Objectives of the workshop

National Workshop on Intensified Mission Indradhanush 5.0

23 June 2023
New Delhi
 Objective
• Capacity building and consultative effort on strengthening and
sustaining routine immunization; including recovery from Covid-19
pandemic impact.
• Appreciate importance of IMI 5.0; big leap towards measles rubella
elimination and improving routine immunization.
• Recognize importance of Head count survey and microplanning.
• Focus on high priority areas.
• Understand importance of effective communication strategy.
• Roll out UWIN across the country.
 Overview of IMI 5.0
Rationale, Focus & Strategy

Dr Bijay Kumar Panigrahy

Director FW, Odisha
 Progress of Odisha in Routine Immunization
Program
100
92 90.2
90
100 79.2
90.5 80 75
90
80 78.6 70

70 60
52.7 51.6
60 51.8
50

50 43.7
40

40 36.1 30

30 20

20 10

10 0
URBAN RURAL
0
NFHS 1 NFHS 2 NFHS 3 NFHS 4 NFHS 5 NFHS 3 NFHS 4 NFHS 5

State has achieved consistent improvement in Full Immunization coverage.

Odisha topped among all States in Full Immunization Coverage in NFHS-5
District wise full immunization coverage %(NFHS – 5
Report)
120.0
National Average: 76.4%
100.0
100.0 94.8 94.8 95.8 95.8 95.9 96.1 96.8 97.0 97.6 98.0 98.0 98.0
94.1
88.5 88.6 90.4 90.5 91.3 91.3 91.8 92.6 92.7
86.0 87.0 87.9
82.0 82.8 83.7 84.4
79.5
80.0

60.0

40.0

20.0

0.0

• 11 districts have more than 95% full Immunization coverage & 10

districts below 90%
 MR-1 to MR-2 Drop Put, HMIS, 2022-23
District Name MR 1 % MR 2 % Diff District Name MR 1 % MR 2 % Diff
BOLANGIR 92.0 83.6 8.5 RAYAGADA 95.9 92.0 3.8
NUAPADA 100.4 93.2 7.2 KENDUJHAR 87.5 83.8 3.7
SAMBALPUR 69.2 62.7 6.6 SUNDARGARH 68.7 65.1 3.7
SONEPUR 90.4 84.0 6.4
BALASORE 87.3 84.1 3.1
DEBAGARH 96.9 90.4 6.4
JAGATSINGHAPUR 76.3 73.2 3.1
NABARANGAPUR 99.1 92.8 6.4
GAJAPATI 95.1 92.2 2.9
JHARSUGUDA 75.0 68.9 6.1
ANUGUL 93.2 90.8 2.4
MALKANGIRI 96.8 90.8 5.9
KENDRAPARA 81.5 76.3 5.2 CUTTACK 73.4 71.2 2.2
KALAHANDI 88.3 83.6 4.7 NAYAGARH 87.6 85.6 2.0
DHENKANAL 84.8 80.1 4.6 GANJAM 90.4 88.6 1.8
KHORDHA 92.1 87.8 4.4 MAYURBHANJ 86.6 85.0 1.6
BARGARH 80.9 76.5 4.4 KANDHAMAL 100.4 99.4 1.1
BOUDH 83.2 78.9 4.3 KORAPUT 98.4 97.8 0.7
JAJAPUR 89.1 84.9 4.2 PURI 97.9 97.3 0.6
BHADRAK 86.6 82.5 4.1 STATE 87.3 83.6 3.7

MR 1 Coverage is more than 95% in 9 districts & MR 2 coverage More than 95% in 3 Districts

MR 1 to MR 2 Drop rate more than 5% in 9 districts

Head Count Survey validation, Odisha, 2023
• A systematic assessment of HCS is conducted
during Jun-Jul 23
• 1,387 area and 6,121 no. of 0-2year children
captured across all 30 district and validate by % of Area Head Count Survey done (72)
independent monitors

100
98
97
Indicator Urban Rural

90
89
89
Head Count Survey validation : Urban Vs Rural

89
87
87
85
83
83
82
81
80
80
77
% of Area covered 44 70

76
71
71
68
66
61
61
% of House Hold captured in HCS 53 86

57
43
% of PW captured in HCS 58 71

38
34
31
% of 0–2-year children captured in HCS 60 93

13
• Head count survey validation Indicators
• Area HCS done: 72% (N=1,387)

DEOGARH

SUNDARGARH

BARGARH

NAYAGARH

BOUDH
GANJAM
BHADRAK

CUTTACK
KANDHAMAL

DHENKANAL
MALKANGIRI

GAJAPATI

ANGUL
PURI

KALAHANDI
KENDRAPARA

KHURDA

NUAPADA
JHARSUGUDA

RAYAGADA
BALASORE
KORAPUT
MAYURBHANJ
KEONJHAR

JAGATSINGHPUR

BOLANGIR
SONEPUR

SAMBALPUR
NABARANGPUR

JAJPUR
• House marked: 3% (N= 10,910 )
• Household captured: 86% (N=10,910 )
• 0–2year children captured: 85% ( N=6,121 )
• 2-5year children captured: 43% (N= 4,152)
 Areas with Zero Dose Children
Missed communities: Home to
clusters of zero-dose/unvaccinated
children & they often face multiple
deprivations and vulnerabilities. Urban Slums & Peri-urban Population Underserved Population

Focus on reaching Zero dose

children does not stop at
providing a first dose of the Migratory population Tribal population

Pentavalent vaccine. The goal

is to ensure these children are
fully vaccinated with all age-
appropriate vaccines.
Pocket of Vaccine Hesitancy Hard to Reach Population
 RI Strengthening/Reduction in Zero dose: Indicators
47
No. of Zerodose Children Monitored
32
29
26
23
19 State - 361
15 15 13 12 12 11 11 11 10 9 9 8 8 6 5 5 5 5 4 3 3 2 2 1

KORAPUT
BALASORE
KEONJHAR

NABARANGPUR
JAGATSINGHPUR

SAMBALPUR

JAJPUR

BOLANGIR

SONEPUR
CUTTACK

GAJAPATI

PURI

MALKANGIRI
KALAHANDI

BHADRAK
BARGARH

SUNDERGARH

NAYAGARH

DEOGARH
BOUDH
KANDHAMAL

ANGUL

MAYURBHANJ

DHENKANAL
KHURDA

JHARSUGUDA

RAYAGADA

NUAPADA

KENDRAPARA
GANJAM

No. of Blocks not doing Zero Dose Tracking

13 13
12
9 9 9
8
7
6 6 6
5 5
4 4 4
3
0 0 0 0 0 0 0 0 0 0 0 0 0
Ganjam
Balasore
Kendrapara

Jharsuguda
Koraput

Gajapati

Rayagada
Mayurb...
Khurda

Nuapada
Nabaran...

Jagatsing...
Malkanagiri

Kandhamal

Sundergarh
Bhadrak

Nayagarh

Cuttack
Dhenkanal

Kalahandi
Puri

Angul

Bargarh
Deogarh

Boudh
Keonjhar

Sambalpur

Bolangir
Sonepur

Jajpur
123 blocks/PUs of 17-districts not reporting Zero Dose children out of 332 blocks/PUs

Google link for the data entry of Zero Dose children and their tracking -
https://docs.google.com/spreadsheets/d/1xL9NkSw0EZxzBl2XqPENLU1ebSCGbZdFs8eHPxTrqKs/edit?usp=sharing
9
Strategy for IMI 5.0
Highlights of IMI 5.0
Objective: To Identify and vaccinate all left-out and drop-out children under 5 years of age and
pregnant women

Platform:
All Districts of all Partial/Unvaccinated:
0-5 years children To be used to plan,
States/UTs
Pregnant Women implement, report &
review IMI 5.0

Leverage IMI for Achieving MR Elimination Goal

Target Beneficiaries

• Children from 0 to 2 years (0 – 23 months) who are left out or dropped out of
age-appropriate doses,
• All children between 2-5 years who have missed MR 1 & MR 2, and booster
doses for DPT & OPV
• Unvaccinated/partially vaccinated pregnant women
 Timeline for IMI 5.0
Three rounds to be conducted - one each in September, October & November 2023

Round
1 11th -16th September 2023

Round
2 9th -14th October 2023

Round
6th – 11th November 2023
3

Each round of IMI 2023 will be spread over 6 working days i.e., including RI days.
RI session plan should not be disturbed, and additional sessions should be planned in high
risk areas not covered by RI.
 Geographical Prioritization
Special focus on high-risk districts/ blocks/ areas identified by the state -

1. Areas with high number of zero dose, left out and drop out children

2. High Risk areas for Measles

3. Areas with low coverage of new vaccines introduced under UIP

4. Areas having large number of vaccination sessions as not held, against planned and areas with vacan
sub centres

5. High Risk Areas (HRAs) - migratory and non- migratory (settled)

6. Urban areas - special focus on slums and peri urban settlements

7. Areas with recent measles, diphtheria and pertussis outbreaks in 2022-23

8. Areas with vaccine hesitancy

Operationalization of IMI through U-WIN
oRegistration of eligible beneficiaries

oSession planning and Management

oReal time recording of Vaccine doses

administered

Issuing of e-Vaccination certificate to beneficiary

AEFI reporting (Integration with SAFE-VAC)

Cumulative real time reports for Program managers

 BDO Committee
• Block review
• State Task Force
committee to review
for Immunization
progress and ensure
• State review
timeliness
committee

Block
State

Timely distribution
•• District/ City Task
of funds, •• MoHFW
State level
fortraining
Force for IEC
materials, logistics
Immunization overall
of all district level
and training of HW
(DTFI/CTFI) guidance and
master trainers
Micro planning
•• District Review with • review
Allocation of funds
adequate HR
Committee • Training/
to districts
• allocation
District health official
Orientation of
as nodal officer for
state health
National
each block/Urban

District / City
officials
units
• Communication
• Distribution of funds,
vaccines, IEC strategy,
Accountability Framework
materials Logistics to prototype of IEC
IMI 2023 - The Big step towards MR Elimination

01
All children up to 5 years of age and
02 pregnant women to get due doses of
vaccination
Reduce Immunity gap
especially for measles and
rubella 03
Reaching out to underserved
communities –
‘Jan Bhagidari’

04
05 Digitalization of paper based
recording & reporting- U-WIN
Improving the coverage of
newer vaccines
Thank You