PowerPoint Presentation

Strenghtening EPI in Balochistan2A Presentation forWorld bank Mission6th April.2015Comparison of Countrywide EPI Coverage PDHS 2012-13ProvinceBCGPenta IPenta IIIMeasles 1Fully Immunized ChildrenBalochistan48.9%37.7%27.1%37.3%16.4%Punjab85.5%87.2%64.5%70.0%65.6%Sindh76.7%65.1%38.6%44.6%29.1%KPK71.1%77.1%69.6%57.8%52.7%Pakistan85.2%78.8%65.25%61.4%53.8%

WPV3WPV1Confirmed Polio Cases By Poliovirus Type, 2010-15* Quetta Block Cases (n)cVDPV22010Total Cases 072011Total Cases 532012Total Cases 182013Total Cases 002014Total Cases 19Virus Type* Afp.rec Data as of 09-02-14No WP3 58 Mos19 WP1 After 24 MosNo cVDPV2 25 Mos4SIADs in Low SeasonOutbreak response 4No wild type 3 cases in Quetta Block for 58 months Last case: Quetta, 10 April 201019 wild type 1 cases in Quetta Block after a gap of 24 months Last case: Quetta, 22 June 2012No cVDPV2 cases in Quetta Block for 17 months Last case: Killa Abdullah, 12 December 2012

STRATEGIES AND MAIN ACTIVITIES

Human Resource ManagementCosting and FinancingVaccine, Cold Chain and Logistics Immunization Services DeliveryMonitoring, Reporting and SupervisionDemand Creation , Communication & Advocacy

A NEW MODEL OF PEI/PEIPermanent Vaccination Teams Pilot ProjectPermanent Vaccination teams project was piloted in HRUC Kotwal A of Quetta, in which 32 LWHs were allotted on average 240 houses

Total of 11763 children were vaccinated in 7617 houses with detailed micro census of the UC (names and ages of children, parents names, RI status of children etc)

UC MAP

40 houses survey reportMain FindingsPositivecommunitysupport and acceptanceCollected the base line data of the UC with registration of all under 5 years of children for all EPI/RI vaccinations.The resources utilization was 100%, Without security achieved the target.81 % RI achivedMonitoring and SupervisionReporting & FeedbackNew Organogram for EPI5 Years Costing for Routine Immunization in Balochistan (2015 to 2020)S. NoRoutine Immunization ComponentsCost for 5 Year in PKRCost for one year in Miilion PKR5 Years Cost (Million US $)1Vaccines and Syringes3,155,880,044631.1830.942Vehicle & Motor Cycles54,000,00010.800.533Cold Chain Equipment1,341,300,000268.2613.154Service Delivery (CHVs, LHWs, Vaccinators, Mobile POL,)2,028,200,460405.6419.887Monitoring and Reporting (District Level)245,140,00049.032.408Monitoring and Reporting (Provincial Level)91,644,00018.330.90Monthaly Review Cost26,568,00026.571.309Operational Cost96,660,00019.330.9510Trainings (District and UC Levels)44,040,0008.810.4311Overhead (Training manuals, ACSM, Research)30,000,0006.000.2912Establishment Cost132,840,00026.571.3013Repair & Maintenance Cost (Cold Chain & Vehicles)4,497,180,000899.4444.09Total Routine Immunization11,743,452,5042348.69115.13Grand Total (in Milion)11743.45252348.69115.13Total Cost without Vaccines and Cold Chain 1449.25 Service DeliveryComponentRequirementUnit CostTotal for One Year (PKR)Total for 5 Years (PKR)Total for One Year (Millions US $)Total for 5 Years (Millions US $)CHVs200070001680000008400000001.658.24LHWs400026001248000006240000001.226.12Incharge Vaccinators (Present)9003600388800001944000000.381.91Incharge Vaccinators (New)40015000720000003600000000.713.53Motorcycles for ORT12007000084000000840000000.820.82Vehicles for Mobile Activity3435000001190000001190000001.171.17POL for Mobile Teams30200007200000360000000.070.35Vaccine and Logistics Transportation196000098000000.020.10Total Cost of Service Delivery61584000022672000006.0422.23Monitoring & ReportingMonitoring & Reporting (District Level)ComponentRequirementUnit Cost orStipend/MonthTotal for One YearTotal for 5 YearsTotal for One Year (Millions US $)Total for 5 Years (Millions US $)UCSO580250001740000008700000001.718.53ADC30100003600000180000000.040.18DC EPI/DDHO30150005400000270000000.050.26DSV3070002520000126000000.020.12Surveillance and Out Breaks380675221903376100.371.87UCSO Laptop (1 Time)5804000023200000232000000.230.23Laptop District 3050000150000015000000.010.01Total Cost of Monitoring & Reporting24828752211426376102.4311.20Monitoring & Reporting (Provincial Level)ComponentRequirementUnit Cost or Stipened per MonthTotal for One YearTotal for 5 YearsTotal for One Year (Millions US $)Total for 5 Years (Millions US $)DA/TA/Lodging13058800652940000.130.64Laptops5700003500003500000.00340.0034HR Support (IT)3100000120000060000000.010.06Quarterly Reviews410000004000000200000000.040.20Total Cost of Monitoring & Reporting18608800916440000.180.90Operational & Establishment CostOperational CostComponentRequirementUnit CostTotal for One YearTotal for 5 YearsTotal for One Year (Millions US $)Total for 5 Years (Millions US $)UC Level580200013920000696000000.140.68District Level3070002520000126000000.020.12Provincial Level12500030000015000000.0030.015Operational Cost16740000837000000.160.82Establishment CostComponentRequirement Unit CostTotal for One YearTotal for 5 YearsTotal for One Year (Millions US $)Total for 5 Years (Millions US $)UC Level5802000011600000580000000.1140.569District Level302000060000030000000.0060.029Total Cost of Establishment12200000610000000.120.60Capacity Building & Overhead CostCapacity BuildingComponentRequirement Unit CostTotal for One YearTotal for 5 YearsTotal for One Year (Millions US $)Total for 5 Years (Millions US $)District302000060000030000000.0060.029UCSO5802000116000058000000.0110.057Vacinators (2 months)4002080000416000041600000.0410.041CHVs/LHWs600010006000000300000000.0590.294Cost of Capacity Building11920000429600000.120.42Overhead CostComponentRequirementUnit CostTotal for One YearTotal for 5 YearsTotal for One Year (Millions US $)Total for 5 Years (Millions US $)Training Manuals120000002000000100000000.0200.098MIS11000000100000050000000.0100.049Communications/Advertisement11000000010000000500000000.0980.490Reporting Tools11000000100000050000000.0100.049Research (IPH)120000080000040000000.0080.039Overhead Cost13000000740000000.150.73Repair & Maintenance Repair & Maintenance CostComponentRequirementUnit CostTotal for One YearTotal for 5 YearsTotal for One Year (Millions US $)Total for 5 Years (Millions US $)Cold Chain4000000200000000.0390.196Vehicle and Motorcycles2000000100000000.0200.098Repair and Maintenance Cost6000000300000000.060.29NISP DLIsDLIsYr1Yr2Yr3Yr4Yr5Total1. Percent of children aged between 12-23 months in the province or territory who are fully immunizedXX22. Percent of Union Councils (UCs) for which revised computerized UC level micro plans are in functional use at district and provincial levelsX53. Percent of UCs reporting at least 80% coverage of full immunization in children between 12-23 months, which have these reports validated by independent TPVXX4. Percentage of districts with at least 80% timeliness & completeness reporting on vLMISX5. Percent of districts with their recognized surveillance sites having functional online surveillance for Vaccine Preventable Diseases (VPD) & Adverse Events Following Immunization (AEFI)XNISP DLIsIndicatorYr1Yr2Yr3Yr4Yr5Total6. At least 80% score will be achieved in all components in the effective vaccine management (EVM) assessment at provincial levelX27. Percent of detailed UC supervisory plans available for all district supervisors to all provincial supervisor officersX8. Level of expenditures incurred by the respective DoHs and MONHSRC spent on public awareness campaigns for immunization through print and electronic mediaX29. Percent of children under two years of age with vaccination card availableX10. Budget allocations for immunization are continuous, adequate and can be easily tracked within the government financial management information systemXX2ThanksChart1Jan2JanFeb1FebMarMarMar11AprMayMayMayJunJunJunJulJulJulAugAugAugSepSepSepOctOctOct1NovNov1DecDecJanJanJan1FebFeb4MarMar1AprApr4MayMay4JunJun6JulJul7AugAug13SepSep6OctOct4NovNov3DecDec2JanJanFebFebFebMarMarMarAprAprAprMayMayMay1JunJunJulJulJulAugAug1SepSep4OctOct6NovNov2DecDec2JanJanJanFebFebFebMarMarMarAprAprAprMayMayMayJunJunJunJulJulJulAugAugAugSepSepSepOctOctOctNovNovNovDecDecDecJanJanJanFebFebFebMarMarMarAprAprAprMayMayMayJunJunJun1JulJul3AugAug2SepSep4OctOct7NovNov2DecDecJanJanJanFebFebFeb

P1P3cVDPV2

Sheet1JanFebMarAprMayJunJulAugSepOctNovDecJanFebMarAprMayJunJulAugSepOctNovDecJanFebMarAprMayJunJulAugSepOctNovDecJanFebMarAprMayJunJulAugSepOctNovDecJanFebMarAprMayJunJulAugSepOctNovDecJanFebP111114144671364321132472P3211cVDPV214622.20102011201220132014