April, 2019...analyses the data including data from other sources and prepares the dashboards. For example, data for the month of April 2019 is downloaded after 20th of May 2019, collated,

November, 2017

Based on Data up to September, 2017

April, 2019 Based on data from April 2018-February 2019

Immunization Technical Support Unit (ITSU) is a strategic arm of Ministry of Health and Family Welfare (MoHFW) that works towards strengthening of Universal Immunization Program (UIP). ITSU reviews the reported data on Child Immunization (service delivery) that is captured in Health Management Information System (HMIS) and Reproductive Child Health (RCH). The same is analysed, developed into immunization dashboards on monthly basis, program gaps are identified and state specific feedback is provided. Immunization dashboards aim to improve quality and use of reported data on immunization to promote concrete programmatic actions for addressing the challenges in strengthening UIP. Dashboards provide state wise performance on various immunization component (timeliness, coverage, VPD cases, etc.) and concurrent feedback regarding reported immunization data to MoHFW, partner organizations and immunization program managers at state level. Additionally, these dashboards collate data provided by World Health Organization – National Public Health Surveillance Project (WHO-NPSP) related to concurrent monitoring and manual reporting for newly introduced vaccines, ‘Performance of AEFI surveillance and reporting in the states’ and ‘RI Communication Indicators’. As per the HMIS guidelines, it is mandatory for all the states to upload monthly data of the preceding month on or before the 20th of each month. After this deadline, ITSU downloads the HMIS and RCH data, analyses the data including data from other sources and prepares the dashboards. For example, data for the month of April 2019 is downloaded after 20th of May 2019, collated, analysed and published as ‘Immunization Dashboard June 2019’. On a monthly basis, a group of states is provided detailed feedback on immunization coverage and data quality issues. The following table explains the framework for categorization of states and union territories for providing the feedback.

Month of Publication of

Dashboard

Number of states with feedback

Name of the states with feedback

June, September, December, March

9 Assam, Bihar, Chhattisgarh, Jharkhand, Madhya Pradesh, Odisha, Rajasthan, Uttar Pradesh and Uttarakhand

July, October, January, April

13 Andhra Pradesh, Arunachal Pradesh, Delhi, Gujarat, Haryana, Jammu & Kashmir, Manipur, Meghalaya, Mizoram, Nagaland, Telangana, Tripura and West Bengal

August, November, February, May

14

Andaman & Nicobar Island, Chandigarh, Dadra & Nagar Haveli, Daman & Diu, Goa, Himachal Pradesh, Karnataka, Kerala, Lakshadweep, Maharashtra, Puducherry, Punjab, Sikkim and Tamil Nadu

The Annual Dashboard has the data of the complete financial year (from April to March) and feedback on

coverage performance of all the states/ UTs.

Your suggestions for improving these dashboards are always welcome and encouraged.

1

0 – 11 Months Vaccination

• During Apr 2018 - Feb 2019, Nation's Full Immunization Coverage was 79%. Meghalaya (57%),

Nagaland (59%), Puducherry (61%), Uttar Pradesh (66%), Daman & Diu (67%), Arunachal

Pradesh (69%), Sikkim (69%), Madhya Pradesh (70%), Lakshadweep (71%), A & N Islands (72%),

Jharkhand (74%), Rajasthan (74%), Maharashtra (75%), Mizoram (77%) and Tamil Nadu (78%)

were the states/UTs below the national coverage.

• Hep B birth dose is to be given within 24 hours of birth and is mandatory for all institutional

deliveries; however, it was given in 76% of institutional deliveries in the country. Jharkhand

(51%), Assam (55%), Mizoram (59%), Uttar Pradesh (59%), Chhattisgarh (65%), Kerala (66%),

Maharashtra (67%), Haryana (69%), Arunachal Pradesh (73%), A & N Islands (73%), Rajasthan

(74%) and Gujarat (74%) were the states/UTs below the national coverage.

• National coverage for BCG is 88%. A & N Islands (58%), Sikkim (59%), Lakshadweep (60%),

Daman & Diu (62%), Madhya Pradesh (69%), Himachal Pradesh (73%), Arunachal Pradesh

(74%), Odisha (74%), Rajasthan (77%), Uttar Pradesh (82%), Tamil Nadu (83%), Goa (84%) and

Assam (86%) were the states/UTs below the national coverage.

• National coverage for Penta-3 is 84%. Daman & Diu (61%), Puducherry (63%), Sikkim (67%),

Arunachal Pradesh (71%), Rajasthan (71%), Lakshadweep (74%), Uttar Pradesh (74%), A & N

Islands (75%), Madhya Pradesh (75%), Odisha (76%), Himachal Pradesh (79%), Assam (80%),

Nagaland (80%), Haryana (82%) and Tamil Nadu (82%) were the states/UTs below the national

coverage.

• National coverage for MCV-1 is 81%. Meghalaya (58%), Puducherry (62%), Nagaland (65%),

Daman & Diu (67%), Uttar Pradesh (69%), Sikkim (70%), Lakshadweep (70%), Madhya Pradesh

(71%), Arunachal Pradesh (72%), Rajasthan (75%), Jharkhand (77%), Maharashtra (77%) and

Mizoram (77%) were the states/UTs below the national coverage.

• National coverage for JE-1 dose (States with 234 JE-endemic districts) is 68%. **Kerala (1%),

Chhattisgarh (2%), Jharkhand (42%), Meghalaya (52%), Odisha (58%), Uttar Pradesh (58%),

Maharashtra (60%), Tripura (61%), Assam (66%) and Nagaland (66%) were the states/UTs below

the national coverage.

HMIS IMMUNIZATION DATA* FOR YEAR 2018-19 (April 2018-February 2019)

KEY FACTS

2

• National coverage for RVV 1st & 3rd dose (in RVV introduced States) is 76% & 71% respectively.

Of the eleven states where it was introduced, three states for RVV-1 and three states for RVV-

3 have reported below national coverage.

o For RVV 1st Dose – Madhya Pradesh (69%), Rajasthan (73%) and Uttar Pradesh (75%)

o For RVV 3rd Dose – Uttar Pradesh (61%), Madhya Pradesh (64%) and Rajasthan (68%)

• National coverage for fIPV-1 is 77%. Daman & Diu has reported lowest coverage of 59%.

• National coverage for fIPV-2 is 71%. Jharkhand, Daman & Diu & Odisha have reported lowest

coverage of 59%.

12-23 Month Vaccination:

• National coverage for MCV-2 is 70%. Meghalaya has reported lowest coverage of 47%.

• National Coverage for JE 2nd dose (States with JE-endemic districts) is 57%. Chhattisgarh

(13%), Jharkhand (26%), Odisha (36%), Uttar Pradesh (47%), Tripura (48%), Meghalaya (49%),

Maharashtra (50%) and Assam (53%) were the states/ UTs below the national coverage.

• National coverage for DPT Booster-1 is 4230%. Kerala has reported some outlier coverage of

220519%. Daman & Diu has reported the lowest coverage of 55%.

5-6 years Vaccination:

• National coverage for DPT Booster-2 is 61%. Nagaland and Arunachal Pradesh have reported

lowest coverage of 12% & 17% respectively and Tamil Nadu has reported highest coverage of

121%.

Drop-out Rate (Penta1–Penta3)

• National level drop-out for Penta1-Penta3 is 4.8%. Puducherry reported highest drop-out of

15%.

*HMIS Data downloaded on 3rd April, 2019

** Govt. of India switched to two dose schedules of JE vaccine in 2013, however, the state of Kerala continues with 1 dose schedule as per the

recommendation of their internal expert committee.

3

Other Feedback

• Most of the states still reporting coverage data on Hep-B 1, 2 and 3 that is mentioned in

‘Administrative Data’.

• Timeliness of HMIS Data – Non-reporting districts (34) for the month of February 2019 only:

o A & N Islands (1) – District Nicobar has not reported.

o Arunachal Pradesh (1) – District Kurung Kumey has not reported.

o Daman & Diu (1) – District Diu has not reported.

o Himachal Pradesh (9) – Districts Bilaspur, Chamba, Hamirpur, Kangra, Kinnaur, Lahul

& Spiti, Sirmaur, Solan and Una have not reported.

o Jammu & Kashmir (1) – District Kishtwar has not reported.

o Mizoram (3) – Districts Aizawl East, Aizawl West and Kolasib have not reported.

o Odisha (14) – Districts Anugul, Baudh, Deogarh, Dhenkanal, Jagatsinghpur, Jajapur,

Jharsuguda, Kalahandi, Kandhamal, Kendrapara, Koraput, Nabarangapur, Rayagada

and Sambalpur have not reported.

o Rajasthan (3) – Districts Hanumangarh, Karauli and Sirohi have not reported.

o Uttarakhand (1) – District Bageshwar has not reported.

*HMIS Data downloaded on 03rd April, 2019

4

• Rota Virus Vaccine (RVV) – RVV was introduced in phased manner in the country. In 2016 under

phase-1, four states were included viz. Andhra Pradesh, Himachal Pradesh, Haryana and Odisha.

In 2017 under Phase-2, five more states were included viz. Assam, Madhya Pradesh, Rajasthan,

Tamil Nadu & Tripura making a total of nine states. In 2018 under Phase-3, it has been

introduced in Jharkhand & Uttar Pradesh. Status of RVV coverage as per HMIS portal reported

by states:

State No. of children vaccinated*

RVV1 RVV2 RVV3

Andhra Pradesh 749653 726256 743749

Assam 505195 492564 485451

Haryana 414805 388407 379191

Himachal Pradesh 84448 83473 82858

Madhya Pradesh 1229712 1163825 1138129

Odisha 551458 540476 538080

Rajasthan 1186624 1134810 1112630

Tamil Nadu 769607 756535 751629

Tripura 47681 45297 43048

Jharkhand # 598953 494979 426133

Uttar Pradesh** 2080931 1499904 1117882

Total 8219067 7326526 6818780

*data of Apr 2018-Feb 2019 by HMIS reporting, #started in April 2018, **started in Sep 2018

Pneumococcal Conjugate Vaccine (PCV) – PCV was introduced in 2017 in three States viz. Bihar

(July’17 in 17 districts), Himachal Pradesh (June’17 in 12 districts) & Uttar Pradesh (June’17 in 6

districts). Vaccine is newly introduced in 2017, reporting fields are not introduced in HMIS portal,

hence manual reporting is done from states and the are same is being reviewed and analyzed. In

2018, PCV was introduced in two more states viz. Madhya Pradesh (April’18 in 51 districts) and

Rajasthan (April’18 in 9 districts) with expansion in Uttar Pradesh (May’18 in 6 districts) and Bihar

(June’18 in 21 districts). Haryana has also introduced PCV in 15 districts from Oct’18 and in 6

districts from Nov’18 from its own fund.

State No. of

Districts Date of

Introduction

Target Children

(2018-19)

No. of children vaccinated*

PCV-1 PCV-2 PCV-B

Bihar 17 19-07-2017 1449911 1022860 918967 780536

21 01-06-2018 1484891 902810 492267 12726

Himachal Pradesh 12 01-06-2017 114100 94508 93012 92391

Madhya Pradesh 51 07-04-2018 1941299 1045153 768565 110426

Rajasthan 9 07-04-2018 444709 289183 216527 53571

NEWER VACCINES COVERAGE DATA

5

Uttar Pradesh

6 10-06-2017 504731 344680 292698 198600

6 19-05-2018 575391 318594 189601 5182

Haryana

15 03-10-2018 413387 114888 43832

06 02-11-2018 154713 36622 12765

Total 7083132 4169298 3028234 1253432

*data of Apr 2018-Feb 2019 by manual reporting

6

• Measles & Rubella (MR) – MR campaign is being conducted in the country in phased manner.

During phase-1, five states (Goa, Karnataka, Lakshadweep, Tamil Nadu, Puducherry) and in

phase-2, eight states (Andhra Pradesh, Dadra and Nagar Haveli, Daman and Diu, Chandigarh,

Telangana, Himachal Pradesh, Kerala and Uttarakhand) were covered. In phase-3, nineteen

states (Odisha, Arunachal Pradesh, Manipur, Mizoram, A&N Islands, Haryana, Punjab, Gujarat,

Jharkhand, Assam, Tripura, Jammu Kashmir, Meghalaya, Nagaland, Chhattisgarh, Uttar

Pradesh, Maharashtra, Bihar and Madhya Pradesh) have started activity out of which Odisha,

Arunachal Pradesh, Manipur, Mizoram, Haryana, A & N Islands, Punjab, Gujarat, Jharkhand,

Assam, Tripura, Jammu & Kashmir, Nagaland, Chhattisgarh and Uttar Pradesh have completed

the activity.

Phase-3 States Target Coverage* %

Odisha 11225634 11037026 98%

Arunachal Pradesh 438386 443054 101%

Manipur 818175 793855 97%

Mizoram 324180 323917 100%

Haryana 7438481 7367159 99%

A&N Islands 83041 77669 94%

Punjab 6963866 6684244 96%

Gujarat 15156741 14560089 96%

Jharkhand 10602072 10192674 96%

Assam 9455750 8913137 94%

Tripura 958782 901324 94%

Jammu & Kashmir 3772960 3743458 99%

Meghalaya 1156036 1089060 94%

Nagaland 448504 438627 98%

Chhattisgarh 7777519 7792331 100%

Uttar Pradesh 76403003 75719632 99%

Maharashtra 31081977 27628893 90%

Madhya Pradesh 23244533 20544957 88%

Bihar 37757321 29538593 78%

*data up to February 2019

• Japanese Encephalitis (JE) – JE campaign is being conducted in the country in phased manner

(232 JE endemic districts). During phase-1, 202 JE endemic districts (in 20 states) were covered.

In phase-2, 16 JE endemic districts (in 04 states – Arunachal Pradesh, Jharkhand, Telangana and

Tripura) were covered. In phase-3, selected 14 districts of two states (Odisha & Chhattisgarh)

were covered and total 76% of children were vaccinated against the target.

SPECIAL CAMPAIGNS

7

• Mission Indradhanush (MI) Campaign under Gram Swaraj Abhiyan

Gram Swaraj Abhiyan (GSA) was launched as a campaign under the Ministry of Panchayati Raj

and was initiated under the name of “Sabka Sath, Sabka Gaon, Sabka Vikas” with the aim of

integrated development at the village level, promotion of social harmony and spreading

awareness about pro-poor schemes of government. MI was one of the 7 programmes being

undertaken with GSA, to increase the immunization coverage in selected villages with

underprivileged population. A total of 16,850 villages have been identified in 533 districts across

27 states. All union territories (UTs) were also covered under this activity. Mission Indradhanush

(MI) under Gram Swaraj Abhiyan was planned to reach unvaccinated and partially vaccinated

children and pregnant women in these villages. The 1st, 2nd and 3rd round of MI under GSA was

conducted from 23rd to 27th April 2018, 21st to 27th May 2018 and 18th to 23rd June 2018

respectively. Coverage related indicators of MI GSA are given below.

MI GSA*

Children to be

vaccinated as per

head count

No of children

vaccinated

% children vaccinated

Pregnant Women

(PW) to be vaccinated

as per head count

No. of PW vaccinated

% PW vaccinate

d

Round 1 (Apr-18) 197114 206352 105 46144 47352 103

Round 2 (May-18) 173743 160625 92 37679 37856 100

Round 3 (June-18) 151241 134961 89 29090 28117 97

• Mission Indradhanush (MI) Campaign under Extended Gram Swaraj Abhiyan (EGSA) in

Aspirational districts (AD)

Extended GSA was conducted in 117 ‘Aspirational districts’ listed by NITI Aayog. Three rounds

of Mission Indradhanush was conducted under EGSA in these districts. First round was started

from 16th July 2018, second round was started from 13th August 2018 and third round was

started from 10th September 2018. MI under EGSA was poised to achieve better outcomes for

immunization, thereby supplementing the goal of achieving 90% full immunization coverage in

all the states of India by December 2018. While EGSA had identified villages for saturation of 7

pro-poor schemes, MI was being conducted in the entire district, including both GSA and non-

GSA villages.

Coverage related indicators of MI GSA for July 2018, Aug 2018 & Sep 2018 round of MI under

EGSA and non-GSA areas is mentioned below:

8

MISSION INDRADHANUSH eGSA

Round I – July 2018

Villages

No. of target

children to be

vaccinated

No of children

vaccinated


No. of target Pregnant

Women (PW) to be

vaccinated


% PW vaccinated

EGSA 450700 463332 103 129335 137593 106

Non-EGSA 142542 121725 85 39800 36232 91

Total 593242 585057 99 169135 173825 103

Round II – August 2018

Villages

No. of target

children to be

vaccinated

No of children

vaccinated



Women (PW) to be

vaccinated


% PW vaccinated

EGSA 292744 271627 93 86314 85268 99

Non-EGSA 284757 252327 89 65992 62800 95

Total 577501 523954 91 152306 148068 97

Round III – September 2018

Villages

No. of target

children to be

vaccinated

No of children

vaccinated



Women (PW) to be

vaccinated


% PW vaccinated

EGSA 251117 233937 93 63998 62942 98

Non-EGSA 195728 183037 94 41757 43747 105

Total 446845 416974 93 105755 106689 101

• Mission Indradhanush (MI) Phase 6

Ministry of Health and Family Welfare has planned to conduct three rounds of Mission

Indradhanush (MI) in 75 districts with FIC less than 50% (as per the recent evaluated survey

report) across 17 states and where MI GSA has not been carried out. The focus for the current

phase is on pockets with unvaccinated and partially vaccinated children. The 1st, 2nd and 3rd

round of MI under Phase 6 was conducted from 22nd Oct, 22nd Nov and 22nd Dec respectively.

The first and second round has been completed, and the third round is ongoing in one state

(Assam).

9

Coverage related indicators of MI Phase VI for October 2018, November 2018 and December

2018 round is mentioned as follows:

MI Phase-6

Children to be

vaccinated as per

head count

No of children

vaccinated


Pregnant Women

(PW) to be vaccinated

as per head count


% PW vaccinate

d

Round 1 (final data)

239720 217979 91 48157 45341 94

Round 2 (final data)

168396 156147 93 36291 36483 101

Round 3 (final data) 129246 119773 93 30549 31080 102

10

The concurrent monitoring indicators mentioned below are from the available data of the

monitored states.

• Percent monitored children found ‘fully immunized’ is 83%

o Lowest percentage of children found ‘fully immunized’ was in Manipur (64%)

• Percent monitored immunization sessions not held was 6%

o States/UTs with high percentage of monitored immunization sessions not held:

Chhattisgarh (18%), Telangana (10%), Haryana (10%), Uttarakhand (9%), Punjab

(8%), Jharkhand (8%), Madhya Pradesh (8%), and Uttar Pradesh (7%).

• Percent of monitored sessions with updated due list not available was 27%

o States/UTs with high % of monitored sessions with updated due list not available:

Andhra Pradesh (67%), Telangana (58%), Chhattisgarh (49%), Jharkhand (47%),

Madhya Pradesh (38%), West Bengal (38%), Bihar (35%), Karnataka (30%),

Uttarakhand (30%), Delhi (28%) and Tamilnadu (28%).

• Percent of monitored sessions where all vaccines were not available was 46%

o States/UTs with high % of monitored sessions where all vaccines were not

available: Uttarakhand (99%), Telangana (98%), Karnataka (98%), Tamil Nadu (98%),

Andhra Pradesh (98%), Punjab (90%), Odisha (90%), Chhattisgarh (89%), Jharkhand

(87%), Assam (85%), Delhi (82%), Himachal Pradesh (77%), West Bengal (76%),

Haryana (66%), and Haryana (49%).

*The quantum of WHO NPSP concurrent monitoring is variable across different states, with focus on Uttar Pradesh and

Bihar.

No monitoring was done in the states of A&N Islands, Chandigarh, D&N Haveli, Daman & Diu, Goa, Jammu & Kashmir,

Kerala, Lakshadweep and Puducherry.

WHO-NPSP CONCURRENT MONITORING DATA*

(Apr 2018-Feb 2019)

11

The existing MCTS has been upgraded to RCH application in order to match the changing data

requirements of RCH programmers and strengthen existing health reporting system. The RCH

portal, an online software application has been designed for early identification and tracking of

the individual beneficiary throughout the reproductive lifecycle. The RCH portal has been rolled

out in all the states (except in Gujarat, Rajasthan and Tamil Nadu where they have state run

portal)

• Only 40.0% children registered on RCH portal in Apr 2018 -Feb 2019 with lowest registration

done by Telangana (4.8%) and A & N Island (10.0%).

• Percentage of villages not mapped with any facility in RCH portal: Total of 6.2% villages

were not mapped in India. Tripura (39.7%), A & N Island (39.0%) and Delhi (25.0%) were the

three states with highest percentage of villages not mapped in RCH portal.

• National Full Immunization Coverage (FIC) was 12.7%.

• Antigen-wise all-India coverage against registered children in Apr 2018-Feb 2019:

- Hep B birth dose: 55.9% - Meghalaya (10.6%), Mizoram (10.9%), Uttar Pradesh

(19.0%), A & N Island (23.4%), Assam (24.3%), Tripura (24.9%), Manipur (32.0%),

Nagaland (32.6%), Arunachal Pradesh (32.7%), Bihar (34.0%), Uttarakhand (37.2%),

Jharkhand (38.7%), Chhattisgarh (51.2%) and Haryana (53.0%), have reported below

national coverage.

- BCG: 71.4% - A & N Island (30.8%), Uttar Pradesh (35.1%), Tripura (37.8%), Assam

(46.9%), Mizoram (50.0%), Bihar (52.9%), Arunachal Pradesh (53.1%), Meghalaya

(64.1%), Puducherry (67.1%), Haryana (67.4%), Jharkhand (67.6%) and Nagaland

(68.8%) have reported below national coverage.

- Penta 1st dose: 34.8% - Bihar (11.2%), A & N Islands (13.3%), Uttar Pradesh (14.3%),

Odisha (22%), Karnataka (23.2%), Jharkhand (24.4%), Lakshadweep (24.7%),

Haryana (29.9%), Manipur (30%), Madhya Pradesh (32%), West Bengal (32%) and

Assam (34.1%) have reported below national coverage.

- OPV 1st dose: 34.5% - Bihar (10.5%), Uttar Pradesh (13.7%), A & N Islands (14.4%),

Lakshadweep (16.4%), Odisha (22%), Karnataka (27.7%), Jharkhand (27.9%),

Manipur (28.5%), Haryana (29.5%), West Bengal (31.9%), Madhya Pradesh (31.9%)

and Assam (33.2%) have reported below national coverage.

RCH PORTAL*

(Apr 2018-Feb 2019)

12

- Penta 3rd dose: 24.2% - Bihar (2.2%), Uttar Pradesh (3.6%), A & N Islands (5.1%),

Manipur (12.8%), Lakshadweep (15.2%), Jharkhand (15.9%), Tripura (16%), Assam

(16.1%), Mizoram (17.2%), Odisha (17.8%), Karnataka (18.7%), Madhya Pradesh

(18.7%), Meghalaya (19%), Haryana (19.1%) and Arunachal Pradesh (20.1%) have

reported below national coverage.

- OPV 3rd dose: 23.6% - Bihar (2.1%), Uttar Pradesh (3.5%), A & N Islands (5.1%),

Lakshadweep (8.1%), Manipur (12.1%), Assam (15.1%), Jharkhand (15.7%), Tripura

(16.1%), Mizoram (16.6%), Odisha (17.7%), Madhya Pradesh (18.5%), Karnataka

(18.7%), Meghalaya (18.7%), Haryana (18.9%) and Arunachal Pradesh (19.6%) have

reported below national coverage.

- Measles 1st dose: 13.8%- A & N Islands (0%), Bihar (0.2%), Uttar Pradesh (0.9%),

Puducherry (1.1%), Meghalaya (3.2%), Mizoram (3.5%), Jharkhand (4%), Tripura

(4.2%), Manipur (4.4%), Lakshadweep (7.1%), Odisha (7.2%), Assam (8.3%), Madhya

Pradesh (8.6%), Haryana (9.5%), Arunachal Pradesh (10.4%), Karnataka (10.5%),

Nagaland (10.7%), Uttarakhand (10.8%) and Telangana (11.9%) have reported

below national coverage.

*Data of RCH Portal is as on 09th April 2019.

13

• Out of 704 districts, only 375 districts (53%) have reported AEFI cases from April’18 to Feb’19. States & UTs with less than 53% districts reporting AEFI cases in the corresponding period: Nineteen

o Arunachal Pradesh (0%), Daman & Diu (0%), Lakshadweep (0%), Jammu & Kashmir

(9%), Uttarakhand (15%), Chhattisgarh (22%), Puducherry (25%), Nagaland (27%), A

& N Islands (33%), Rajasthan (36%), Assam (37%), Punjab (41%), Manipur (44%),

Odisha (47%), Madhya Pradesh (49%), Himachal Pradesh (50%), Tamil Nadu (50%),

Maharashtra (51%) and Telangana (52%).

• Completeness of preliminary investigation by the state: 49%

o States & UTs (reporting AEFI cases) from which <49% case investigation (CRF &

PCIF) documents have been received: Eight

o Uttarakhand (0%), Uttar Pradesh (18%), Jharkhand (20%), Jammu & Kashmir (25%),

Chhattisgarh (29%), Madhya Pradesh (37%), Chandigarh (37%) and Kerala (43%).

• Status of State AEFI committee meetings held from Apr’18-Feb’19 (expected one meeting

every quarter)

o No State AEFI committee meeting held – Two UTs

▪ Daman & Diu and Lakshadweep.

o Only one State AEFI committee meeting held - Ten states / UTs

▪ A & N Islands, Arunachal Pradesh, Assam, D & N Haveli, Delhi, Jammu &

Kashmir, Manipur, Rajasthan, Tripura and Uttarakhand

o Two State AEFI committee meeting held - Thirteen states/UTs

▪ Chhattisgarh, Goa, Himachal Pradesh, Madhya Pradesh, Meghalaya,

Nagaland, Odisha, Puducherry, Punjab, Sikkim, Telangana, Uttar Pradesh and

West Bengal.

FY 2018-19*- Cumulative data as of 28th February 2019

PERFORMANCE OF AEFI SURVEILLANCE IN STATES

(Apr 2018 -Feb 2019) *

14

The communication indicators mentioned below are from the available data of the

monitored states.

• Percent monitored sessions with one/more mobilizers found working was 98% and states

below the average were Chhattisgarh (89%), Rajasthan (96%), Uttar Pradesh (97%) and

West Bengal (97%).

• Percent monitored sessions where ASHA was found working was 79% and states below

the average were West Bengal (70%), Uttar Pradesh (74%), Chhattisgarh (77%) and Bihar

(78%).

• Percent monitored sessions where AWW was found working was 58% and states below

the average were Maharashtra (26%), Chhattisgarh (27%), West Bengal (33%), Rajasthan

(41%), Madhya Pradesh (48%) and Assam (56%).

• Percent monitored sessions where Link Workers found working was 4% whereas state

wise: West Bengal (44%), Gujarat (14%), Uttar Pradesh (6%), Odisha (4%), Madhya Pradesh

(4%), Bihar (3%), Jharkhand (3%), Maharashtra (1%), Assam (0%), Chhattisgarh (0%) and

Rajasthan (0%).

• Percent monitored session sites with IEC visibility was 65% and states below the average:

Chhattisgarh (11%), Jharkhand (40%), Odisha (52%), Bihar (58%) and West Bengal (63%).

Note-The monitoring was done in 11 states namely Assam, Bihar, Chhattisgarh, Gujarat, Jharkhand, Madhya Pradesh,

Maharashtra, Odisha, Rajasthan, Uttar Pradesh and West Bengal.

PERFORMANCE OF COMMUNICATION INDICATORS IN STATES

(April-February 2019)

15

Prepared by ITSU-MoHFW

Apr 2018 -Feb 2019

• Executive Dashboard

• HMIS Dashboard

• AEFI Dashboard

• Communication Dashboard

• RCH Dashboard

DASHBOARDS

FACTS

16

Evaluated Data

(NFHS-4)

Fractional

Dose - 1

Fractional

Dose - 2RVV-1 RVV-2 RVV-3

All India 62.0 97 306188 156792 6 27 46 83 88 81 77 71 76 72 71 68 57 70 4230 79 5

1 Nagaland 35.7 95 1216 91 88 65 68 61 NA NA NA 66 57 54 62 59 12

2 Arunachal Pradesh 38.2 97 269 74 74 72 72 60 NA NA NA 86 60 57 57 69 7

3 Dadra & Nagar Haveli 43.2 100 10 101 95 82 82 NA NA NA NA NA 83 83 95 0

4 Assam 47.1 98 7480 166 2 16 85 73 86 82 67 64 78 76 75 66 53 69 75 81 4

5 Gujarat 50.4 99 8868 596 3 17 44 93 95 88 86 83 NA NA NA NA NA 71 77 85 2

6 Mizoram 50.5 96 254 70 93 77 87 83 NA NA NA NA NA 75 85 77 4

7 Uttar Pradesh 51.1 97 72873 72016 7 22 37 81 82 69 74 68 75 65 61 58 47 58 63 66 7

8 Madhya Pradesh 53.6 97 24683 508 8 38 43 88 69 71 65 60 69 65 64 NA NA 62 69 70 5

9 Tripura 54.5 97 1015 82 90 85 92 84 97 93 88 61 48 62 76 83 8

10 Rajasthan 54.8 97 24173 1565 4 12 34 89 77 75 68 63 73 70 68 NA NA 61 63 74 6

11 Maharashtra 56.3 100 3039 12386 6 21 49 86 102 77 69 63 NA NA NA 60 50 69 87 75 2

12 Uttarakhand 57.7 94 7000 1440 9 30 99 89 101 102 92 91 NA NA NA 117 105 92 93 101 1

13 Meghalaya 61.5 86 9667 84 103 58 90 73 NA NA NA 52 49 47 70 57 15

14 Bihar 61.7 94 65363 41472 5 35 35 82 92 81 87 79 NA NA NA 69 60 70 78 79 7

15 Jharkhand 61.9 99 5637 6861 8 47 87 81 96 77 70 59 82 75 72 42 26 55 74 74 7

16 Haryana 62.2 94 12852 7118 10 18 66 88 94 88 74 66 80 75 73 79 64 69 74 81 8

17 Karnataka 62.6 97 14627 3291 3 30 98 92 92 95 70 62 NA NA NA 111 102 92 88 94 2

18 Andhra Pradesh 65.3 99 2903 101 1 67 98 89 96 105 95 96 98 95 97 97 83 95 91 99 -1

19 Manipur 65.9 93 1346 64 103 90 98 88 NA NA NA 78 61 59 80 86 10

20 Daman & Diu 66.3 100 2 62 67 59 59 NA NA NA NA NA 54 55 67 -2

21 Delhi 66.4 97 3573 4466 3 28 82 92 92 96 93 87 NA NA NA NA NA 91 94 94 7

22 Telangana 68.1 98 5649 69 10 58 98 90 95 106 94 91 NA NA NA 85 69 95 87 94 2

23 Himachal Pradesh 69.5 99 592 323 0 7 77 89 73 81 81 79 81 80 79 NA NA 75 75 81 2

24 Tamil Nadu 69.7 99 5255 128 1 28 98 78 83 81 79 77 76 74 74 80 78 56 82 78 2

25 A & N Islands 73.2 97 58 58 81 69 67 NA NA NA NA NA 84 75 72 0

26 Jammu & Kashmir 75.1 93 7143 98 111 102 98 NA NA NA NA NA 95 94 98 5

27 Chhattisgarh 76.4 97 9501 101 18 49 89 91 89 88 61 60 NA NA NA 2 13 73 78 86 2

28 Odisha 78.6 100 1017 302 3 20 90 91 74 81 68 59 76 74 74 58 36 70 73 81 2

29 Chandigarh 79.5 97 293 174 117 117 112 NA NA NA NA NA 109 107 115 3

30 Kerala 82.1 99 1566 96 95 85 81 NA NA NA 1 79 88 220519 92 7

31 Sikkim 83.0 98 130 99 59 70 68 66 NA NA NA NA NA 68 69 69 5

32 West Bengal 84.4 99 3952 3272 1 38 76 90 94 96 89 83 NA NA NA 85 76 89 90 94 4

33 Lakshadweep 86.9 92 31 60 70 76 71 NA NA NA NA NA 64 62 71 2

34 Goa 88.4 100 7 84 92 82 83 NA NA NA 102 85 96 93 90 0

35 Punjab 89.1 98 4089 611 8 16 90 75 96 84 82 78 NA NA NA NA NA 76 85 83 5

36 Puducherry 91.3 99 55 180 62 69 60 NA NA NA NA NA 64 62 61 15

Color and coverage criteria : Red - <60%, Yellow - >=60% and <70%, Light Green - >= 70% and <80% and Green - >= 80%

* Need Assessment 2018-19 is taken as Estimated Infant Population.

** WHO-NPSP Monitoring cumulative data - April 2018 - February 2019

# Percentage of children aged between 9 and 11 months who have been fully immunised (BCG, Measles-1, and 3 doses each of OPV & Penta)

## Coverage of JE is calculated for those districts which introduced JE in RI, against their estimated infant population.

NR- No Report, NA- Not Applicable

Disclaimer: Dashboard is prepared in April 2019 using cumulative data upto February 2019, downloaded on 03rd April 2019.

MCV 2

(%)

% DPT

Booster (16-

24 months)

% Full

Immunization

Coverage#

% Drop Out

(Penta1-Penta3)BCG (%) MCV 1 (%)

IPV (%) RVV (%)

JE-1 %## JE-2 %##

No. of

planned

sessions NOT

HELD

No. of Session

monitored

% Monitored

sessions "NOT

HELD"

% Monitored

sessions with

Updated Due

List "NOT

AVAILABLE"

% Monitored

sessions where All

Vaccines were

"NOT AVAILABLE"

% Monitored

children found

"FULLY

IMMUNIZED"

(12-23 months)

Office of Immunization Division, MoHFW, Govt. of India

EXECUTIVE DASHBOARD - ROUTINE IMMUNIZATION PROGRAM

Based on the data upto 28th February 2019

Sr. No State

Administrative Data**Concurrent Monitoring Data**

(April 2018-February-2019)Administrative Data

% FULL

IMMUNIZATION

COVERAGE

% of sessions

held against

planned

17


BCG Penta-1 Penta-3 MCV-1 MCV-2

DPT Booster

(16-24

months)

DPT Booster

(5-6 years)**

Fully

Immunized***Diptheria Pertussis

Tetanus

NeonatorumMeasles

All India 24073993 97 306188 76 88 88 84 81 70 4230 61 79 5 8 14 5221 1857 598 25450

1 A & N Islands 4675 97 58 73 58 75 75 81 84 75 43 72 0 -40 -4 0 0 0 1

2 Andhra Pradesh 765325 99 2903 87 96 100 101 105 95 91 103 99 -1 -9 9 132 1 4 35

3 Arunachal Pradesh 25117 97 269 73 74 76 71 72 57 57 17 69 7 3 20 6 0 0 38

4 Assam 647992 98 7480 55 86 83 80 82 69 75 39 81 4 5 16 96 41 1 1255

5 Bihar 2690233 94 65363 92 92 91 84 81 70 78 33 79 7 13 14 203 63 10 327

6 Chandigarh 14667 97 293 81 174 117 113 117 109 107 58 115 3 33 7 16 62 9 66

7 Chhattisgarh 563933 97 9501 65 89 86 84 88 73 78 75 86 2 1 18 118 1 1 211

8 Dadra & Nagar Haveli 8158 100 10 84 101 86 86 95 83 83 57 95 0 6 13 0 0 0 13

9 Daman & Diu 7150 100 2 80 62 59 61 67 54 55 52 67 -2 -8 19 2 0 1 0

10 Delhi 290675 97 3573 87 92 96 89 96 91 94 53 94 7 -4 5 172 113 5 735

11 Goa 20258 100 7 84 84 86 86 92 96 93 77 90 0 -10 -4 1 0 0 13

12 Gujarat 1182867 99 8868 74 95 89 87 88 71 77 60 85 2 7 19 334 38 138 553

13 Haryana 520758 94 12852 69 94 89 82 88 69 74 56 81 8 7 22 14 3 0 176

14 Himachal Pradesh 104592 99 592 94 73 81 79 81 75 75 81 81 2 -12 8 0 0 6 8

15 Jammu & Kashmir 191492 93 7143 89 98 108 102 111 95 94 55 98 5 -13 14 7 161 0 606

16 Jharkhand 741858 99 5637 51 96 97 90 77 55 74 35 74 7 20 28 50 43 38 594

17 Karnataka 1031983 97 14627 84 92 99 97 95 92 88 78 94 2 -4 4 170 56 8 560

18 Kerala 453658 99 1566 66 96 103 96 95 88 220519 71 92 7 1 8 22 44 1 204

19 Lakshadweep 1192 92 31 92 60 76 74 70 64 62 52 71 2 -18 9 0 0 0 0

20 Madhya Pradesh 1779525 97 24683 87 69 79 75 71 62 69 70 70 5 -2 12 204 70 53 1072

21 Maharashtra 1765042 100 3039 67 102 98 95 77 69 87 66 75 2 25 10 114 20 25 2674

22 Manipur 36300 93 1346 80 103 102 92 90 59 80 40 86 10 13 34 13 1 0 250

23 Meghalaya 67283 86 9667 84 103 103 88 58 47 70 30 57 15 44 18 5 4 0 300

24 Mizoram 16500 96 254 59 93 97 94 77 75 85 43 77 4 17 3 0 1 0 120

25 Nagaland 21302 95 1216 84 88 91 80 65 54 62 12 59 12 27 16 0 9 0 485

26 Odisha 727375 100 1017 87 74 78 76 81 70 73 66 81 2 -9 14 42 11 0 458

27 Puducherry 20808 99 55 98 180 74 63 62 64 62 65 61 15 65 -2 13 0 0 3

28 Punjab 399117 98 4089 80 96 92 87 84 76 85 71 83 5 13 9 31 7 5 140

29 Rajasthan 1628825 97 24173 74 77 76 71 75 61 63 68 74 6 3 18 446 498 39 1394

30 Sikkim 9900 98 130 90 59 70 67 70 68 69 74 69 5 -17 2 0 0 0 15

31 Tamil Nadu 1015483 99 5255 118 83 83 82 81 56 82 121 78 2 3 30 32 0 80 225

32 Telangana 578417 98 5649 85 95 98 96 106 95 87 82 94 2 -12 10 43 3 0 75

33 Tripura 48950 97 1015 76 90 101 92 85 62 76 42 83 8 6 27 3 6 0 229

34 Uttar Pradesh 5188333 97 72873 59 82 80 74 69 58 63 47 66 7 15 16 2751 554 169 4797

35 Uttarakhand 162800 94 7000 77 101 98 97 102 92 93 54 101 1 -1 9 5 16 2 58

36 West Bengal 1341450 99 3952 76 94 98 94 96 89 90 73 94 4 -2 7 176 31 3 7760

* State Need Assessment of 2018-19 is taken as Estimated Infant Population.

** State Need Assessment for DPT (2017-18) from HMIS is taken as estimated targeted population for DPT Booster (5-6 years).

***Percentage of children aged between 9 and 11 months who have been fully immunised (BCG, MCV-1 and 3 doses each of OPV & Penta)

# Negative figure indicate that there is no drop-out but increase in coverage from compared antigen



DASHBOARD (HMIS) - ROUTINE IMMUNIZATION PROGRAM

Number of Cases of Childhood Diseases Reported

Disclaimer: Dashboard is prepared in April 2019 using cumulative data upto February 2019, downloaded on 03rd April 2019.

% Coverage

Drop Out (%)

(Penta1-Penta3)#

S.

NoState

Estimated

Population of

Infants

2018-19*

(Annualized)

% of sessions

held against

planned

No. of

Planned

sessions NOT

HELD

Hep B Birth

Dose -

Coverage

against

Institutional

Delivery (%)

Drop Out (%)

(BCG-MCV1)#

Drop Out (%)

(MCV1-MCV2)#

18


S.

NoState

DPT-1

(In numbers)

DPT-2

(In numbers)

DPT-3

(In numbers)

HepB-1

(In numbers)

HepB-2

(In numbers)

HepB-3

(In numbers)

All India 216308 64365 67366 118851 72785 79859

1 A & N Islands 92 57 75 48 60 86

2 Andhra Pradesh 6065 4786 4650 8848 7837 9410

3 Arunachal Pradesh 235 246 241 581 494 456

4 Assam 684 381 358 655 484 499

5 Bihar 1519 995 532 1918 1065 1050

6 Chandigarh 62 84 57 872 92 48

7 Chhattisgarh 3749 2767 2704 8083 7657 7161

8 Dadra & Nagar Haveli 0 2 0 0 0 0

9 Daman & Diu 48 27 23 0 0 4

10 Delhi 12700 8654 7422 10799 7304 6199

11 Goa 52 28 40 37 6 17

12 Gujarat 12066 8912 9655 7647 3547 4921

13 Haryana 4022 1348 1349 6463 1882 1215

14 Himachal Pradesh 0 0 0 0 0 8

15 Jammu & Kashmir 27 11 6 1278 664 734

16 Jharkhand 2266 1102 1680 4779 1925 2843

17 Karnataka 3124 1674 2158 3030 1884 2300

18 Kerala 112204 686 781 4290 2200 2336

19 Lakshadweep 10 4 9 17 14 37

20 Madhya Pradesh 6619 4524 4561 17127 13389 10290

21 Maharashtra 790 440 638 706 458 722

22 Manipur 177 17 40 997 552 536

23 Meghalaya 852 659 598 812 105 272

24 Mizoram 363 325 315 181 203 187

25 Nagaland 99 73 111 69 54 80

26 Odisha 35 3 25 39 19 21

27 Puducherry 18 144 3 19 24 6

28 Punjab 170 142 405 171 47 80

29 Rajasthan 0 0 0 7 2 1

30 Sikkim 4 1 1 56 13 22

31 Tamil Nadu 1425 666 359 1889 529 308

32 Telangana 11134 5679 7705 10175 6250 9513

33 Tripura 329 175 179 228 107 125

34 Uttar Pradesh 32495 17231 19443 26166 13429 16905

35 Uttarakhand 754 570 671 572 270 900

36 West Bengal 2119 1952 572 292 219 567


Office of Immunization Division, MoHFW, Govt. of IndiaADMINISTRATIVE DATA

19

Death Hospitalization Cluster Disability Severe

ALL INDIA 704 375 2521 416 1231 172 77 361 1211 715 2 232 302 56

1 A&N ISLANDS 3 1 1 1 1 0 1 0 1 0 0 0 0 0

2 ANDHRA PRADESH 13 10 27 2 20 1 3 5 19 3 0 0 3 4

3 ARUNACHAL PR. 20 0 0 0 0 0 1 0 0 0 0 0 0 0

4 ASSAM 27 10 32 1 24 9 1 10 4 16 0 2 0 0

5 BIHAR 38 29 102 13 59 10 3 69 12 16 0 5 22 0

6 CHANDIGARH 1 1 30 4 11 0 4 3 20 0 0 7 13 0

7 CHHATTISGARH 27 6 21 17 6 3 2 3 3 2 0 13 0 0

8 D&N HAVELI 1 1 2 0 2 1 1 0 2 0 0 0 2 0

9 DAMAN & DIU 2 0 0 0 0 0 0 0 0 0 0 0 0 0

10 DELHI 11 9 30 6 18 1 1 9 20 0 1 0 1 1

11 GOA 2 2 15 3 15 0 2 0 13 0 0 2 7 1

12 GUJARAT 33 19 76 4 52 11 7 16 34 20 0 6 17 3

13 HARYANA 22 14 35 1 28 8 3 6 21 2 1 5 30 1

14 HIMACHAL PRADESH 12 6 21 0 17 1 2 4 14 0 0 3 14 1

15 JAMMU & KASHMIR 22 2 4 4 1 0 1 1 0 3 0 0 0 0

16 JHARKHAND 24 18 127 33 26 2 3 16 47 43 0 21 10 0

17 KARNATAKA 30 23 140 20 74 22 4 28 93 4 0 15 47 8

18 KERALA 14 14 287 35 124 13 3 20 194 23 0 50 0 7

19 LAKSHADWEEP 1 0 0 0 0 0 0 0 0 0 0 0 0 0

20 MADHYA PRADESH 51 25 93 28 34 10 2 25 39 18 0 11 0 0

21 MAHARASHTRA 35 18 221 22 130 19 4 21 159 27 0 14 4 19

22 MANIPUR 9 4 21 0 15 1 1 1 5 13 0 2 0 0

23 MEGHALAYA 11 6 13 0 11 3 2 2 6 4 0 1 7 0

24 MIZORAM 9 5 8 1 5 3 3 2 4 0 0 2 4 0

25 NAGALAND 11 3 17 0 17 0 2 0 1 14 0 2 0 0

26 ODISHA 30 14 38 6 30 5 2 16 10 11 0 1 2 0

27 PUDUCHERRY 4 1 6 0 3 0 2 0 6 0 0 0 3 0

28 PUNJAB 22 9 41 2 36 2 2 3 33 0 0 5 8 1

29 RAJASTHAN 33 12 19 0 10 0 1 3 15 0 0 1 0 1

30 SIKKIM 4 3 3 0 2 0 2 1 1 0 0 1 0 0

31 TAMIL NADU 32 16 180 14 158 4 4 9 169 2 0 0 96 5

32 TELANGANA 31 16 52 3 31 4 2 12 29 8 0 3 7 1

33 TRIPURA 8 5 16 1 12 2 1 1 10 3 0 2 0 0

34 UTTAR PRADESH 75 51 628 176 115 20 2 55 66 477 0 30 5 1

35 UTTARAKHAND 13 2 3 1 0 0 1 1 2 0 0 0 0 0

36 WEST BENGAL 23 20 212 18 144 17 2 19 159 6 0 28 0 2

* Cases reported (Cumulative) in Financial Year (FY) 2018-19

** Cases reported during the month (Feb 2019)


MONTHLY AEFI PERFORMANCE DASHBOARD OF DIRECT REPORTING (THROUGH CRFs)

APRIL 2018 TO FEBRUARY 2019* (Cumulative)

Sr. No. State

Number of

districts in

State/UT

(as per HMIS)

Number of

Districts

reporting AEFI

cases

Cumulative

Number of

serious/severe

AEFI cases

reported*

Number of AEFI

cases reported

during this

month**

Number of

cases with

completed

preliminary

investigation

( CRF+ PCIF

received )

Number of

cases with

preliminary

investigation

completed on

time (Within 10

days of case

notification )

Number of state

AEFI committee

meetings held

during the FY

Reason for reporting of serious/severe AEFIs***Number of

cases with

causality

assessment

completed at

state level

Number of

cases reported

from private

sector

20

Based on data of April-February 2019

S.

NoState

Total sessions

monitored

(in numbers)

% monitored

sessions with

one/more

mobilizers

found working

% monitored

sessions where

ASHA found

working

% monitored

sessions where

AWW found

working

% monitored

sessions where

Link Workers

found working

% monitored

session sites

with IEC

visibility

All India 94765 98 79 58 4 65

1 Assam 33 100 100 56 0 88

2 Bihar 43033 98 78 61 3 58

3 Chhattisgarh 101 89 77 27 0 11

4 Gujarat 1770 99 96 69 14 96

5 Jharkhand 1331 99 93 69 3 40

6 Madhya Pradesh 6949 98 91 48 4 80

7 Maharashtra 133 98 92 26 1 66

8 Odisha 211 99 95 68 4 52

9 Rajasthan 6034 96 90 41 0

10 Uttar Pradesh 34442 97 74 58 6 71

11 West Bengal 728 97 70 33 44 63

Office of Immunization Division, MoHFW, Govt. of IndiaCOMMUNICATION INDICATORS

21

District BlockHealth

Facility

Hep-B Birth

DoseBCG Penta1 OPV1 Penta3 OPV3 MCV1

Fully

Immunized

India 2,28,78,488 91,40,505 40.0 6.2 3.0 15.8 31.4 55.9 71.4 34.8 34.5 24.2 23.6 13.8 12.7

1 Andhra Pradesh 8,64,314 4,72,001 54.6 14.3 9.6 30.9 89.0 92.6 43.4 42.4 35.7 34.8 19.7 18.1

2 A & N Islands 5,247 526 10.0 39.0 22.2 44.1 23.4 30.8 13.3 14.4 5.1 5.1 0.0 0.0

3 Arunachal Pradesh 40,130 16,109 40.1 2.0 67.3 56.7 32.7 53.1 40.2 39.2 20.1 19.6 10.4 2.8

4 Assam 7,39,366 3,25,234 44.0 0.7 3.4 29.0 24.3 46.9 34.1 33.2 16.1 15.1 8.3 7.6

5 Bihar 30,50,668 4,55,368 14.9 6.9 36.1 43.4 34.0 52.9 11.2 10.5 2.2 2.1 0.2 0.1

6 Chandigarh 20,313 13,947 68.7 12.7 0.0 16.0 94.3 97.4 79.0 78.1 66.9 65.8 46.1 44.3

7 Chhattisgarh 6,66,319 3,78,815 56.9 0.1 2.7 9.8 51.2 89.8 73.3 71.2 67.9 65.7 52.3 49.0

8 D&N Haveli 7,067 6,107 86.4 1.3 0.0 13.3 87.8 97.7 74.3 74.1 68.7 68.4 49.1 48.7

9 Daman & Diu 7,956 4,850 61.0 0.0 0.0 25.0 89.4 84.8 48.6 48.7 45.8 45.9 32.0 31.8

10 Delhi 3,22,915 2,83,232 87.7 25.0 0.0 4.2 71.2 82.4 55.8 55.0 35.9 35.3 61.3 56.4

11 Goa 21,891 15,926 72.8 4.3 0.0 15.4 72.5 89.1 55.5 54.9 41.1 40.6 17.2 16.7

12 Gujarat^

13 Haryana 5,87,507 2,49,719 42.5 17.7 15.2 24.6 53.0 67.4 29.9 29.5 19.1 18.9 9.5 8.7

14 Himachal Pradesh 1,17,027 70,131 59.9 1.3 4.0 21.1 83.7 93.3 61.0 59.6 52.0 50.6 32.4 29.7

15 Jammu & Kashmir 2,14,005 1,33,315 62.3 2.1 0.8 12.5 93.9 97.0 66.4 66.8 52.5 52.8 38.9 37.5

16 Jharkhand 8,33,536 1,97,660 23.7 11.3 7.1 56.3 38.7 67.6 24.4 27.9 15.9 15.7 4.0 3.6

17 Karnataka 11,53,508 8,51,118 73.8 3.0 100.0 17.2 73.9 75.8 23.2 27.7 18.7 18.7 10.5 8.1

18 Kerala 4,99,947 3,93,851 78.8 3.7 3.6 3.4 61.6 93.5 69.7 66.5 60.9 57.8 47.4 44.1

19 Lakshadweep 1,347 357 26.5 16.7 0.0 9.1 97.4 92.0 24.7 16.4 15.2 8.1 7.1 7.1

20 Madhya Pradesh 20,36,965 5,54,481 27.2 0.2 0.3 15.8 71.6 77.4 32.0 31.9 18.7 18.5 8.6 7.7

21 Maharashtra 19,62,793 12,63,716 64.4 6.5 0.0 14.3 62.5 83.1 53.1 51.3 43.3 42.0 25.2 22.7

22 Manipur 40,045 15,436 38.6 0.2 10.3 24.4 32.0 79.7 30.0 28.5 12.8 12.1 4.4 4.0

23 Meghalaya 89,589 39,090 43.6 6.2 7.7 32.2 10.6 64.1 45.9 45.7 19.0 18.7 3.2 3.0

24 Mizoram 18,482 17,220 93.2 1.1 30.8 28.6 10.9 50.0 37.0 35.8 17.2 16.6 3.5 1.0

25 Nagaland 30,100 12,689 42.2 0.4 24.4 40.3 32.6 68.8 47.5 47.3 24.3 23.7 10.7 7.0

26 Odisha 8,29,997 3,84,642 46.3 13.6 0.3 74.6 75.0 83.7 22.0 22.0 17.8 17.7 7.2 6.3

27 Puducherry 22,921 6,344 27.7 0.2 6.3 33.9 66.6 67.1 53.0 52.7 26.0 25.7 1.1 1.0

28 Punjab 3,91,659 3,48,151 88.9 3.6 3.8 58.7 69.4 76.4 37.8 37.1 29.7 29.2 24.7 23.2

29 Rajasthan^

30 Sikkim 7,487 4,080 54.5 3.0 12.5 15.2 88.8 93.2 68.2 68.0 46.6 46.5 20.2 19.0

31 Tamil Nadu^

32 Telangana 6,40,879 30,871 4.8 5.6 25.0 48.6 90.4 94.7 49.8 44.8 33.8 30.2 11.9 10.1

33 Tripura 54,703 30,202 55.2 39.7 21.1 27.8 24.9 37.8 34.9 35.3 16.0 16.1 4.2 3.7

34 Uttar Pradesh 59,14,303 15,23,499 25.8 2.9 23.9 43.2 19.0 35.1 14.3 13.7 3.6 3.5 0.9 0.8

35 Uttarakhand 1,84,592 76,492 41.4 0.1 5.1 22.5 37.2 80.8 52.5 51.2 30.3 29.1 10.8 10.0

36 West Bengal 15,00,910 9,65,326 64.3 6.6 14.3 71.6 69.4 84.0 32.0 31.9 27.0 26.7 21.7 21.0

Source of information : Actionable & Basic Reports from RCH portal as mentioned below

* Actionable Reports -> RCH Portal Implementation Coverage

** Basic Reports -> Mapping report of villages

*** Basic Reports -> Facilities not reporting children on RCH Portal

^^ Tracking of Services

^ Data not available as these states have their own portal


RCH DASHBOARD - ROUTINE IMMUNIZATIONBased on the data upto February 2019

S.No. State/UT/Country

Registration Details* Facilities not reporting on RCH Portal

^^ Infant Immunization Service details (%)

Estimated Count

of Infants 2018-

19

Registered Children

during 2018-19

% children

registered

against

estimation in

2018-19

(Annualized)

% of Villages not

mapped with any

sub-facility (2018-

19)**

Health Facilities not Reporting in the

RCH Portals (2018-19)***

22


GRAPHS AND CHARTS

ISSUES National Coverage

April 2018-February 2019

23


ON TIME REPORTING- HMIS DATA (April 2018 -February 2019)

Source: HMIS Data

24


STATUS of TIMELINESS - HMIS DATA

Source: HMIS Data

Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Dec-18 Jan-19 Feb-19 Mar-19

India 704 49 42 46 16 39 10 6 17 12 34

A & N Is lands 3 0 1 0 0 1 0 0 0 1 1 Nicobar

Arunachal Pradesh 20 1 1 0 1 1 1 1 0 1 1 Kurung Kumey

Daman & Diu 2 0 0 0 0 0 0 0 0 0 1 Diu

Himachal Pradesh 12 8 3 3 2 6 4 2 6 3 9

Bi laspur, Chamba, Hamirpur, Kangra,

Kinnaur, Lahul & Spiti , Si rmaur, Solan and

Una.

Jammu & Kashmir 22 0 0 0 0 0 0 0 0 0 1 Kishtwar

Mizoram 9 6 2 1 3 0 2 2 3 2 3 Aizawl East, Aizawl West and Kolas ib.

Odisha 30 5 5 8 0 25 3 0 5 4 14

Anugul , Baudh, Deogarh, Dhenkanal ,

Jagats inghpur, Ja japur, Jharsuguda,

Ka lahandi , Kandhamal , Kendrapara,

Koraput, Nabarangapur, Rayagada and

Sambalpur.

Rajasthan 33 11 5 7 2 1 0 0 1 0 3 Hanumangarh, Karaul i and Si rohi .

Uttarakhand 13 0 0 0 0 0 0 0 1 0 1 Bageshwar

States/UtsNo. of

Districts

No. of Districts Not Reported on ScheduleName of Districts not reported on schedule in

February-2019

25


FULL IMMUNIZATION COVERAGE (%) Trend over the years (2015-16, 2016-17, 2017-18 & 2018-19*)

Source: HMIS Data

* 2018-19 (Apr-February’19)

73 7678

81

85 85 85 86 8685 85 86

66

78

85

8886 86

87 87 88 8786

87

76

8184

87

87 86 88 88

87 8786

85

66

70

76

8383

84 84 8381 81

79

50

60

70

80

90

100

Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar

Achievement for the year 2015-16 (Annualized) Achievement for the year 2016-17 (Annualized)

Achievement for the year 2017-18 (Annualized) Achievement for the year 2018-19 * (Annualized)

26


FULL IMMUNIZATION COVERAGE (India – 79%)

Source: HMIS Data

27


HEPATITIS B BIRTH DOSE COVERAGE (Against Institutional Deliveries)

(India – 76%)

Source: HMIS Data

28


MCV- 2 COVERAGE

(India – 70%)

Source: HMIS Data

29


DPT BOOSTER (16–24 months) COVERAGE

(India – 4230%)

Source: HMIS Data

30


DROP OUT - PENTA-1 to PENTA-3 (India – 4.8%)

(In Percentage)

Source: HMIS Data

<0% 0-5% 5-10% >=10%

31


PLANNED SESSIONS NOT HELD

(In Percentage)

Source: HMIS Data

<0% 0-5% 5-10% >=10%

32


*REASON FOR CHILDREN NOT BEING FULLY IMMUNIZED

(In Percentage) Source: HTH Monitoring – WHO-NPSP (April 2018-February 2019) *Note –

• H-t-H monitoring data are not available for A&N Islands, Chandigarh, D&N Haveli, Daman & Diu, Goa,

Jammu & Kashmir, Kerala, Lakshadweep and Puducherry.

33


ANDHRA PRADESH

• Hep B birth dose was not given to 13% of institutional deliveries

• Coverage of different antigens in HMIS - BCG (96%), Penta-3 (101%), MCV-1 (105%), JE-1 (97%), MCV-2

(95%), JE-2 (83%), DPT Booster-1 (91%) & Full Immunization is (99%).

• Penta-1 to Penta-3 dropout is (-)1%

• BCG to MCV1 dropout is (-)9%

• MCV-1 to MCV-2 dropout is 9%

• Hepatitis B 1, 2 & 3 doses reported are 7805, 6788 & 7667 respectively at public institutions

• Measles-1 & Measles-2 doses reported are 37468 & 47371 respectively by public institutions, however

state has completed the MR campaign in Sep-2017.

• State has reported 132 cases of Diphtheria, 1 case of Pertussis, 4 cases of Tetanus Neonatorum and 35

cases of Measles.

• As per concurrent monitoring:

o Updated due lists were not available in 67% of the monitored sessions.

o One or more vaccines were not available in 98% of the monitored sessions.

ARUNACHAL PRADESH


• Coverage of different antigens in HMIS - BCG (74%), Penta-3 (71%), MCV-1 (72%), JE-1 (86%), MCV-2 (57%),

JE-2 (60%), DPT Booster-1 (57%) & Full Immunization is (69%).

• Penta-1 to Penta-3 dropout is 7%



• Measles-1 & Measles-2 doses reported are 1454 & 1475 respectively by public institutions, however state

has completed the MR campaign in Mar-2018.

• State has reported 06 cases of Diphtheria and 38 cases of Measles.

STATE SPECIFIC OBSERVATIONS

THIRTEEN STATES

34


DELHI


• Coverage of different antigens in HMIS - BCG (92%), Penta-3 (89%), MCV-1 (96%), MCV-2 (91%), DPT

Booster-1 (94%) & Full Immunization is (94%).




• JE-1 & JE-2 doses reported are 7 & 259 respectively by public institutions, however Delhi is not a JE endemic

state.

• State has reported 172 vases of diphtheria, 113 cases of pertussis, 5 cases of tetanus neonatorum, and 735

cases of Measles.




GUJARAT

• Hep B birth dose was not given to 26% of institutional deliveries.




• BCG to MCV1 dropout is 19%


• JE-1 & JE-2 doses reported are 107 & 84 respectively by public institutions, however Gujarat is not a JE

endemic state.

• State has reported 334 cases of diphtheria, 38 cases of pertussis, 138 cases of tetanus neonatorum and

553 cases of measles.




• As per communication monitoring:

o ASHA found working is 96% of monitored sites

o AWW found working is 69% of monitored sites

o IEC visibility found at 96% of monitored sites.

35


HARYANA




• Penta-1 to Penta-3 drop out is 8%

• MCV1 to MCV2 dropout is 22%


• State has reported 14 cases of diphtheria, 03 cases of pertussis and 176 cases of Measles.




JAMMU & KASHMIR








• State has reported 20 doses of JE-1 by public institutions, however Jammu & Kashmir is not a JE endemic

state.

• State has reported 7 cases of diphtheria, 161 cases of pertussis and 606 cases of Measles.

MANIPUR








• State has reported 13 cases of diphtheria, 01 cases of pertussis, and 250 cases of measles.

36


MEGHALAYA








• State has reported 5 cases of Diphtheria, 4 cases of Pertussis and 300 cases of Measles.

MIZORAM







• JE-1 & JE-2 doses reported are 12 & 3 respectively by public institutions, however Mizoram is not a JE

endemic state.

• State has reported 1 cases of Pertussis 120 cases of Measles.

NAGALAND








• State has reported 09 cases of Pertussis and 485 cases of Measles.

TELANGANA




37





• Hepatitis B 1, 2 & 3 doses reported are 10175, 6250 & 9513 respectively at public institutions.

• Measles-1 & Measles-2 doses reported are 83500 & 85820 respectively by public institutions, however

state has completed the MR campaign in Sep-2017.





TRIPURA








WEST BENGAL







• State has reported 176 cases of Diphtheria 31 cases of Pertussis, 3 cases of tetanus neonatorum and 7760

cases of Measles




• As per communication monitoring:

o ASHA found working is 70% of monitored sites

o AWW found working is 33% of monitored sites

o IEC visibility found at 63% of monitored sites.

38


CHANDIGARH

• Coverage of different antigens in HMIS – BCG (174%), Penta-1 (117%), fIPV-1 (117%), Penta-3 (113%),

fIPV2 (112%), MCV-1 (117%), MCV-2 (109%), DPT Booster -2 (107%) and Full Immunization (115%).

CHHATTISGARH

• Coverage of different antigens in HMIS –JE-1 (2%) and JE-2 (13%).




JHARKHAND





KARNATAKA





KERALA

• Coverage of different antigens in HMIS –Penta-1 (103%), JE-1 (1%) and DPT Booster-2 (220519%).

PUDUCHERRY

• Coverage of different antigens in HMIS – BCG (180%)


TAMILNADU

• Hep B birth dose was given to 118% of institutional deliveries.

• Coverage of different antigens in HMIS – DPT Booster -2 (121%)


OTHER STATES- FEEDBACK

39


UTTARAKHAND

• Coverage of different antigens in HMIS – BCG (101%), MCV-1 (102%), JE-1 (117%), JE-2 (105%) and Full

Immunization (101%).




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Documents

April, 2019...analyses the data including data from other sources and prepares the dashboards. For example, data for the month of April 2019 is downloaded after 20th of May 2019, collated,