Immunization Dashboard - ITSU

February, 2016

Based on Data upto December, 2015-16

Note:

Immunization Technical Support Unit (ITSU) is strategic arm of Ministry of Health and Family Welfare (MoHFW) that works towards strengthening of Universal Immunization Program (UIP). Program Operation & Monitoring (PO & M) division of ITSU reviews the reported data on Child Immunization (service delivery) that captured in Health Management Information System (HMIS) and Mother and Child Tracking System (MCTS). PO &M division of ITSU develops immunization dashboards and provide state specific feedback on monthly basis by analysing the data. Dashboards provides state wise performance on various immunization component (timeliness, coverage, AEFI, training, 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 WHO-NPSP (World Health Organisation – National Polio Surveillance Project) and NCCVMRC- NIHFW (National Cold Chain & Vaccine Management Resource Center – National Institute of Health & Family Welfare) related to concurrent monitoring and Immunization trainings. The PO&M division adheres to the fixed timeline (after 20th of every month) for reviewing the immunization data uploaded onto the HMIS, and MCTS portals. As per the HMIS guidelines, it’s mandatory for all the states to upload monthly data of the preceding month on or before the 20th of each month. Thus 20th is considered the threshold for ensuring timely reporting within the HMIS. On a monthly basis, a group of states receives detailed feedback on Immunization coverage and data quality issues. The following table explains the framework for categorization of states and union territories that the PO&M division at ITSU follows for providing the feedback. This feedback cycle is repeated on quarterly basis:

First month: Assam, Bihar, Chhattisgarh, Jharkhand, Madhya Pradesh, Odisha, Rajasthan, Uttar Pradesh & Uttarakhand.

Second month: Andhra Pradesh, Arunachal Pradesh, Delhi, Haryana, Gujarat, Jammu & Kashmir, Manipur, Meghalaya, Mizoram, Nagaland, Telangana, Tripura and West Bengal.

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

Immunization dashboards aim to improve quality and use of reported data on immunization for concrete programmatic action for addressing the challenges in strengthening UIP.

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

Prepared by ITSU-MoHFW

0 – 11 Months Vaccination (Andhra Pradesh, Assam, Bihar, Chhattisgarh, Jharkhand, Madhya

Pradesh, Punjab, Rajasthan, Telangana, Uttarakhand and West Bengal introduced pentavalent

vaccination in UIP schedule from October 2014. DPT/Penta coverage for national as well for these

states were not analyzed.

Till December 2015, the nation’s full immunization coverage (FIC) was 64.5% against the

expected figure of 75.0% for 9 months. The national coverage for BCG, MCV1 and JE1 were

67.9%, 65.8% and 54.1% respectively.

States / UTs that reported FIC more than the expected 75.0% were Mizoram (79.3%), Delhi

(78.5%) and Punjab (76.1%); Nagaland reported 47.3% coverage, which was the lowest in

the country.

States / UTs that have reported BCG coverage more than the expected 75.0% were

Chandigarh (109.5%), Puducherry (101.4%), Meghalaya (87.9%), Mizoram (84.7%),

Manipur (80.6%), Delhi (79.1%), Tripura (76.9%), Maharashtra (76.6%) and West Bengal

(75.9%) while Daman & Diu (51.9%) was the lowest reporting states / UTs.

States / UTs that have reported DPT3/Penta3 coverage more than the expected 75.0% are

Meghalaya (79.8%) and Mizoram (77.8%) for DPT3 coverage while Puducherry reported

only 47.0% Penta3 coverage and Daman & Diu reported 35.2% DPT3 coverage.

Assam, Bihar, Gujarat, Madhya Pradesh, Punjab and Uttar Pradesh have started IPV in their

Immunization schedule. In December 2015, 389140 infants vaccinated for IPV (Assam –

16948, Bihar – 135439, Gujarat – 58152, Madhya Pradesh – 103823, Punjab – 23224 and

Uttar Pradesh – 51554).

Most JE-endemics states / UTs reported very low coverage of JE-1st dose, such as Kerala

(6.0%), Arunachal Pradesh (19.4%), Tamil Nadu (21.0%), Nagaland (30.4%), Telangana

(42.7%), Assam (47.4%) and Manipur (48.0%) against expected 75.0%.

States / UTs that reported MCV1 coverage more than the expected (75.0%) coverage were

Delhi (83.4%), Mizoram (81.1%), A&N Islands (77.4%), Punjab (76.8%), Uttarakhand

KEY FACTS

HMIS IMMUNIZATION DATA – TILL DECEMBER 2015

HMIS Portal as on 22nd January, 2016


(76.7%), Tripura (75.7%) and Telangana (75.5%). Nagaland reported lowest MCV1 coverage

(50.1%).

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

deliveries; however, in only 70.1% of institutional deliveries Hep B birth dose was given in

the country. Tamil Nadu reported more than 100% coverage while Mizoram (33.4%),

Assam (44.1%) and Gujarat (47.1%) were three lowest reporting states / UTs.

12 – 23 Months

Till December 2015, the national coverage for MCV2 was only 52.2% against the expected

75.0%, while the coverage for DPT booster and JE second dose (in JE-endemic districts) for

the same period was 59.1%, and 50.2% respectively.

Tamil Nadu reported 20.6% lowest coverage for MCV2 and Arunachal Pradesh reported

the lowest DPT booster coverage of 38.4%. Arunachal Pradesh reported lowest (24.4%) JE

2nd dose coverage from JE-endemic districts.

Drop-out Rate (DPT1/Penta1 – DPT3/Penta3)

From October 2014, Andhra Pradesh, Assam, Bihar, Chhattisgarh, Jharkhand, Madhya

Pradesh, Punjab, Rajasthan, Telangana, Uttarakhand and West Bengal introduced

pentavalent vaccination in UIP schedule. DPT/Penta dropout for national as well for these


States / UTs that reported negative drop-out are Andaman & Nicobar Islands, Chandigarh,

D & N Haveli, Daman and Diu, Himachal Pradesh, Lakshadweep, Maharashtra, Meghalaya,

Mizoram, Odisha, Sikkim and Tripura. D & N Haveli reported highest negative drop-out (-

56.7%) while Puducherry reported high drop-out of 14.6%.

Other Feedback

Kohima district of Nagaland reported more than 80000 children vaccinated for JE second

dose, led to state coverage as 427.5%. Over reporting needs immediate attention.

The country continues to be polio free for more than three years; however, the HMIS data

pertaining to polio cases remains an issue and needs immediate attention at all levels. Till

December 134 polio cases (7 from Assam, 1 from Gujarat, 61 from Haryana, and 65 from

Tamil Nadu) were reported in HMIS data.


Lowest percentage of children fully immunized: Punjab (65.3%).

State with high percentage of planned immunization sessions not held: Punjab (9.9%).

State with high percentage of immunization sessions where due list was not available:

Punjab (47.4%) and Odisha (38.7%).

State with high percentage of immunization sessions where all vaccines were not available:

Maharashtra (42.5%), Rajasthan (42.5%), Uttarakhand (40.6%) and Madhya Pradesh

(33.8%).

Only 59.33% of data entry for infant was done for the year 2015-16 on pro-rata basis at

MCTS portal till December 2015, with lowest 31.68% being in Nagaland.

Percentage of villages not mapped with any facility at MCTS portal: Total of 31.48% villages

were not mapped in India. Rajasthan (100.0%) and Puducherry (97.41%) have the highest

percentage of villages not mapped at MCTS portal.

All-India coverage for FIC was just 1.70%. Only Delhi, Gujarat, Jammu & Kashmir,

Karnataka, Madhya Pradesh, Maharashtra, Rajasthan, Tamil Nadu, Telangana and Uttar

Pradesh reported more than 1% coverage.

Antigen-wise all-India coverage against registered children in 2015-16:

- Hep B birth dose: 40.26% (Assam, Bihar, Chhattisgarh, Manipur, Meghalaya, Mizoram

and Rajasthan reported less than 20% coverage)

- BCG: 63.12% (Assam, Bihar, Daman & Diu, Rajasthan and Tripura reported less than

45%).

- DPT3: 70.51% (Lakshadweep, Meghalaya, Mizoram reported less than 45%)

WHO-NPSP CONCURRENT MONITORING DATA

Till December 2015

MCTS PORTAL DATA FOR YEAR 2015-16

As on 21st January 2016


- Measles 1st dose coverage is just 1.86%. Only Arunachal Pradesh, Chhattisgarh, Dadra

& Nagar Haveli, Delhi Gujarat, Jammu & Kashmir, Karnataka, Madhya Pradesh,

Maharashtra, Rajasthan, Tamil Nadu, Telangana and Karnataka reported more than

1% coverage.

Only 56% of health staff are trained for routine immunization in India, with the lowest in

Himachal Pradesh (6.0%) and West Bengal (6.0%).

IMMUNIZATION TRAINING DATA- NIHFW

Till October 2014


February 2016

Executive Dashboard

HMIS Dashboard

MCTS Dashboard

DASHBOARDS

FACTS

1st Dose 2nd Dose

India 65.3 91.4 215961 67.9 64.5 52.2 54.1 50.2 49366 56

1 Nagaland 33.2 0.2 786 66.7 47.3 36.5 30.4 427.5 114 254

2 Meghalaya 44.6 0.4 9095 87.9 70.3 55.1 5.0 35.4 349 25

3 Uttar Pradesh 47.0 29.5 59079 61757 8.3 15.6 20.2 69.3 65.1 62.2 44.5 49.9 47.1 16064 11

4 Telangana 47.5 3.2 5438 71.3 74.6 49.4 42.7 44.5 1267

5 Arunachal Pradesh 50.5 0.1 565 61.8 49.7 28.6 19.4 24.4 243 61

6 Madhya Pradesh 53.5 8.8 6217 421 5.9 35.0 33.8 78.7 54.4 55.9 48.8 NA NA 2063 66

7 Manipur 55.2 0.2 1247 80.6 69.7 50.6 48.0 50.6 362 31

8 Assam 55.3 3.1 7088 117 0.0 14.7 17.9 83.6 65.1 65.3 55.7 47.4 38.0 1983 77

9 Gujarat 56.2 5.9 6444 246 0.4 20.4 31.0 77.2 72.1 62.2 53.3 NA NA 2027 70

10 Jammu & Kashmir 59.0 0.9 6468 71.3 70.1 65.6 NA NA 336 35

11 Tripura 59.2 0.2 746 76.9 68.2 59.3 0.2 0.0 400 135

12 Andhra Pradesh 60.1 3.4 3606 67.2 66.0 48.3 49.4 45.9 2013 107

13 Bihar 60.4 11.5 19550 46270 5.2 9.2 24.3 82.5 69.7 66.6 54.7 64.0 53.2 2251 25

14 Rajasthan 60.7 7.0 17438 730 4.7 27.8 42.5 76.8 64.2 57.5 47.0 NA NA 1381 40

15 Odisha 62.0 3.1 1128 199 6.5 38.7 17.7 91.1 64.3 63.4 64.4 NA NA 905 102

16 Jharkhand 64.9 2.9 9225 10238 4.6 16.1 25.7 82.9 68.5 63.9 55.3 73.8 66.5 2284 81

17 Puducherry 66.0 0.1 92 101.4 49.9 49.6 NA NA 42 19

18 Chhattisgarh 67.2 2.1 8923 66.1 63.0 59.7 NA NA 685 18

19 Uttarakhand 68.6 0.6 8245 1277 8.7 29.5 40.6 83.9 72.7 73.3 68.6 80.5 75.9 223 89

20 Mizoram 68.6 0.1 163 84.7 79.3 69.7 NA NA 490 31

21 Delhi 69.7 0.9 3918 79.1 78.5 39.0 NA NA 702 40

22 Haryana 70.7 1.6 2678 74.7 51.0 63.0 72.3 65.5 106 109

23 D&N Haveli 71.3 0.0 49 68.0 57.9 51.2 NA NA 93 14

24 Daman & Diu 71.3 0.0 0 51.9 59.9 53.6 NA NA 6 77

25 Lakshadweep 71.3 0.0 25 54.8 73.0 67.0 NA NA 0 24

26 A&N Islands 75.0 0.0 123 55.6 65.0 31.5 NA NA 22 77

27 West Bengal 75.2 3.7 3383 2671 0.6 31.8 19.3 87.9 75.9 70.9 68.9 65.5 50.4 8031 6

28 Tamil Nadu 76.3 2.7 11471 61.8 59.9 20.6 21.0 57.2 350 20

29 Maharashtra 77.4 4.4 1409 1030 4.7 38.1 42.5 73.0 76.6 73.3 68.4 52.0 48.9 1407 87

30 Sikkim 77.8 0.0 107 53.4 55.9 48.6 NA NA 109 76

31 Punjab 78.6 1.0 5898 384 9.9 47.4 22.3 65.3 74.8 76.1 69.4 NA NA 59 122

32 Karnataka 79.4 2.4 14201 1099 4.5 36.5 24.8 84.3 71.5 70.2 63.2 75.0 52.7 1831 96

33 Himachal Pradesh 80.2 0.2 335 67.0 70.3 64.3 NA NA 331 6

34 Kerala 83.0 0.9 543 68.2 64.8 25.1 6.0 56.9 673 103

35 Chandigarh 85.8 0.0 270 109.5 66.6 59.1 NA NA 145 52

36 Goa 91.9 0.0 8 66.0 67.1 74.8 65.1 63.9 19 79Color and coverage criteria : Red - <60%, Yellow - >60% and <70%, Light Green - >70% and <80% and >80% - Green

* Include CES 2009 (D & N H, D & D and Lakshadweep) and DLHS 4 data (A & N I, Chandigarh and Puducherry) and RSOC data for rest of the states.

** For AHS states Immunization Coverage, Birth Rate and Infant Mortality Rate taken from Annual Health Survey and for rest of the state all these indicators taken from SRS Dec 11. For population Census 2011 data has been taken.

***-Percentage of children aged between 9 and 11 months who have been fully immunised (BCG+DPT123/Penta123+OPV123+Measles).

# Source is NPSP Monitoring Data cumulative data up to December 2015.

## Coverage of JE are calculated for the states and districts who introduced JE in RI.

# ##Source of training data - NIHFW RI Training Division - Oct-14.

NR- No Report, NA- Not Applicable


OFFICE OF CHILD HEALTH & IMMUNIZATION, MOHFW, NEW DELHI

ROUTINE IMMUNIZATION DASHBOARDMONTH FEBRUARY, YEAR 2015-16

Sr. No

State,UT and

% FULLY IMMUNIZED

EVALUATED COVERAGE*

Total Estimated

Children "NOT FULLY

IMMUNIZED"**

(In Lakhs)

No. of Planned

Sessions "NOT

HELD"

(HMIS -

Cumulative

Dec-15)

Concurrent Monitoring Data # 2015-16

MCV2

JE##

HMIS Data as on - 22-01-2016

% of Health

Staff

Trained###

No. of

Session

monitored

Measles

cases

ReportedBCG Fully

Immunized***

Field

monitoring

% Session

"NOT HELD"

Field

monitoring

% Due List

"NOT

AVAILABLE"

% Sessions

where All

Vaccine were

"NOT

AVAILABLE"

Field

monitoring

% "FULLY

IMMUNIZED"

Expected Annualized Coverage -75.0% till December 2015

India 263.29 70.1 67.9 NA NA NA NA 25.3 65.8 52.2 64.5 59.1 NA 215961 2285 571 227 49366

1 A&N Islands 0.06 59.4 55.6 51.7 - 55.9 - 55.0 77.4 31.5 65.0 59.2 -8.1 123 0 0 0 22

2 Andhra Pradesh 8.58 May-15 93.8 67.2 16.6 48.3 30.1 37.1 29.9 69.3 48.3 66.0 64.4 NA 3606 110 34 2 2013

3 Arunachal Pradesh 0.27 54.0 61.8 60.8 4.6 57.9 0.1 54.7 55.5 28.6 49.7 38.4 4.8 565 41 2 0 243

4 Assam 6.98 Feb-15 44.1 65.1 1.8 63.9 13.4 50.4 13.3 66.0 55.7 65.3 58.4 NA 7088 20 0 1 1983

5 Bihar 29.13 Jan-15 83.3 69.7 0.4 64.6 8.2 54.5 8.3 68.3 54.7 66.6 56.9 NA 19550 51 73 125 2251

6 Chandigarh 0.19 87.2 109.5 25.5 45.5 39.6 23.5 44.6 67.2 59.1 66.6 65.1 -54.9 270 4 0 0 145

7 Chhattisgarh 6.32 Mar-15 66.0 66.1 3.8 58.6 17.4 43.6 17.5 63.5 59.7 63.0 62.5 NA 8923 3 0 0 685

8 D&N Haveli 0.10 98.0 68.0 24.7 29.1 38.7 17.3 37.5 59.1 51.2 57.9 51.4 -56.7 49 0 9 0 93

9 Daman & Diu 0.05 74.0 51.9 22.6 31.5 35.2 14.8 34.4 60.5 53.6 59.9 53.9 -55.8 0 0 0 0 6

10 Delhi 2.97 Apr-14 90.1 79.1 6.8 73.2 7.2 66.4 5.8 83.4 39.0 78.5 78.9 9.3 3918 7 0 6 702

11 Goa 0.22 Apr-12 59.3 66.0 1.2 68.2 1.2 67.9 1.5 74.7 74.8 67.1 75.0 0.4 8 0 0 0 19

12 Gujarat 13.54 May-12 47.1 72.1 1.5 63.6 1.4 61.1 0.5 62.6 53.3 62.2 57.1 3.9 6444 777 16 3 2027

13 Haryana 5.49 Feb-12 69.5 74.7 1.3 67.0 1.3 63.7 0.7 69.6 63.0 51.0 64.6 4.9 2678 1 0 0 106

14 Himachal Pradesh 1.14 87.4 67.0 42.1 25.7 58.9 8.4 58.9 70.5 64.3 70.3 64.5 -40.1 335 15 0 0 331

15 Jammu & Kashmir 2.20 Jun-12 89.7 71.3 1.2 73.7 0.8 71.6 0.3 72.2 65.6 70.1 69.5 2.9 6468 3 5 3 336

16 Jharkhand 8.25 Feb-15 54.2 68.5 3.9 62.6 18.1 46.1 17.3 65.8 55.3 63.9 57.9 NA 9225 11 36 13 2284

17 Karnataka 11.52 Jul-12 79.5 71.5 0.6 72.0 0.5 71.5 0.4 70.3 63.2 70.2 65.3 0.7 14201 5 0 0 1831

18 Kerala 5.08 Jan-12 60.5 68.2 0.3 68.8 0.2 64.9 0.2 66.3 25.1 64.8 65.2 5.7 543 8 72 0 673

19 Lakshadweep 0.01 96.9 54.8 68.5 5.9 72.0 0.3 72.0 72.3 67.0 73.0 66.3 -5.1 25 5 5 5 0

20 Madhya Pradesh 19.02 Oct-14 83.1 54.4 0.9 57.5 1.3 53.2 1.7 57.6 48.8 55.9 54.0 NA 6217 9 1 4 2063

21 Maharashtra 19.40 60.7 76.6 67.2 7.4 71.2 0.3 70.8 72.6 68.4 73.3 69.4 -5.9 1409 14 1 0 1407

22 Manipur 0.45 71.3 80.6 76.4 7.5 74.6 1.0 67.0 73.4 50.6 69.7 60.4 2.5 1247 0 2 0 362

23 Meghalaya 0.71 75.8 87.9 74.0 11.4 79.8 0.9 74.7 74.7 55.1 70.3 62.7 -7.9 9095 3 32 4 349

24 Mizoram 0.18 33.4 84.7 63.0 18.4 77.8 3.6 78.4 81.1 69.7 79.3 74.0 -23.6 163 0 0 0 490

25 Nagaland 0.31 70.2 66.7 60.2 2.7 53.8 0.1 52.1 50.1 36.5 47.3 40.4 10.6 786 0 1 0 114

26 Odisha 8.11 80.4 64.3 41.5 20.5 56.8 5.7 56.8 63.8 64.4 63.4 64.4 -37.0 1128 0 0 0 905

27 Puducherry 0.23 Mar-12 86.0 101.4 0.8 55.0 0.9 47.0 0.4 50.6 49.6 49.9 50.0 14.6 92 0 0 0 42

28 Punjab 4.45 Jan-15 67.9 74.8 2.4 68.3 8.2 61.9 8.4 76.8 69.4 76.1 69.8 NA 5898 0 45 0 59

29 Rajasthan 17.89 Nov-14 65.0 64.2 0.6 59.5 0.9 55.6 0.7 58.4 47.0 57.5 47.5 NA 17438 135 57 7 1381

30 Sikkim 0.11 94.7 53.4 33.3 19.6 47.1 6.1 46.8 56.9 48.6 55.9 52.2 -41.5 107 0 0 0 109

31 Tamil Nadu 11.32 Dec-11 123.6 61.8 0.0 61.7 0.0 60.7 0.1 63.4 20.6 59.9 63.0 1.6 11471 0 0 0 35032 Telangana 6.12 Jun-15 95.9 71.3 27.8 45.8 41.6 32.4 41.7 75.5 49.4 74.6 72.1 NA 5438 94 76 0 126733 Tripura 0.52 61.3 76.9 65.9 13.0 71.1 0.1 70.8 75.7 59.3 68.2 62.9 -7.9 746 0 0 0 40034 Uttar Pradesh 55.74 52.7 65.1 63.2 0.4 59.2 0.0 58.2 61.7 44.5 62.2 50.8 6.3 59079 917 101 54 1606435 Uttarakhand 1.89 Nov-14 59.0 72.7 1.1 73.0 4.3 69.0 4.5 76.7 68.6 73.3 70.6 NA 8245 52 1 0 22336 West Bengal 14.74 Jan-15 72.9 75.9 0.7 69.5 8.6 61.3 7.8 72.7 68.9 70.9 69.5 NA 3383 0 2 0 8031

-Pentavalent states HMIS Data as on - 22-01-2016NA - Data not analysed

* MMR coverage is taken for the states (Delhi, Goa, Kerala, Sikkim and Puducherry) giving MMR in Immunization Schedule and for the rest of the states MCV 2 Coverage has been taken

**Percentage of children aged between 9 and 11 months who have been fully immunised (BCG+DPT123/Penta123+OPV123+Measles)


# Negative figure indicate that there is no drop-out but increase from DPT1/Penta1 to DPT3/Penta3

*** Andhra Pradesh, Assam, Bihar, Chhattisgarh, Jharkhand, Madhya Pradesh, Punjab, Rajasthan, Telengana, Uttarakhand and West Bengal introduced pentavalent vaccination in UIP schedule from October 2014. DPT/Penta coverage and dropout for national as well for these


OFFICE OF CHILD HEALTH & IMMUNIZATION, MOHFW, NEW DELHIMONTHLY PROGRAM MONITORING (HMIS) - ROUTINE IMMUNIZATION PROGRAM

MONTH FEBRUARY, YEAR 2015-16

Sr.

NoState/UT

Estimated

Population

of Infants

2015-16

(in lakhs)

Penta

Launch

Month

and Year

Detailed HMIS Data (Cumulative till December- 2015)

HepB0-

Coverage

against

Institutional

Delivery

Coverage for Immunization in % (against Total Estimated Population)

Tetanus

NeonatarumMeasles

Expected Annualized Coverage -75.0% till December 2015

Diptheria Pertusis

No. of

Planned

Sessions

NOT HELD

Number of Cases of Childhood Diseases

Reported

MCV 1 MCV 2 *Fully

Immunized**

DPT

Booster

Penta1*

** DPT3***

Penta3*

**

HepB-

3***BCG DPT1***

Drop Out

DPT1-DPT3

Penta1-Penta3

District BlockHealth

FacilityHep B0 BCG DPT1 Penta1 DPT3 Penta3 Hep B3 MCV1 MCV2

Fully

ImmunizedJE

DPT

Booster

A B C D E.1 E.2 E.3 F.1 F.2 F.3 F.4 F.5 F.6 F.7 F.8 F.9 F.10 F.11 F.12 H.1

India 2,74,34,000 1,30,74,490 59.33 31.48 5.42 24.68 43.22 40.26 63.12 14.45 28.64 70.51 68.23 70.48 1.86 0.52 1.70 0.13 3.99 47.65

1 Andhra Pradesh 8,93,000 5,12,402 71.43 8.11 100.00 100.00 100.00 71.51 85.44 2.15 64.45 85.75 72.54 79.80 0.15 0.04 0.10 0.01 1.73 43.94

2 A & N Islands 6,000 2,355 48.86 42.69 0.00 22.22 55.88 67.63 87.66 54.51 0.22 59.66 33.33 60.39 0.35 0.00 0.35 0.00 0.00 60.65

3 Arunachal Pradesh 28,000 8,437 37.51 43.24 11.76 78.05 78.54 34.44 80.10 46.37 5.47 53.52 0.41 53.45 1.26 0.41 0.87 0.17 3.07 65.09

4 Assam 7,38,000 2,91,287 49.14 58.06 0.00 4.62 43.12 6.75 40.43 1.24 32.59 41.34 52.65 43.83 0.11 0.01 0.09 0.03 2.44 83.64

5 Bihar 30,41,000 14,14,177 57.89 20.51 0.00 4.49 38.14 18.36 32.16 1.31 10.96 28.66 43.06 16.43 0.19 0.07 0.10 0.02 18.26 85.28

6 Chandigarh 19,000 11,290 73.97 18.52 0.00 0.00 10.87 74.17 80.91 17.89 46.11 84.31 56.73 84.51 0.50 0.11 0.41 0.00 0.40 26.30

7 Chhattisgarh 6,62,000 3,33,502 62.72 5.26 0.00 2.04 32.18 17.94 66.12 10.46 0.00 78.26 0.00 80.01 4.98 0.55 2.83 0.00 0.89 33.21

8 D&N Haveli 10,000 4,212 52.44 3.85 0.00 0.00 13.33 58.22 75.78 21.79 36.66 85.90 66.23 85.40 1.08 0.32 0.85 0.00 0.80 21.94

9 Daman & Diu 5,000 3,495 87.02 2.63 0.00 0.00 0.00 33.90 41.37 19.55 15.03 73.37 55.28 73.52 0.11 0.08 0.11 0.00 0.26 44.51

10 Delhi 3,04,000 1,95,032 79.87 83.04 0.00 0.00 11.79 42.17 61.63 0.79 47.29 64.37 58.40 61.54 1.18 0.50 1.06 0.01 72.30 35.31

11 Goa 22,000 11,997 67.89 2.52 0.00 0.00 15.15 58.33 91.00 0.27 66.07 70.83 74.26 68.18 0.21 0.00 0.20 0.04 5.88 69.70

12 Gujarat 14,05,000 8,12,623 72.00 22.64 0.00 0.50 15.30 65.23 90.93 0.03 72.22 92.42 82.05 55.22 4.31 0.25 4.10 0.00 592.82 21.96

13 Haryana 5,72,000 2,32,870 50.68 25.46 0.00 16.78 27.94 31.45 66.00 0.07 51.16 43.53 68.82 31.34 0.42 0.02 0.40 0.03 50.82 82.28

14 Himachal Pradesh 1,18,000 71,135 75.05 61.55 8.33 11.27 32.06 59.04 82.59 32.92 28.08 84.68 52.01 84.60 0.43 0.07 0.38 0.00 0.16 26.52

15 Jammu & Kashmir 2,28,000 1,13,848 62.16 8.38 0.00 3.25 29.84 50.77 62.40 0.43 49.59 37.36 74.17 56.63 1.27 0.01 1.26 0.00 14.95 82.02

16 Jharkhand 8,57,000 2,52,668 36.70 50.04 0.00 23.35 64.07 22.42 65.58 4.60 22.53 15.48 40.32 4.86 0.12 0.03 0.05 0.01 17.44 93.54

17 Karnataka 11,89,000 3,50,335 36.68 25.26 23.33 100.00 100.00 65.16 72.68 1.46 33.41 17.95 64.52 20.67 7.76 3.27 7.03 1.66 276.53 21.70

18 Kerala 5,14,000 3,43,297 83.15 14.39 0.00 1.86 9.02 54.74 94.17 0.27 69.21 94.93 74.39 35.56 0.34 0.01 0.32 0.00 9.29 97.73

19 Lakshadweep 1,000 275 34.23 70.37 0.00 90.00 90.00 47.48 53.60 21.22 7.91 40.00 0.00 35.29 0.00 0.00 0.00 0.00 0.00 76.27

20 Madhya Pradesh 20,11,000 11,13,126 68.91 12.23 0.00 0.00 7.64 66.09 75.06 1.10 48.89 70.31 67.37 71.65 1.18 0.37 1.14 0.00 34.54 51.72

21 Maharashtra 19,88,000 10,69,794 66.99 8.13 0.00 0.26 20.61 45.65 82.38 58.28 9.00 81.27 5.41 81.36 2.30 0.21 2.26 0.07 0.28 27.69

22 Manipur 45,000 13,704 37.91 33.60 0.00 41.03 43.56 16.69 83.41 36.25 1.84 51.67 21.74 50.54 0.45 0.67 0.41 0.05 5.44 83.90

23 Meghalaya 75,000 30,003 49.80 29.23 0.00 7.69 42.93 18.80 62.79 34.28 0.36 41.86 0.00 42.15 0.25 0.04 0.07 0.00 1.95 83.59

24 Mizoram 19,000 5,006 32.80 59.53 50.00 50.00 80.00 19.66 60.00 43.90 2.47 44.90 0.00 45.69 0.26 0.07 0.14 0.00 0.49 73.14

25 Nagaland 32,000 8,143 31.68 10.57 18.18 67.54 76.52 27.61 71.21 52.26 0.07 49.19 0.00 49.40 0.71 1.27 0.46 0.18 3.56 63.14

26 Odisha 8,55,000 4,39,585 64.00 10.12 6.67 6.37 77.21 47.53 64.19 34.27 16.93 84.97 44.84 85.00 0.44 0.01 0.39 0.00 0.06 25.62

27 Puducherry 23,000 9,614 52.04 97.41 0.00 0.00 9.09 70.28 72.59 0.27 64.84 42.86 75.83 33.33 0.47 0.03 0.40 0.00 60.00 84.62

28 Punjab 4,57,000 2,71,312 73.91 5.49 0.00 2.23 65.56 42.73 58.75 0.59 43.18 63.34 66.67 66.23 0.31 0.00 0.28 0.00 2.31 64.69

29 Rajasthan 18,77,000 11,32,504 75.11 100.00 0.00 0.00 10.36 10.71 14.25 6.33 0.00 71.06 0.00 69.98 5.68 2.91 5.41 0.00 25.81 6.19

30 Sikkim 11,000 4,834 54.71 24.49 0.00 15.63 18.18 73.47 79.35 42.56 19.44 83.43 39.73 83.25 0.35 0.00 0.33 0.00 0.07 26.16

31 Tamil Nadu 11,56,000 7,42,491 79.96 2.88 18.75 90.49 96.59 93.98 96.98 55.47 0.00 33.49 0.00 32.99 1.21 0.00 1.15 0.00 0.00 83.70

32 Telangana 6,37,000 4,04,682 79.09 35.34 0.00 3.07 14.98 69.67 84.31 10.70 58.23 89.51 74.50 89.14 1.28 0.24 1.23 0.37 1.22 20.17

33 Tripura 53,000 15,828 37.18 53.24 0.00 6.67 53.24 22.67 44.60 35.63 4.87 47.83 1.59 46.15 0.47 0.04 0.30 0.00 1.98 75.84

34 Uttar Pradesh 58,67,000 18,52,318 39.30 66.35 0.00 22.37 29.20 21.19 56.44 32.89 0.35 56.34 2.39 55.96 1.74 0.14 1.53 0.23 1.58 69.94

35 Uttarakhand 1,95,000 95,138 60.74 27.66 0.00 4.21 56.93 28.77 78.32 1.13 50.35 30.53 60.81 20.96 0.34 0.06 0.28 0.01 9.79 77.37

36 West Bengal 15,21,000 9,01,171 73.76 16.66 0.00 0.00 72.54 43.19 73.79 0.22 57.64 65.43 69.24 65.53 0.88 0.05 0.75 0.32 52.71 80.78

Source of information : Scheduled Reports from MCTS portal as mentioned below

* A- State wise Mother & Child Count

** L-District wise facilities not entering data

*** H- State & District Dashboards

OFFICE OF CHILD HEALTH & IMMUNIZATION, MOHFW, NEW DELHI

MONTHLY PROGRAM MONITORING (MCTS) - ROUTINE IMMUNIZATION PROGRAMMONTH FEBRUARY, YEAR 2015-16

S.No. State/Country

*Registration Details **Facilities not reporting on MCTS Server

***Infant Immunization Service details (%)

Drop out

DPT1-

DPT3

Estimated Count

of Infants 2015-

16


Registered

Children during

2015-2016

Pro-Rata % of

Data Entry in

2015-2016

% of Villages not

mapped with

any sub-facility

Dec-15

Health Facilities not Reporting in the

MCTS Portals (Dec-15)

MCTS Data as on - 21-01-2016


TIMELINESS OF HMIS DATA

PROJECTED FULL IMMUNIZATION COVERAGE

(in Percentage) for Year 2015-16

Apr May Jun July Aug Sep Oct Nov Dec

India 675 70 80 18 46 44 3 32 13 20

A & N Islands 3 2 3 0 2 3 0 2 0 0

Arunachal Pradesh 17 1 2 1 1 1 0 0 1 2 Dibang Valley and Longding

Assam 27 0 0 0 0 0 0 0 0 1 Lakhimpur

Bihar 38 3 3 0 1 0 0 1 0 0

Haryana 21 21 17 2 10 5 0 10 4 1 Mewat

Himachal Pradesh 12 0 1 0 4 2 0 5 1 5 Chamba, Kinnaur, Lahul & Spiti, Sirmaur and Solan

Kerala 14 9 12 7 12 12 3 8 4 5 Idukki, Kozhikkode, Malappuram, Palakkad and Wayanad

Maharashtra 35 0 0 0 1 0 0 1 1 1 Brihan Mumbai

Meghalaya 11 0 0 0 0 0 0 0 0 1 North Garo Hills

Mizoram 9 1 3 0 0 0 0 0 1 2 Lawngtlai and Saiha

Nagaland 11 0 0 1 1 2 0 0 0 0

Odisha 30 14 18 1 6 17 0 2 1 1 Anugul

Puducherry 4 0 0 0 1 0 0 0 0 0

Rajasthan 33 14 14 5 6 1 0 2 0 1 Jaisalmer

Tamil Nadu 32 5 6 0 0 0 0 0 0 0

West Bengal 19 0 1 1 1 1 0 1 0 0

States/UTsNo of

Districts

Names of Districts not reported on schedule in December

2015

No of Districts Not Reported on Schedule

GRAPHS AND CHARTS

ISSUES NATIONAL DATA

HMIS 2015-16 (Data December 2015)


HEPATITIS B BIRTH DOSE COVERAGE

(Against Institutional Delivery – Expected 100%) Till December 2015, Year 2015-16


MCV2 COVERAGE

(HMIS –Expected 75.0%, Till December, 2015 Year 2015-16)

DPT BOOSTER COVERAGE



DPT1/PENTA1 TO DPT3/PENTA3 DROP-OUT


REASON FOR CHILDREN NOT BEING FULLY IMMUNIZED

(In Percentage as on December 2015 – Cumulative)

Source: HTH Monitoring – WHO-NPSP


ANTIGEN WISE COVERAGE

Till December, Year 2015-16, (Expected 75.0% except HepB-0)

FULL IMMUNIZATION COVERAGE

Till December, Year 2015-16, (Expected 75.0%)

State

HepB-0

(Against Inst.

Delivery) BCG DPT1 Penta1 DPT3 Penta3 HepB-3 MCV 1 MCV 2

JE -1st

Dose

JE - 2nd

Dose

DPT

Booster

A&N Islands 59 56 52 - 56 - 55 77 31 NA NA 59

Chandigarh 87 109 26 46 40 23 45 67 59 NA NA 65

D&N Haveli 98 68 25 29 39 17 38 59 51 NA NA 51

Daman & Diu 74 52 23 32 35 15 34 61 54 NA NA 54

Goa 59 66 1 68 1 68 2 75 75 65 64 75

Himachal Pradesh 87 67 42 26 59 8 59 71 64 NA NA 65

Karnataka 80 72 1 72 0 71 0 70 63 75 53 65

Kerala 60 68 0 69 0 65 0 66 25 6 57 65

Lakshadweep 97 55 69 6 72 0 72 72 67 NA NA 66

Maharashtra 61 77 67 7 71 0 71 73 68 52 49 69

Puducherry 86 101 1 55 1 47 0 51 50 NA NA 50

Punjab 68 75 2 68 8 62 8 77 69 NA NA 70

Sikkim 95 53 33 20 47 6 47 57 49 NA NA 52

Tamil Nadu 124 62 0 62 0 61 0 63 21 21 57 63

DATA – SELECTED STATES

HMIS 2015-16 (Data December 2015)


HEPATITIS B BIRTH DOSE COVERAGE

(Against Institutional Delivery) Till December 2015, Year 2015-16

MCV2 COVERAGE



PERCENTAGE OF SESSION NOT HELD AGAINST PLANNED TILL DECEMBER 2015


Need Clarification

A & N Islands

Low coverage of Hep B Birth dose (59.4%) against institutional deliveries.

Low coverage of BCG (55.6%), DPT first dose (51.7%), DPT third dose (55.9%), HepB third dose

(55.0%), Measles second dose (31.5%) and DPT Booster (59.2%) while Over reporting of Measles

first dose (77.4%).

DPT1-DPT3 dropout rate is negative (-8.1 %) mainly from districts South Andaman (-10.5%) and

North & Middle Andaman (-8.0%). Negative dropout means that the reported DPT3 coverage is

higher than the DPT 1 coverage.

Chandigarh

Over reporting of BCG (109.5%) while low coverage of DPT first dose (25.5%), DPT third dose

(39.6%), HepB third dose (44.6%) and Measles second dose (59.1%).

DPT1-DPT3 dropout rate is negative (-54.9 %). Negative dropout means that the reported DPT3

coverage is higher than the DPT 1 coverage.

State is also reporting data on JE-1st dose (13) though JE is not a part of UIP program in the

state.

D &N Haveli

Low coverage of DPT first dose (24.7%), DPT third dose (38.7%), HepB third dose (37.5%),

Measles first dose (59.1%), Measles second dose (51.2%), Fully Immunized (57.9%) and DPT

Booster (51.4%).



STATE SPECIFIC ISSUES

HMIS DATA – TILL DECEMBER 2015 – 14 STATES



state.

Daman & Diu



(34.4%), Measles second dose (53.6%), Fully Immunized (59.9%) and DPT Booster (53.9%).

DPT1-DPT3 dropout rate is negative (-55.8 %) mainly from districts Daman (-57.4%) and Diu (-

50.9%). Negative dropout means that the reported DPT3 coverage is higher than the DPT 1

coverage.

Goa


Himachal Pradesh

Low coverage of DPT first dose (42.1%), DPT third dose (58.9%) and HepB third dose (58.9%).

DPT1-DPT3 dropout rate is negative (-40.1 %) mainly from districts Kullu (-47.5%), Lahul Spiti (-

47.3%) and Kangra (-47.1%). Negative dropout means that the reported DPT3 coverage is higher

than the DPT 1 coverage.

State is also reporting data on JE-1st dose (149) and JE-2nd dose (521) though JE is not a part of

UIP program in the state.

Karnataka


Low coverage of JE second dose (52.7%).

Kerala


Low coverage of Measles second dose (25.1%), JE first dose (6.0%) and JE second dose (56.9%).


Lakshadweep

Low coverage of BCG (54.8%).



More than 5% planned RI sessions not held till December 2015.

State is also reporting data on JE-1st dose (4) though JE is not a part of UIP program in the state.

Maharashtra


Over reporting of BCG (76.6%), JE first dose (52.0%) and JE second dose (48.9%).

DPT1-DPT3 dropout rate is negative (-5.9 %) mainly from districts Kolharpur (-14.6%), Gondiya (-

13.1%) and Thane (-12.8%). Negative dropout means that the reported DPT3 coverage is higher

than the DPT 1 coverage.

Puducherry

Over reporting of BCG (101.4%) while low coverage of Penta first dose (55.0%), Penta third dose

(47.0%), Measles first dose (50.6%), Measles second dose (49.6%), Fully Immunized (49.9%), DPT

Booster (50.0%).

Penta1-Penta3 dropout rate is 14.6% mainly from districts Karaikal (9.3%), Yanam (1.8%) and

Mahe (0.6%).

State is also reporting data on JE-1st dose (52) and JE-2nd dose (7) though JE is not a part of UIP

program in the state.

Punjab


Over reporting of Measles first dose (76.8%) and Fully Immunized (76.1%).


state.


Sikkim


(46.8%), Measles first dose (56.9%), Measles second dose (48.6%), Fully Immunized (55.9%) and

DPT Booster (52.2%).

DPT1-DPT3 dropout rate is negative (-41.5 %) mainly from districts North (-48.1%), East (-43.0%)

and South (-41.7%). Negative dropout means that the reported DPT3 coverage is higher than the

DPT 1 coverage.

Tamil Nadu

Over reporting of Hep B Birth dose (123.6%) against institutional deliveries.

Low coverage of Measles second dose (20.6%), Fully Immunized (59.9%), JE first dose (21.0%), JE

second dose (57.2%).

Health & Medicine

Immunization Dashboard - ITSU