1. June 2009 Feedback to States and Zone Routine Immunization Performance Data as at 15 th July 2009 in National Database

2. Completeness of HF Reporting Jun 2009

3. % LGA Completeness of Reporting by State: Jun 2009

4. SUMMARY (1) Improving Access-1. 32 States had >=90% completeness of HF reporting in June while others did not meet the 90% target. Plateau State reported less than 60% of its Health Facilities in June 2009. Plateau State had less than 50% of their LGAs reporting in June 2009.

5. Proportion of Planned Sessions Conducted Cumulative June 2009 Outreach Sessions Fixed Sessions < 50 % 50 -79.99% 80 - 95% > 95 % No data

6. Summary (2) Improving Access-2 Fixed Sessions: 6 States have performance between 80-95% of planned fixed sessions 10 States conducted less than 50% of planned sessions!!! 3 States (Ekiti, Lagos, Osun, FCT, Kaduna and Akwa-Ibom ) conducted more than 95% of planned sessions. However no report from 8 States (FCT, Bauchi, Kogi, Kaduna, Taraba, Benue, Oyo and Ogun) Outreach Sessions 2 States (Nassarawa and Enugu) have performance between 80-95% of planned outreach sessions. 14 States(Jigawa, Katsina, Kano, Zamfara, Adamawa, Plateau, Yobe, Niger, Ebonyi, Anambra, Lagos, Edo, Bayelsa, Rivers, and Cross River States conducted less than 50% of planned sessions!!! 2 other States (Kwara and Ekiti) conducted more than 95% of planned sessions. However no report from 8 States (FCT, Bauchi, Kogi, Kaduna, Taraba, Benue, Oyo and Ogun)

7. DPT3 Monthly Coverage by State: May & Jun2009

8. DPT3 Cummulative Coverage by State: Jun 2008/2009

9. Routine Immunization Performance Cumulative Jun 09 Nigeria HBV3= 63% OPV3=56% DPT3= 68 % < 50 % 50 -79.99% 80 - 95% > 95 % No data

10. BCG=71% YF=63% MV=82% Routine Immunization Performance Cumulative Jun 09 Nigeria < 50 % 50 -79.99% 80 - 95% > 95 % No data

11. DPT3 Coverage Ranges by Zones Jun 2009

12. Proportion of LGAs DPT3 Coverage Range by State Jun 2009

13. Proportion of LGAs with DPT3 >=80% Jun 2009 <25% of LGAs 25-50% of LGAs 50-79.9% of LGAs >=80% of LGAs

14. DPT3 Coverage. –In NCZ, Plateau and Benue had depreciation in June for DPT3 compared to May while others showed improvements –NEZ/NWZ, Adamawa, Katsina, Kebbi and Zamfara dropped in performance –SEZ only all States except Abia had a drop –SSZ: 3 states; Akwa-Ibom, Bayelsa and Delta had a drop –SWZ Oyo and Osun dropped In comparison to same period in 2008 –In NCZ, Kogi and Kwara states are performing worse in 2009 compared to 2008 while others are doing better –In NEZ, all states have improved except Adamawa and Yobe with no improvement. –In NWZ all states have performance much worse in 2009 except Sokoto that has shown some improvement. –In SEZ only Anambra showed improvement while some others have deteriorated (ABIA) while the others show very little or no improvement –SSZ All states have made improvements while in SWZ, Osun and Oyo have deteriorated in their performance in 2009 compared to same period in 2008 Many key states especially in the northwest have more than 40% of their LGAs with DPT3 < 50%, particularly states like Kano with 75% of their LGAs and Zamfara with 65% of LGAs having DPT3 less than 50% –Only Akwa-Ibom State and the FCT have at least 80% of their LGAs with cumulative DPT3 of 80% or more as at June 2009 SUMMARY (3)

15. Un-Immunized Children June 2008/2009

16. Un-Immunized Children Jun 2009

17. Un-Immunized Children as at June 2008 Kano with over 100,000 unimmunized is surrounded by states with over 60,000 un- immunized children as at June 2009

18. Un-Immunized Children –Kano, Kaduna, Katsina, Lagos, Jigawa, Bauchi and Zamfara States have high numbers of Un-immunized Children with over 40,000 un-immunized Children in each State as at June 2009 However, Kano State has significantly High number of Un-immunized Children- over 10,000 as at June 09!!!. SUMMARY (4)

19. DPT1/DPT3 Drop out Rate Jun 2009

20. DPT1/3 Drop out Rates. DPT1/3 drop out rates continue to be ver high in all States in the NE and NWZ have very high drop out rates except Taraba State. In the NCZ, Plateau, Niger and Nassarawa recorded high DPT1/3 drop out rates. In Southern zones, DPT1/3 drop out rates are generally within acceptable limits. SUMMARY (5)

21. Vaccine Wastage Rates Profile by May 09 Std WR for DPT Std WR for MV

22. Vaccine Wastage Rates. –Wastage rates for DPT has remain generally satisfactory in June except in Katsina and Kano –Many States had measles vaccine wastage rates within acceptable limits. –However, Benue, Plateau Bauchi, Kano Kaduna, Katsina, Zamfara, Anambra, Bayelsa, Rivers and Edo states have very high wastage rates for measles vaccine. SUMMARY (6)

23. No of Health Facilities and frequency of Planned Community Link Activities June 2009

24. Health Education sessions Village Development Committee meetings < 50 % 50 -79.99% 80 - 95% > 95 % No data Proportion of Planned Community Link Activities Conducted Cumulative June 2009

25. Community Link Activities Most States do not have plans for Community Link activities –Out of the 22,876 HFs conducting RI in the country only 5,658 (25%) have plans for Community link meetings –38% (8,815) HF have plans to conduct HE sessions. Only 12 States had a report for community Link between June 2009 Community Link committee Meetings –Out of the 12 States with reports less than 50% of planned meetings were conducted in 6 States In only 3 states were more than 95% of meetings planned meetings conducted. Health Education Sessions –Similarly for Health Education Sessions Less than 50% of planned HE sessions were conducted in 3 States 3 states had more than 95% of HE session conducted