1. Qtr1 (Jan-Mar 2009) Feedback to States and Zone Routine Immunization Performance Data as at 15 th April 2009 in National Database

2. Completeness of HF Reporting Jan- Mar 2009

3. % LGA Completeness of Reporting by State: Jan-Mar 2009

4. SUMMARY (1) Improving Access-1. 35 States had >=90% completeness of HF reporting cumulatively for Jan-Mar 2009 while others did not meet the 90% target. Plateau Yobe and Enugu States reported less than 70% of their Health Facilities for the same period. 2 States (Plateau and Nassarawa) have less than 70% of their LGAs reporting for the 1 st quarter 2009.

5. DPT3 Monthly Coverage by State: Feb & Mar 2009

6. DPT3 Cummulative Coverage by State: Jan – Mar 2009

7. Routine Immunization Performance Cumulative Jan – Mar 09 Nigeria HBV3 OPV3 DPT3 < 50 % 50 -79.99% 80 - 100% Above 100 %

8. BCG YF MV < 50 % 50 -79.99% 80 - 100% Above 100 % Routine Immunization Performance Cumulative Jan – Mar 09 Nigeria

9. DPT3 Cumulative Coverage Ranges by Zones Jan - Mar 2009

10. Proportion of LGAs DPT3 Cummulative Coverage Range by State_ Jan - Mar 2009

11. Proportion of LGAs with cumulative DPT3 >=80% <25% of LGAs 25-50% of LGAs 50-79.9% of LGAs >=80% of LGAs

12. DPT3 Coverage. –Most States in had improvement in March for DPT3 when compared February especially Benue, Niger, Borno, Taraba, Akwa-Ibom, Ondo and Oyo States. This can be attributed to the IPDs of March 2009 –In spite of the IPDs a few States made either no gains or just minimal ones and some even deteriorated in performance (SE states except Imo; Kaduna, Sokoto Kebbi and Osun had minimal improvements; while Ogun and Zamfara dropped in performance.) SUMMARY (2)

13. –23 States have reached or cross the cumulative Target of 80 DPT3 coverage for the first quarter of 2009. –Noteworthy is the fact that no State in the NWZ has reach this target with Zamfara State having only 45% cumulative DPT3 coverage. –The National cumulative coverage is 84.3% as at the first quarter of 2009 –Akwa-Ibom, Bayelsa, Kwara, Niger, FCT and Nassarawa States have at least 80% of their LGAs with cumulative DPT3 of 80% or more as at the end of quarter 1 of 2009 –However States like Lagos, Kebbi, Zamfara and Yobe have less that 25% of their LGAs with DPT3 =>80%!! SUMMARY (3)

14. Un-Immunized Children Mar 2009

15. Un-Immunized Children –North-west Zone has a significantly high number of un- immunized children 9over 100,000 under 1 children cumulative Jan-March 2009) –Bauchi, Kaduna, Kano, Zamfara, and Lagos States have high numbers of Un-immunized Children with over 20,000 un- immunized Children cumulated for quarter one 2009. Lagos and Kano States has significantly High number of Un- immunized Children- close to 40,000 under 1 children each, accumulated in the first quarter of 2009 SUMMARY (4)

16. DPT1/DPT3 Drop out Rate March 2009

17. DPT1/3 Drop out Rates. All States in the NE and NWZ have very high drop out rates except Gombe State. States in the SSZ have DPT1/3 drop out rates that are just above 10-15 % States in SEZ and SWZ have fairly good drop out rates except Anambra, Ebonyi and Oyo States In the NCZ, DPT1/3 drop out rates are very high in Taraba, Yobe, and Nassarawa States, and within acceptable limits except in Plateau, Niger and Kwara State. However FCT State had Negative DPT1/3 drop out rate in first quarter of 2009!! SUMMARY (5)

18. Vaccine Wastage Rates Profile by March 09 Std WR for DPT Std WR for MV

19. Vaccine Wastage Rates. –Wastage rates for DPT has remain generally satisfactory in the first quarter of 2009 except in Katsina and Kano with very high DPT wastage. –Similarly most States had for measles vaccine wastage rates within acceptable limits. –Plateau, Anambra, Bauchi, and Kano States have MV wastage rates close to 50%. SUMMARY (6)