EPI Review RDHS Area:…………………………….

Background information 1-RDHS area 2-Estimated Population for the year Actual Population for the year Reasons for differences in actual and estimated populations 5-Crude Birth Rate for District Crude Birth Rate for Province Estimated Number of Births in the year 2014 Based on the Actual Population Based on the Estimated Population District BR Provincial BR 8-Number of Immunizations performed in the year 2014(institutions and field) (Sum of relevant data from four conslidated Q/ EPI returns, 2014) PVV1PVV2PVV3 9-Number of pregnant mothers registered for the area in year Number of actual births reported for the are in year Number of infants registered for the area in year The most probable number of births for the RDHS area*

Background information……cont Approved number Number available Average Population covered by each category / clinic Population Range 11-PHMs 12-PHIs 13-SPHMs 14-PHNS 15-SPHI 16-MOHs/AMOHs 17- MCH Clinics

MOH area Number of pregnant mothers registered in year 2013 (AA) Number of registered infants under care* (A) A = (V+W+X) - (Y+-Z) Registered within 3 months of birth (V)**** Registered after 3 months of birth to date^^ (W)**** Came newly into the area & registered to date^^ (X) Left the area to date^^ (Y) Died to date^^ (Z) FORM 1 a Calculation of No. of registered infants under care among infants born between 1 st of January 2014 to 31 st of December 2014 (eligible for BCG vaccination in year 2014)

MOH areaBCGMaternal TTMaternal Rubella (AA) Number of pregnant mothers registered in year 2013 (A) Number of registered infants under care * (B) Number of estimated births for 2014 (C) Number of vaccinations according to BI registers (D) Number & % of age appropriate vaccinations according to BI registers** (E) Number of vaccines given according to Q/ EPI return (F) Coverage according to (G) Number of mothers protected from TT at the time of delivery according to pregnant mothers registers /mothers cards (H) Number of mothers protected from Rubella at the time of delivery according to pregnant mother registers /mothers cards Registered infants under care * Estimated births (D/A)*100 ( C/A) *100 (C/B)* 100 Total Form1 b Coverage of BCG vaccination among infants born between 1 st of January 2014 to 31 st of December 2014 and protection of their mothers from Tetanus and Rubella vaccination at the time of delivery

MOH area Number of pregnant mothers registered in year 2013 (AA) Number of registered infants under care* (A) A = (V+W+X) - (Y+-Z) Registered within 3 months of birth (V)**** Registered after 3 months of birth to date^^ (W)**** Came newly into the area & registered to date^^ (X) Left the area to date^^ (Y) Died to date^^ (Z) FORM 2 a Calculation of No. of registered infants under care among infants born between 01 st of November 2013 to 31 st of October 2014 (eligible for OPV1/ PVV1 vaccination in year 2014)

MOH area(AA) Number of pregnant mothers registered in 2013 (A) Number of registered infants under care* (B) Number of estimated births For 2014 (C) Number of vaccinations according to BI registers (D) Number of age appropriate vaccinations according to BI registers** (E) Number of vaccines given according to Q/ EPI return Coverage of OPV1 /PVV 1 according to Registered infants under care* Estimated births Age appropriate ness Number of vaccines given as per Q/ EPI returns (C/A) *100(C/B)* 100(D/A) *100(C/E)* 100 Total Form 2b Coverage of OPV1 /PVV 1 vaccination among infants born between 01 st of November 2013 to 31 st of October 2014

MOH area Number of pregnant mothers registered in year 2013 (AA) Number of registered infants under care* (A) A = (V+W+X) - (Y+-Z) Registered within 3 months of birth (V)**** Registered after 3 months of birth to date^^ (W)**** Came newly into the area & registered to date^^ (X) Left the area to date^^ (Y) Died to date^^ (Z) FORM 3 a Calculation of No. of registered infants under care among infants born between 01 st of July 2013 to 31 st of June 2014 (eligible for OPV3/ PVV3 vaccination in year 2014)

MOH area(AA) Number of pregnant mothers registered in 2013 (A) Number of registered infants under care* (B) Number of estimated births For 2014 (C) Number of vaccinations according to BI registers (D) Number of age appropriate vaccinations according to BI registers** (E) Number of vaccines given according to Q/ EPI return Coverage of OPV3/PVV 3 according to Registered infants under care* Estimated births Age appropriate ness Number of vaccines given as per Q/ EPI returns (C/A) *100(C/B)* 100(D/A) *100(C/E)* 100 Total Form 3b Coverage of OPV3 /PVV 3 vaccination among infants born between 01 st of July 2013 to 31 st of June 2014

MOH area Number of pregnant mothers registered in year 2012 (AA) Number of registered infants under care* (A) A = (V+W+X) - (Y+-Z) Registered within 3 months of birth (V)**** Registered after 3 months of birth to date^^ (W)**** Came newly into the area & registered to date^^ (X) Left the area to date^^ (Y) Died to date^^ (Z) FORM 4a Calculation of No. of registered infants under care among infants born between 1 st of April 2013 to 31 st of March 2014 (eligible for LJE vaccination in year 2014)

MOH area(AA) Number of pregnant mothers registered in 2012 (A) Number of registered infants under care* (B) Number of estimated births For 2013 (C) Number of vaccinations according to BI registers (D) Number of age appropriate vaccinations according to BI registers** (E) Number of vaccines given according to Q/ EPI return Coverage of OPV1 /PVV 1 according to Registered infants under care* Estimated births Age appropriate ness Number of vaccines given as per Q/ EPI returns (C/A) *100(C/B)* 100(D/A) *100(C/E)* 100 Total Form 4b Coverage of LJE vaccination among infants born between 1 st of April 2013 to 31 st of March 2014

FORM 5a Calculation of No. of registered infants under care among infants born between 1 st of January 2013 to 31 st of December 2013 (eligible for MMR 1 vaccination in year 2014) MOH area Number of pregnant mothers registered in year 2012 (AA) Number of registered infants under care* (A) A = (V+W+X) - (Y+-Z) Registered within 3 months of birth (V)**** Registered after 3 months of birth to date^^ (W)**** Came newly into the area & registered to date^^ (X) Left the area to date^^ (Y) Died to date^^ (Z)

FORM 5 b Coverage of MMR 1 vaccination among infants born between 1 st of January 2013 to 31 st of December 2013 MOH area(AA) Number of pregnant mothers registered in 2012 (A) Number of registered infants under care* (B) Number of estimated births For 2013 (C) Number of vaccinations according to BI registers (D) Number of age appropriate vaccinations according to BI registers** (E) Number of vaccines given according to Q/ EPI return Coverage of OPV1 /PVV 1 according to Registered infants under care* Estimated births Age appropriate ness Number of vaccines given as per Q/ EPI returns (C/A) *100(C/B)* 100(D/A) *100(C/E)* 100 Total

FORM 6a Calculation of No. of registered infants under care among infants born between 1 st of July 2012 to 30 th of June 2013 (eligible for DPT4/ OPV4 vaccination in year 2014) MOH area Number of pregnant mothers registered in year 2011 (AA) Number of registered infants under care* (A) A = (V+W+X) - (Y+-Z) Registered within 3 months of birth (V)**** Registered after 3 months of birth to date^^ (W)**** Came newly into the area & registered to date^^ (X) Left the area to date^^ (Y) Died to date^^ (Z)

FORM 6b Coverage of DPT4/OPV4 vaccination among infants born between 1 st of July 2012 to 30 th of June 2013 MOH area(AA) Number of pregnant mothers registered in 2011 (A) Number of registered infants under care* (B) Number of estimated births For 2012 (C) Number of vaccinations according to BI registers (D) Number of age appropriate vaccinations according to BI registers** (E) Number of vaccines given according to Q/ EPI return Coverage of OPV1 /PVV 1 according to Registered infants under care* Estimated births Age appropriate ness Number of vaccines given as per Q/ EPI returns (C/A) *100(C/B)* 100(D/A) *100(C/E)* 100 Total

FORM 7 a Calculation of No. of registered infants under care among infants born between 1 st of January 2011 to 31 st of December 2011 (eligible for MMR2 vaccination in year 2014) MOH area Number of pregnant mothers registered in year 2010 (AA) Number of registered infants under care* (A) A = (V+W+X) - (Y+-Z) Registered within 3 months of birth (V)**** Registered after 3 months of birth to date^^ (W)**** Came newly into the area & registered to date^^ (X) Left the area to date^^ (Y) Died to date^^ (Z)

Form 7b Coverage of MMR2 vaccination among infants born between 1 st of January 2011 to 31 st of December 2011 MOH area(AA) Number of pregnant mothers registered in 2010 (A) Number of registered infants under care* (B) Number of estimated births For 2011 (C) Number of vaccinations according to BI registers (D) Number of age appropriate vaccinations according to BI registers** (E) Number of vaccines given according to Q/ EPI return Coverage of OPV1 /PVV 1 according to Registered infants under care* Estimated births Age appropriate ness Number of vaccines given as per Q/ EPI returns (C/A) *100(C/B)* 100(D/A) *100(C/E)* 100 Total

FORM 8a Calculation of No. of registered infants under care among infants born between 1 st of January 2009 to 31 st of December 2009 (eligible for DT/ OPV5 vaccination in year 2014) MOH area Number of pregnant mothers registered in year 2009 (AA) Number of registered infants under care* (A) A = (V+W+X) - (Y+-Z) Registered within 3 months of birth (V)**** Registered after 3 months of birth to date^^ (W)**** Came newly into the area & registered to date^^ (X) Left the area to date^^ (Y) Died to date^^ (Z)

FORM 8b Coverage of DT/OPV5 vaccination among infants born between 1 st of January 2009 to 31 st of December 2009 MOH area(AA) Number of pregnant mothers registered in 2008 (A) Number of registered infants under care* (B) Number of estimated births For 2009 (C) Number of vaccination s according to BI registers (D) Number of age appropriate vaccinations according to BI registers** (E) Number of vaccines given according to Q/ EPI return Coverage of OPV1 /PVV 1 according to Registered infants under care* Estimated births Age appropriat eness Number of vaccines given as per Q/ EPI returns (C/A) *100(C/B)* 100(D/A) *100(C/E)* 100 Total

No MOH area Number on roll in grade 7 Number of children immunized in grade 7 % of immunized children in grade 7 Number of children immunized in other grades Total number immunized in year Total Form 9 Coverage of aTd vaccination among children in grade 7 during 2014

Vaccine(AA) Number of pregnant mothers registered in respective years (A) Number of registered infants under care *( for respective birth cohorts under review ) (B) Number of estimated births ( for respective birth cohorts under review ) (C) Number of vaccinations given according to BI registers (D) Number of DPT 1 doses given according to Q/ EPI return for the years of respective birth cohorts under review (E) Number of vaccines given according to Q/ EPI returns 2014 % Coverage according to Registered births (C/A) *100 Estimated births (C/B)* 100 Number of vaccines given as per Q/ EPI returns for the years of respective birth cohorts under review (C/E)* 100 YEAR No. of doses BCG 2014 PVV1 2013( 4Q) 2014( 1,2,3 Q) PVV2 2013( 3,4 Q) 2014( 1,2Q) LJEV 2013-(2,3,4 Q) 2014 – (1Q) MMR DPT (3,4 Q) 2013-(1.2 Q) MMR DT 2009 aTd Form 10 Comparison of vaccine coverage according to the advancing birth cohorts

Form 11 Number of immunizations performed and difference against the antigen which ever has the highest number of immunizations(PVV1, PVV2, PVV3) during infancy ( 1 st year of life) in RDHS area by antigen in Prepare and present a Bar Chart as given in the example below, based on data in four consolidated EPI quarterly returns of 2014 Please include another bar for number of LJEV given to the children who have completed one year in the current cohort

Antigen Book balance as of 31 st December 2013 (A) Total receipts during 2014 (B) Book balance as of 31 st of December 2014 (C ) No of doses discarded due to expiry or cold chain failure during 2014 (D) Total number of doses used during 2014 for vaccination ( E)= (A+B)-(C +D) Highest book balance in a given time during the year 2014 (F) No. of Immunizations Performed by clinics/ schools/ estates/GPs ( Based on the four EPI quarterly Returns for year 2014) ( G ) No. of doses Distributed to Clinics/schools/ GPs(Based on the MOH Office vaccine movement register for year 2014) ( H ) Usage % ( I )= (G/H)*100 Wastage % ( J )= (100- I ) B.C.G Penta DPT OPV LJEV DT TT aTd MMR Other Form 12 Status of vaccine wastage in the RDHS area by antigen in 2014

MOH areaNo. of Monthly AEFI Returns received No. of Monthly AEFI Returns received in time No. of “Nil” Monthly AEFI returns received Total No. of AEFI** reported Total No. of AEFI investigated ( %) Total Form 13 a: Adverse events following immunization (A.E.F.I.) in year 2014 ** Injection site abscess, BCG lymphadenitis, Severe local reactions,Encephalitis/Encephalopathy, Meningitis Seizures (Febrile + Afebrile) Anaphylaxis,Persistent Screaming,HHE

AntigenType of AEFINumber of AEFI Reported (A) No of doses administered† (B) AEFI Rate ( C ) (C ) =(A)/(B)* National Rates for 2014 BCGBCG lymphadenitis PentaSeizures (Febrile + Afebrile) Anaphylaxis Persistent Screaming HHE Allergic reaction MeaslesSeizures (Febrile + Afebrile) Anaphylaxis Allergic reaction MMRSeizures (Febrile + Afebrile) Anaphylaxis Allergic reaction Parotitis JESeizures (Febrile + Afebrile) Anaphylaxis Allergic reaction Encephalitis/Encephalopathy Form 13 b : Rates of AEFIs reported in the district during 2014

MOH areaEstimated No. of live births Estimated No. of infant deaths Estimated No. of neonatal deaths No of infant deaths reported No. of infant deaths investigated % of infant deaths investigated Total Form 14a Incidence of infant deaths, neo natal deaths and their causes in the district – 2014 Please use national Infant mortality rate (9.0 per 1000 live births) to calculate the estimated number of live births for year 2014

CausesNo. reported% 1. Prematurity 2. Congenital Abnormalities Total Form 14 b Causes for the neonatal deaths in year 2014

DiseaseNo. Reported (A) No. Investigated* (B) No. confirmed (C) % Investigated (D) (D)=(B)/(A)*100 No. of special investigation forms sent (E) % of special investigation forms sent (F) (F)=(E)/(C)*100 Whooping Cough Tetanus NNT Measles Rubella CRS AFP Encephalitis Meningitis Mumps Total Form 15 Notification and investigation of EPI target diseases *No. Investigated = No. reported – No. not attended by a MOH/PHI OR *No. investigated = (Number confirmed+ Number identified as a non notifiable disease+ Number unable to trace+ Number belongs to other MOH area+ Number re notified)