Catch Up Newsletter

8/3/2019 Catch Up Newsletter

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Message from the Chairperson,National Steering CommitteeDear readers:

The first phase of the measles campaign (Sept 2010 to March2011) was a learning experience for everyone. As it was aninjectable vaccine, the campaign needed to be conducted in amanner that ensured the highest levels of coverage and vaccine

safety. I am happy to note that we were encouraged by the highlevels of safety exhibited across the 13 participating states.There were no serious Adverse Events Following Immunization(AEFIs) reported and no deaths at all. Any allergic reaction wascorrectly managed, providing strong testament to the quality of pre-campaign planning and training.

Nevertheless, improvements must be made duringPhase 2 in some critical areas of operation. There werecoverage gaps in all 13 states. Because measles is highlyinfectious and requires more than 90% population immunitylevels to stop transmission, it is essential that microplans areeffectively developed and implemented to reach and safely

vaccinate a large proportion of targeted children. Therecommendations made in the guidelines for use of IEC materialprovided to all campaign states must be followed strictly (moststates demonstrated serious gaps in IEC in Phase I). ASHAs andAWWs must visit families, discuss with parents the importanceof vaccination, and enlist the targeted children. All IEC effortsshould be properly monitored and evaluated.

All this also calls for strong inter-ministerial and inter-departmental coordination at the national, state and districtlevels. A National Steering Committee (NSC) comprised of representatives from the Immunization Division, MoHFW,Education, and Women and Child Development as well aspartner organizations has been constituted to monitor theplanning and implementation of catch-up campaigns. Similarinter-departmental coordination committees are required at thestate and district levels.

It is my pleasure to share with you the first issue of Catch-up , initiated by the NSC. The aim is to provide updatesand best practices to the national and state colleagues andpartners in the measles programme, for effective knowledgeexchange. Please give your feedback so that subsequent issuescan meet your needs fully. Wishing you all a successful measlescampaign for the health and welfare of Indias children !

Anuradha GuptaJoint Secretary, RCHMinistry of Health and Family Welfare

13.5 crore children to beprotected from measlesthrough vaccination drive

Approximately 13.5 crore children in14 states of India will receive a measlesvaccination through the nationalimmunization campaign started by theGovernment of India. These states havemeasles vaccine coverage below 80%.The 14

states are: Arunachal Pradesh, Assam, Bihar,Chhattisgarh, Gujarat, Haryana, Jharkhand,Madhya Pradesh, Manipur, Meghalaya,Nagaland, Rajasthan, Tripura and UttarPradesh. In the remaining States and UnionTerritories of the country, a second dose of measles will be given in the routineimmunization programme at 16-24 months of age.

The first phase of the campaign was carriedout in 45 districts of 13 states fromNovember 2010 to May 2011. Overall,12, 076,836 children 9 months to 10 years of age were vaccinated, representing anestimated coverage of 86%. The oneexception, Uttar Pradesh, will conduct itsPhase 1 campaign from December 2012.

Through these campaigns, the Governmentof India hopes to prevent an estimated60,000 to 100,000 children deaths per yearand ensure a measles- free future for Indias

children.

AN UPDATE OF THE INDIA IMMUNIZATION PROGRAMME

Catch-u

November 15, 2011

MEASLES


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Measles Vaccination Catch-up Campaign India: Phase 2 Page 2

PROGRAM

Madhya Pradesh conducts 2 nd phase of campaign in7 districts

On September 19, 2011, Madhya Pradesh kick-started the second phase of themeasles catch-up campaign in 7 districts of the state: Ashok Nagar, Bhind, Datia, Guna,

Gwalior, Morena, and Seopur. The coverage in the 2nd

phase has exceeded 80% inmost districts but coverage gaps remain. Using information from rapid conveniencesurveys to identify low coverage areas, Madhya Pradesh is continuing the campaign in an attempt to reach at least95% coverage.

North East also begins 2 nd phase of campaign, with Manipur going ahead despitean extensive economic blocadeNorth Eastern states comprising Arunachal Pradesh, Assam, Meghalaya, Manipur, and Nagaland, have also startedthe second phase of the measles catch-up campaign, in spite of a number of social and geographic difficulties.

Measles Catch-up Campaign 2 nd Phase Schedule (Updated 01.11.2011) State Total

DistrictsDistricts

Completedin Phase 1

Sept. 2011 Oct.2011

Nov.2011

Dec.2011 Jan. 2012 Feb.2012

Remark

Nationalupdates

NationalSteeringCommitteeMeeting

Mediaworkshop

planned for22nd Nov

ArunachalPradesh

16 1 1 Dist (17thOct)

14 Dist (7thNov - 3 dist,9th, 11th ,15th, 17th,21st Nov - 1

dist each,28th Nov - 7

dist)Assam 26 1 6 Dist (28th

Oct)

6 Dist (10th

Nov)

8 Dist

Bihar 38 5 7 Dist (21stNov)

8 Dist(19th Dec)

Rest yet tobe decided

Chhattisgarh 18 9 9 Dist (1stDec)

Gujarat 5 5 Dist (26thDec)


Haryana 21 5 6 Dist (14thNov)


Jharkhand 24 5 10 Dist (18thNov)

9 Dist (2ndDec)

MadhyaPradesh

50 5 7 Dist (19thSept)


Manipur 9 1 4 Dist (17thOct)

4 Dist (16thNov)

Meghalaya 7 1 6 Dist (10thOct - 3 dist,17th Oct - 3

dist)Nagaland 11 1 10 Dist

(10th Oct)Rajasthan 33 5 5 Dist (5th

Dec)Rest yet tobe decided

Tripura 4 1 2 Dist (6 th Jan)

1 Dist

UttarPradesh

72 0 3 Dist (3rdDec)



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COMMUNICATION

Madhya Pradesh puts on thinking cap on IEC Letter for telephone dial tone: Dial tone on all BSNL phones saying:Get every child 9 months to 10 years old vaccinated at the

nearest school or anganwadi centre with the measles vaccine during the Measles SIA Campaign from 19th September to9thOctober 2011. (This ran for 2 hrs from 810 am every day.)

SMS: Sent to more than 4 lakh mobile subscribers of Gwalior district requesting them to get all the children 9 months to 10 yearsvaccinated. Planned to be repeated at different intervals.

Film Show: Through theDeendayal Chalit Aushodalyain villages, films were run in different areas using projectors. Scroll on Local TV (Den Network Exclusive):Scroll with messageIn Gwalior district Measles SIA campaign is being run from 19

Sep 2011. Get your child vaccinated and protected during the campaign.This scroll was run approximately 2-3 times every5 minutes, which is for about 900 times in a day.

LCD Rath: A van was converted and fitted with an LCD TV on board. Films regarding measles were shown at prominent locations. Announcements were done during the day time.

Phone-in Session: At the end of the School Sessions and before the Outreach Session, parents could phone-in and ask about thedetails of the campaign or about any other concern that they had.

FM Radio (Lemon):Message from the CMHO broadcast on FM radio for a week preceding the campaign.

OTHER IEC ACTIVITIES Hoardings: 4 hoardings erected in urban

area (Collectorate, Civil Hospital Morar,Janakganj dispensary, and Hazira civilhospital). 4 in the bock headquarters.

Wall Writings in 300 locations in urbanareas; 190 locations in rural areas.

Pamplets: More than 50,000 pamphletsdistributed through newspapers. All healthworkers were also given pamphlets andinstructed to distribute them in homes intheir respective areas while doing one-to-one communication. In rural areas, theDeendayal Chalit Aushadalyavan wasused to distribute the pamphlets apart from

house to house distribution by workers.

Innovative IEC by Madhya Pradesh for 2 nd Phase

Media:Workshops were conducted for electronic and printmedia. They were briefed about the campaign and appealwas made for wide coverage. There was wide coverage of he campaign the following day in all papers and media.

Mikingwasdone usingautorickshaws inurban areas andcycle rickshaws inrural areas.

Posters: Besides vaccination sites, posters were pasted in public places in urban and rural areas.

Advocacy:Partners meet with District Collector of Ashok Nagar and discussabout the campaign logistics.Joint Appeal by Commissioner Health and ICDSwas circulated to all the concerned departments. A copy of the appeal wasgiven to all AWCs, ASHA workers, HWs and other stakeholders.

Invitation cards were distributed to the parents at homes by the AWW and ASHA workers and in all schools.


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COMMUNICATION

Good practices in IEC: Examples from Phase 1A number of states in the first phase of the measles catch-up campaign in 2010 conducted some excellentIEC and community mobilization activities, which contributed substantially in gaining good coverage inthose states. Districts conducting the campaign in the second phase may adopt these good practices toensure timely and efficient IEC and social mobilization and to achieve more than 90% coverage.

Haryanas media workshop for 2 nd phase was well attended andreceives extensive positive reporting

Good practices Areas for improvementPlanning Communication microplans with school, outreach, hard to reach areas,

HR, budget and vaccine logistics well developed. Regular DTF meetings were held to review progress and remedial

action taken. Rapid Convenience Assessments were done to assess coverage. Significant vigil by state and district health officers SIO, JD (FW), CMO

and DIO. Response was prompt.Training Advanced refresher training of ASHAs and AWWs on IEC and

mobilization helped in motivating family and stakeholders.Media Media workshops ensured good media support and coverage.

Advocacy Village councils/churches motivated community. Good inter-sectoral coordination among Health and other departments

(Edu, WCD, PRI, SWD, Dept of Comm Medicine, Reg Inst of Med Sc).Appreciable coordination with para-military forces for immunization inhigh-insurgent areas.

Additional budget provided to SDMO & Planning Units for advocacyand coordination meetings with other departments.

Social Mobilization DC sent letters to VHSCs and Village Chiefs seeking support. Posters were localized having appeal of local kids; banners were used

in large numbers and miking in campaign areas. Innovative IEC campaign, on local TV channel through local film stars,

running advt. on local cable TV network.

School Sensitization Inadequate coordination with

private schools leading toreluctance to campaign especiallyin urban areas.

Urban areas had reported asignificant number of refusals

from private schools. Some schools were missed out in

planning. Early closure of schools or

extended vacations. Tagging of schools.

Advocacy In most instances, campaign did

not get expected contributionsfrom other sectors such as fromEducation, Panchayati Raj andWomen and Child Development,in all states.

Training Poor participation of state level

trainers in field training except byDIOs.

Produced by

Immunization DivisionMinistry of Health and Family Welfare

Government of IndiaNirman Bhawan, New Delhi

For feedback & more information, please contact:Dr Ajay Khera, DC, Child Health and ImmunizationDr Pradeep Haldar, DC, Immunization

Email: [email protected] Call: 011-23061281

Supported by
mailto:[email protected]:[email protected]:[email protected]:[email protected]

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