Presentation of DTF for SNID Sep13 round. It contains slides for RI, SIA and Surveillance data.

1. DISTRICT TASK FORCE MEETING
31 Aug 2013
SONBHADRA
Pulse Polio 15 Sep-2013
National Polio Surveillance Project - India

2. N=181
Percentage of Global
Wild Polio Virus Case
Global Wild Poliovirus – 2013*
*Data in WHO HQ as of 13Aug 2013

3. POLIO UPDATE-2013
World
Up to 13 Aug-13
181
05 Countries
(Pakistan,Afghanistan,Nigeria,somaliya,kenya)
India (Howara) 1 on Jan 13 -2011
U.P 0 since may 2010
Sonbhadra 0 since 2003
Newly infected Countries
in 2011
China,Gabon,Kenya,
Somaliya

4. Last wild poliovirus cases by type, India
WPV2
24/10/1999
Aligarh (UP)
WPV1
13/01/2011
Howrah (WB)
WPV3
22/10/2010
Pakur (JH)
* data as on 13 Aug 2013

5. Surveillance
Sonbhadra
National Polio Surveillance Project - India

6. Comparative AFP survillance indicators – 2011, 2012, 2013 (Week 33)
121
81.8
77.7
99.2
81
10.6
90.1 90.1
100
54
96.3
90.7
100
16.5
11.2
0
20
40
60
80
100
120
140
AFP case AFP rate % Notification w/n 10
days of onset
% Cases with stool
collected w/n in 14
days
% Investigation w/n
48 hrs of notification
2011 2012 2013

7. Comparative AFP survillance indicators – Corresponding period Week-33
67
14.6
82.1 79.1
98.5
47
9.9
93.6 93.6
100
54
11.2
96.3
90.7
100
0
20
40
60
80
100
120
AFP case AFP rate % Notification w/n 10
days of onset
% Cases with stool
collected w/n in 14
days
% Investigation w/n
48 hrs of notification
2011 2012 2013

8. Notification within 10 days of Onset (week 33)
80
55
86 86 82 90
73 87 81.8
83
100
90 100
91 81
75
100
90.1
100
100
91
100
100 100
100
92
96.3
0
50
100
150
200
250
300
350
BABHANI
CHATARA
CHOPPAN
DUDDHI
GHORAW
AL
M
YORPUR
NAGAW
A
RO
BERTSGANJ
DISTRICT
2011 2012 2013

9. Surveillance Index-2013
AFP Case
Up to 17-Aug-13 (Week no.33)
54
08 Blocks
AFP Rate 11.2
Cases with stool collected
w/in 14 days
90.7%
Notification w/in 10 days of
onset
96.3%
investigation w/in 48 hrs of
notification
100%

10. Block AFP Cases
% Cases wit h
st ool collect ed
w/ in 14 days
% Not ificat ion
w/ in 10 days of
onset
AFP rat e
SBD_BABHANI
3 100 100 11.7
SBD_CHATARA
4 100 100 16.8
SBD_CHOPAN
11 82 91 12.6
SBD_DUDDHI 3
100 100 6.9
SBD_GHORAWAL
6 83 100 10.6
SBD_MYORPUR
8 88 100 5.7
SBD_NAGAWA
6 100 100 25.1
SBD_ROBERTSGANJ
13 92 92 15.8
Dist rict Tot al 54 90.7 96.3 11.20
AFP surveillance District indicators - 2013 (UPTO WK.33)

11. Surveillance Issues
•Surveillance Indexes of our district are well
above average and we are good performing as
compared with previous year.
•Total AFP cases reported in district are
around 54 in 8 months.
•Investigation by MO=2,Nodal=36,SMO=9.
•100% case investigation by Trained MOs.
•Sensitisation is done by DIO also.

12. SIA
Sonbhadra
National Polio Surveillance Project - India

13. District Summary
• No of HRA :13
• No of HRG :85
• No of Supervisor :214
• No of Team :675
• No of Booth :1065
• No of Transit Team :47
• No of Mobile Team : 10
• National Polio Surveillance Project - India

14. % of Remaining Convertible X Houses-Sonbhadra
14.66
7.96
18.83
3.89
14.15
35.16
7.72
13.42
27.24
16.26
10.81
14.31
20.75
6.92
16.69
14.99
9.35
9.66
17.75
14.19
10.9
6.32
14.72
3.77
8.37
16.59
3.16
3.96
7.63
9.89
0
10
20
30
40
50
60
70
80
Babhani
Chatara
Chopan
Duddhi
Ghorawal
Myorpur
Nagawa
Kakrahi
Robertsganj
Total
Feb-13 Apr-13 Jun-13

15. 0
2.67
8
0
2.73
2.5
0
1.92
2.76
3.75
0
3.3
3.33
2.04
4.32
1.75
3.07
3
2.5
2.33
0
1.67
1.73
1.67
1.57
1.81
2.86
0
2
4
6
8
10
12
14
16
B
abhani
C
hatara
C
hopan
D
uddhi
G
horaw
al
M
yorpur
N
agaw
a
R
obertsganj
D
istrict
Feb-13 Apr-13 Jun-13
% of False P Houses

16. % of Unimmunized Kids in HRG area -Sonbhadra
Nomad,0
Nomad,0
Nomad,0
0
0
0
0
0.62
2.19
0.99
0.37
Nomad,5.88
S/C-B/K,4.45
S/C-B/K,13.12
S/C-B/K,3.17
S/C-B/K,6.2
0
2
4
6
8
10
12
14
Jan-13 Feb-13 Apr-13 Jun-13
Nomad CS PS/TS S/C-B/K

17. Rate of Conversion of XH
88.84
92.23
81.41
96.08
87.29
85.03
94.87
88.25
90.89
87.76
89.63
78.81
93.37
86.54
92.33
93.38
92.02
94.26
89.47
89.11
92.37
73.64
94.49
89.4
83.52
97.09
95.34
88.94
87.87
90.91
0
50
100
150
200
250
300 Babhani
Chatara
Chopan
Duddhi
Ghorawal
Myorpur
Nagawa
Kakrahi
Robertsganj
District
Feb-13 Apr-13 Jun-13

18. % Total X to P Conversion
54.84
47.32
52.92
50.42
69.63
63.29
53.99
63.89
56.47
55.91
63.08
45.71
52.64
51.92
64.72
61.36
54.54
66.59
56.34
52.43
54.11
32.78
44.65
42.8
50.25
58.03
49.09
43.8
46.44
56.63
0
20
40
60
80
100
120
140
160
180
200
Babhani Chatara Chopan Duddhi Ghorawal Myorpur Nagawa Kakrahi Robertsganj District
Feb-13 Apr-13 Jun-13

19. %Coversion By Supervisors
59.02
38.39
44.92
44.88
40.83
26.5
40.58
34.12
25.96
37.37
59.87
35.64
41.24
46.23
42.39
26.44
40.16
34.39
30.98
36.66
66.86
41
53.3
51.1
44.86
31.34
39.39
38.67
47.47
41.81
0
20
40
60
80
100
120
140
160
180
200
Babhani
Chatara
Chopan
Duddhi
Ghorawal
Myorpur
Nagawa
Kakrahi
Robertsganj
District
Feb-13 Apr-13 Jun-13

20. % Conversion of XH
80.58
84.4
82.95
81.66
85.42
87.54
87.76
89.47
87.87
76
78
80
82
84
86
88
90
92
Feb-12 Apr-12. June-12. Sep-12. Nov-12. Jan-13. Feb-13. Apr-13. Jun-13
Rate of Conversion of XH

21. % False P
3.08
3.62
2
2.43
2.15
2.06
2.76
3
1.81
0
0.5
1
1.5
2
2.5
3
3.5
4
Feb-12 Apr-12. June-12. Sep-12. Nov-12. Jan-13. Feb-13. Apr-13. Jun-13
% False P

22. Conversion by Supervisor’s
35.27
32.96 33.19
36.61
37.37
36.66
41.81
36.44
38.79
0
5
10
15
20
25
30
35
40
45
Feb-12 Apr-12. June-12. Sep-12. Nov-12. Jan-13. Feb-13. Apr-13. Jun-13
%Conversion

23. Minutes of DTF June 13 Round
Discussed on the following Points in DM chairmanship.
•High Remaining Convertible Blocks are Chopan and Ghorawal.
•Total X to P Conversion is High in Myorpur (64.72%) and less in
Chopan(45.71%)
•% False P is High in Myorpur(4.32%).
•New Born coverage poor in kakrahi, Ghorawal & Chatara.
•New Born tracking poor- Myorpur, Chatara.

24. Summary of DTF Sep 13 Round
•High Remaining Convertible Blocks are Chopan and Myorpur.
•Total X to P Conversion is High in Nagawa (58.03%) and less in
Chopan(32.78%)
•% False P is High in Babhani(2.86%).
•New Born coverage poor in Robertsganj, Ghorawal & Chatara.
•New Born tracking poor- Chopan, nagawa
•Rate of conversion of XH is less in Chopan(73.64)

25. NO. OF REMAINING CONVERTIBLE X HOUSES SIA JUNE 2013

26. % New Born Immunized
91 82 96 93 86 94 94 96 87 93
85 85
94 77 96
97
90
88
95
97 85 94
95 93 95 8992
96
95 88
0
50
100
150
200
250
300
350
Babhani
Chatara
Chopan
Duddhi
Ghorawal
Myorpur
Nagawa
Kakrahi
obertsganj
District
Feb-13 Apr-13 Jun-13

27. % No. of Teams doing Tracking of
New Born child of previous round
100 100
76.19
100
92.86
118.18
88.89
100 96.97
0
20
40
60
80
100
120
140
Babhani
Chatara
Chopan
Duddhi
Ghorawal
Myorpur
Nagawa
Robertsganj
DistrictTotal

28. Monitoring Status in HRG- June.-2013
• Total HRG :85
• HRG Monitored :68(80%)
• Child Monitored in HRG :817
• Child Un-immunized in HRG :6

29. 33.15 36.23
28.52 28.75 35.61 36.56
52.57
36.05 31.9 34.58
33.31
34.3
27.94 28.93
35.57 35.28
51.5
36.38
33.63 34.15
0
20
40
60
80
100
120
BABHANI
CHATARA
CHOPPAN
DUDDHI
GHORAWAL
MYORPUR
NAGAWA
KAKRAHI
ROBERTSGANJ
DISTRICT
Apr'13 Jun'13
Comparative Booth Coverage of Last two round
Dist- Sonbhadra

30. Points to discuss and note during
Evening Meeting
• Supervisors to fill X Houses Tracking sheet.
• Supervisors to convert at least 10 Houses per day
• Action against supervisors with High convertible X
remaining and False P.
• Decrease number of X convertible remaining.
• New Born Tracking done by Teams
• Send written minutes of meeting with issues
identified and actions taken to District through
Monitors.

31. Action Plan for the Coming Round
• Vaccine to be used : Bio-valent (bOPV).
• Timings of the Booth & HTH activities :
09 AM to 4 PM.
• Evening Meeting- 5 to 7 :30pm
• ABSAs and CDPOs to attend Evening Review
Meetings every day and collect the list of
absentees.
• B Team on 23 Sep 2013.

32. RI
Sonbhadra
National Polio Surveillance Project - India

33. % Immunized in 2012
52.9
73.5
46.2
73.9
57.6
70 70.8 74.2
64.4
34.9
24.9
32.8
22.6
33.2
25 26.4 24
27.9
12.2
1.6
21
3.5 9.3 5 2.8 1.8 7.7
0
20
40
60
80
100
120
B
abhani
C
hatara
C
hopan
D
uddhi
G
horaw
al
M
yorpur
N
agaw
a
R
obertsganj
D
istrict
Fully Partial None

34. % Immunized in 2013(till july)
54.7
40.52
25
44.8
36.66
48.8
48.94
48.99
41.79
40.17
53.9
55.33
50.4
53.96
49.2
46.81
45.97
50.48
5.13 5.58
19.67
4.8 9.38
2 4.26 4.7 7.68
0
20
40
60
80
100
120
B
abhani
C
hatara
C
hopan
D
uddhi
G
horaw
al
M
yorpur
N
agaw
a
R
obertsganj
D
istrict
Fully Partial None

35. R I FEEDBACK – Jan to July 2013, DISTT. SONBHADRA

36. RI Planning
• ANM Duty roaster and calendar
• Cold chain assessment and plan
• Maintain stock and Record registers.
• Arrange other ANM if on duty ANM on leave for RI
• Monthly coverage and achievement assessment of ANM
village wise so as to decide supportive Actions
• Waste Management Plan with safety pits
• Open Vial policy for all vaccine except BCG and Measles
• Zero Dose for BCG, OPV, Hep B
• Area Maps and Route Charts

38. Vit A (oral)
BCG (intradermal)
DPT (intramuscular)Hepatitis B (intramuscular)
Measles (subcutaneous)
OPV (oral)
Thanks…..