1 / 24

Update on implementation of measles 2 nd dose in India

Update on implementation of measles 2 nd dose in India. Global Measles and Rubella Management meeting 21 March 2012. Presentation outline. National measles control objective MCV2 introduction: Plans Progress Lessons learned Measles surveillance Summary.

winter
Télécharger la présentation

Update on implementation of measles 2 nd dose in India

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Update on implementation of measles 2nd dose in India Global Measles and Rubella Management meeting 21 March 2012

  2. Presentation outline • National measles control objective • MCV2 introduction: • Plans • Progress • Lessons learned • Measles surveillance • Summary

  3. National objective and MCV2 introduction strategy National objective: To reduce measles mortality by 90% by 2013 compared to 2000 estimates • NTAGI recommendations: • Measles catch-up campaign: 14 states with < 80% MCV1 • Measles 2nd dose in RI: 21 states/union territories with > 80% MCV1

  4. MCV2 introduction through RI • MCV2 introduced in UIP before NTAGI recommendation in 4 states – Delhi, Goa, Pondicherry and Sikkim • 17 additional states introduced MCV2 in UIP as per table • In SIA districts, MCV2 through UIP is being introduced 6 months following campaigns

  5. MCV2 introduction through catch-up campaigns • Target population: • ~ 130 million children 9 months – 10 years of age • 361 districts in 14 states Source: Based on target population available with GoI * Provisional data as of 1st week of March 2012; 6 districts have not yet started the campaign ** Phase 3 will be conducted during Fiscal Year 2012-2013

  6. Campaign results:Reported coverage vs. RCA monitoring 68 of 137 districts achieved >= 90% administrative coverage (50%) Data as of 14 March 2012: Number of areas visited for RCA monitoring = 33,212 Number of children verified = 638,660 Activity ongoing in AP, Assam, Gujarat, Rajasthan & Tripura RCA areas checked < 100 in AP, Manipur and Tripura

  7. Campaign session monitoring N = number of campaign vaccination sessions monitored

  8. Campaign awareness & source of information (in %) • Vast majority of those monitored were aware of the campaign • Session sites with visible IEC material – 82.6% • Sites where social mobilization was being done by house visits – 88.3% N= 638,660 children monitored

  9. RCA monitoring:Reasons for non vaccination < 41% < 5% < 5% N = 80,437 unvaccinated children; analysis is first response provided

  10. Presentation outline • National measles control objective • MCV2 introduction • Plans • Progress • Lessons learned • Measles surveillance • Summary and way forward

  11. Expansion of laboratory supported measles surveillance Surveillance initiated 2006 2007 2009 2010 2011 • 11 states in the network each with state reference lab • Haryana and Chhattisgarh to be added in 2012 • Uttar Pradesh – late 2012, early 2013

  12. Serologically confirmed measles, rubella and mixed outbreaks, 2011 • 209 outbreaks confirmed (180 measles, 16 rubella and 13 mixed) • 9,352 serologically and epi-confirmed measles cases (measles and mixed outbreaks • 84% cases < 10 years of age; 35% vaccinated

  13. Assessing the impact of campaigns

  14. Bihar: Signs of campaign impact MCUP phase 1 Dec 2010-Jan 2011 MCUP phase 2 Nov 2011-Feb 2012 Serologically confirmed outbreaks, Bihar • Surveillance results: • Lab confirmed outbreaks = 10 • Total cases = 947; Deaths = 3 • 80% unvaccinated • 91% < 10 years of age ● Lab confirmed outbreak Data as on 15/02/2012 Measles surveillance initiated in June 2011

  15. Strengths and best practices • Strong central government ownership: • All logistic and operational costs borne by GoI • Regular feedback provided to Union MoHFW officials for action • AEFI management systems established: • AEFI response prompt and effective • Clear implications for routine immunization • Injection safety standards maintained • Logistics and cold chain: • Logistic issues solved very promptly from GoI and at state level • Cold chain equipment and management systems robust

  16. Areas for improvement • Stewardship and coordination: • Variable state and district level engagement • Coordination: • Insufficient coordination between Health, Education and Women and Child development • Vaccination in schools, particularly in urban areas remains a challenge • Planning: • Lack of clarity regarding timeline of vaccine provision and state level vacillation on fixing campaign dates • Full scale engagement of Program Officers lacking in some districts • Coordination with schools especially in urban areas remains a challenge • Sharps waste disposal inadequate • Supervisory personnel require better training to be better provide supportive feedback

  17. % Hub-Cutter Found Available, Uttar Pradesh January’11 – December’11 N= Source: RI monitoring data N = No. of session found held

  18. Polio-free India Strengthening UIP is essential to maintain high levels of population immunity and maintain polio free status!!!

  19. 2012-2013: Year of intensification of UIP

  20. Summary • Lessons from Phases 1 and 2 must be consolidated to improve Phase 3 and strengthen routine immunization • Measles lab-supported surveillance to be improved and expanded • Introduction of rubella containing vaccine and CRS surveillance is on the agenda

  21. Acknowledgments • Union and State governments • UNICEF • Measles Initiative • WHO HQ, SEARO

  22. Thank you

  23. RCA monitoring:% children not vaccinated

  24. Current classification used

More Related