradesh conducted its campaign only in the 2nd
phase in December 2011.
There is a need for
improving the 2nd
dose measles
vaccination
coverage in RI and
proper reporting.
The Government
of India is
monitoring the
situation closely,
and all states must
upload data on
HMIS regularly.
Measles Vaccination Catch-up Campaign – India: Phase 2 Page 3
COMMUNICATION
Haryana Health Minister Rao Narendra
Singh at the General Hospital of Narnaul
launching the measles campaign
Haryana parliamentarians endorse measles
catch-up campaign in the state xtensive and timely
advocacy with
parliamentarians
helped the Health Department
of the Haryana state to achieve
high-level political support –
and visibility – to the measles
campaign. The participation
was viewed positively by the
communities as endorsement
of the campaign by their
political representatives.
In its second phase (Nov 14-
Dec 7), Haryana conducted the
catch-up campaign in five
districts of the state: Bhiwani,
Mahindergarh, Panipat,
Rohtak, and Sonepat.
The campaign in
Mahindergarh district was
inaugurated by Hon’be Health
Minister Rao Narendra Singh
at the fixed booth in the
General Hospital of Narnaul.
The minister also inaugurated
the introduction of HepB in the
Routine Immunization
Programme on the same day.
Similarly, in Rohtak, Sonepat,and Panipat districts, the
campaigns were inaugurated
by the Members of the
Legislative Assembly (MLA)
of the respective constituency
accompanied by the Civil
Surgeons and District
Collectors of the districts.
E
RCH Director in Rajasthan asks campaignmanagers to stick to microplanning timelinesIN A LETTER addressed to the campaign programme managers, the
Director of RCH of Rajasthan state has conveyed that the timelines
decided for microplanning must be adhered to strictly for successful
conduct of the measles campaign. The instruction was accompanied by
a table which listed 12 core activities, deadline for the conduct of
activities, persons responsible and supervisors. The 12 activities were:
1. Submission of Block microplans to District.
2. Submission of District microplans to State Directorate in Jaipur.
3. Identification of cold chain needs at every cold chain point.
4. First District Task Force meeting.
5. Identification of AEFI centres and designated medical officers in
those centres.
6. Coordination meetings with education department/school at the
Block/District/Sector level.
7. Distribution of IEC material at the CHC/PHC level.
8. Training of vaccinators and sensitization of Anganwadi and ASHA
workers.
9. Training on AEFI management to the designated medical officers.
10. Second District Taskforce Meeting.
11. Distribution of vaccination logistics at the CHC/PHC level.
12. Pre-campaign monitoring.
Meghalaya CM
exhorts parents
to avail measles
campaign opportunity
IN WHAT could be seen as support
from the top, Meghalaya Chief
Minister Dr Mukul Sangma made a
personal appeal to the parents in the
campaign districts to avail the
opportunity of making their children
safe from measles. “The vaccine is
very important for the health and
well-being of the children. I urge each
one of you to be kindly vigilant against
rumours and misconceptions and
came forward to take this opportunity
to make Meghalaya a measles-free
state and be a partner in saving lives
of our beloved children,” says his
letter of appeal which was widely
distributed. The appeal was also
broadcast by the local news channel.
Measles Vaccination Catch-up Campaign – India: Phase 2 Page 4
COMMUNICATION
Principals from both government and private schools were
oriented about the campaign and need for support.
Bihar focuses strongly on advocating with principals of
urban schools in 2nd
phase
he success of the measles campaign rests
strongly on how actively schools participate.
This was one of the key lessons learned from the
first phase of the campaign held in 2010. Schools,
especially from urban areas, had shown a lot of
resistance to vaccinating their children. This had
directly contributed to low coverage, thus defeating the
purpose of the campaign and keeping unvaccinated
children exposed to potential threat of measles
infection.
It has to be noted that in the four-week campaign
duration, the first week is dedicated to conducting the
campaign with school children in their respective
schools. To increase the coverage, sustained
advocacy with schools is necessary. Schools in turn
must take proactive steps to orient parents to the
necessity of getting their children vaccinated. Good
coverage results can then be assured!
Partner support in Bihar was extremely encouraging.
UNICEF supported extensively with the orientation of
schools and media through workshops in all 15 districts
of the state which conducted the campaign.
T
States must use their
logos on the IEC
prototypes to gain
campaign credibility
STATES scheduled to conduct the
2nd
phase of the measles campaign
beginning January 2012 have been
sent a revised set of IEC prototypes.
It is recommended that before
printing the revised prototypes,
states must insert the logos
alongside the three logos of NRHM,
UNICEF and WHO already placed on
the top right-hand corner of all IEC
material.
Insert state
logo here!
North Eastern states innovate on IECmaterial to promote participation inthe measles campaign
PRODUCED BY: Immunization Division, Ministry of Health and Family Welfare, Government of India, Nirman Bhawan, New Delhi
ADVISOR: Ms Anuradha Gupta, IAS, Joint Secretary (RCH)
EDITORIAL COMMITTEE: Dr Ajay Khera, DC, Child Health and Immunization
Dr Pradeep Haldar, DC, Immunization
For feedback & more information, please contact: Email: [email protected], Call: 011-23061281
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