June 2009 Feedback June 2009 Feedback to States and Zoneto States and Zone

Routine Immunization Routine Immunization PerformancePerformance

Data as at 15th July 2009 in National Database

% HFs Completeness of Reporting_Jun 09

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Ben

ue

FC

TK

og

iK

war

aN

asar

awa

Nig

erP

late

auN

CZ

Ad

amaw

aB

auch

iB

orn

oG

om

be

Tar

aba

Yo

be

NE

Z

Jig

awa

Kad

un

aK

ano

Kat

sin

aK

ebb

iS

oko

toZ

amfa

raN

WZ

Ab

iaA

nam

bra

Eb

on

yiE

nu

gu

Imo

SE

Z

Akw

a-B

ayel

saC

ross

Del

taE

do

Riv

ers

SS

Z

Eki

tiL

ago

sO

gu

nO

nd

oO

sun

Oyo

SW

Z

Nat

ion

al

NC NE NW SE SS SW

Completeness of HF Reporting Jun 2009

% LGA Completeness of Reporting by State: Jun 09

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Benue

FC

T

Kogi

Kw

ara

Nasara

wa

Nig

er

Pla

teau

NC

Z

Adam

aw

aB

auchi

Born

o

Gom

be

Tara

ba

Yobe

NE

Z

Jig

aw

a

Kaduna

Kano

Kats

ina

Kebbi

Sokoto

Zam

fara

NW

Z

Abia

Anam

bra

Ebonyi

Enugu

Imo

SE

Z

Akw

a-

Bayels

a

Cro

ss

Delta

Edo

Riv

ers

SS

Z

Ekiti

Lagos

Ogun

Ondo

Osun

Oyo

SW

Z

National

NC NE NW SE SS SW

% LGA Completeness of Reporting by State: Jun 2009

SUMMARY (1)SUMMARY (1)Improving Access-1.• 32 States had >=90% completeness of HF

reporting in June while others did not meet the 90% target.

• Plateau State reported less than 60% of its Health Facilities in June 2009.

• Plateau State had less than 50% of their LGAs reporting in June 2009.

Proportion of Planned Sessions Conducted Cumulative June 2009

Outreach Sessions

Fixed Sessions

< 50 %

50 -79.99%

80 - 95% > 95 %

No data

Summary (2)Summary (2)Improving Access-2Fixed Sessions:• 6 States have performance between 80-95% of planned fixed sessions• 10 States conducted less than 50% of planned sessions!!!• 3 States (Ekiti, Lagos, Osun, FCT, Kaduna and Akwa-Ibom ) conducted

more than 95% of planned sessions.• However no report from 8 States (FCT, Bauchi, Kogi, Kaduna, Taraba,

Benue, Oyo and Ogun)Outreach Sessions• 2 States (Nassarawa and Enugu) have performance between 80-95% of

planned outreach sessions.• 14 States(Jigawa, Katsina, Kano, Zamfara, Adamawa, Plateau, Yobe,

Niger, Ebonyi, Anambra, Lagos, Edo, Bayelsa, Rivers, and Cross River States conducted less than 50% of planned sessions!!!

• 2 other States (Kwara and Ekiti) conducted more than 95% of planned sessions.

• However no report from 8 States (FCT, Bauchi, Kogi, Kaduna, Taraba, Benue, Oyo and Ogun)

DPT3 Monthly Coverage by State: May & Jun2009

0%

20%

40%

60%

80%

100%

120%

140%

160%

Ben

ue FCT

Kog

iK

war

aN

asar

awa

Nig

erPl

atea

uN

CZ

Ada

maw

aB

auch

iB

orno

Gom

beTa

raba

Yobe NEZ

Jiga

wa

Kad

una

Kan

oK

atsi

naK

ebbi

Soko

toZa

mfa

raN

WZ

Abi

aA

nam

bra

Ebon

yiEn

ugu

Imo

SEZ

Akw

a-Ib

omB

ayel

saC

ross

Riv

erD

elta

Edo

Riv

ers

SSZ

Ekiti

Lago

sO

gun

Ond

oO

sun

Oyo

SWZ

Nat

iona

l

NC NE NW SE SS SW

%May 09 DPT3 coverage %Jun 09 DPT3 coverage

DPT3 Cummulative Coverage by State: Jun 2008/2009

Routine Immunization Performance Cumulative Jun 09 Nigeria

HBV3= 63%

OPV3=56%DPT3= 68 %

< 50 %

50 -79.99%

80 - 95% > 95 %

No data

BCG=71%YF=63%

MV=82%

Routine Immunization Performance Cumulative Jun 09 Nigeria

< 50 %

50 -79.99%

80 - 95% > 95 %

No data

DPT3 Coverage Ranges by Zones Jun 2009

4832

31

32

63

53259

51

47

69

41

54

74

336

8 33

78

19

6 10

154

14

0 8 3 0 0 25

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

NCZ NEZ NWZ SEZ SSZ SWZ National

No of LGA with DPT3 >80% No of LGA with DPT3 50-79% No of LGA with DPT3 <50% No of LGA with No reports

Proportion of LGAs DPT3 Coverage Range by State Jun 2009

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Ben

ue

FC

TK

og

iK

war

aN

asar

awa

Nig

erP

late

auN

CZ

Ad

amaw

aB

auch

iB

orn

oG

om

be

Tar

aba

Yo

be

NE

Z

Jig

awa

Kad

un

aK

ano

Kat

sin

aK

ebb

iS

oko

toZ

amfa

raN

WZ

Ab

iaA

nam

bra

Eb

on

yiE

nu

gu

Imo

SE

Z

Akw

a-B

ayel

saC

ross

Del

taE

do

Riv

ers

SS

Z

Eki

tiL

ago

sO

gu

nO

nd

oO

sun

Oyo

SW

Z

NC NE NW SE SS SW

No of LGA with DPT3 >80% No of LGA with DPT3 50-79% No of LGA with DPT3 <50% No of LGA with No reports

Proportion of LGAs with DPT3 >=80% Jun 2009

<25% of LGAs

25-50% of LGAs

50-79.9% of LGAs

>=80% of LGAs

• DPT3 Coverage.

– In NCZ, Plateau and Benue had depreciation in June for DPT3 compared to May while others showed improvements

– NEZ/NWZ, Adamawa, Katsina, Kebbi and Zamfara dropped in performance

– SEZ only all States except Abia had a drop

– SSZ: 3 states; Akwa-Ibom, Bayelsa and Delta had a drop

– SWZ Oyo and Osun dropped

• In comparison to same period in 2008– In NCZ, Kogi and Kwara states are performing worse in 2009 compared to 2008 while others are doing better

– In NEZ, all states have improved except Adamawa and Yobe with no improvement.

– In NWZ all states have performance much worse in 2009 except Sokoto that has shown some improvement.

– In SEZ only Anambra showed improvement while some others have deteriorated (ABIA) while the others show

very little or no improvement

– SSZ All states have made improvements while in SWZ, Osun and Oyo have deteriorated in their performance in

2009 compared to same period in 2008

• Many key states especially in the northwest have more than 40% of their LGAs with DPT3

< 50%, particularly states like Kano with 75% of their LGAs and Zamfara with 65% of

LGAs having DPT3 less than 50%– Only Akwa-Ibom State and the FCT have at least 80% of their LGAs with cumulative DPT3 of 80% or more as at

June 2009

SUMMARY (3)SUMMARY (3)

Un-Immunized Children June 2008/2009

Un-Immunized Children Jun 2009

0

20000

40000

60000

80000

100000

120000

Un-Immunized Children as at June 2008

Kano with over 100,000 unimmunized is surrounded by states with over 60,000 un-immunized children as at June 2009

• Un-Immunized Children– Kano, Kaduna, Katsina, Lagos, Jigawa,

Bauchi and Zamfara States have high numbers of Un-immunized Children with over 40,000 un-immunized Children in each State as at June 2009

• However, Kano State has significantly High number of Un-immunized Children- over 10,000 as at June 09!!!.

SUMMARY (4)SUMMARY (4)

-10%

-5%

0%

5%

10%

15%

20%

25%

30%

35%

40%

Ben

ue

FC

T

Ko

gi

Kw

ara

Nas

araw

a

Nig

er

Pla

teau

NC

Z

Ad

amaw

a

Bau

chi

Bo

rno

Go

mb

e

Tar

aba

Yo

be

NE

Z

Jig

awa

Kad

un

a

Kan

o

Kat

sin

a

Keb

bi

So

koto

Zam

fara

NW

Z

Ab

ia

An

amb

ra

Eb

on

yi

En

ug

u

Imo

SE

Z

Akw

a-Ib

om

Bay

elsa

Cro

ss R

iver

Del

ta

Ed

o

Riv

ers

SS

Z

Eki

ti

Lag

os

Og

un

On

do

Osu

n

Oyo

SW

Z

NC NE NW SE SS SW

DPT1/3 Drop out rates Jun_09

DPT1/3 Drop out Rate May 09

DPT1/DPT3 Drop out Rate Jun 2009

DPT1/3 Drop out Rates.

• DPT1/3 drop out rates continue to be ver

high in all States in the NE and NWZ have

very high drop out rates except Taraba State.

• In the NCZ, Plateau, Niger and Nassarawa

recorded high DPT1/3 drop out rates.

• In Southern zones, DPT1/3 drop out rates

are generally within acceptable limits.

SUMMARY (5)SUMMARY (5)

Wastage Rate Profile by State _Jun 09

0

5

10

15

20

25

30

35

40

45

50

55

60

Ben

ue

FC

TK

og

iK

war

aN

asar

awa

Nig

erP

late

auN

CZ

Ad

amaw

aB

auch

iB

orn

oG

om

be

Tar

aba

Yo

be

NE

Z

Jig

awa

Kad

un

aK

ano

Kat

sin

aK

ebb

iS

oko

toZ

amfa

raN

WZ

Ab

iaA

nam

bra

Eb

on

yiE

nu

gu

Imo

SE

Z

Akw

a-B

ayel

saC

ross

Del

taE

do

Riv

ers

SS

Z

Eki

tiL

ago

sO

gu

nO

nd

oO

sun

Oyo

SW

Z

Nat

ion

al

NC NE NW SE SS SW

% DPT3 wastage Jun 09 %MV wastage Jun 09

Vaccine Wastage Rates Profile by May 09

Std WR for DPT Std WR for MV

• Vaccine Wastage Rates.– Wastage rates for DPT has remain

generally satisfactory in June except in Katsina and Kano

– Many States had measles vaccine wastage rates within acceptable limits.

– However, Benue, Plateau Bauchi, Kano Kaduna, Katsina, Zamfara, Anambra, Bayelsa, Rivers and Edo states have very high wastage rates for measles vaccine.

SUMMARY (6)SUMMARY (6)

No of Health Facilities and frequency of Planned Community Link Activities June 2009

No. of Health Facilities and their Frequency of Planned Community Link/VDC Meetings

765 150

4,675

0

500

1,000

1,500

2,000

2,500

3,000

3,500

4,000

4,500

5,000

Weekly Bi-Monthly Monthly

No. of Health Facilities and their Frequency of Planned Health Education sessions

921 646

7,248

0

1,000

2,000

3,000

4,000

5,000

6,000

7,000

8,000

weekly Bi-Monthly Monthly

Health Education sessions

Village Development Committee meetings

< 50 %

50 -79.99%

80 - 95% > 95 %

No data

Proportion of Planned Community Link Activities Conducted Cumulative June 2009

Community Link Activities• Most States do not have plans for Community Link

activities– Out of the 22,876 HFs conducting RI in the country only

5,658 (25%) have plans for Community link meetings– 38% (8,815) HF have plans to conduct HE sessions.

• Only 12 States had a report for community Link between June 2009

• Community Link committee Meetings– Out of the 12 States with reports

• less than 50% of planned meetings were conducted in 6 States • In only 3 states were more than 95% of meetings planned meetings

conducted.

• Health Education Sessions– Similarly for Health Education Sessions

• Less than 50% of planned HE sessions were conducted in 3 States • 3 states had more than 95% of HE session conducted