Making a HF

Catchment Area
Map

Decide service delivery

strategy (F, OR, M) for each
village and write with the
name of village
Write total and target
population near each
population
Write distance from HF to
each village
Make 12-16 blocks, each
block to be covered in a day
 Situation Analysis
     
Name of EPI Center ……………………..…. Name of UC ………………...…….
Compile population, Analyze problem
imunization coverage data in the previous 12 months ‫مسئلے کى جانچ پڑتال‬
‫پچهلے بارہ ماہ کے اعداد و شمار‬

Target population Doses of vaccine administered Immunization coverage (%) Unimmunized (No.) Drop-out rates(%) Identify problem (Good/Poor) Categorize
Prioritize area
‫ویکسین سے محروم‬ (No. of
figures(No.) ‫لگائی جانے والی ویکسین کی تعداد‬ ‫حفاظتى ٹیکہ جات کی کوریج‬
‫بچے‬
‫ڈراپ آوٹ‬ ‫مسئلے کى جانچ‬ problem
Unimmunized
according children) k+l
Sr. No Area Name ‫ایک سال سے کم‬
‫عمر کے بچوں کا‬ to table
‫مطلوبہ ہدف سالنہ‬ ‫مسئلے کى درجہ‬
‫بندى‬

Penta1 Penta3 Measles TT2 Penta3 Measles Penta1-Penta3 Penta1-Measles Access Utilization
Penta1 Penta3 Measles TT2 Category 1,2,3,4 Priority 1,2,3,….
(c/b x 100) (d/b x 100) (e/b x 100) (f/b x 100) (b-d) (b-e) (c-d)/c x 100 (c-e)/c x 100 ‫پہنچ‬ ‫استعمال‬

a b c d e f g h i j k l m n o p q r
 List of Priority Areas
             
Name Of EPI Center………………………..………..

Category of problem i.e 1,2,3,4 How many times were they Activities that can be conducted by HF
List of areas (according to priority) Hard to reach (Y/N)
(refer to table 1) reached last year level to improve access and utilization

‫وہ اقدامات جو مرکز صحت کی سطح سے کیے‬

۱ ‫مسلئے کی درجہ بندی ) ٹیبل نمبر‬ ‫پچهلے سال کتنى بار ان مشکل گزار‬
‫فوقیت کے اعتبار سے علقوں کے نام‬ ( ‫سے رجوع کریں‬ (Y/N)‫مشکلزززگززارعلقہ‬ ‫علقوں تک رسائى ممکن ہوئى‬ ‫جا سکتے ہو ں تا کہ حفاظتى ٹیکہ جات کی‬
‫پہنچ اور اس کا استعمال بہتر بنایا جاسکے‬

a b c d e
‫‪of Priority Areas‬‬

‫‪Name Of UC……………………………....‬‬
‫‪What other interventions can be‬‬
‫‪Activities that need support by district‬‬ ‫‪delivered at same time as‬‬
‫‪or higher level‬‬ ‫‪immunization‬‬
‫وہ اقدامات جو ضلعى سطح سے کیے‬ ‫مزید ایسے اقدامات جو حفاظتى ٹیکہ جات‬
‫جاسکتے ہوں تاکہ حفاظتى ٹیکہ جات کى‬ ‫کے ساتھ مشکل گزار علقوں میں کیے‬
‫پہنچ اور اس کا استعمال بہتر بناىا جاسکے‬ ‫وغیرہ ‪A‬جاسکتے ہوں جیسا کہ وٹامن‬

‫‪f‬‬
 Session Plan
           

Name of EPI Center ………………………………………… Name of UC…………………………..……….

No of Actual
No of injections injecti sessions Other child
Area Name Total population Target population Session type (Fixed, per year ( target ons Estimated sessions per month (divided by 80 planned per survival Hard to reach area Hard to reach
outreach, mobile) population x 11) per for fixed site and 40 for outreach) month interventions (refer to table 3) population
month (realistic planned
‫ماہانہ‬ judgment)
‫سالنہ تعدادحفاظتى سیشن کی قسم مثلل مرکز‬ ‫ تعداد‬80 ‫دور افتادہ آبادى ٹیبل بچوں کى صحت ماہانہ سیشنز ماہانہ سیشنز کى متوقع تعداد مرکز صحت کیلئے‬ ‫دور افتادہ آبادى ٹیبل‬
‫علقہ کا نام‬ ‫کل آبادی‬ ‫آبادی کا حدف‬ ‫( ٹیکہ جات صحت موبائیل سم وغیرہ‬11x‫)ہدف‬ ‫ سے ضرب دیں حفاظتى‬40‫سے ضرب دیں آوٹ رىچ کیلئے‬ ‫ سے رجوع کریں۔ و تندرستى کیلئے کى حقیقى‬3 ‫ سے رجوع کریں۔ نمبر‬3 ‫نمبر‬
‫ٹیکہ‬ ‫تعداد‬ ‫مزید اقدامات‬
‫جات‬

VI=V/1
I II III IV V 2 VII VIII IX X XI
      RED             
Name Of EPI Center …………………………….. Name of UC ……………………………….....
RED components Problems Activities with limited resources Activities needing resources and assistance When (date) Area name Responsible Person
from district
‫وہ اقدامات جن کیلئے وسائل اور ضلعى سطح سے مدد‬
‫ حکمت عملى کے اجزاء‬RED ‫مسائل‬ ‫محدود وسائل کے ساتھ اقدامات‬
‫درکار ہوں‬
‫کب‬ ‫علقے کا نام‬ ‫ذمہ دار شخص کا نام‬

Re-establishment of outreach services

‫آوٹ رىچ کو بہتر بنانا‬

Supportive supervision

‫نگرانی برائےاصلح‬

Community links with service delivery

‫حفاظتى ٹیکہ جات کیلئے لوگوں سے روابط‬

Monitoring and use of data for action

‫نگرانی اور حفاظتى ٹیکہ جات کے اعدادوشمارکا استعمال‬

Planning and management of resources

‫وسائل کی منصوبہ بندی اور ان کا استعمال‬

 Vaccine Calculation for the Health Facility
Name of EPI Center ……………………….…. Name Of Uc …………………………………………
# of schedule # of doses WMF Monthly Need Buffer stock Maximum stock level
Vaccine Monthly Target doses in a vial vaccine Expected Doses (Doses) Number of vials needed
Coverage (minimum stock level)
(15 days stock)
A B C D E F G = BxCxExF H = G/ 0.5 I = G+H J = I/D (roundup)
BCG 1 20 2 95%
OPV 4 20 1.25 90%
Penta 3 1 1.05 90%
PCV10 3 4 1.11 90%
Rota 2 1 1.05 90%
Measles 2 10 1.25 90%
IPV 1 10 1.11 90%
TT 2 20 1.25 80%
 Syringe Equipment Calculation for the Health Facility
Name of EPI Center ……………..……… Name of UC…………...…………….
# of Required 2 ml 5 ml
Monthly schedule Doses per WMF 0.05 ml 0.5 ml Safety
Vaccine Target vial Doses column I reconstituti reconstituti
doses (table 11a) syringes AD syringes AD syringes on syringes on syringes boxes

A B C D E F G = B*C*F H=B*C*F I=(E/D)xF J=(E/D)xF K=(G+H+I+J)

/100
BCG 1 20 1.11
Penta 3 1 1.11
PCV10 3 2 1.11
Measles 2 10 1.11
IPV 1 10 1.11
TT 2 20 1.11
TOTAL
 Supportive Supervision Plan for the Health Facility
Name of EPI Center …………………… Name of UC ………………………
Name of session site
S. No Planned Date Conducted (Date) Remarks
(fixed/ Outreach)
 Social Mobilization Plan for the Health Facility
Name Of EPI Center ……………………… Name of UC……………………………………….…
Venue of
activity Number of Name of Responsible Person
S. No Name/ Type of Date of Expected
Activity (name of Activity for activity /Contact No
Participants
Village)
 Waste Management Plan for the Health Facility
Name of EPI Center ………………..
Name of Responsible Date of Disposal Where*
S. No Person (Date) (place)
nagement Plan for the Health Facility
Name Of UC ……………...……………….

Remarks
 Quarterly Vaccination Work Plan

           
Name of EPI Center ……………………………....
MONTH: ______________
Date 1 2 3 4 5 6 7 8 9 10 11
Day W T F S S M T W T F

Village/
Mohallah
(F, OR, M)

Communi
ty focal
person
name
Conducte
d (Y/N)
Date 17 18 19 20 21 22 23 24 25 26 27
Day T F S S M T W T F S S

Village/
Mohallah
(F, OR, M)

Communi
ty focal
person
name
Conducte
d (Y/N)
MONTH: ______________
Date 1 2 3 4 5 6 7 8 9 10 11
Day F S S M T W T F S S M

Village/
Mohallah
(F, OR, M)

Communi
ty focal
person
name
Conducte
d (Y/N)
Date 17 18 19 20 21 22 23 24 25 26 27
Day S M T W T F S S M T W

Village/
Mohallah
(F, OR, M)

Communi
ty focal
person
name
Conducte
d (Y/N)
MONTH: ______________
Date 1 2 3 4 5 6 7 8 9 10 11
Day F S S M T W T F S S M
 Village/
Mohallah
(F, OR, M)

Communi
ty focal
person
name
Conducte
d (Y/N)
Date 17 18 19 20 21 22 23 24 25 26 27
Day S M T W T F S S M T W

Village/
Mohallah
(F, OR, M)

Communi
ty focal
person
name
Conducte
d (Y/N)
 Name of UC …………………………………………..

12 13 14 15 16
S S M T W

28 29 30 31
M T W T

12 13 14 15 16
T W T F S

28
T

12 13 14 15 16
T W T F S
28 29 30 31
T F S S
 Quarterly Vaccination Work Plan
           
Name of EPI Center …………...…………… Name of UC …………………………..
Area name No. of January February March
sessions
Per
month

Date(s) scheduled Date(s) scheduled Date(s) scheduled

Date(s) held Date(s) held Date(s) held
Transport Transport Transport
Person responsible Person responsible Person responsible
District support (Y/N) District support (Y/N) District support (Y/N)

Date(s) scheduled Date(s) scheduled Date(s) scheduled

Date(s) held Date(s) held Date(s) held
Transport Transport Transport
Person responsible Person responsible Person responsible
District support (Y/N) District support (Y/N) District support (Y/N)

Date(s) scheduled Date(s) scheduled Date(s) scheduled

Date(s) held Date(s) held Date(s) held
Transport Transport Transport
Person responsible Person responsible Person responsible
District support (Y/N) District support (Y/N) District support (Y/N)

Activities for hard-to- Activities Activities Activities

reach & problem areas
Person responsible Person responsible Person responsible

Regular activities Activities Activities Activities

Person responsible Person responsible Person responsible

Number of sessions
Monitoring of session held in Jan: Number of sessions held in Feb: Number of sessions held in Mar.

Implementation Number of sessions

planned in Jan: Number of sessions planned in Feb: Number of sessions planned in Mar.