Presentation made during District Task Force Committee meeting at Kurnool.

3. Intensified Pulse Polio
Immunization
District Immunization, Child Health& Nutrition Management Unit
Kurnool

4. IPPI _ 2013
o drops for polio, every child, every time
January 20th & February 24th

5. Give 2 drops

6. Background
• [PPI] Program is the largest
endeavor.
• PPI is a gigantic program to
control Poliomyelitis which is
one of the seven vaccine
preventable disease.
• PPI in India launched in
December, 1995

7. Goal
• Eradication of Poliomyelitis

8. Reach every CHILD

9. Objective
• REPLACEMENT OF HARMFUL WILD
POLIO VIRUS IN THE COMMUNITY

10. Strategy
• INTENSIFIED PULSE POLIO
IMMUNIZATION PROGRAMME
Children
to be covered this year
5,26,058

11. Cover all HTR areas

12. What is PPI
1. SIMULTANEOUS
2. SUDDEN
3. MASS IMMUNIZATION
4. TO ALL CHILDREN OF 0-59
MONTHS OF AGE
5. ON FIXED DATE
6. THROUGHT THE COUNTRY

13. What is IPPI?
1. Followed by
2. Intensive H2H search
3. With Immunization of
missed children
4. Immunization of children in
HRGs
5. Immunization of children in
transit

14. GPEI _ 2010 - 2012

15. Don’t forget to ink mark

16. Strategic Planning
• Developing a plan of action
• Publicity and mass
awareness
• Management of vaccination
day
• Managing the immunization
post
• Managing H2H search

17. Issues of concern
• India is at the fringe of
eradication of polio.
• HOWEVER
• Complacency
• Serious immunization gaps
• Inadequate RI

18. Challenge
• The biggest challenge is to contain
the spread of polio virus,
especially in the urban areas,
slums, and areas with migratory
population and difficult to reach
areas.
• Ensuring coverage of all children
under five years from
apartments, slums, hard to reach
areas shall be our priority this
time.

19. No more of this . . .

20. Lacunae
• Sense of emergency and sense of
commitment on the part of all the
concerned health workers as observed
in the first 4 or 5 years of PPI program
are now on the wane.
• This is quite natural because it is too
much taxing on the nerve of any human
being to be continuously subject to such
an emergency for years.

21. Lacunae
• It may be observed that there is
symptom of fatigue in the entire system
now.
• It is difficult to motivate the thousands
of workers for the same type of
dedication on their part as observed in
the beginning of the program.

22. Lacunae
 Preparations begin too late
 Vaccines distributed too late
 Inadequate awareness about PPI in
masses
 Inadequate distribution of vaccines
and manpower to the centres
 Long lines at vaccination centres
 Posts open late or not open during
lunch hours for working parents
 Team members not clear about their
duties
 Inadequate supervision & monitoring
Inadequate feed back

23. Reach every CHILD

25. Lacunae _ Preparatory Phase
• Micro planning 1. Not updated
2. Poor focus on
HRGs
• Trainings 1. Quality poor
especially
• VVM,
• CCM,
• House marking
• Logistics support  Satisfactory

26. Implementation Stage
Booth activity Booths not planned in
certain areas
Less team members
Poor mobile team
activity
H2H activity Poor knowledge in
house marking
Non uniform
distribution of teams
Irregular distribution
of workload

27. Implementation phase
• Booth activity & H2H activity is
poorly planned & supervised in
border areas (Inter state &
district).

28. Implementation Stage
Supervision  Poor by route
supervisors (No route
maps)
H2H activity • Less involvement of
other line departments
•No active participation
of NGOs_IMA, Rotary

29. Suggestions
• Quality is to be improved,
especially in urban areas
• Prior preparation of action plan
with map need to be updated
• Based on action plan & Route
maps more booths & teams to be
allotted
• Better cooperation with Municipal,
UHCs, ICDS authorities

30. Suggestions
• Efficiency in utilization of available
resources to be improved
• Better planning & Proper
implementation plan to be
prepared
• Team members familiar with the
area should be deployed in the
booth

31. House marking is very essential

32. Suggestions
• Strengthening of training process
• Stress on VVM, CCM, Proper
house marking
• Strengthening the supervisory
mechanism
• Mobile teams to be sensitized
about their importance

33. Suggestions
• Focus on HRGs
• Urban slums
• Nomads
• Brick kilns
• Construction sites
• Congregation sites

34. Take home message
• Update your MAPs
• Update the HRGs status
• Develop sense of commitment
• Be proud to be part of eradication
process of Polio
• Focus on border areas (Inter state,
Inter districts)

35. Make every effort to cover HRGs/HRPs

36. Take home messages
• Focus on Quality
• Train on Proper House marking,
VVM, Tally marking, Ink marking
• Involve Rotary clubs where ever
available
• Use this window of opportunity to
sensitize the community about RI
activities

37. Surveillance is very important

38. Take home messages
• Rejuvenate yourself
• Motivate UR self & Others
• Develop sense of commitment
• Use the opportunity to develop
your strategic planning skills
• Do not get fatigued

39. Take home message
• Plan, & Micro plan
• Because
• Failing to PLAN
• Is
• Planning to FAIL

40. Reach every CHILD

41. Reach every CHILD

42. Take home message
• Propel India towards
victory in war against
Polio

43. Children
to be covered this year
5,26,058

44. Need of the hour …
 Is to develop ownership,
commitment, dedication
to further enhance
focus and momentum gained.
 Any distraction or loss of quality
at this stage will imperil
all the strenuous efforts made to date,
and risk failure at the brink of success

45. What is
expected
from U . . . • Booth activity
Meticulous • H 2 H activity
planning • Transit site activity
• Activity in HR & US areas
• Activity in
– Brick kilns,
– construction sites,
– congregation sites,
– urban areas

46. What is
expected
from U . . . • Supervision
Meticulous • Mapping of areas
planning • Training
• Vaccine, Cold chain
maintenance, logistics,
transportation.
• IEC/Social mobilization
• Recording & Reporting
• Review of microplans

47. Cold chain management
1.Keep in touch with AE, APTRANSCO
2.Get your generators ready & repaired
3.No sessions on 18th Saturday
4.Ice/Ice packs preparation
5.Keep thermostat at maximum

48. Mapping
P
H
C
S
A
M
P
L
E
MAP

49. Mapping
SAMPLE
MAP
OF
SUPERVISOR

50. MAPPING
SAMPLE
MAP
OF
TEAM

51. FORM 1 Manpower Planning form
FORM 2 Vaccine & Cold chain Planning form
FORM 3 Logistics & Transport Planning form
FORM 4 A Booth Planning template
FORM 4 B H 2 H Planning template
FORM 4 c Transit Point Planning
FORM 4 D High Risk Area planning form
Mobile team planning form
FORM 5 Daily Miking Format
FORM 6 Checklist for Preparing/Reviewing Microplans
FORM 7 A Supervisors checklist for Booth activity
FORM 7 B Supervisors tally sheet
FORM 8 B X marked houses information sheet
FORM 8 C Tally sheet for booth/Transit/mobile
FORM 8 D Tally sheet for H 2 H activity
FORM 9 A Daily supervisor reporting format
FORM 9 B MO daily reporting format
HRA Template for HRA Listing

53. Dr. Anil Kumar Korrapati
District Immunization and Child Health Manager,
KURNOOL