1. Dr. Harivansh Chopra DAY TO DAY PROBLEMS IN ROUTINE IMMUNIZATION

2. Dr. Harivansh Chopra DAY TO DAY PROBLEMS IN ROUTINE IMMUNIZATION 1.How many of you are involved in routine immunization?

3. Dr. Harivansh Chopra DAY TO DAY PROBLEMS IN ROUTINE IMMUNIZATION 1.How many of you are trained in routine immunization?

4. Dr. Harivansh Chopra DAY TO DAY PROBLEMS IN ROUTINE IMMUNIZATION 1.How many of you have read some special manual on immunization?.

5. Dr. Harivansh Chopra DAY TO DAY PROBLEMS IN ROUTINE IMMUNIZATION 1.Is the problems faced by the multipurpose Workers and faced by you and me are Similar or different?

6. Dr. Harivansh Chopra DAY TO DAY PROBLEMS IN ROUTINE IMMUNIZATION DIFFERENT PROBLEMS IN DIFFERENT SETTINGS ETTINGS

7. Dr. Harivansh Chopra DAY TO DAY PROBLEMS IN ROUTINE IMMUNIZATION 1.OPERATIONAL 2.SKILL BASED 3.KNOWLEDGE 4. AEFI

8. Dr. Harivansh Chopra OPERATIONAL PROBLEMS 1.CONVEYANCE 2.VACCINE AVAILABILITY 3.STORAGE 4.A/D SYRINGE

9. Dr. Harivansh Chopra OPERATIONAL PROBLEMS 1.CONVEYANCE 2.VACCINE AVAILABILITY 3.STORAGE 4.A/D SYRINGE

10. Dr. Harivansh Chopra OPERATIONAL PROBLEMS INFRASTUCTURE MANPOWER GENERATOR DISPOSAL

11. Dr. Harivansh Chopra SKILL BASED PROBLEMS 1.ADMINISTRATION OF VACCINE

12. Dr. Harivansh Chopra SKILL BASED PROBLEMS 1.ADMINISTRATION OF VACCINE

13. Dr. Harivansh Chopra SKILL BASED PROBLEMS 1.ADMINISTRATION OF VACCINE

14. Dr. Harivansh Chopra KNOWLEDGE BASED PROBLEMS 1.WRONG USE OF VACCINE CARRIER

15. Dr. Harivansh Chopra KNOWLEDGE BASED PROBLEMS 1.WRONG USE OF VACCINE CARRIER

16. Dr. Harivansh Chopra KNOWLEDGE BASED PROBLEMS WRONG USE OF ICE PACK

17. Dr. Harivansh Chopra KNOWLEDGE BASED PROBLEMS WRONG USE OF ICE PACK

18. Dr. Harivansh Chopra KNOWLEDGE BASED PROBLEMS USE OF FROZEN VACCINE OF T SERIES

19. Dr. Harivansh Chopra KNOWLEDGE BASED PROBLEMS NO CHECKING OF VVM

20. Dr. Harivansh Chopra KNOWLEDGE BASED PROBLEMS USE OF EXPIRED VACCINE

21. Dr. Harivansh Chopra KNOWLEDGE BASED PROBLEMS WRONG RECONSTITUTION OF VACCINE

22. Dr. Harivansh Chopra KNOWLEDGE BASED PROBLEMS NOT WRITING THE TIME OF RECONSTITUTION

23. Dr. Harivansh Chopra KNOWLEDGE BASED PROBLEMS WRONG VACCINE ADMINISTRATION SIMILAR NAMES DIFFERENT AGES

24. Dr. Harivansh Chopra KNOWLEDGE BASED PROBLEMS IMPROPER RECORD KEEPING

25. Dr. Harivansh Chopra AEFI

26. Dr. Harivansh Chopra AEFI Emergency kit should provided to resuscitate the child in case of life threatening reactions. Supervised training for skill development to prevent and to manage AEFI Educate the mother about the possibilities and the precautions to take in case of AEFI Both clinical and PR skills development

27. Dr. Harivansh Chopra SOLUTION ALL OF THE ABOVE MENTIONED PROBLEMS CAN BE SOLVED BY 1 PROPER LIASIONING WITH THE HEALTH SYSTEM.PUTTING MEDICAL COLLEGES IN THE DISTRICT ACTION PLAN UNDER NRHM. 2. TRAINING AND RETRAINING OF POST GRADUATES /FACULTY IN ROUTINE IMMUNIZATION.

28. Dr. Harivansh Chopra CONCLUSION

29. Dr. Harivansh Chopra

30. Conveyance problem

31. Dr. Harivansh Chopra COMPLETELY IMMUNISED PARTIALLY IMMUNISED NOT IMMUNISED

32. Dr. Harivansh Chopra (BASED ON THE INTERVIEW OF MOTHERS OF 1 – 6 YRS CHILDREN IN COMMUNITY)

33. Dr. Harivansh Chopra NO YES (BASED ON THE INTERVIEW OF MOTHERS OF 1 – 6 YRS CHILDREN IN COMMUNITY)

34. Dr. Harivansh Chopra YES NO (BASED ON THE INTERVIEW OF MOTHERS OF 1 – 6 YRS CHILDREN IN COMMUNITY)

35. Dr. Harivansh Chopra YES NO (BASED ON THE INTERVIEW OF MOTHERS OF 1 – 6 YRS CHILDREN IN COMMUNITY)

36. Dr. Harivansh Chopra YES NO (BASED ON THE INTERVIEW OF MOTHERS OF 1 – 6 YRS CHILDREN IN COMMUNITY)

37. Dr. Harivansh Chopra Timely and punctual immunisation sessions are carried out by post graduate students and interns every Wednesday under expert guidance of senior faculty. CARRIED OUT MISSED** ** All the 11% sessions missed were due to national/gazetted holidays.

38. Dr. Harivansh Chopra Community meetings of all pregnant females and mothers to educate them the importance of immunisation, family planning, proper infant care – in past three years more than 30 such meetings have been held. Apart from these community meetings, the interns impart this knowledge house to house. Provision of comprehensive child health care.

39. Dr. Harivansh Chopra Growth monitoring of all children coming for immunisation, proper record maintenance, education of parents on growth pattern of children, and assistance in maintaining a healthy child.

40. Dr. Harivansh Chopra

47. The study was conducted in Urban Field Practice Area of LLRM Medical College, Meerut with a total population of 9816. Minimum sample size (n) = Z 2 (pq) = 384 d 2 n – Sample Size Z – Confidence Interval = 95% p – Estimated Prevalence = 50% q – (100 – p) d – Relative precision = 10% So for completing the sample size of 400(giving a margin of non coverage), mother of every 2nd child was selected by systematic random sampling method and was interviewed.

48. Dr. Harivansh Chopra The study was conducted in Urban Field Practice Area of LLRM Medical College, Meerut with a total population of 9816. Minimum sample size (n) = Z 2 (pq) = 384 d 2 n – Sample Size Z – Confidence Interval = 95% p – Estimated Prevalence = 50% q – (100 – p) d – Relative precision = 10% So for completing the sample size of 400(giving a margin of non coverage), mother of every 2nd child was selected by systematic random sampling method and was interviewed.

49. Dr. Harivansh Chopra

50. UPPER MIDDLE LOWER MIDDLE UPPER LOWER LOWERUPPER Modified classification of Kuppuswamy

51. Dr. Harivansh Chopra

53. EDUCATION FATHER (%) MOTHER (%) ILLITERATE 46 PRIMARY SCHOOL 63.8 MIDDLE SCHOOL 8.813.5 HIGH SCHOOL 40.734 INTERMEDIATE 1314.5 GRADUATE 15.516 POST GRADUATE 7.710.5 PROFESSIONAL 4.31.7