Workshop Objectives

District Measles Surveillance

Workshop
 Evaluated Coverage: DLHS-2 (2002-04) to
DLHS-3 (2007-08) Improvement - Bhopal

Coverage of 12-23 100 93

month old Children 90
(DLHS2 to DLHS3) 80
67.9 65.5 66.1 65.7
70 60.1
• MCV1: 60
–DLHS 2 = 34.7 50 47

–-DLHS 3 = 65.7 40
29
34.7
30
18.2
20
• Fully immunized: 10
–DLHS 2 = 18.2 0
BCG DTP3 OPV3 MCV1 FI
–DLHS 3 = 60.1
DLHS-2 DLHS-3
 District data - Bhopal
• FI (12-23 months) per DLHS-III – 60.1

• MCV1 (12-23 months) per DLHS-III – 65.7

Need for measles surveillance
• Measles is a killer disease
• An effective vaccine is available
• Last vaccine for infants in EPI schedule – flags
completeness of Infant Imm.
• Coverage gaps exist within the state
• Effective surveillance provides information link
to prioritize and direct immunization
programmes
 Objectives … (1/2)
• Learn about
– Measles epidemiology and measles vaccine
– Strategies for measles control and measles mortality
reduction
– Principles of measles surveillance and laboratory
confirmation
– Analysis and interpretation of measles surveillance
data
• Preparedness for starting measles surveillance
according to timeline laid out by state
 Objectives … (2/2)
• Acquire technical skills to
– Investigate measles outbreaks (including case
management) at Block level
– Train block and PHC level functionaries in measles
outbreak investigation (ANMs and supervisors)
– Coordinate and supervise adequate blood sample
collection and transportation with district support)
– Analyze and interpret surveillance data to direct and
prioritize UIP and measles immunization
 District-wise Measles
Immunization
MRN BHD
80 % or More
GLR
DTA Between 57.7 % (State Average) to 80%
SOP
Below 57.7% (State Average)
SVP

TKM CTP RWA

NMC AKN
GUN
PAN STN
SDH
MDS
SJP RJG VDS SAG DMH
KTN UMR SDL
RTM UJN BPL
JBP
RSN
S EH ANP
NSP DDR
JBA IDR
DHR DWS MDL
HSB
SNI
HRD
CDW
BRW KRG KND BLG
BTL

BHP

Source – DLHS 3 Data