Transcript Slide 1

IMMUNIZATION PROGRAM
PIP IMPLEMENTATION GUIDELINES
2010-11
[Based On NRHM Part C approved PIP (RI) Component]
18 Aug 2010
DIO/M&E Officers meeting
Dr Balwinder Singh,
Programme Officer- Immunization,
DHS Office, Punjab
1
Basis of Funds allocation to Districts
• The allocation of funds to the districts based on
–
–
–
–
–
–
geographic extent (big/ small district),
number of sub divisional towns,
number of block PHCs,
number of PHCs & mini PHCs and
number of sub centers.
Estimated data related to number of RI sessions
planned in the district at various levels including in
Urban Slums / underserved areas
2
Next step for districts…
distribute funds !!
• Districts/block to undertake an exercise at their
level to rationalize distribution.
• Earlier Irrational
observed that
districts/ block
fundthe
distribution
leadsjust
distribute funds @ 4 sessions per sub center
unspent
of funds
whichtomay
or may(non
not utilization)
be rational for
every sub
at various
center in the block/
slums.levels.
• Key Input:
– High quality microplans.
– Do not just stick to 4 sessions/month ( could be
more/less)
3
Sub component wise
PIP guidelines & instructions
4
1. Mobility support for supervision
(Budget sheet- column 1)
• Supports district level (DIO/DFPO/Urban
Nodal Officer in charge RI )
• POL/ Vehicle hiring, no repair
• Distribution norm: For calculation purposes
the mobility support (funds) allocated to the
districts has been done @ 700 per block
level PHC per month.
5
Mobility support ..
District level tours (monitoring)
• District level monitoring target per DIO/other
official per month includes
– visits to at least 3 block PHCs+
– 6 RI session sites
– 6 villages [house to house- at least 5 houses per village,
S
6x5= 30 children]
e
P
H
C
P
H
C
P
H
C
s
s
i
o
n
S
e
s
s
i
o
n
V
i
l
l
a
g
e
V
i
l
l
a
g
e
6
Mobility support …
Block level tours (monitoring)
• Block level monitoring target per
SMO/assigned officials per month includes
– visits to vaccine storage points +
– 4 to 5 RI session sites +
– 4 to 5 villages [house to house - at least 5 houses
per village, 5x5= 25 children].
7
Mobility support….
• Collection of forms : Responsibility DIO office,
CA to DIO to facilitate
• Cross verification & validation of monitoring at
district/block level by state task force/ district
officials.
• Share feedback and action taken.
8
Indicator for mobility fund utilization
• Number of RI monitoring forms duly filled by
DIO/other district officials including Nodal
Officer Incharge of urban RI submitted at
State EPI HQ.
• Number of RI monitoring forms submitted by
SMOs to CS/DIO.
• Number of ANM meetings in which DIO
participated in priority blocks.
9
2. Cold chain maintenance funds
(Budget sheet- column 2)
• Funds allocated for maintenance of cold chain
at District Level, PHC/ mini PHC.
• Flexibility to use as per need.
• Allocated funds include TA/DA of refrigerator
mechanic for service/repair/maintenance
– Observation report to be forwarded to State Cold
chain Officer before 5th of every month
• Additional funds can be requested on
exhaustion with necessary justification.
10
Indicator for cold chain fund utilization
• Number of visits made by refrigerator
mechanic in the district.
• No of units (equipment) etc repaired at
different levels.
• Monthly observation reports submitted and
received by CS/DIO/State cold chain officer.
11
Mobilization of Children through
ASHA/ AWW etc. (Budget sheet- column 3)
• Funds @ 150/- per session for mobilization of
beneficiaries is to be paid preferably to ASHA.
• In case ASHA is not available or appointed,
funds may be paid to AWW or any other link
person identified by the ANM for the
mobilization.
• In case, more than one ASHA/ AWW is
mobilizing children at a session site, 150/needs to be divided equally.
12
Mobilization of Children through ASHA/ AWW etc.
(Budget sheet- column 3)
• ANMs with support of ASHA & AWW to
prepare a due list of beneficiaries supposed
to come for next vaccination.
– ASHA/ mobilizer to use this list for child tracking
13
4. Alternate vaccine delivery (AVD) funds
(Budget sheet- column 4)
• Objective of AVD
– Support ANM/health workers in timely delivery of
vaccines and related logistics directly to session site
from nearest vaccine storage point through ASHA or
AWW or by some reliable person.
– Return of unused vials & session coverage report.
– ANM is able to spend adequate time for service
delivery
• Purpose of AVD
– is to ensure that the vaccines on immunization day
reach the session site on time
14
Alternate vaccine delivery (AVD) funds..
(Budget sheet- column 4)
• Distribution norm: For budget calculation
purposes, allocation to districts under AVD
support has been made @ 50 per immunization
session.
– Calculation has been made taking an average of 3.1
immunization sessions per sub center per month.
– Flexibility based on geographical terrain, distance
from vaccine storage point etc.
– Note: Overall budget for the district will not change.
15
Alternate vaccine delivery (AVD) funds..
(Budget sheet- column 4)
Immunization microplan should reflect AVD component
– Day/Site of RI sessions for which AVD is supported
– Distance from vaccine storage store to session site
– Person responsible for AVD with name / contact
details (cell number)
– Total no of sessions for which each identified
ASHA/AWW or other reliable person is assigned to do
AVD
– Vehicle /means of transport by which the AVD will be
done eg cycle, motorcycle, jeep, car, three wheeler,
other (specify)
16
Indicator for AVD fund utilization
• Number of districts with available block wise
alternate vaccine delivery (AVD) Micro-plan.
• Number of sessions held with alternate
vaccine delivery (AVD)
17
5. Support of Computer Assistant (CA) for DIO
(Budget sheet- column 5)
• Funds for salary of Computer Assistant for DIO
under RI program will be revised subject to
notification by NRHM.
• Till receipt of any such notification districts
need to adhere to existing funding norms.
– Annual performance appraisal (ACR) of existing CA
assigned under RI has to be undertaken by DIO as
per NRHM format.
18
Broad Job responsibilities of
computer assistants (CA) under RI
• CA reports to DIO.
• CA should handle all EPI related computer assignments.
• Responsibilities (TOR)
– Timely collation, compilation and submission of RI reports following DIO
approval to district/state level.
– Coordination with staff like statistical officer, M & E and other as guided
by DIO to generate RI related reports .
– Do data entry of revised(tour notes)RI Monitoring forms received from
District and Block level
– Updating and forwarding financial expenditure reports,
– immunization Coverage reports, reviews & analyze HMIS reports, Polio
campaign reports, cold chain sickness report, ref mechanic observation
report , DIO feedback to block / urban
– Other assignments as desired by DIO/CS.
19
Indicator for CA fund utilization
• Timely entry of tour notes (monitoring) data
(PHC level, Session site, Village level visits)
• Completion of assignments based on job
responsibilities mentioned above
• Receipt of timely reports at state EPI office
• Copy of annual performance appraisals
submitted to the state EPI officer.
20
Quarterly Review and feedback
meeting at district level
(Budget sheet- column 6)
• Support provided has been calculated @ 100
per person for 20 persons ( 2000) per quarter
review meeting.
– In case number of participants increases,
expenditure needs to be adjusted per head
accordingly
– 4 quarterly review meetings exclusively for review
of EPI program are to be held at the district level
– Agenda items mentioned in PIP
21
Indicator for district quarterly review
meeting fund utilization
• Total number of quarter review meetings
conducted in the district.
• Agenda, Proceeding reports (minutes) and
attendance record of all district level
meetings to be timely submitted to the CS
and State EPI officer.
22
7. Quarterly RI Review meetings at the block level
(Budget sheet- column 7)
• Responsibility-SMOs
• Four quarterly RI review meetings with ASHAs
and others
– Total 80 members (ASHAs 50 + other participants
30)
• A sum of 50/- as honorarium including
traveling allowance is to be paid to each ASHA
attending meeting (max 50 ASHAs/ per mtg)
totaling 2500/- per meeting.
23
7. Quarterly RI Review meetings at the block level..
(Budget sheet- column 8)
• Amount of 25/- per person/meeting to be
spent on
– refreshment, stationary and miscellaneous
expenditure (budget provided in distribution
sheet column no. 8).
– Up to a total of 4,500/- to be spent per quarterly
for these 4 RI review meeting planned at the block
level PHC.
24
Indicator for quarterly RI meeting at block level meeting
fund utilization
• Total number of quarter RI review meetings
conducted in the blocks.
• Agenda, proceeding reports (minutes) and
attendance record of all 4 meetings to be
timely submitted to the DIO/CS.
25
8. Micro-planning at the
sub centre, PHC/ CHC and district level
(Budget sheet- column 9)
• A good quality (updated) RI microplaning in a
given setting is the key to success of
immunization program
• Availability of revised microplans at all levels
• Funding support provided for developing/
updating of existing microplans.
– The support is meant to cover all the three levels
i.e. sub centre, PHC/ CHC and district level.
26
8. Micro-planning at the
sub centre, PHC/ CHC and district level..
(Budget sheet- column 9)
• Support for Sub center (Budget sheet- column 9 a)
– A sum of 100/- per sub centre
– Available fund to be spent on logistic support and
meeting of ANM, ASHA/ AWW and members of
PRIs if needed.
– The microplaning should include detailed
information on alternate vaccine delivery.
27
8. Micro-planning at the
sub centre, PHC/ CHC and district level..
(Budget sheet- column 9)
• Support for Block PHC (Budget sheet- column 9 b)
• Up to 1000/- is to be spent at each block
PHC/ CHC level for
– compilation of microplaning and other related
information.
– It includes expenditure on such meeting and
logistic support.
– The microplaning should include detailed
information on alternate vaccine delivery.
28
8. Micro-planning at the
sub centre, PHC/ CHC and district level..
(Budget sheet- column 9)
• Support for District PHC (Budget sheet- column 9 C)
• Funding support up to 2000/- is provided for
each district for
– compilation of PHC data and inclusion of left over
areas including
– micro-planning of slum areas.
– Expenditure will include funds for
– logistic support and computerization.
– Submit a copy of revised microplan to state EPI
branch (soft & hard copy)
29
Indicator for microplan fund utilization
• Total number of updated district Micro-plans
submitted to the state EPI branch.
– (Updated District level microplanning should
include updated block wise microplanning)
30
POL for vaccine delivery at district level
(Budget sheet- column 10)
• 10 bigger districts: For vaccine delivery (POL)
24000/- for entire year
• Remaining 10 districts 14000/- for entire year.
Indicator for fund utilization
• Entries available in vehicle log book
• Random verification of log book by senior officers.
Funds will be utilized for bringing vaccines under RI
program from state HQ to district or regional store.
31
10. POL for vaccine delivery at block PHC level
(Budget sheet- column 11)
• Each block PHC provided 12034/- for entire
year for expenditure on POL for vaccine
delivery.
• Funds to be utilized for distributing vaccines/
usable under RI program from block to the
peripheral cold chain stores throughout the
year.
Indicator for fund utilization
• Entries available in vehicle log book
• Random verification of log book by senior officers.
32
11. Funds for purchase of bleaching powder/
hypochlorite solution
(Budget sheet- column 12)
•
500/- per block PHC provided for purchase
of bleaching powder/ hypochlorite solution
for management of waste disposal as per
CPCB guidelines.
• DIO/ SMOs to ensure treatment of
immunization waste management
Indicator for fund utilization
• No of blocks using bleaching powder/ hypochlorite solution in
district.
33
Funds for twin buckets
(Budget sheet- column 13)
• 400/- per block PHC provided for purchase of
twin plastic/ PVC buckets (capacity more than
20litres) for management of waste disposal as
per CPCB guidelines.
Indicator for fund utilization
• No of blocks using twin bucket as part of
waste disposal management in the district.
34
Funds for mobile teams for Saturday visit
(Budget sheet- column 14)
• District will hire contractual vaccinators @
300/- per session and keeping in view the
increased population in bigger cities, districts
are provided support as under
Place
Ludhiana city
Support Provided
12 hired vaccinator sessions per month
Amritsar, Patiala, Bathinda, Ferozepur 8
hired
and Jalandhar cities
(8 x 5 = 40)
Remaining 14 district HQ cities
2
vaccinator
hired
session
each
per
month
vaccinator
sessions
per
month
vaccinator
sessions
per
month
(2 x 14 = 28)
Additional 49 sub-divisional level towns 2
(As identified in the Budget sheet)
Total
hired
(2 x 49 = 98)
178 contractual vaccinators per month i.e.35
Indicator for mobile team
fund utilization
• Availability of mobile team RI Micro-plan
reflecting sessions planned to be undertaken
on Saturdays in the identified district/ area.
• Monitoring Findings available following
Saturday sessions monitoring by district level
officers and above.
36
14. ANM training
• In current year 17 districts provided support
• Mohall, Fatehgarh Sahib and Patiala have been
excluded as they covered ANM training in year
2009-10.
• Funding details regarding ANM training attached
(component wise explicitly explained)
Indicator for ANM Training fund utilization
• % ANMs trained in district.
37
Thank you
38
39