Special Immunization Drive

Transcription

1 Special Immunization Drive Supportive Supervision Standard Operating Procedures bappi UNICEF

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3 ABBREVIATIONS 2

4 Introduction The Government of Assam (GoA) is committed to reducing child mortality and morbidity in the state by improving full immunization coverage through universal immunization programme (UIP). Assam has a birth cohort of 6.68 lakhs children annually. The UIP programme provides vaccination against nine life-threatening diseases (diphtheria, whooping cough, tetanus, polio, tuberculosis, measles, Haemophilus influenza, Japanese Encephalitis and hepatitis B). Despite this programme being operational for the past more than 30 years, only 47% children in Assam (Source: NFHS-4) receive all vaccines during their first year of life. It is estimated that annually, more than 3.54 lakh children in the state do not receive all vaccines that are available under the UIP. As a strategic endeavour, GoA is launching Special Immunization Drive in September-December 2016 to achieve more than 90% full immunization coverage in the state. This initiative will eventually close immunity gaps and strengthen immunization coverage. A total of three/four rounds will be conducted under the drive as per GoI guidelines. Each round will be conducted for 5 working days (other than Sundays, Holidays and regular RI days). Target beneficiaries for this drive would include all children under two years of age and pregnant women. However, children above two years of age seeking vaccination will not be denied due vaccines. This special drive will be conducted in all the districts of the State and will focus intensively in vacant subcenters area, sub centers who have not conducted RI in the last three months and poor performing SCs (SCs with high drop out and left out children) through additional sessions. However, left out and drop out children in remaining areas would be covered through updated microplans and community mobilization activities under routine immunization sessions. The entire drive would be supported through intensified monitoring and supportive supervision through medical college faculties and development partners. 3

5 Supportive Supervision Supportive supervision (SS) has been envisaged as an integral component of the Special Immunization Drive. It involves periodic visits to all the districts at different level including district, block, sector, cold chain point, sub-centre and village level, by a team comprising of representatives of government health department and development partners. The objective of supportive supervision is to identify gaps in real time and to address them locally, at sub-district, district or state level. It implies a regular and dependable interaction with health functionaries in the field to help identify and solve problems, improve preparedness, planning and implementation of the Special Immunization Drive. Key functions of Supportive Supervision includes: - Supportive Supervision (SS) visits to all districts before, during and after the campaign to monitor preparedness, planning and implementation of Special Immunization Drive - Assess the progress of preparedness, planning and implementation of Special Immunization Drive - Feedback to all stakeholders regarding progress and solve problems and improvement in quality implementation. - Ensure timely support to the districts from the state to implement the most critical interventions. - Facilitate sharing with the state and cross learning within districts 4

6 Supportive Supervision Checklists There are two sets of checklists: For Preparedness and Planning phase For Implementation phase- During Campaign Preparedness and planning phase checklists There are four checklists for Preparedness and Planning phase: District level preparedness checklist Block level preparedness checklist Sector/ Cold chain point level preparedness checklist Sub centre/ Village level preparedness checklist The objective of conducting Supportive Supervision before the campaign phase is to assess the preparedness and planning of Special Immunization Drive in the districts at various levels. These checklist focuses on progress of planning meetings, district/block/sector level orientations of health officials/ ANMs/ ASHAs/ mobilizers, preparations of linelists/ due lists, identification of left out areas/ left out beneficiaries / drop out beneficiaries, display of linelists/ My village My Home tool, vaccine and logistics preparedness, printing and distribution of planning/ reporting format and IEC materials, preparedness for IEC activities, etc. The Supervisors are expected to assess the preparedness and planning of SID in their respective districts and provide timely support and feedback to the district to ensure quality implementation of SID in the district. Visit Schedule The supervisor team for every district need to cover district level monitoring, each supervisor is to visit at least one blocks, two sectors/ccps, two Sub-centres and two villages. In practical terms, if the supervisory team has two members then number of checklists which are to be completed and submitted would be: 5

7 1. District level preparedness checklist Block level preparedness checklist Sector/ CCP level preparedness checklist SC/ Village level preparedness checklist- 4 District Block Block Sector Sector Sector Sector Sub-centre Sub-centre Sub-centre Sub-centre Village/Haml et/ locality Village/Haml et/ locality Village/Haml et/ locality Village/Haml et/ locality * Above applicable for 2 member supervisor team, in case of three member team, additionally one block, two sectors, 2 sub-centres and two villages need to be covered in planning/ preparedness phase. 6

8 Standard Operating Procedure (SOP) General instructions for filling the tool Please select the most appropriate respondent at various levels for Special Immunization drive. You may ask for the nodal point/ lead for SID, it may be ACMO, DIO, ADC (Health) or any other district level official at district level. Estimated time to fill every checklist is 1-2 hours. Please inform the importance and estimated time to the district level respondent before the interview. To mark the correct/ appropriate response, please check the box. In some questions, some numbers are expected to be filled. Please ensure filling numerator and denominator both. In some of the questions marked as *, more than one response may be correct, please check all the appropriate/ relevant responses. To check the availability of different formats or IEC materials or vaccines/ logistics, supervisors should verify with records/ registers/ physical presence/ other means of verification Supervisor need to send the completely filled checklist tool, incompletely filled tool will not be acceptable. While answering the questions, keep track of negative responses, try to assess the bottlenecks of the problem, accordingly suggest the best solution. If required take support from state level core team. 7

9 District level Preparedness Checklist Questi on no. Explanation/Verification Response/ Action to be taken Refer District level Preparedness Checklist in Annexure-I General information: This section will provide basic information regarding name of supervisor, name of the district/ block/sector/village visited, type of supervisor and Date of Supervision. District: Name of the district being supervised Name of the Monitor: Name of the person who is assessing the Site Organization: The supervisor needs to specify the name of his/ her organization. In case the supervisor is from Government then encircle Govt. and likewise for other options. Options given are Govt/UNICEF/WHO/Others Date: Date of Supportive Supervision Round: There would be three to four rounds of SID. Please select the number of round being monitored: 1/ 2/ 3/ 4 Give the name of the district Supervisors to write his/her own name Encircle the correct/ most appropriate response Mention the date in dd/mm/yyyy format Encircle the correct response District Level Preparedness and Planning 1. Please ask the question Have you received Operational Guidelines of Special Immunization Drive? Also try to verify through hard copy/ ask the contents of Operational guidelines 2. Please ask the question Has district issued any communication regarding SID to the blocks/ sectors? If yes, try to verify through hard copy/ soft copy 3. Please ask the question Has district received sufficient funds for SID from NHM? If yes, ask the date of funds transfer 4. Please ask the question Whether district has released funds to respective blocks/sector/ccps? If yes, ask the date of funds transfer 5. Please ask the question Status of DTFI meeting for SID If held, try to verify with copy of minutes of the meeting Look into the minutes and see if all essential components are covered and give feedback 6. Please ask the question Whether district has involved Elected representatives and other departments for SID? If yes, ask about the details? (Held/ Planned /Yet to be planned). If held or planned, please encircle the correct option and give the date in dd/mm/yyyy format 8

10 7. Please ask the question Whether all Sub centers have at least One ANM? Verify through records/ orders 8. Please ask the question Is district level launch for SID planned? Ask about the details. 9. Please ask the question Is district level orientation of block/ sector officials for SID held? Ask the date of orientation and records 10. Please ask the question Is sector/ block level orientation of ANMs held? Ask whether the ANM orientation is held at block or sector level Also ask how many blocks/ sectors have completed Ask the date of orientation and records 11. Ask the question, Is sector/ block level orientation of ASHAs held? Ask whether the ASHA orientation is held at block or sector level Also ask how many blocks/ sectors have completed Ask the date of orientation and records 12. Ask the question, Has the district printed all planning and reporting formats in adequate numbers? Ask the number of formats which have been printed, assess the adequacy 13. Ask the question, Has the district distributed all planning and reporting formats to all facilities? Ask the dates of distribution 14. Ask the question, Is line listing work completed in all the sectors of the district? Ask how many sectors have completed line listing work and submitted to districts. 15. Ask the question, Is the district conducting field validation of line list submitted? Request to share the plan and field observations 16. Ask the question, No. of blocks completed SID micro planning and submitted to district Ask how many blocks have completed Microplanning work and submitted to districts. 17. Ask the question, Whether all missed areas are covered in SID Micro plan? Ask to share the list of missed areas included in SID Look at the total population being covered in SID and compare with census/ state estimates 18. Ask the question, Whether Data Entry at block level has been initiated? Verify with website Ask how many blocks have initiated data entry work If the ANM orientation is done at block level or sector level, encircle the appropriate response Give the number of blocks/ sectors which have completed and total no of blocks/ sectors as relevant If the ASHA orientation is done at block level or sector level, encircle the appropriate response Give the number of blocks/ sectors which have completed and total no of blocks/ sectors as relevant Please give no of sectors which have completed out of total sectors Please give no of blocks which have completed out of total blocks 9

11 19. Ask the question, Whether adequate Vaccine and logistics available for SID? 20. Ask the question, Whether Vaccine and logistics distribution to all CCPs done/planned? Check the records/ plan 21. Ask the question, Whether all IEC materials are printed in adequate quantity? Check the adequacy 22. Ask the question, Whether all IEC materials are distributed? Check the records/ plan 23. Ask the question, Is there any mechanism to review Notification of missed areas? Ask the mechanism Ask if any missed area has been notified so far Implementation Monitoring and Review mechanism 24. Ask the question, From District level, how will implementation of SID be reviewed with the blocks? * Listen to the responses. Supervisor may give the options to probe further. 25. Ask the question, Has district identified senior officers to be deputed as districts observers for SID? Verify with plans/ records IF 25 is Yes, then ask the question, numbers of blocks for which district observers assigned out of total blocks? Please give no of blocks which have completed out of total blocks (Yes Adequate/Yes inadequate/ No/ Not aware) (Yes done/yes planned/ No/ Not aware) (Distributed/ Planned/ Not yet planned/ Not aware) More than one response may be correct. Check all the correct responses. Please give no of blocks which have supervisors assigned, out of total blocks 26. Ask the question, DO you have a monitoring checklist? If no, share the district level monitoring checklist Ask the question, Does the district observer monitoring plan include the following details? * IEC Planning 27. Ask the question, What are the modes of IEC planned by your district for SID? * More than one response may be correct. Check all the correct responses. More than one response may be correct. Check all the correct responses. 28. Ask the question, Have you received any funds for IEC for SID? (Yes, State funds/ No/ Not aware/ Others Specify). There may be More than one correct response 29. Ask the question, Has the district received any prototypes for IEC planning? Please verify or ask what all have been received 30. Ask the question, Have you printed IEC materials for your district? Verify with records 10

12 Vaccine Logistics planning 31. Ask the question, Are the given logistics available in sufficient quantities for the SID? Please check the box if available in adequate quantities. * Try to assess the quantities available compared to district requirements Remarks: You may like to mention things that needs highlighting and not sufficiently covered in the given questions/ responses More than one response may be correct. Check all the correct responses. Write in brief 11

13 Block level Preparedness Checklist Questi on no. Explanation/Verification Response/ Action to be taken Refer Block level Preparedness Checklist in Annexure-II General information: This section will provide basic information regarding name of supervisor, name of the district/ block/sector/village visited, type of supervisor and Date of Supervision. District: Name of the district being supervised Block: Name of the block being supervised Name of the Monitor: Name of the person who is assessing the Site Organization: The supervisor needs to specify the name of his/ her organization. In case the supervisor is from Government then encircle Govt. and likewise for other options. Options given are Govt/UNICEF/WHO/Others Date: Date of Supportive Supervision Round: There would be three to four rounds of SID. Please select the number of round being monitored: 1/ 2/ 3/ 4 Give the name of the district Give the block of the district Supervisors to write his/her own name Encircle the correct/ most appropriate response Mention the date in dd/mm/yyyy format Encircle the correct response Block Level Preparedness and Planning 1. Please ask the question Have you received Operational Guidelines of Special Immunization Drive? Also try to verify through hard copy/ ask the contents of Operational guidelines 2. Please ask the question Has block received any communication regarding SID from the district? If yes, try to verify through hard copy/ soft copy 3. Please ask the question Has block issued any communication regarding SID to the sectors/ CCPs/SCs? If yes, try to verify through hard copy/ soft copy 4. Please ask the question Has block received sufficient funds for SID from district/ NHM? If yes, ask the date of funds transfer 5. Please ask the question Whether district/block has released funds to respective sector/ccps? If yes, ask the date of funds transfer 6. Please ask the question Whether block has involved Elected representatives and other departments for SID? If yes, ask about the details? 12

14 7. Please ask the question Whether all Sub centers have at least One ANM? Verify through records/ orders 8. Please ask the question Is sector/ block level orientation of ANMs held? Also ask how many sectors have completed Ask the date of orientation and records 9. Ask the question, Is sector/ block level orientation of ASHAs held? Also ask how many sectors have completed Ask the date of orientation and records 10. Ask the question, Has the block received all planning and reporting formats in adequate numbers? Ask the number of formats which have been printed/ received, assess the adequacy 11. Ask the question, Has the block distributed all planning and reporting formats to all facilities? Ask the dates of distribution 12. Ask the question, Is line listing work completed in all the sectors of the block? Ask how many sectors have completed linelisting work and submitted to districts. 13. Ask the question, Is the block conducting field validation of linelist submitted? Request to share the plan and field observations 14. Ask the question, Are the linelist being displayed in villages, SCs, PHCs and other govt. institutions? Ask how many places the official has seen the display 15. Ask the question, No. of sectors completed SID micro planning and submitted to block Ask if the block has submitted SID Microplans to districts. 16. Ask the question, Whether all missed areas are covered in SID Microplan? Ask to share the list of missed areas included in SID Look at the total population being covered in SID and compare with census/ state estimates 17. Ask the question, Whether Data Entry at block level has been initiated? Verify with website 18. Ask the question, Whether adequate Vaccine and logistics available for SID? Give the number of sectors for which ANM orientation is completed and total no of sectors Give the number of sectors for which ASHA orientation is completed and total no of sectors Please give no of sectors which have completed out of total sectors Please give no of sectors which have completed out of total sectors (Yes Adequate/Yes inadequate/ No/ Not aware) 19. Ask the question, Whether Vaccine and logistics distribution to all CCPs done/planned? Check the records/ plan (Yes done/yes planned/ No/ Not aware) 13

15 20. Ask the question, Whether all IEC materials are received in adequate quantity? Check the adequacy 21. Ask the question, Whether all IEC materials are distributed? Check the records/ plan 22. Ask the question, Is there any mechanism to review Notification of missed areas? Ask the mechanism Ask if any missed area has been notified so far Implementation Monitoring and Review mechanism 23. Ask the question, From Block level, how will implementation of SID be reviewed with the sectors? * Listen to the responses. Supervisor may give the options to probe further. 24. Ask the question, Has block identified senior officers to be deputed as supervisors for SID? Verify with plans/ records IF 24 is Yes, then ask the question, numbers of sectors for which supervisors assigned out of total sectors? (Distributed/ Planned/ Not yet planned/ Not aware) More than one response may be correct. Check all the correct responses. Please give no of sectors which have supervisors assigned, out of total sectors 25. Ask the question, DO you have a monitoring checklist? If no, share the block level monitoring checklist Ask the question, Does the block monitoring plan include the following details? * IEC Planning 26. Ask the question, What are the modes of IEC planned by your block for SID? * More than one response may be correct. Check all the correct responses. More than one response may be correct. Check all the correct responses. 27. Ask the question, Have you received any funds for IEC for SID? (Yes, State funds/ No/ Not aware/ Others Specify). There may be more than one correct response Vaccine Logistics planning 28. Ask the question, Are the given logistics available in sufficient quantities for the SID? Please check the box if available in adequate quantities. * Try to assess the quantities available compared to district requirements Remarks: You may like to mention things that needs highlighting and not sufficiently covered in the given questions/ responses More than one response may be correct. Check all the correct responses. Write in brief 14

16 Sector/ CCP level Preparedness Checklist Questi on no. Explanation/Verification Response/ Action to be taken Refer Sector/CCP level Preparedness Checklist in Annexure-III General information: This section will provide basic information regarding name upervisor, name of the district/ block/sector/village visited, type of supervisor and e of Supervision. District: Name of the district being supervised Block: Name of the block being supervised Sector/CCP: Name of the sector/ccp being supervised Name of the Monitor: Name of the person who is assessing the Site Give the name of the district Give the block of the district Give the Sector/CCP of the district Supervisors to write his/her own name Organization: The supervisor needs to specify the name of his/ her organization. In case the supervisor is from Government then encircle Govt. and likewise for other options. Options given are Govt/UNICEF/WHO/Others Date: Date of Supportive Supervision Round: There would be three to four rounds of SID. Please select the number of round being monitored: 1/ 2/ 3/ 4 Encircle the correct/ most appropriate response Mention the date in dd/mm/yyyy format Encircle the correct response Sector/CCP Level Preparedness and Planning 1. Please ask the question Have you received Operational Guidelines of Special Immunization Drive? Also try to verify through hard copy/ ask the contents of Operational guidelines 2. Please ask the question Has sector received any communication regarding SID from the district/block? If yes, try to verify through hard copy/ soft copy 3. Please ask the question Has sector issued any communication regarding SID to the SCs/ FLWs? If yes, try to verify through hard copy/ soft copy 4. Please ask the question Has block received sufficient funds for SID from district/ block/nhm? If yes, ask the date of funds transfer 5. Please ask the question Whether district/block has given any incentives to SCs/ANMs/ASHAs for linelisting? If yes, ask the date of disbursements 15

17 6. Please ask the question Whether sector has involved Elected representatives and other departments for SID? If yes, ask about the details? 7. Please ask the question Whether all Sub centers have at least One ANM? Verify through records/ orders 8. Please ask the question Is sector/ block level orientation of ANMs held? Also ask how many ANMs have received the training Ask the date of orientation and records 9. Ask the question, Is sector/ block level orientation of ASHAs held? Also ask how many ASHAs/mobilizers have received the training Ask the date of orientation and records 10. Ask the question, Has the sector/ccp received all planning and reporting formats in adequate numbers? Ask the number of formats which have been printed/ received, assess the adequacy 11. Ask the question, Has the sector/ccp distributed all planning and reporting formats to all facilities? Ask the dates of distribution 12. Ask the question, Is line listing work completed in all the SCs of the sector/ccp? Ask how many SCs have completed linelisting work and submitted to sector/block. 13. Ask the question, Is the sector conducting field validation of linelist submitted? Request to share the plan and field observations 14. Ask the question, Are the linelist being displayed in villages, SCs, PHCs and other govt. institutions? Ask how many places the official has seen the display 15. Ask the question, No. of SCs completed SID micro planning and submitted to sector/block Ask if the Sector/CCP has submitted SID Microplans to district/ block. 16. Ask the question, Whether all missed areas are covered in SID Microplan? Ask to share the list of missed areas included in SID Look at the total population being covered in SID and compare with census/ state estimates 17. Ask the question, Whether Data Entry at block level has been initiated? Verify with website 18. Ask the question, Whether adequate Vaccine and logistics available for SID? Give the number of ANMs who have received the orientation and total no of ANMs Give the number of ASHAs who have received the orientation and total no of ASHAs Please give no of SCs which have completed out of total SCs Please give no of SCs which have completed out of total SCs (Yes Adequate/Yes inadequate/ No/ Not aware) 16

18 19. Ask the question, Whether Vaccine and logistics distribution plan in place to all planned sessions? Check the records/ plan 20. Ask the question, Whether all IEC materials are received in adequate quantity? Check the adequacy 21. Ask the question, Whether all IEC materials are distributed? Check the records/ plan 22. Ask the question, Is there any mechanism to review Notification of missed areas? Ask the mechanism Ask if any missed area has been notified so far Implementation Monitoring and Review mechanism 23. Ask the question, From Sector/CCP level, how will implementation of SID be reviewed? * Listen to the responses. Supervisor may give the options to probe further. 24. Ask the question, Has sector identified supervisors to be deputed as supervisors for SID? Verify with plans/ records IF 24 is Yes, then ask the question, numbers of sessions for which supervisors assigned out of total sectors? (Yes done/yes planned/ No/ Not aware) (Distributed/ Planned/ Not yet planned/ Not aware) More than one response may be correct. Check all the correct responses. Please give no of sectors which have supervisors assigned, out of total sectors 25. Ask the question, DO you have a monitoring checklist? If no, share the block level monitoring checklist Ask the question, Does the sector monitoring plan include the following details? * IEC Planning 26. Ask the question, What are the modes of IEC planned by your sector for SID? * 27. Ask the question, Have you received any funds for IEC for SID? Vaccine Logistics planning 28. Ask the question, Are the given logistics available in sufficient quantities for the SID? Please check the box if available in adequate quantities. * Try to assess the quantities available compared to district requirements Remarks: You may like to mention things that needs highlighting and not sufficiently covered in the given questions/ responses More than one response may be correct. Check all the correct responses. More than one response may be correct. Check all the correct responses. (Yes, State funds/ No/ Not aware/ Others Specify). There may be more than one correct response More than one response may be correct. Check all the correct responses. Write in brief 17

19 Sub centre/ Village level Preparedness Checklist Questi on no. Explanation/Verification Response/ Action to be taken Refer Sub centre/ Village level Preparedness Checklist in Annexure-IV General information: This section will provide basic information regarding name of supervisor, name of the district/ block/sector/village visited, type of supervisor and Date of Supervision. District: Name of the district being supervised Block: Name of the block being supervised Sector/CCP: Name of the sector/ccp being supervised SC: Name of the sub centre being supervised Village/Hamlet/locality: Name of the village/ hamlet/ locality being supervised Name of the Monitor: Name of the person who is assessing the Site Give the name of the district Give the name of the block Give the name of the Sector/CCP Give the name of the SC Give the name of the village/hamlet/locality Supervisors to write his/her own name Organization: The supervisor needs to specify the name of his/ her organization. In case the supervisor is from Government then encircle Govt. and likewise for other options. Options given are Govt/UNICEF/WHO/Others Encircle the correct/ most appropriate response Date: Date of Supportive Supervision Round: There would be three to four rounds of SID. Please select the number of round being monitored: 1/ 2/ 3/ 4 Mention the date in dd/mm/yyyy format Encircle the correct response SC Level Preparedness and Planning 1. Please ask the question Have you received Operational Guidelines of Special Immunization Drive? Also try to verify through hard copy/ ask the contents of Operational guidelines (Yes/ 2. Please ask the question Whether this Sub center has at least One ANM? Verify through records/ orders (Yes/ 3. Please ask the question Whether all villages under this SC have ASHAs/ mobilizers nominated for SID? Verify through records/ orders 4. Please ask the question Is sector/ block level orientation of ANMs held? Ask the date of orientation (Yes/ (Yes/ 18

20 5. Ask the question, Is sector/ block level orientation of ASHAs held? Also ask how many ASHAs/mobilizers rom this SC areas have received the training Ask the date of orientation 6. Ask the question, Has the SCs/ villages received all planning and reporting formats in adequate numbers? Ask the number of formats which have been printed/ received, assess the adequacy 7. Ask the question, Is line listing work completed in all the villages of the SC? Ask how many villages have completed linelisting work and submitted to SC. 8. Ask the question, Is the SC conducting field validation of linelist submitted? Request to share the plan and field observations (Yes/ Give the number of ASHAs who have received the orientation and total no of ASHAs (Yes/ (Yes/ Please give no of villages which have completed out of total villages (Yes/ 9. Ask the question, Has SC compiled linelists of all villages under SC? Verify with record 10. Ask the question, Has SC submitted SID Microplan to sector/block? Verify with record 11. Ask the question, Whether all missed areas are covered in SID Microplan? If yes, Ask the details (Yes/ (Yes/ (Yes/ 12. Ask the question, Are the linelist being displayed in villages, SCs, PHCs and other govt. institutions? Verify the display by observation 13. Ask the question, Have ASHAs used stickers to identify households with left out/drop out/ immunized? Ask at how many villages she has seen the display? 14. Ask the question, Has someone from sector/block/district validated the linelist? Ask for the details 15. Ask the question, Has anyone shared with you names of missed beneficiaries in the linelist? See the list 16. Ask the question, Whether Due lists are being prepared based on updated linelists? Verify with hard copies 17. Ask the question, Whether all IEC materials are received in adequate quantity? Check the adequacy 18. Ask the question, Whether all IEC materials are distributed? Check the records/ plan 19. Ask the question, Whether all session sites have displayed completed My Village My Home tool? Ask how many of the villages have displayed it Are they complete? (Yes/ (Yes/ (Yes/ (Yes/ No) (Yes/ (Yes/ (Distributed/ Planned/ Not yet planned/ Not aware) (All complete/ All incomplete/ Some/None/ Not aware) 19

21 20. Ask the question, Whether SC has prepared the SC map? Verify by observation only (Yes/ No) 21. Ask the question, Is there any mechanism to review Notification of missed areas? Ask the mechanism Ask if any missed area has been notified so far 22. Ask the question, Have you received any notification for missed area? Ask for details 23. Ask the question, Are the given logistics available in sufficient quantities for the SID? Please check the box if available in adequate quantities. * Try to assess the quantities available compared to district requirements Village Level Preparedness and Planning 24. Please ask the question Have you have any information on Special Immunization Drive? 25. Please ask the question Whether this village has ASHAs/ mobilizers nominated for SID? Ask the names 26. Ask the question, Is orientation of ASHAs/ mobilizers held? Ask the date of orientation 27. Ask the question, Has the ASHAs/ mobilizers received all planning and reporting formats in adequate numbers? Ask the number of formats which have been received, assess the adequacy 28. Ask the question, Is line listing work completed in the village? Ask when it was completed? 29. Ask the question, Has ASHA/mobilizer submitted linelist to SC? Ask when it was submitted? 30. Ask the question, Has someone from sector/block/district validated the linelist? Ask the details 31. Ask the question, Whether all beneficiaries are covered in the linelist? Ask the details and compare with the village population details. 32. Ask the question, Whether All linelists are displayed in village/ SC? Verify the display by observation 33. Ask the question, Have ASHAs used stickers to identify households with left out/drop out/ immunized? Verify by observation only 34. Ask the question, Has someone from sector/block/district validated the linelist? Ask for the details 35. Ask the question, Has anyone shared with you names of missed beneficiaries in the linelist? See the list 36. Ask the question, Whether Due lists are being prepared based on updated linelists? Verify with hard copies (Yes/ (Yes/ No) More than one response may be correct. Check all the correct responses. (Yes/ (Yes/ (Yes/ (Yes/ (Yes/ (Yes/ (Yes/ (Yes/ (Yes/ (Yes/ (Yes/ (Yes/ No) (Yes/ 20

22 37. Ask the question, Whether all IEC materials are received in adequate quantity? Check the adequacy 38. Ask the question, Whether the session sites has displayed completed My Village My Home tool? Verify by observation only 39. Ask the question, Is there any mechanism to receive and review Notification of missed areas? Ask the mechanism Ask if any missed area has been notified so far 40. Ask the question, Have you received any notification for missed area? Ask for details 41. Ask the question, What are the modes of IEC planned in your village during SID? Ask for details (Yes adequate/yes inadequate/ (Yes complete/yes incomplete/ (Yes/ (Yes/ No) More than one response may be correct. Check all the correct responses. 42. Ask the question, Are the given logistics available in sufficient quantities for the SID? Please check the box if available in adequate quantities? Try to assess the quantities available compared to district requirements Remarks: You may like to mention things that needs highlighting and not sufficiently covered in the given questions/ responses More than one response may be correct. Check all the correct responses. Write in brief 21

23 Major Findings requiring corrections Plan of Action Suggestions for course corrections Level of Action Responsibility Timelines

24 Supportive Supervision during Campaign Monitoring checklists during campaign There are four checklists for Implementation or campaign phase: District level monitoring tool Sector/ Cold chain point level monitoring tool Session site monitoring tool House to house monitoring format The objective of conducting Supportive Supervision during the campaign phase is to see if Special Immunization Drive activities are being conducted as per conceptualization and plan, in the districts at various levels. These checklists would be useful in specifically monitoring communication, cold chain and SID campaign activities. In case, there is any deviation observed, Supervisors are expected to facilitate on-site corrections. The supervisors are also expected to provide the feedback at block and district level through participation in daily evening meetings. Visit Schedule The supervisors need to cover maximum number of session sites possible (3-5 sessions/ day) every day during the campaign. Supervisors are also expected to do house to house validations from 2 nd day onwards in the villages/ areas where sessions have already been done. After the session monitoring and house to house validations, supervisors should also do sector/ CCP and district level monitoring through the given checklists. Each supervisor is to visit at least 1. One cold chain point per day 2. SID session- 3-5 per day 3. House to House format- 5 per day (2 nd day onwards) 4. District level monitoring tool- once per round

25 Standard Operating Procedure (SOP) General instructions for filling the tool Please select the most appropriate respondent at various levels for Special Immunization drive. You may ask for the nodal point/ lead for SID, it may be ACMO, DIO, ADC (Health) or any other district level official at district level. Estimated time to fill every checklist is 1-2 hours. Please inform the importance and estimated time to the district level respondent before the interview. To mark the correct/ appropriate response, please check the box. In some questions, some numbers are expected to be filled. Please ensure filling numerator and denominator both. In some of the questions marked as *, more than one response may be correct, please check all the appropriate/ relevant responses. To check the availability of different formats or IEC materials or vaccines/ logistics, supervisors should verify with records/ registers/ physical presence/ other means of verification Supervisor need to send the completely filled checklist tool, incompletely filled tool will not be acceptable. While answering the questions, keep track of negative responses, try to assess the bottlenecks of the problem, accordingly suggest the best solution. If required take support from state level core team.

26 District Monitoring Tool Q. No Question Description/response Refer District Monitoring Tool in Annexure-V 1. Name of the district Date of visit Name of the Monitor Designation Agency: Government/UNICEF/WHO/Others Does district have updated and approved communication plan for Special Immunization Drive (Please see hard copy) 2. Is there any designated IEC Nodal Officer: Orientation of ASHA and ANM for Special Immunization drive Was there any discussion on communication in District Task Force Meeting for Immunization (check minutes of meeting) Does DIO have received any Communication guidelines, including financial guideline for IEC from state Media spokesperson identified for Immunization Does district used IEC funding for this SID round Have you seen any IEC material related to SID at District Hospital 9. If Yes, What all (multiple options) Encircle 10. Have you seen any IEC material related to SID at Transit points (Bus stand or railway station) 11. If Yes, What all (multiple options) Encircle 12. Have you seen any IEC material related to SID at Other prominent places in district like major religious place, tourist spots, market area etc. (visit only one of them) 13. If Yes, What all (multiple options) Encircle Mention name of the district Mention date of monitoring in dd/mm/yyyy format Mention the monitor s full name Mention present designation Encircle the option whichever is applicable, if others mention the organization Look for Updated SID communication plan (Please see hard copy) If you see updated district communication plan which is approved by the district authority then encircle Yes; else encircle No Go through the document and look for specific plan for the following components (Public display of beneficiary list, My Village My home, Banners, posters, HtH stickers, Hoardings, ASHA incentives for mobilizing etc) Check whether District IEC nodal person is in position. Encircle Yes full time position if person is present and this is a full time position; encircle Yes person with additional charge if person is in position but on additional charge of IEC nodal and he is not on full time position; encircle Position Vacant if position is there but nobody is having charge or additional charge of this position; encircle No such position if this position, or position with similar function does not exist in the district In first column please write total number of ASHAs in the district and second column how many of them have been oriented on SID In first column please write total number of ANMs in the district and second column how many of them have been oriented on SID Check the minutes of meeting of DTFI and look for discussion on communication points. If written the encircle Yes or else encircle No If DTFI meeting is not held then encircle DTFI not Held Ask to show commination activities to be done by district in the SID operational guidelines. If officials are able to mention the communication activities to be planned as per SID then encircle Yes or else No Check whether Media spokesperson for Immunization including SID has been identified or Not. If identified encircle Yes; else No Check whether sufficient IEC materials have printed and other IEC activities are done. If done then encircle Yes or else No Monitor will visit District hospital and look for IEC materials like hoardings, posters and banners etc. If any one of these is seen then encircle Yes; else No Encircle on whichever is seen and mention if any other IEC material seen as others and specify Monitor will visit transit points like bus stand, railway station etc.(any one) and look for IEC materials like hoardings, posters and banners etc. If any one of these is seen then encircle Yes; else No Encircle on whichever is seen and mention if any other IEC material seen as others and specify Monitor will visit other prominent places in the district like major religious place, tourist spots, market area etc. (any one) and look for IEC materials like hoardings, posters and banners etc. If any one of these is seen then encircle Yes; else No Encircle on whichever is seen and mention if any other IEC material seen as others and specify

27 District level IEC activities done for SID 14. HH Stickers 15. My Village My Home 16. Public Display of Beneficiary list (No of Facilities) 17. Poster 18. Banner 19. Hoardings 20. Miking 21. Drum Beating 22. AV shows 23. Street plays/folk shows 24. Others (specify) 25. Others (specify) 26. Others (specify) At District Head Quarter 27. ILR in entire District 28. Deep Freezer in entire District 29. Cold Box in entire District At District Vaccine Store 30. ILR at only DVS 31. Deep Freezer at only DVS 32. Cold Box at only DVS Cold Chain Maintenance 33. Each CCE Away from direct sunlight / moisture / rain 34. Each CCE placed on wooden / plastic blocks / stands 35. Each CCE having gap of min. 10 cm with walls/ adjacent equipment? 36. Each CCE has frost (LESS than 5 mm) on inside walls 37. CCE (ILR + DF ) Connected through separate stabilizer 38. All functional cold boxes are clean and dry from inside In first column if the activity is planned then encircle Yes ; or else No In second column please write total number of the mentioned material received by the district from state/printed by the district and third column how many of them have been distributed as on date to the blocks and PHCs. Please check the stock register if available. For Public display of beneficiaries list in the first column write total number of facilities/institutions planned to display and in second column actually in how many are displayed. If any district specify IEC activity done then mention under Others (specify). Scope for mentioning any three activities is provided In the first column mention out of total number of the mentioned CCE available in the entire district (includes DVS, Block Vaccine store and all CCPs in the district) how many are small and how many are large. In the second column, mention out of total number of the mentioned CCE available in the entire district which are functional (includes DVS, Block Vaccine store and all CCPs in the district) how many are < 10 years old and how many are > 10 years old. In the third column, mention out of total number of the mentioned CCE available in the entire district which are not functional but repairable (includes DVS, Block Vaccine store and all CCPs in the district) how many are < 10 years old and how many are > 10 years old. In the fourth column mention out of total number of the mentioned CCE available in the entire district (includes DVS, Block Vaccine store and all CCPs in the district) how many are to be condemned. In the fifth column mention out of total number of the mentioned CCE already condemned in the entire district (includes DVS, Block Vaccine store and all CCPs in the district) how many are disposed In the first column mention out of total number of the mentioned CCE available only at DVS how many are small and how many are large. In the second column, mention out of total number of the mentioned CCE available only at DVS how many are < 10 years old and how many are > 10 years old. In the third column, mention out of total number of the mentioned CCE available only at DVS how many are < 10 years old and how many are > 10 years old. In the fourth column mention out of total number of the mentioned CCE available only at DVS how many are to be condemned. In the fifth column mention out of total number of the mentioned CCE already condemned only at DVS how many are disposed Check whether CCEs satisfy the criteria. Accordingly select Yes or No. Check whether CCEs satisfy the criteria. Accordingly select Yes or No. Check whether CCEs satisfy the criteria. Accordingly select Yes or No. Check whether CCEs satisfy the criteria. Accordingly select Yes or No. Check whether CCEs satisfy the criteria. Accordingly select Yes or No. Inspect all the cold boxes and check for dry and cleanliness of the inside of the boxes. If interior of all the boxes are clean and dry, then only select

28 Average HOURS of power availability (in 24 hours) in last week Is there any option for functional power back up for CCE? If yes, type of backup available for the Cold Chain Point? Dedicated Room / space available for Cold Chain at facility? Sufficient space available for repair and maintenance of CCEs? CCT is having For Repair & maintenance toolkits and spare parts Dedicated Room / space available for Syringes and Diluents (Dry storage)? Is there a functional vaccine van available for vaccine transport? Correct placement of icepacks inside DF for freezing? Icepacks kept for freezing filled up to the mark and capped? Dedicated table / space available for conditioning of Ice-packs? Yes otherwise even if one of the all the available boxes is not satisfying in terms of dry and cleanliness, then select No. Considering the recall bias and variation in power availability, it was considered optimum to collect the average power availability in 24 hours for the last week. So select the power availability as per the following bracket, less than 8 hour, 8-20 hours and>20 hours. There has to be some back up for power supply. If it is available, then select Yes and if not available, select No. Usually three types of options are available (Generator, Inverter, Solar) and select as per availability At district level, the requirement of dedicated space for cold chain equipment (CCE) is always there. If the space is provided in an exclusive room for the CCEs it is always welcome. Even if there is dedicated space made available is a large room, even that would also serve the purpose. So enter Yes if available, otherwise No is to be selected. Enquire from the Cold Chain Technician to show the space used for repair and maintenance of CCE brought from the PHCs. Take his feedback about the adequacy of space for this purpose and also use your own judgement to assess the adequacy. If it is adequate, select Ask the CCT to show the toolkits and spare parts and select Yes or No only after physical verification The diluents and syringes are to be kept in a dedicated area of the DVS facility for stock management. If it is available, select Yes and if not available, select No. The vaccines should be transported from DVS to the block vaccine stores or CCPs using appropriate cold chain system. Usually dedicated Vaccine Van is available for this purpose. So if it is available, select Yes, otherwise select No. It is recommended to place the icepacks inside the Deep Freezers in crisscross pattern, so that all the sides of the icepacks get equal exposure to the cold air. This results in faster formation of ice inside the Icepacks. If it is arranged as per guidelines, select Yes and if recommended practice is not followed, select No. Check atleast 5 icepacks (10% of icepacks) and enter Yes if filled up to mark and capped, select Yes, otherwise select No. Conditioning of icepacks to be done on a clean surface. Any table / elevated platform could be considered as an option. However floor of any room should not be considered as an option at any cost. So select Yes, if satisfactory option is available, otherwise select No Clean cloth available for wiping of Icepacks after conditioning? The committee for condemnation and disposal of BR Cold chain equipment is constituted? Vaccine and Diluent Storage Temperature 52. Separate Functional Thermometer Inside every functional equipment 53. Is temperature log book available? After conditioning of icepacks, the water on the outer surface of the icepacks is to be cleaned using a piece of clean cloth, so that when it is kept inside the cold boxes, it is in dry condition. So the availability of a clean cloth in this regard is highly crucial. Observe the practice. If the supervisor/s could not witness, then ask for the cloth used for this purpose. If the cloth is shown and it is clean, then select Yes and if the cloth is not shown or the clean is shown and not clean, then select No. As per the direction of GoI (MoHFW), a committee is to be formed for condemnation of equipment at the district level. Evidence to this effect is to be looked for in the form of a letter mentioning the formation of committee and about its members. If formed, then select Yes and if not formed, then select No. All the electrical Cold Chain equipment (functional or non-functional, but repairable) should have a dedicated functional thermometer. If available, then select Yes and if not, select No. As per the guidelines, Temp. log book has to be maintained for each CCE at DVS. If there is separate log book available for each of the CCE as per the standard format or atleast has all the variables, then select Yes. If