District immunization profile_Submitted to GoI team
1. Kurnool District Immunization Profile [Mar’2013]
Kurnool
District
Immunization
Profile
Dr.Korrapati.Venkata.Naga.Shiva,
Anil Kumar
Disrict Immunization & Child
Health Officer
KURNOOL
District Immunization & Child Health Management Unit Page 1
2. Kurnool District Immunization Profile [Mar’2013]
KURNOOL DISTRICT PROFILE
Geophysiography
Kurnool (Telugu: కర్నూలు Urdu: )ک رن ولis a city and administrative seat
of Kurnool district of Andhra Pradesh state in southern India, about 212
kilometres (132 mi) south of state capital, Hyderabad, located in the
west-central part of the state on the southern banks of the Tungabhadra
and Handri rivers
It is also the seventh most populous city of Andhra Pradesh, is the
gateway to Rayalaseema and the largest city in the area.
Kurnool served as the capital of Andhra State from 1 October 1953 to 31
October 1956
COMPOSITION
At present Kurnool District comprises 3 Revenue Divisions, 54 Revenue
Mandals 53 Mandal Parishads, One Municipal Corporation , 3 Municipalities,
899 Gram Panchayats(Notified – 7, Non notified – 862 ) , 920 Revenue Villages
and 615 Hamlet Villages.
PHYSIOGRAPHY
Nallamalas and Erramalas are the two important mountain ranges in
the district running in parallel from North to South. The Erramalas divide the
district into two well defined tracts from East to West. Between Erramalas and
Nallamalas lies the Eastern part of the district comprises Nandikotkur,
Pagidyala,Kothapalli, amulapadu, Atmakur, Velgodu, Jupadu Bunglow,
Midthur, BandiAtmakur, Gadivemula, Nandyal, Mahanandi, Panyam,
Banaganapalli, Owk, Koilakuntla, Rudravaram and Chagalamarri Mandals. This
tract is crossed by the crest of Krishna and Pennar, watershed at the North part
of the Pagidyala mandal at about 1000 above the sea level. From this height
the ground slopes to the South along the river Kundu till it traverses into
Pennar valley. Major part of its tract is predominantly black cotton soils
District Immunization & Child Health Management Unit Page 2
3. Kurnool District Immunization Profile [Mar’2013]
SOCIODEMOGRAPHIC PROFILE
Description 2011 2001
Actual Population 4,046,601 3,529,494
Male 2,040,101 1,796,214
Female 2,006,500 1,733,280
Population Growth 14.65% 18.72%
Area Sq. Km 17,658 17,658
Density/km2 229 200
Proportion to Andhra Pradesh
4.78% 4.63%
Population
Sex Ratio (Per 1000) 984 965
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4. Kurnool District Immunization Profile [Mar’2013]
Child Sex Ratio (0-6 Age) 937 958
Average Literacy 61.13 53.22
Male Literacy 71.36 65.96
Female Literacy 50.81 40.03
Total Child Population (0-6 Age) 477,198 537,606
Male Population (0-6 Age) 246,345 274,560
Female Population (0-6 Age) 230,853 263,046
Literates 2,182,149 1,592,172
Male Literates 1,279,938 1,003,659
Female Literates 902,211 588,513
Child Proportion (0-6 Age) 11.79% 15.23%
Boys Proportion (0-6 Age) 12.08% 15.29%
Girls Proportion (0-6 Age) 11.51% 15.18%
Urban Agglomerations inside Kurnool
Population Male Female
District
Kurnool (Urban Agglomeration) 478,124 239,401 238,723
Nandyal (Urban Agglomeration) 211,787 106,034 105,753
Adoni (Urban Agglomeration) 184,771 92,006 92,765
Cities inside Kurnool District Population Male Female
Kurnool (Municipal Corporation) 424,920 211,875 213,045
Nandyal (Municipality) 200,746 100,770 99,976
Adoni (Municipality) 166,537 82,743 83,794
District Immunization & Child Health Management Unit Page 4
5. Kurnool District Immunization Profile [Mar’2013]
HEALTH PROFILE
1. Health Infrastructure
No. of Clusters 20
No. of PHCs 83
No. of UHCs 20
No. of PP Units 3
No. of UFWC 2
No. of MCH Centers 3
No. of CHCs 18
No. of Area Hospital 1
No. of WCH at par with AH 1
No. of General Hospital 1
No. of Sub Centers 542
No. of Sub centers in Urban area 55
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6. Kurnool District Immunization Profile [Mar’2013]
2. Human Resources for Immunization and Child Health activities
at District level.
Position Sanctioned In position
Dist. Immunization Officer 1 1
Statistical Officer (UIP) 1 1
Asst. SO (UIP) 0 0
Refrigeration mechanic 1 1
Driver (dedicated to UIP vehicles) 1 1
Attender 1 1
Others drawn on deputation
Designation Work allotted
Regional Vaccine Stores incharge Supply chain and CC management
District Vaccine Stores incharge Supply chain and CC management
Other Contractual Staff
Computer Assistant Data Management
3. Health Indicators
IMR 51.5
Under 5 MR 48
Under 5 Malnutrition 49
4. Immunization performance indicators
4.1. Performance for the years 2009 -10, 2010-11, 2011-12
YEAR YEAR YEAR
Antigen 2009-10 2010-11 2011-12
ELA Achmnt ELA Achmnt ELA Achmnt
TT(PW) 83026 81222 90533 84604 90120 84791
BCG 70771 71085 77461 75097 77678 76188
POLIO 70771 70030 77461 72470 77678 74144
DPT 70771 70030 77461 73169 77678 74144
Hep-B 70771 70030 77461 72348 77678 74144
Measles 70771 70147 77461 69536 77678 72970
FI 70771 70147 77461 69536 77678 72970
JE 77460 61696 71352 65182 71354 63094
DPT
61820 49258 68121 59125 71353 55698
Booster
MCV2 71353 25121
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7. Kurnool District Immunization Profile [Mar’2013]
4.2. Immunization performance (April’2011-Mar’2012)
NHSRC Analysis
Percentage of coverage (0-11) against reported live births
(Apr’11-Mar’12) as percentage
4.3. Number of sessions planned and conducted
(Apr’2011 to Mar’2012)
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8. Kurnool District Immunization Profile [Mar’2013]
4.4. Dropout Rates – April 2011– March 2012
Dropout Rate BCG to Dropout BCG to Measles Dropout rate DPT3 to
DPT Measles
3% 4% 1%
4.5. AEFI (April 2011 – March 2012)
Abscess 145
Deaths 0
Others 0
4.6. Immunization Performance Mar 2012 – Feb 2013
Antigen ELA Prop.ELA Achvmnt %
BCG 74082 67908 66586 98
OPV3 74082 67908 66153 97
DPT3 74082 67908 63522 94
Measles 74082 67908 66337 98
MCV 2 71216 65281 35184 54
JE 71216 65281 45694 70
DPT 5 71632 65663 37522 57
TT(PW) 85812 78661 69594 88
4.7. Immunization performance Apr 2012 – Feb’2013
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9. Kurnool District Immunization Profile [Mar’2013]
4.8. Immunization Performance (Apr’2012-Feb’2013)
4.9. DROPOUT RATES _ March 2012 – Feb 2013
DPT1 – DPT 3 BCG - Measles DPT - Measles
6.88% 2.99% 5.09%
4.10. AEFI 2012 - 2013
Abscess 98
Deaths 2
Others 45
4.11. Sessions planned Vs Conducted (Apr’2012 – Feb’2013)
Sessions planned Sessions planned Sessions % of performance
In the year Upto Feb 2013 conducted up to
Feb 2013
56964 52217 49986 95.7%
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10. Kurnool District Immunization Profile [Mar’2013]
5. Details of Cold Chain system
S.No Description Number
1 Regional Vaccine Stores 2 Walk-in-Coolers
2 District Vaccine Stores 1
3 Peripheral Cold Chain points 120
a) PHCs 75
b) UHCs 20
c) PP Units 3
d) UFWCs 2
e) Private 2
d) CHCs 16
e) Unani Medical College 1
f) Shantiram Medical College 1
(Private)
4 Vaccine delivery van 1
Total ILR points in the Periphery: 120
6. Routine Immunization services Delivery norms
a) Fixed day and Fixed site
b) Along with VHND
c) Special Immunization Weeks (Jan 2nd, Feb 2nd ,March 2nd Weeks)
7. Details of Sessions
1 Total Sessions planned 4747 56964
2 Total No. of sessions planned in Rural area including Tribal 4052 48624
2.1 No. of Sessions planned at Sub centre level (Rural) 3393 42888
2.2 No. of sessions planned at PHCs 332 3984
2.3 No. of sessions planned at CHCs 64 768
2.4 No. of sessions planned with hired Vaccinators 88 1056
2.5 No. of sessions planned in Tribal PHCs 659 7908
3 No. of session conducted on fixed day and fixed site in the District. 4682 56184
3.1 No. of Fixed Outreach Saturday Sessions planned in the district 1875 22500
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11. Kurnool District Immunization Profile [Mar’2013]
3.2 No. of Fixed Wednesday sessions planned in the district 2807 33684
4 No. of Sessions in Urban Areas 571 6852
4.1 No. of Sessions in Government sector(Urban) 499 5988
4.2 No. of Sessions in Other Government Sectors(Urban) 32 1728
4.3 No.of Sessions in Private Sector(Urban) 16 192
4.4 No. of Sessions in NGOs sector 24 288
5 No. of Sessions planned in Border Villages 79 948
6 No. of sessions planned in Tribal PHCs 659 7908
6.1 No. of Sessions planned in Tribal plain areas 466 6744
No. of sessions in Tribal vulnerable population{RIAs(Remote
6.2 103 1236
Interior Areas)} Sugali Thandas and Chenchu Gudems
7 No. of session with hired vaccinators 212 2544
No. of Sessions with hired vaccinators in Urban Slums & Periurban
7.1 124 1488
areas
7.2 No. Of Sessions with hired vaccinators in Rural areas 88 1056
8. VHND details
Total No. of Imm. Sessions with VHND 1484
a) Wednesdays 593
b) Saturdays 891
Total No. of VHND days only without sessions 1285
a) Wednesdays 242
b) Saturdays 398
c) 1st Tuesdays 645
Total No. of VHNDs 2769
a) Wednesdays 835
b) Saturdays 1289
c) 1st Tuesdays 645
9. Other Activities
I. IPPI
II. Vitamin A Campaign (March 18 – 23rd 2013)
III. ORS Campaign
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12. Kurnool District Immunization Profile [Mar’2013]
I. IPPI Performance
February - January – April – February – February –
Description
2013 2013 2012 2011 2010
Total Estimated Children 505576 505576 495955 499481 489478
Total Booth Coverage
465496 465583 443551 433061 452934
(DAY 1)
H to H Day 2 33884 24772 38240 40061 24068
H to H Day 3 16890 14393 22426 20098 18802
H to H Day 4 (URBAN) 1521 1739 1359 2735 3677
Total Children Covered 517791 506487 505576 495955 499481
Percentage 102.42 100 102 99.29 102.04
II. Vitamin A action plan
Expected Beneficiaries in the District
No. of beneficiaries in the age group
09 – 11 months 12 – 60 months
No. of Beneficiaries
32936 494040
Girls Boys Girls Boys
526976 15974 16962 239609 254431
Vitamin A requirement
Description Target Requirement
Total no. of beneficiaries up to 11 months 32936 36230 ml
Total no. of beneficiaries from 12 to 60 months 494040 1086888 ml
Total Vitamin A required 1123118 ml
Total no of sites where Vitamin A to be administered: 1576
III. ORS Campaign(July – August 2012)
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13. Kurnool District Immunization Profile [Mar’2013]
10. Capacity building
a) All SPHOs trained in Routine Immunization
b) All Medical Officers trained in RI
c) Health Workers training will be conducted in the month of April 2013
11. New Born care services
a) NBCCs established in all Round the clock and 24X7 PHCs
b) SNCUs established at GGH Kurnool, District Hospital Nandyal and CHC
Sunnipenta. SNCUs at Kurnool, Nandyal are fully functional. SNCU at CHC
Sunnipenta is ready with all equipment installed and Human Resources to
be put in place.
c) NRC is established at GGH, Kurnool and it is fully functional.
12. Financial Performance
Intervention Amount Allotted Expenditure % of expenditure
incurred
Vaccine mobility
DIO mobility
AVD
Hired ANMs
services in
underserved and
Urban slums
CC maintenance
Computer
accessories
13. Innovations
1. Provision of Solar paneled ILR to Yerramattam PHC_Tribal_New
construction under way
2. All ILR fitted with inverters for power backup.
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