UIP FACT SHEET. Socio - demographic profile PRL. Infant Mortality Rate

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UIP FACT SHEET WEST BENGAL Census 1 Total Population 8,176,197 Population--6yr 11,414,222 Literacy Rate 68.6 Sex Ratio 934 Sex Ratio -6 yr 96 Socio - demographic profile Census 11 91,347,736 1,112,599 77.1 947 9 HRA CAL Population Density 11 State avg. - 129 persons per sq. km No. of persons per sq. km & below 1-7 751-1 11-1 - 1-2 Infant Mortality Rate 6 3 54 53 51 51 37 38 48 46 34 42 39 38 38 37 32 31 37 35 29 29 29 Total Rural Urban 34 33 27 32 31 25 1 1 3 4 5 6 7 8 9 1 Note: Infant Mortality Rate: Number of Infant Deaths per 1, live births; Under-five mortality rate: Number of under 5 deaths per 1, live birth. Progress in full immunization status DLHS3 7-8 76% CAL Less than % % - % % - 6% 6% - 8% > = 8% Safdarjung Enclave, New Delhi 1129. Pg. No. 1 of 5

Immunization Performance 1 NFHS3 (5-6) DLHS3 (7-8) CES-9 Estimated missed infants ~ 3, 9 8 7 6 96 9 89 84 83 75 77 73 64 76 65 3 1 %BCG %DPT3 %Measles %Full Imm. BCG-Measles dropout 14 HRA CAL <5, 5, 1, 1, 15, 15,, >=, Not available Immunization Coverage Evaluation Survey 9 RI Monitoring : Immunization Coverage Immunization status in 12-23m children, 11-12 Full Immunization (11-12) ---Percent--- 1 9 8 7 6 3 1 95 61 93 92 82 81 %BCG %OPV %DPT1 %OPV1 %DPT3 %OPV3 %MCV1 75 %Full Imm. State avg. - % Less than % % - % % - 6% 6% - 8% > = 8% N= 8944 HRA CAL Safdarjung Enclave, New Delhi 1129. Pg. No. 2 of 5

RI Monitoring : Immunization Quality Total Sessions Visited Total Sessions Held %Visited sessions held 11-12 2,292 2,218 96.8 1 9 8 7 6 3 1 54 Vaccine & diluents availability 81 8 All BCG BCG Diluent 97 86 85 DPT MCV MCV Diluent 82 94 TOPV TT 1 9 8 7 6 3 1 85 ADS.1ml 98 ADS.5ml Availability of important logistics 39 VitA 76 ORS 71 IFA 12 Nutt. Supp. BP Apparatus 85 Weigh. Machine 92 PCM 1 9 8 7 6 3 1 Tracking of beneficiaries, 11-12 38 43 42 Counterfoils Updated Due List Avl. Mobilization by ICDS Mobilization by ASHA 1 9 8 7 6 3 1 74 %Hub Cutters Avl. Injection safety, 11-12 63 %Syringes Cut Hubcutter 94 %ANM not touch. needle 79 %Recons. time written 96 % DPT given mid thigh Reason for children not being fully immunized in 12-23m, 11-12 Awareness & Information Gap Not aware of need Unaware of Session Site Child out of village Parents busy with Occupation 2.1 6.6 6.2 38.1 Operational Gap Non Cooperative Health worker Session not Held in last 3 months Nonavailablility of vaccine & logistics.5 2.1 6.1 Fear of AEFI Child Sick Fear of AEFI 8.9 19.8 Others 4.4 Data Not available 5.2 N= 21 5 1 15 25 3 35 45 ---Percent--- *Data Source : RI Monitoring by partners. Safdarjung Enclave, New Delhi 1129. Pg. No. 3 of 5

Polio Cases Location of virologically confirmed polio cases, 12* Incidence of wild polio cases, 1998 12* P1 = 9 P3 = 12 Non Polio AFP Rate 7.37 6.66 11* 12* Specimen adequacy** 87% 89% 11* Less than 6% 6% to 69% 7% to 79% 8% and above No AFP case 12* ** Specimen Adequacy: Specimens collected in 14 days from onset of paralysis Data as on week 23, ending 9 Jun 12. Safdarjung Enclave, New Delhi 1129. Pg. No. 4 of 5

Identification of High Risk Areas Vaccine Preventable Diseases : Cases vs. Deaths VPD Tuberculosis Diptheria Whooping Cough Neonatal Tetanus Tetanus Other Measles 5 6 7 8 9 1* Cases Deaths Cases Deaths Cases Deaths Cases Deaths Cases Deaths Cases Deaths 19,319 5,32 17,226 5,214 17,213 5,268 15,816 5,259 79,471 514 1 39 3 673 33 527 24 349 19 6 8 1,579 3,631 14 2,875 1 941 12 1,255 5 1,935 5 13 28 91 24 85 1 42 5 49 1 64 3 363 69 541 148 53 17 418 69 31 57 441 39 13,777 14 19,66 45 9,931 18 9,9 55 1,432 24 5,612 11 Data Source : CBHI, Govt of India Risk prioritization Health Infrastructure & Human Resource (RHS bulletin as on Mar1) Routine Immunization Training AEFI Surveillance Immunization system issues Strengths A total of 36 high risk blocks have been identified in Emergency Preparedness Response Plan (EPRP). Total functioning - SC-1356, PHC-99, CHC-348, DH-16. Total in position ANM at SC & PHC 12966, Doctors at PHC - 932 Good progress in CCH training. 3 & 6 serious AEFI cases were reported in 11 & 12 respectively. * Provisional Challenges Only 31% MOs trained in >2 yrs. SIHFW should be the nodal agency for all training programs. Improve coordination among ADHS (training), EPI cell, State training hub and SIHFW. Involve medical colleges in training. Safdarjung Enclave, New Delhi 1129. Pg. No. 5 of 5