Measles Rubella Vaccination Campaign ( 17 Aug – 25 Sep’2017 )

Telangana Experience

We are extremely thankful to..... • Political Leadership of Telangana

• Govt. of India

• All the Line Departments: Education & WDCW

• WHO

• UNICEF

• LIONS

• IAP

• All other Partners

• All consultants

• Religious Leaders

• Media

• Each and Every one involved in the MR campaign

State Profile • Estimated Population : 3,94,50,597

• Estimated Target : 90,01,117

• No of school sessions : 43,523

• Regular Outreach sessions : 30,213

• Sessions in HRA : 1,509

• Mobile Teams: Around 767

• Fixed sessions in Hospitals : 13,674

• Number of Planning Units : 839

• No: ANMs : 7,624

• Number of ASHAs : 27,845

• No: AWW : Around 29,567

Strengths

• High Political Commitment

• Excellent Leadership at the state and districts

• Committed workforce at all levels

• Strong inter- Departmental coordination

• Excellent Partners involvement

• Early preparations, trained supportive supervisory teams at the state

• Understanding our weakness

Challenges ....

•Reorganization into 31 districts from 10 districts •Manpower Vacancy issues- Doctors, vaccinators •Huge urban belt(GHMC), urban pockets in most districts •Tribal belts and hard to reach areas •Old city in Hyderabad and resistant communities- vaccine resistance •Myths on mass vaccination , Fear of Injectable vaccine •Elite international schools

State Planning and Technical Workshop • On 18th & 19th May 2017

• State TOT was attended by DC Immunization, CHFW, National Partners

• Participants - Deputy DMHOs, DIOs of all districts

STFI and Video Conference

• Joint Video Conference conducted on 6th June by SP CS Education, SP CS Health and Commissioner Education with all District Collectors, DMHOs, District Education Officers and PD of WDCW.

• Attended by representatives of Private schools, Catholic schools, Religious schools, Defence, Kendriya vidyalaya and STFI members

State Level Workshops

• 1 day work shop for all three district level HODs of 3 line departments- DMHOs, PD ICDS, DEO supported by WHO

• State workshop for IAP members supported by WHO and UNICEF

• 2 days Workshop for communications planning for DEMOs supported by UNICEF

• State level workshop for all private school associations by State

• 1 day Training to DVLMs and RMs done by the state

State Level Workshops

Commitment from the Top

• Joint DO letters from 3 HODs( Sp CS Health, SP CS Education, Principal Secretary WDCW) sent to all District Collectors and concerned Line Departments

• DO letters from CHFW to all Collectors and HODs

• DO letters from Commissioner Education to all concerned

• DO letter from WCD Commissioner to Districts

Joint DO Letter from all 3 Secretaries

Workshops, Training, Meetings- 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 handlers trained at

the district • Separate training of Medical officers and vaccinators

prior to campaign on Biomedical waste management, AEFI preparedness and management.

SMOS and State Monitors played key role in ensuring good quality workshops

District Collector Nalgonda launching the

IEC material for MR campaign at Nalgonda

Press briefing by District Collector Warangal

Commitment & leadership by District Collectors

• Three rounds of DTFI meetings

• Regular meetings to review preparedness and progress

• Collectors & Joint Collectors led the campaign

• Corporation and Municipality Commissioners conducted separate City Task Force on Immunization in all urban areas across the state

• Co-ordination between district administration and urban corporation was crucial for urban area activity

District Task Force Meetings

• State & District AEFI Committee Review meetings conducted prior to the campaign

• District level MOs Workshops including TSVVP Doctors, Private Practitioners were conducted

• Supervisor and vaccinators trained for AEFI management just prior to campaign.

• Nilofer Hospital identified as State Nodal center for AEFI management

• IAP Doctors and Private Clinics were identified as Nodal centers for AEFI managements

• Prompt identification & management of AEFIs

Measles-Rubella Vaccination Campaign - August 2017 TELANGANA

AEFI – Preparedness and Management

Measles-Rubella Vaccination Campaign -

August 2017 TELANGANA

AEFI – Preparedness and Management

Availability of AEFI kits in all sessions, including dosage chart ensured through state supply

Excellent Coordination with Partner agencies & Sensitization of key stakeholders

Measles-Rubella Vaccination Campaign August 2017 Andhra Pradesh

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

15 Officers stationed in State/Districts for 4 months supporting

microplanning, training, advocacy meetings, monitoring and

feedback.

• UNICEF: supported Communication and Social Mobilization through placement of SMNet Members for two and ½ months, and also through NGOs – SAATHI and CWS for religious groups/private school management bodies, media sensitization, and also the Social & Digital Media support

• Lion’s International :supported awareness activities, resistant schools

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

management,CMEs

MR Campaign Tableau in State Independence day Parade

IEC activities supported by Lions International

Meetings & sensitisation of top level religious heads/Institutes

Involvement of top level religious heads/Institutes – Written appeals

Involvement of Opinion Maker religious heads – Video Messages for MR Campaign

Social Media: Used Extensively for 1st Time

Target audience: Parents (especially Hyderabad City and urban areas), Schools, State and District Health System, general population, largely in English with a mix of Telugu and Urdu Type of materials: Videos , GIFs & Factoids, Photo based, infographics, key messages

Social Media – Different Platforms

MR Social Media

FaceBook & Twitter

You Tube

WhatsApp Search

campaigns

Website & display

banners on newspaper

website

Twitter:@arogyatelangana started on 11th August

FaceBook: New Look to NHM Handle

WhatsApp

Numerous state and district level WhatsApp were created for MR Campaign - Standardized messaging on daily basis to these groups

YouTube Channel

Awareness based videos from social influencers, celebrities, GIFs from MoHFW, testimonials of local leaders, pediatricians, Informational videos etc.

Glimpse of Information on Social Media

Contact details of vaccination sites uploaded on website for addressing queries from people

Queries on Social Media – Few Glimpses

• Questions were being asked primarily on Twitter and Facebook – FB was more popular

• Location related queries were directed to concerned DIOs/DMHOs while medical queries were directed to medical doctors including a pediatrician

• On daily basis, queries were filtered and directed to concerned person.

Rallies before launch

State Inauguration & launch by Hon’ble Health Minister ;17 August 2017

State Inauguration and launch

Highest commitment from Political & Administrative leadership

Deputy CM inaugurated in Warangal Inauguration by District Collector in Medak

Commitment by the Front line Workers

Supervision and Monitoring

State Video Conferences by Commissioner HFW/ MD(NHM) with DMHOs and district officials were crucial in guiding and reviewing districts through the campaign

Repeated VCs from State with Collectors and other departments by Health Leadership

31 state Nodal officers deputed for overseeing the preparedness and implementation of campaign in all 31 districts. - Visited during preparation and implementation phase

MRC Control room set up with 6 State officers continuously

monitoring the activities

Supervision by DC -GOI

Advocacy with Catholic Institution Session Monitoring and capacity building

Mid Course Interventions…. • Intensified GHMC involvement

– Corporator Meeting

– Municipal Medical officer & staff involvement

• Support from partners ( WHO, Unicef) through advocacy and convergence meetings; surge support to old city in the later part.

• Several rounds of Sensitisation to Private school managements and parents

• PIL filed by a parent against private school management for compliance for MR vaccination by Elite schools

• Sensitization program for press: debugging myths on Measles rubella vaccination

• TV talk shows, Radio shows, frequent media meets

GOVERNMENT OF TELANGANA

HEALTH, MEDICAL AND FAMILY WELFARE (D1) DEPARTMENT

Circular Memo.No. D1/2017 Dated: .07.2017

Sub: Measles-Rubella Vaccination from 17.8.2017 to 23.09.2017 in the state - Instructions to be followed by Government and Private educational Institutions. Ref: 1. T-22020/09/2016-Imm, GOI, MOHFW, Imm. Division, New Delhi, dt.

08.05.2017

2. Note submitted by Commissioner of Health and Family Welfare dated

18.07.2017

-:oOo:-

Vide reference 1st cited, the Government of India has introduced Measles –

Rubella Vaccine in a phased manner across the country. In the 1st phase in Karnataka,

Tamil Nadu, Goa, Pondicherry and Lakshadweep, more than 3.3 Crore children in the

age group of 9months-15years were successfully immunized. In the second phase the

Government of India has selected 8 States including Telangana.

2) The Measles-Rubella campaign is one of the massive public health activity

targeting the children of age of 9 months to 15 years. The Measles-Rubella campaign

will be conducted from 17th August 2017. This will be followed up by Routine

Immunization replacing the currently given measles vaccine and will rapidly build up

immunity for both measles and rubella and reduce the measles and rubella

transmission. Measles immunization reduces under–five children deaths and Rubella

immunisation controls congenital Rubella syndrome (CRS). With the combination of

Measles-Rubella vaccine, the disabilities will be reduced to a great extent among

children.

3) The Measles-Rubella vaccination will be provided through sites at schools and

outreach session sites. The period of campaign is for 5 weeks starting from 17th August

2017.

4) In view of the Public Health importance attached to this campaign, the

Government hereby order that all schools in the state both public and private schools

shall participate in the vaccination campaign and the Head Masters of the Government

Schools and the management of the Private schools shall ensure the presence of 100%

children during the campaign to enable the health staff to immunize all children. It is

further ordered that all Principals/Head Masters of Government and Private schools

shall conduct the Parent-Teacher meetings and sensitise the parents about the benefits

of this vaccine.

Mid Course Interventions

Daily Review by Commissioner Govt Memo regarding mandatory vaccination in school

Old City of Hyderabad

• Review of MOs, SPHOs by CHFW

• Cluster level meetings with MOs, Deputy DEO, CDPO ICDS, Corporators, Local Leaders etc

• Daily review of old city MOs at the O/o CHFW for identifying and addressing the issues immediately

• Deputation of DMHOs from other districts along with staff of the same community who were well versed in URDU for advocacy in refusal schools, Madrassa and Masjids

• Resistant area UPHCs were given support by deputing 1-2 more MOs from other districts

• Personal advocacy of CHFW and CPO with the Siyasat urdu daily newspapers

All MLAs of Old City Hyderabad engaged in MR campaign – Press Conference, Video messages, Inaugurated Sessions

Religious leaders meeting, Poster prepared by Jamat-Islami Hind,

Mosque speeches on MR Campaign

Mustering Media support

8.85

7.49

5.47

5.92 6.06

6.35

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4.29

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3.38

2.84

1.22

3.97

2.66

1.72

2.50

2.03

3.46

1.52 1.55 1.29 1.23 1.25

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Day wise coverage Cumulative coverage Estimated Target

MR Campaign Telangana State Coverage Cumulative coverage = 91.48 Lakhs Cumulative achievement = 101.63%

data up to 30th Sep 2017

Celebrating the Success…

Appreciation by Special Chief Secretary to Commissioner – Health

Appreciation of District Leadership

Thank you