Post on 13-Dec-2014
description
Measles Surveillance & RIUDJ
Status Report
WEST BENGAL
District
Census('01) Popn (000)
Females (@)
%Mothers_1st Trimester Regd
Mothers with 3 ANC
%Mothers (1 TT)
Institutional Delivery (%)
F.I. (12-23 m)
Vit A_1 (9-35 m)
DARJEELING 1609 937 46.3 70.4 97.9 72.4 86.2 77.6JALPAIGURI 3401 942 39.9 72.7 97.4 48.4 78.4 79.8KOCHBIHAR 2479 949 41.6 59 96 46.4 78 81.4MALDA 3291 948 40.7 59.6 93.7 28.6 69.7 74.1U / DINAJPUR 2442 938 39.1 53.3 89.3 27.6 54.5 61.8D / DINAJPUR 1503 951 40 77.6 96.2 40.3 88.9 87.1MURSHIDABAD 5867 952 47 63 97.3 41.6 62.5 67.6NADIA 4605 946 45.3 76.4 97.9 69.9 86 86.4SOUTH 24 PGS 6907 NA NA NA NA NA 73.8 81.8NORTH 24 PGS 8934 926 51.2 86.6 98.4 62.8 81.7 81.8KOLKATA 4573 927 62.2 90.3 97.7 87.7 82.2 76.9HOWRAH 4273 906 54.7 79.8 98.5 65.7 76.4 73.5HOOGHLY 5042 947 65.3 82.8 98.7 80.1 92.9 89.2BARDHAMAN 6896 922 51.3 70.7 95.4 58 63.8 77BIRBHUM 3015 950 36.6 58 90.3 48.7 65.8 75.1BANKURA 3193 952 33.6 65.8 93.5 61.4 91.7 87.6PURULIA 2537 954 31.9 65.1 91.1 39.9 84.3 81.2W / MEDINIPUR 5193 955 33.3 49.1 88.4 45.1 80.5 84.9E / MEDINIPUR 4417 955 38.3 74.3 98 40.7 89.4 91.7
West Bengal 8018 934 42.4 67 95 49.2 75.8 78.3
DLHS-III (2007-08)
UDJ –Reported highest Measles Mortality in WB-Since 2007
Weekly ReportingMeasles-Surveillance
Reported Measles Cases (5138) & Deaths (25) - J uly,07 - Dec 07
409
474
902
139194 197 197
34
449
52
370
162137
304
523
1497286
288
0
100
200
300
400
500
600
700
800
900
1000
DJ
L
JP
G
KB
R
UD
J
DD
J
ML
D
MB
D
ND
A
BD
N
BB
M
BK
R
PR
L
MN
P
TM
L
NP
G
SP
G
HR
A
HG
L
KO
L
9
2
2
3 41
1
1
1
1
Death
Source – Routine weekly reports
Reported Measles Cases 2008-12156
649703
172
802
364
817
1664
1207
265190
802
384
1024
569
1068
239
565
95
577
0
200
400
600
800
1000
1200
1400
1600
1800
DJ
L
JP
G
KB
R
UD
J
DD
J
ML
D
MB
D
ND
A
BD
N
BB
M
BK
R
PR
L
MN
P
TM
L
NP
G
SP
G
HR
A
HG
L
KO
L
Deaths = 37
13 5
2
1
22
1
1
1 6
1
11
Source – Routine weekly reports
Reported Measles Cases 2009-21052
1018
693
1979
464552
1107
722
20192132
545
983
290
1914
1289
998
2354
742
604647
0
250
500
750
1000
1250
1500
1750
2000
2250
2500
DJ
L
JP
G
KB
R
UD
J
DD
J
ML
D
MB
D
ND
A
BD
N
BB
M
BK
R
PR
L
MN
P
TM
L
NP
G
SP
G
HR
A
HG
L
KO
L
Deaths =48
4
9 36
2
2
2
1
3
2
14
2
7
Source – Routine weekly reportsMeasles immunization coverage – 61% (DLHS-3)
Details of measles Outbreak-UDJ(2008-09-10)
MCV1 status of cases (1-4 yr age) of confirmed measles/rubella outbreaks in West Bengal and select districts : 2009
45%
12%
43%
West BengalN(1-4yr)=1681
3% 5%
92%
Uttar DinajpurN(1-4yr)=103
Vaccinated Unvaccinated Status unknown
PRELIMINARY SEARCH & DETAILED OUTBREAK
INVESTIGATION -2009,2010 Under-
Reporting !!!
CHANDVITA ,DAKHINPALPARA ,KHOSAURMOB-UDJ-09-019 [Measles] [Mar 2009]
MADHUSIKHAR ,BARMANPARA ,SAHASPUR
MOB-UDJ-09-062[Measles] [Nov 2009]
LOHAGARA ,LAGUAMOB-UDJ-09-020 [Measles] [Mar 2009]
GEDRIGAON ,GOAGAON-IIMOB-UDJ-10-009[Measles][Mar 2010]
36 KM
25 Km33 Km
DETAILED OUTBREAK INVESTIGATION[2009& 10]
ADHIR BHATIPARAMOB-UDJ-09-006 [Mixed][Jan 2009]
Rudrakhanda ,Gouri--16 cases [14 May]
Kokila ,Sahapur-I-39 cases[4 May]
Birbalvita , Goagaon I & II-- 38 cases [5 May]
Bangaon ,Goagaon-I—102 cases + 1 death [14 April]
Badlavita ,Bajargaon-II----37 cases [4 May]
RECENT OUTBREAKS OF FEVER & RASH [2010] – As repeated investigation
points towards continuation of same outbreaks-DOBI not done.
Report of recent preliminary searches after Gedrigaon Outbreak
S.No.
Block G.P Village Total no. of cases
Vaccination Status Death
Yes No Unknown
1 G.P-I Goagaon-I Purba Bangaon
101 3 97 1 1
2. GP-I Goagaon-I & II Birbalvita 38 8 28 2 0
3 G.P-I Sahapur-I Kukila 39 7 31 1 0
4 Karandighi Bazargaon-II Badlavita 37 2 35 0 0
5 Raigunj Gouri Rudrakhanda 16 0 13 3` 0
Total 231 20 204 7 1
SITUATIONAL ANALYSIS
NAME OF BLOCK
No. of MO/CHOSO/AMO/HMO
No. of PHN
NO. of PHC
No. of GP
No. of SC
Vacant
ANM (1st)
No. of 2nd ANM
Vacant
2nd ANM
Sanctioned ASHA
Worker
No. of ASHA Worke
r
Vacant
ASHA
NO. of ICDS
Worker
CHOPRA 7 2 3 8 34 0 21 13 256 133 123 223
GOALPOKHAR I 9 1 1 14 40 2 13 27 245 221 24 310
GOALPOKHAR II 7 1 2 11 35 2 19 16 226 150 76 252
HEMTABAD 8 2 2 5 19 0 16 3 131 0 131 158
ISLAMPUR 6 1 1 13 38 0 13 25 280 100 180 332
ITAHAR 10 2 3 12 42 0 36 6 214 198 16 294
KALIAGANJ 14 3 2 8 31 0 30 1 212 0 212 166
KARANDIGHI 14 1 2 13 48 2 34 14 285 145 140 418
RAIGANJ 9 1 3 14 57 0 39 18 405 271 134 431
RAIGANJ-M 2 0
ISLAMPUR-M 1 0
KALIAGANJ-M 0 0
District total 84 17 19 98 344 6 221 123 2254 1218 1036 2584
Manpower Resource Analysis-UDJ
Shortage or Mal-distribution of Manpower
NAME OF BLOCK No. of GP No. of PHN
CHOPRA 8 2
GOALPOKHAR I 14 1
GOALPOKHAR II 11 1
HEMTABAD 5 2
ISLAMPUR 13 1
ITAHAR 12 2
KALIAGANJ 8 3
KARANDIGHI 13 1
RAIGANJ 14 1
RAIGANJ-M 2
ISLAMPUR-M 1
KALIAGANJ-M 0
District total 98 17
SUBCENTRE POPULATION > 10,000
BLOCK GP SC POPULATIONTotal No.
of SCCHOPRA Data not availabele from block
GOALPOKHAR I
GOAGAON II TILAN 12888
8
SAHAPUR I DUBKOL 10382
DHARAMPUR II MAJLISPUR 12455
PANJIPARAHASKUNDA 11985
SANTINAGAR 11583
GOTI CHARGHARIA 10665
GOAGAON IGOAGAON 13462
CHAPUA 10750
GOALPOKHAR II
BELON BIJULIA 10197
4NIJAMPUR I BOROGAON 10283
SURJAPURSURJAPUR 11964
LALGANJ 10090
HEMTABAD NIL 0
ISLAMPUR
AJITBAS COLONY 113902
RAMGANJ II RAMGANJ 10830
Work load Analysis [Data given by Block]
ITAHAR
KAPASIA KAPASIA 13572
4GULANDHAR I DHULOHAR 10691
DURGAPUR KUKRAKUNDA 10582
ITAHAR MIRJATPUR 12467
KALIAGANJ MUSTAFANAGAR 12057 1
KARANDIGHI
ALTAPUR I RAGHABPUR 12837
5
RASAKHOA II RASAKHOA 11203
DALKHOLA INICHITPUR 13996
HEMENPUR 11559
DALKHOLA M SUBHASHPALLY 10000
RAIGANJ
BHATUN
TAJPUR 10500
7
BHATUN 10202
MALIBARI 10251
SITGRAM SITGRAM 10404
MARAIKURA KASBA 10529
KAMALABARI I
CHATRAPUR 10300
KARNAJORA 10953
BLOCK
GP SC POPULATION
Total No. of SC
SUBCENTRE POPULATION > 10,000
ICDS INVOLVMENT
1.VHND Regularization
2. 3rd Friday meeting
NAME OF BLOCK
NO. of ICDS
Worker
CHOPRA 223
GOALPOKHAR I 310
GOALPOKHAR II 252
HEMTABAD 158
ISLAMPUR 332
ITAHAR 294
KALIAGANJ 166
KARANDIGHI 418
RAIGANJ 431
RAIGANJ-M
ISLAMPUR-M
KALIAGANJ-M
District total 2584
Inter sectoral coordination can be improved after regular interaction of
AWW & ANM workers
Literacy & Demographic Status of Blocks
Per cent
10.0 - 50.0
50.1 - 65.0
65.1 - 80.0
80.1 - 100.0
Missing data
West Bengal Literacy
(>7 years) 2001
TerhagachhDighalbank Thakurganj
PothiaBahadurganj
KochadhaminKishanganj
Banmankhi
Barhara
Bhawanipur
Rupauli
Dhamdaha
Krityanand NagarPurnia East
KasbaSrinagar
Jalalgarh Amour
Baisa
Baisi
Dagarua
Falka KorhaHasanganj
Kadwa
Balrampur
Barsoi
Azamnagar
Pranpur
DandkhoraKatihar
MansahiBarariSameli
KurselaManihari
Amdabad
Karandighi
Goalpokhar - II
Islampur
Goalpokhar - I
Hemtabad
Chopra
Raiganj
Kaliaganj
Itahar
Literacy rate (age 7+)
Per cent
10.0 - 50.0
50.1 - 65.0
65.1 - 80.0
80.1 - 100.0
Missing data
Census 2001
Blocks of Purnea Sub Division and Uttar Dinajpur
HEALTH SYSTEM ANALYSIS
1. HS (M) and HS (F) tire of supervisor can be activated for proper and regular monitoring of SCs.
2. Tuesday meeting for HSs can be regularized under district level monitoring officers.
3. Regular district level meeting by monitoring officers regarding Progress.
4. Vacant man power resources described earlier to be considered urgently.
5. Proper microplan and session planning by ANM should be ensured.
6. Regular health camp in presence of MOs should be arranged where out reach sessions and IEC activities can be organized concomitantly
MONITORING MOs in a block should be assigned as GP wise monitoring officer. one MO should monitor one or more GP regularly. The MO will be responsible for any discrepancies in his/her assigned GP
Specialized and technically advanced monitoring system can be initiated with the help of NPSP-WHO.
IEC & Sensitization
1. For proper PRI involvement CHCMI meetings can be strengthened at GP level
2. Due to very low literacy and high density minority population in the high risk blocks, a relative resistance to RI activities are noted. Hence special IEC drives addressing those vulnerable population can be planned
3. Regular & proper sensitization meetings can be organized.
Measles: Disease and Epidemiology
Thanks with a big hope