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VACCINATION COVERAGE SURVEY
BANGALORE (RURAL) DISTRICT
JANUARY 1991
DEPT. OF PREVENTIVE
SOCIAL MEDICINE
BANGALORE MEDICAL COLLEGE
BANGALORE
I
EALTH CELL
601544
GOVERNMENT OF KARNATAKA
BANGALORE MEDICAL COLLEGE
PRINCIPAL
(
BANGALORE-569 002
REF. NO.
I
1
I1
DATED.
23/02/1991
The Department of Preventive and Social Medicine haa
once again brought out this commendable report on Coverage
Evaluation Survey in Bangalore (Rural) District*
This hae
been a part of the ICMR - Government of India initiated etudy
of the Disease Surveillance Programme of the Vaccine Preventable
Dieeaaee.
The team spirit exhibited by the staff and postgraduate
students under the leadership of Dr(Mrs) M*K* Vaeundhra,
Professor & Head of the Department of Preventive end Social
Medicine deserves special commendation*
This becomes all the
more relevant in view of the acute shortage of staff in the
department and various programmes entrusted to her in addition
to the academic activities*
I congratulate all the team members for the excellent
work turned out and amsure such tempo shall be maintained for
future as ci gn me nt s also*
principnl,
Ban pal or? Medicol Callege.
I-.'.- a
Sfflaiyra
M.D., M.I.P.H.A., F.I.A.P.S.M.
.Smecta/
23/0 2/1991
Th© Department of Preventive and Social Medicine of
Bangalore Medical College has been eelected by I.C.M.R. for
Disease Surveillance Programme concerning Vaccine Preventable
Diseases.
The Coverage Evaluation Survey was one of such
activities undertaken in Bangalore (Rural) District by the
staff and postgraduate students of my department from
22.1<1991 to 25<1.1991*
It gives me an immense pleasure to present this report
of the work carried out by this team, which I am sure will
contribute to further development and imp lamentation of
Universal Immunisation Programme.
I wish to thank Dr.
Gangadhar, District Health & Family
Welfare Officer, Bangalore (Rujbal) District end his staff for
I am grate
all the co# operation extended during the survey.
ful to Dr.
S. A. Vastrad, Lecturer in P & S Medicine for his
untiring efforts in organising this survey.
Dr.
Satish, P.G.
student has helped in compilation and analysis of data.
I thank IeG*M. R.
for providing funds and an opportunity
to carry out this survey which has been a great learning
experience.
I
^t'ev’nfiv^
Mrc
^nnpo
r,(uteafnr,‘
col'""
CONTENTS
1. Methodology
2. Personnel involved
3. District Profile
4. Health Infrastructure and data of District
5. General Information
CHILD COVERAGE SURVEY (12-23 month Children)
6. Coverage figures
7. Source of immunisation
8. Reason for immunisation failure
9. Drop out rates
10. Age at Initiation & completion of Antigen
11. Comparison with previous survey Data
12. Comparsion with reported coverage
13. K.A.P. of Reliable Respondents of 12-23m children
MOTHER COW RAGE
14. Coverage figures
15.Source of immunisation
16. Antental care
17. Place of delivery & personnel attending
18. Month of initiation & completion of TT antigen
19. K.A.P. of Mothers of 0-12 months children
20.
INFANT COVERAGE
1
2
3
4
7
8
8
9
10
11
12
12
13
15
15
15
16
17
18
20. Coverage figures
21. Source of immunisation
22. Reas ns for immunisation failure
20
21
21
23. Lameness survey
24. Neonatal Tetanus survey
25. Cold chain survey
23
24
25
26. Summary
28
27. Recommendation
30
28. Area Map with list of clusters
31
1
METHODOLOGY & PKRSONMBL INVOLVED:
The Bangalore District Census Report of 19 31 wae procured
from the District Health Office,
Bang alore
(Rur el)
Di ntri c t al ong
■vi.th a list of modified area limits of the Rural District.
50
clusters we re selected from thia utilising the WHO approved
cluster sampling Technique.
The list of 6©lected clusters along
■
with the area map ie appended (APPEI'JDIX)
- I.
The Survey was conducted as part of ongoing HIP Disease
i
surveillance programme of I.C.M.R.
New Delhi,
on d was financ e d
by I. C.M. R.
The survey was preceded by a breifing session on
18.1.1991.
The cluster we re divided into 4 groups bared on
ge ographi c al c o nve ni ence and a team leader assigned to each
Group•
Log!sties ,
such as transport, and details of accomodation
for overnight stay were finalised.
The survey conducted over a period of 4 days' (22nd
January to 25th January)
except for one cluster which was isolated
and had to be covered eenaretely on 28. 1.1991.
Primary health centre* of concerned cluster was visited
to
study the cold chain equipment.
DKFINI TIONS:
A child, which has received
Fully Immuni sed: 1.
’ 1 dose of BCG from 0—12 months, 3 doses ee.ch of DPT & CPV
from 6 weeks to 12 months and 1 dose of Measles from 9-12 lithe.
Partiel 1 y Immuni red: A clii 1 d which has
2.
received one or more antigen but has not received all doses.
3.
Not I mmuni red:A child which does not receive
even ci single dose of any antigen.
t
2
PBR&0IIIT-HL INVOLVED:
1.
Dr • M • K. V ae un dlir a
Prof.
HOD of P & SMedicine, Chief Co.ordinalor
2.
Dr.
S.A. Vaetrad.
Lecturer, Dept.
of P & 5 Medicine, Resource Person
POST CrR/QUATES:
Dr. Yarn al S. S*
4.
Dr.
5.
Dr. Gon" ad har a S vz amy
6.
Dr.
Satish II.V.
7.
Dr.
Somas hekar
8.
Dr. Hooli B.
9.
Er. Nagaraj
(lire.) Rndha R.
10.
Dr. Mallikarjuna Swamy
1 1.
Dr. (Mre.)
1 2.
Dr. Abdul Rahim
1 3.
Dr.
14.
Dr. ManJuneth
1 5.
Dr. Vi jay Kumar
16.
Dr.
Anaauya
S amo.fr o nd
Gancsh Babu (lioure Surgeon)
3
DISTRICT PROFILE - BANGALORE
( RURAL) DISTRICT
INFORMATION SOURCE - CENSUS REPORT OF BANGALORE DISTRICT 1981
1. Population ( Bangalore - Rural)
1472486
*
2e Rural population
1300427
*
3. Urban opulation
172059
★
4. Sex ratio (Bangalore District)
926
5. Total Area of District
8005 Sq.Kms.
6. Density of population
618/sq.km.
7. Literacy rate (Urban)
62.21%
Rural
31.50%
8. Crude birth rate
27.9
*
9. Crude death rate
8.7
*
10. Infant mortality rate
80
*
11. Temperature
- Maximum
37 Deg.C.
Minimum
11 Deg.C.
12. Humidity
63.83%
13. Rainfall
794 mm.
14. Major agricultural produce - Ragi/Jowar, Paddy,Millets/Pulses.
15. Major industries -
- Electronics, Electrical,Aeronautics,
Ancillaries,Machine Tools.
* Information provided by Office of D.H.O. Bangalore (Rural)District.
4
HEALTH INFRASTRUCTURE Ob’ THE DISTRICT
HEALTH INSTITUTIONS
81.
NO.
Particulars
!•
No. of PHCs
2.
No.of PHUs & Ayurvedic
Sanctioned
Working
Vacant
36
36
0
Di spensari es
40+5
40+5
0
3.
No.of UFWC’s
4
4
0
4.
No.of Sub Centres
341
338
4
5.
No.of ICDS Blocks
2
2
0
6.
No.of PPCs
2
2
0
7.
No.of G.Ps in the Dist.
0
0
0 (N.A.)
STAFFING PATTERN
81.
NO.
Category
1.
2.
Sanctioned
Working
Trained in UIP
Medical Officers
98
93
92
Lady Medical Officers
21
17
17
Para Medical
3.
Senior Health Asst.(M)
40
31
29
2.
Senior Health Asst.(F)
58
57
52
3.
Jr.Health Asst. (M)
232
167
152
4.
Jr.Health Asst.(F)
452
448
428
5.
Anganawadi worker
400
400
350
6.
No.of ICDS Blocks
2
2
0
5
UIP LOGISTICS
Cold chain equipment position as on 1•4.90/Bangalore Rural District.
Si.
No.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
Items
Cold boxes 55 Modules
Cold boxes 110 Modules
Vaccine carriers
Day carriers
Dial thermometers
Pressure Cookers
Stoves (Kerosene)
Syringes - 2 ml
Syringes - 0.1 ml
Syringes - 5 ml
Needles - 20 G
Needles
23 G
Needles - 26 G
Drum sterilizer
ILR 300 liters
Chest freezer 300 lits.
Voltage stabilizer
Ice packs
Glass syringes
Received
9
3
287
287
59
241
301
900
3870
1530
310 boxes
5480 boxes
3050
Used/installed
9
3
167
167
25
204
239
310
1135
1518
310
2500
975
48 I
2 I Supplied during
I
I
11
I
March 90
2466 J
11450 ( do not fit into the
holes of the pressure
cooker supplied by
Unlcef).
O.P.V. POTENCY TEST
1.
2.
3.
No.of samples sent for testing
No.of results received
No.found satisfactory
1989-90
1990-91
35
29
22
45
27
20
p
6
DISEASE SURVEILLANCE ( 0-5 YEAR OLD CHILDREN)
Diseases
1988-89
Cases Deaths
1990-91
1989-90
Cases
Cases Deaths
Deaths
1. Diphtheria
2. Pertussis
3. Tetanus Neonatorum
4. Tetanus (others)
5. Polio myelitis(ac.)
6. Tuberculosis
(Childhood)
7. Measles
8. Typhoid fever
306
52
9
4
3
1
3
3
1
191
1
157
‘1
DETAILS OF ADVERSE VACCINATION REACTIONS AND DEATHS
None reported.
r
6
7
GENERAL INFORMATION
»
1.
Total No.
2.
Minimum Mo.
of houneo vieitod
Maximum No.
of houses virited - Mothers 111t
4.
Average No.
of houses visited per cluster - Mothers 55.55,
Children 58. 27
5.
Minimum time spent (in minutea) - 120
6.
Maximum time spent (in minutes) - 355
7.
Ave rage t i me spent (in mLnutes) per cluster - 211*35 Min.
8.
Ho.
9.
Total population enumerated to get 210 children - 10,540
of houses vicited in 30 clusters
20 5Q
Mothers 28, Children 20
Children 97
of house holds vi cited to get 210 children -
1748
of house holds visited to get 210 Mothers of infants -
1666
1 0.
No.
1 1.
Total population enumerated to get 210 Mothers of
infants - 95 92
1 2*
Average sine of family - 5*78
1 3*
Total Mo.
14.
Crude birth rate - 21* 99 (1 990)
1 5.
Total No.
1 6.
Total live birth in last one year - 2146
of live births
211
of 0-5 -year' old children - 10,364
#
8
:
*
COVERAGE FIGURES (l2-23 MONTHS CHILDREN)
of 12-23 months children -
Total No.
210, Male 10 2, Female 108
IMMUNISATION C/iRD AVAILABLE - 81 (38.57#)
HO T AV AlLABLE -129 (61.43#)
Antigen
No.
(^)
B. G.G.
Sour pro cent (out of* 184)
184
166
(87.6 2/5)
(9O.22?5)
D.P.T. -
163
(77.62^)
1
B.P.T. - 2
157 ( 74 . 76$)
D.P. T. - 3
147 (70.00/5)
DROP OUT RATE (l-3)
D.P.V.
16
(
(77.^2^)
163
- 1
9.82^)
ty.P.V. - 2
158 (75 >2425)
Jl.E.V. - 3
148 (70.48$)
15
DROP OUT RATE (l-3)
(
116
MEASLES
9.20$)
(55.24$)
Ful1y Im muni ce d
110 (52.38$)
P azti al 1 y I mmuni c e cl
91
Hot Immuni red
9 ( 4.29$)
(43.33$)
Fully inmuniced children form 52.38$t vrhe n i mmuni c ati on
»•
i
ac per the recommended schedule ie the criteria.
II o wev e r , vzhe n
6 children who were given meaclee. within 15 months are alco
considered, the coverages is 55. 24$.
One child was not given
Measles Vaccine, since it had an attack of Measles and is
t
■j
considered && partially immunised in this table.
SOURCE OF IFWiaSATlON
)
)
I
I
t
II. C.
Outre ach
Private
B. C. G.
44 (27. 91^)
125
(6 7. 93#)
15
( 8.1&#)
0
DPT 1
DPT 2
DPT 3
33 (20.25;^)
24 (15.29^)
23 (15.65/^)
1 10 (6 7.48#)
108 (6 8. 79#)
102 (6 9.39#)
14
16
15
( 8.5 9#)
(10.19#)
( 10. 20#)
6 ( 3.68$)
9 ( 5.73$)
7 ( 4.76$)
OPV 1
OPV 2
OPV 3
29 (17. 79^)
27 (17.09#)
26 (17.57#)
1 12 (6 8. 71#)
1 10 (6 r1.6 2#)
100 (67.57#)
14
13
13
( S.59#)
( 8. 23#)
( 8.78#)
8 ( 4.91$)
8
5.06^
6.08/5
9
(17.24#)
S3 (71.55#)
10
( 8.6 2#)
3 (
•
Me aelea
i
Hoc pit al
Antigen
20
2.59$)
9
Hospital and Health Centre v/ere together the leading
source of B.a.G.
(91-8459, DPT & OPV (85.04^ to 87.73,^)
MeosleB (88.79%) •
and
Only one in every tenth antigen was received
through outreach activity.
REASONS FOR IMMUNISATION F/1ILURE
P.I.(91)
bcg/dpt/opv
I.
1.
2.
4.
5.
6.
8 ( 8.79$)
Unaware of need
Unaware of need to
10 (10.99$)
return for 2/5 dose
P1 ac e /1 i me o f
0
immuni ration.
unknown
Fear of side
1 ( 1.10$)
reactions
Wron^ ideex? about
contra. - indication
0
Othere
0
1.10$)
0
0
0
0
0
8 ( 8.79$)
5 ( 5.4 9$)
0
0
0
0
0
0
0
5 ( 55.55$)
III.
OBSTACLES
1.
2.
5.
7
Place too far
Time inconvenient
Vaccinator not
1
present
Vaccine not
1
avui 1 abl e
8
Mother too busy
F a mil y p r o bl e ms
Child ill, not
brought for immunisation
ChiId ill, brought,
n ot i mmunired
1
Lon# waiting time
1
Chi 1 d a f r ui d of
injection
1
Opposition at home
V/i'on^ timing - Late
Early7
Attack of measles
9.
10.
1 1.
1 2.
15.
(55.55$)
0
5.
4.
8.
5
0
Postponed till
another time
No faith in
i mmuni rati on
Rumours
Others
6.
7.
10 (10.99$)
0
1.
5.
(9)
0
LACK OF MOTIVATION
4.
N.I.
Measles
LAC]: OF INFORMATION
II.
2.
r.i. (91)
1
(
0
0
( 7.6 9$)
0
5
0
( 5.50$)
0
0
( 1.10$)
3 ( 5.50$)
0
(1. 10$)
( 8.79$)
0
0
8 ( 8.79$)
0
0
0
0
0
5 ( 5.50$)
0
1. 10/<
1. 10$
5 ( 5.50$)
0
0
0
1.10$)
0
0
0
0
0
0
( 6.5 9$)
1. 10$
1. 10$
(
6
1
1
1
0
(11.11$)
0
0
0
:
10
Children who were partially immunired due to not
receiving one of the
antigens ( ]3CG-/0PV/dpT)
numbered 47 (51.65%)
and the most common reason was ’Unaware of need to return for
2/ 3 do ee ’ .
Partially immunired children who had not received measles
numbered 44 (43.35%)
and the most common reason wae • Un ware of
need for immunisation’.
Problems that could be solved by outreach activities ’Mother too busy’,
’Time/piece inconvenient• and ’Long waiting time’
accounted for 27 (29.67%)
pf partially immunised children.
DROP OUT RATES
o.r. V.
D»P» T,
( 3.68^)
I & II dore
6
II & III dope
10 ( 6.37%)
I & III doee
16
(
5
( 3.07%)
10 ( 6.33%)
15 (
9.82%)
9.20%)
Di’op out rates for both OPV & DPT are higher between II &
III do$e than between I &. II dope*
f
INITIATION pg JEfTlttBNSt
0-1/2 M.
3. 0. G.
184
D.P. T. 1
163
O.P.V. 1
163 Measles
116
i .4(6 1. 96%)
1/2-3M
4 M.
6 M*
5 M.
8 M.
7 M.
9 M.
10 H,
11
12 M.
I
56 ( i9.57^)
19( 10.55%)
4(2. 17%)
3(1.63^).
,(0.54/^)
i(0.54^)
4^2. 17^)
0
0
2(1.09^)
0
120(75.6 2%)
30(18.4O/0
10(6.1350
1 (O>61^)
0
2(l. 25%)
0
0
0
0
0
120(75.62%)
30(18.40%)
10(6.13%)
1 (0.61%)
0
2(l.25%)
0
0
0
0
0
0
0
0
0
0
1 (0086%)
0
86(74.14%) 16(13.79)8(6.90%)
12 + Month. - 6
The number Ox children receiving immunisation with 3.0.0. , D.P.T.
age was respectively 61.96%, 75^6 2%, 73*62% & 74.14%.
1 , O.P.V.
(5.17%)
1 , & Measles a± ■h.Q eaz'liee't zreconunended
COMPIx»TION 0? IMMUNISATION (Fully TBanurH. peri)
10 - 12 Months
12 + Months
Male
Female
57 (95.003)
53 (94.64%)
3 (5.00^)
3 (5.36^)
Total
110 (94.83%)
6 (5.1735“
57 of the fully immunised were males (55.88%) of all males, and 55 of the fully immunised were femaxes (4 9.07%)
of all females.
CTbmoletion of the 12 months by 6 children was considered as partially immunised.
O^O 6 A
COMMUNITY HEALTH CELL
326, V M'
I Olock
Koranicngpia
Bangalore-660034
India
12
COMPARISON WITH PREVIOUS SURVEY DATA
(figures in percentage)
a. e. s.
Dec.
1989
J an.
C.E.S.
71.90
87.6 2
76.19
70.00
10. 1 1
9.82
O.P.V. 3
75.71
70.48
Drop out rate
Me aSles
10. 17
9. 20
37.62
55.24
Pul1y Im muni red
34. 29
52.38
Partially Immunised
52.38
43.33
Not Immunieed-
13.33
4. 29
B. C. G
B.E. T.
3
Drop out rate
1 991
The most significant changes in coverage figures as
compared to 1989 Surzey are in BCG & Measles Antigens which are
reflected in the fully immunised and partially immunised category.
C0MP.ARIS0N OF MOTHER COVERAGE (pigurer in percentage)
Dec.
0. E. S.
1989
C. E. 0.
1991
TT - 2/B
70.95
77.73
Fully Immunised
70. 95
77.73
Partially Immunised
5.24
6. l6
Not I mmunl red
23.81
16. 11
There are no rignificiant changes in Coverage figures
for TT and the maximum change hap occurred in the not immunised
category (7*70^ decrement).
COMPARISON WITH REPORTED COVERAGE (Jan. 89 - Dec.
Achievement
89)
Survey Recults
BCG
88. 18^
87.62^
DPT 3
70.92$
70.00^
3
70.30$
70.48^
56.01$
55. 24^
opv
Meas'1 ee
There are no significant difference in reported
covenage & Survey Resuits.
r
:
13
K. A.P. OF RELIABLE RESPONDENTS
(l2-23 months children)
■ I-
I*
USE OF INJECTION/DROPS
1.
2.
Maintains health
Prevent sicknees
Prevent disability
Prevent death
Others
Don’t know
11 10.00%:
65 59.09%
6.
7.
8.
Polio
Tuberculosis
Diphtheria
Pertussis
Tetanus
Measles
Others
Don’t know
65(59.09%)
21 ( 19.09%)
20(l8.18%)
24(21.82%)
37(33.64%)
43(39.09%)
12(l0.9l%)
42(38.18%)
III.
SOURCE OF IMMUNIZATION SERVICES
1.
2.
3.
Government Hospital
Outreach
Private
ft.
DAY OF AV Al LABI 11TY OF IMMUNISATION SERVICES
1 ©
Any day
Fixed day
Don1t know
3.
4.
5.
6.
II.
1.
2.
3.
4.
5.
5
19
DISEASES PREVENTED BY THESES INJBCTIONS/DROPS
91(82.73%)
16(14.55%)
3 ( 2.73%)
3(33.33%)
0
0
0
2(22.22%)
0
0
7(77.77%)
80 ( 87.91%)
6( 6.59%)
5( 5.49%)
2(22.22%)
2(22.22%)
0
V.
1.
2.
3.
4.
OFV
DPT
BCG
Measles
VI.
CORRECT NUMBER OF DOSES OF INJECTION/DROPS
1.
2.
OPV
D2T
BCG
Measles
3.
3.
4.
VII.
1.
2.
3.
4.
5.
81(73.64%)
73(66.36%)
77(70.00%)
78(70 . 91%)
1(11.11%;
1(11.11%
1(11.11%.
0
2](22.22%;
4(44.44%;
24 ,26.37#)
11 12.09%)
2 , 2.20%)
2
2.20%)
14 15.38%)
9
9. 89%)
24 26.37%)
42 46.15%)
2 1.82%) 16(17.58%)
107(97.27# 59(64.84%)
12(l3.l9%)
1 0© 91
CORRECT AG-E FOR GIVING- INJECTION/DROPS
2.
1
8
2
12(t3.l9#
48(52.75#
7. 27%
3 3.30%)
1.82%:
0
4.55%)
3, 3.30%)
. . ,
17.27%) 28(30.77%)
44(48.35%'
38 41.76^
40 43.96^'
3l(34.07%)
0
5(55. 55%)
4(44.44%)
l(l1.11%)
l(l1.11%)
0
l(l1.11%)
95(86.36%)
92(83.64%)
88(80.00%)
80 (72. 73%)
50(54.95%)
53(58.24%)
59(64.84%)
38 (41.76%)
1(11.11%'
l(l1. 11%
3(33.33%:
0
64 58. 18%'
21 19.0 9%
8 7. 27/&
5
4.55%;
12 8e 39%,
41 45.05%)
40 43.96%)
5 5.49%)
1.10%)
1
4 4.40%)
3(33.33^
3(33.33^,
0
0
0
DECISION MAKER IN THE FAMILY
Mother
Father
Mother-in-law
Father-in-law
Others
r
14
K
a
R
VIIle
SOURCE OF INFORMATION
1.
2.
3.
4.
5.
6.
7.
Health Worker
Anganawadi Worke r
Medical Practitioner
Newepape r/P o ete r
Re1ative e/Ne ighhours
Others
No information
PI (11O)
PI (91)
NI (9)
84(76.56%)
6( 5.45$)
12(10.9l%)
6( 5.45%)
9( 8. 18%)
6( 5.45$)
0
52 57.14^
10(10.99%
5 5.49%)
0
10(10.99%)
3( 3.30$)
11 (12.0 9$)
4(44.44%)
0
1(11.11$)
0
0
0
1 ( 1 i . 11 $)
Reliable Respondents of the 12-23 month old children mostly
felt that the Antigens prevented sickness, H4(54.29%) , while
5l(24.29%) did not know their utility.
Awareness of the Vaccine preventable diseases varied between
43.81% for Polio & 10.48% for Diphtheria,
9l(4>.33$) did not know
any of the diseases prevented.
Goran one st mentioned sources of Immunisation was Government
Hospital or Health Centre,
173(82.38%), and services were mostly
thought to be on a fixed day, l7l(8i.43$).
5 Respondents in the
Hot Immunised Category did not know the source of i ran uni sati on.
The knowledge of correct Age & No.
of Dosee was highest with
regard to OPV (6O.OO/6) and (6 9.52$) respectively,
It was lowest
for Measles (52.38$ & 56.19$ respectively) o
)-
The Decision to immunise the child was taken mostly by the
mother herself (51.43$) and the commonest source of information
was the Health Worker (66.66$).
i
I
I
I
i
I
1
r
i
s
15
liOTHER COVERAGE
Total No.
of Pregnant Women - 211
C ar d av ai 1 able
- 83 (39.34%)
N o t ev d i 1 a bl e
- 128(60.66%)
Total
C ord
Hi atory
1
70
98
168(79.6 2%)
TT - 2,
69
86
155(73.46%)
Booster
7
2
9( 4.27%)
TT -
164
(77.73%)
Partially Immunised
13
( 6.16%)
No t I mmuni r»e d
34
(16.11%)
Full y I mmuni a e d.
Out of 83 pregnant mot here who had a card 6 (7 «23$)
remained unimmunired and l( 1.20/9
partially immunised,
those who did not have a card, 28(21.88?9
12(9.38/9
Among
were unlrununieed and
were partially immunised.
SOURCE OF IMMUNISATION
IT -
1
IT - 2/B (164)
(l68)
HOSPITAL
58(34.5^)
56(34.15%)
HEALTH CENTRE
90(53.57^)
84(51.21%)
OUT REACH
6( 3.57^)
10( 6.10%)
PRIVATE
14 ( 8.33%)
14( 8.54%)
Hospital & Health Centre together accounted for 66.35'^
of S!T 2/B dose.
ANTBI-IATAL CONIACTS
No.
Number (percentage)
of contacts
96
or more than 5
( 45.50%)
89 (42. 18%)
1 - 3
26
0
(12. 32%)
80RVICBS DURING A. N. C.
No.
Nil
1
2
3
4
of Times
Urine Examination
B.P.
Check Up
Hb%
(48. 34%)
(18.48%)
( 14.6 9%)
(l6.11%)
( 2.37%),
102
25
27
42
15
48. 34%)
11.85%)
12.80%)
1 9. 91%)
7. 11%)
104(4 9. 29%)
4 7(22. 27%)
32(15.17%)
28(13.27%)
0
102
39
31
34
5
16
:
Pregnant women who had at least 3 or more antenatal
contacts numbered 96(45.50/0
wliile the minimum criteria of at
least 3 invectigationn each, vras true
and 28(13. 27$)
of only 39(18.48%), 57(27.01$)
for Urine Examination, B.P.
Checkup & Hb$
estimation respectively.
IRON & Kmc ACID TABLETS CONSUMED
Number( $
60 (28.44$
100 or more
1
104
100
(49.29$
47 (22.27$
Mo tablete
Totally 164
(77.73$
pregnant women concumed Iron and
Folic Acid tablets and 60(36.59^)
of these took 100 or more
tn.ble te »
PLACE OP DE II VERY
Numbe r ( $)
Iloepit ol/Health Centre
6 2 (29.38;$
Homo
143
6
Private Nurein/7 Home
(67.77$
(
Others
2.85$
0
DELIVERY ATTENDED BY
Number ($)
Doc tore.
28 (13. 28$
Health Staff
59
(27 . 96$
Trained dal
21
(
Untr ai ne d dai
41
(19.43$
Othe re
62 (29.38$
9.95$
Delivery vzor conducted at equipped centres for
68(32.23$)
of the deliveries with doctors attending 28(41.13$)
of t he a e.
Qualified personnel conducted the delivery of 108(51.18$)
infante.
The
•Others’
category refers to a relative etaying at
home or some one pacpcing by or even no attendants.
• ••••
••••••
INITIATION ON TT IMMUNISATION
- 3
MONTHS C?
4
13( 10.71$
TT - 1
8
9
Tot al
26(19.43^)
37(22.0^
20 (11.90;'i)
4(2.33^)
0
168
7
8
9
Total
65 (3O.:31%)
2i(l3.55^)
9(5.31-5)
155
3(33.33^)
1.(11.11;’)
0
9
6
63(37.50^)
COMPLETION CJ? IMMUNISATION
r
MONTHS CP PREGNANCY - 3
TT - 2
Booster
7
5
4
5
0
10(6.45^)
I9(i2. 26;>)
Q
0
3(33.33^)
6
31 (20.0 0,0
2(22. 23^)
107 of mothers (50.71$ had been initiated by 5th month, which is usually the period cf
initiation, but only 60(56.07$
month dor-age interval.
of these were immunised by 6th month indicating a gre ate r t han 1
8*
18
K.A.F. OF RBLIAB.bE RESbOIWENTS (O-12 monthe Infante)
FI (155)
I.
USB OF INJEC'l'ION/jDROPS
1.
2.
3.
4.
5.
6.
Maintains Health
Prevents Sickness
Prevents disability
Prevents death
Others
Don1t know
II.
DISEASES PREVENTED BY INJEOTION/DROPS
1.
2.
3.
4.
5.
6.
7.
8.
Polio
Tuberculosis
Diphtheria
Pertuseia
Tetanus
Measles
Others
Don’t know
III.
SOURCE OF imUNISATION SERVICES
1.
2.
3.
Government
Outreach
Private
Hospital
22(14.19$;
72(46.45$
9( 5.81$;
1l( 7.10$,
13( 8.39$
28(18.06$,
56 36.13$;
34 21.94$,
10 6.45$;
7 4.52$,
59 25.16$
27 17.42$;
9 5.81$,
62(40.00$)
FI (22)
NI (34)
8(36.36$) 4(11.76$)
10(45.45$) 14(41.18$)
>
0
1 ( 2. 94$)
2( 5.88$)
1( 4.55$)
0
6(17.65$)
4(l8. 18$)
9 ( 26.47$)
16(72.73$)
1O(45>45$)
3(13.64$)
3(13.64$)
9(40.91$)
5(22.73$)
7(20.59$)
3( 8.82$)
l( 2.94$)
0
3 3.82$)
5(14.71$;
1( 4.55$)
2 .5.88$^
17(77.27$) 11(32.35
128(82.58$)
27(l7.42$)
fr.
17(77.27$
4(18.18$
q
1 4.55^
DAY OF AV Al LABI 111’Y OF IMMUNISATION SERVICES
24(70.59$
4(11.76$
2 5.38$
1.
2.
3.
Any day
Fixed day
Don’t know
2 9.0 9$
19(86.36$;
1 4.55$
4(11.76$)
19155.88$)
1l(32.35$)
V.
CORRECT AGE FOR GIVING INJECTION/DROPS
1.
2.
3.
4.
OPV
DPT
BCG
Measles
14(63.64$)
13 5 9.0 9$)
15 68. 18$)
10(45.45$)
10(29.41$'
8(23.53$)
7(20.59$)
9 ( 26.47$)
VI.
CORRECT NO. OF BUSES OF INJEai'ION/DROFS
6
3.87^)
149(96. 13$)
0
96 (6 1.94$)
93(6OrOO$j)
99(63.87$)
77(49.68$)
OPV
1.
101 (65.16$)
DPT
2.
97(62.58$)
BCG
3.
102165.81$)
Measles
4.
88(56.77$)
VII. DECISION MAKER IN THE FAMILY
1.
2.
3.
4.
5.
Mo the r
Father Mother-in-law
Father-in-law
0 the re
86 (55.48$)
44(28.39$)
b(
5.16$)
1l( 7.10$)
6( 3.87$)
17(77.27^ 13(32.35^)
14(63.64$) 10(29.41$)
17(77.27$) 12(35.29$)
13(59.09$)
7(20.59$)
18(81.82$)
3(i3.64$)
0
l( 4.55$)
0
14(41.18$)
10(29.41$)
4(11.76$)
0
6(17.65$)
19
*1
■
!
FI (155)
FI (22)
NI (34)
VIII.
source of information
1.
2.
3.
4.
5.
6.
7.
17(77.27#
3(13.64#
5(22.73#:
0
5(22.73#:
2 9.0 9#
0
22 64.71#)
2. 94#)
1
2. 94#)
1
2. 94#)
1
4 11.76#)
4 11.76#)
2. 94#)
1
IX.
Health Worker
129 83.23#)
Anganawadi Worker
7 4>52#)
7.10#)
Medical Practitioner
11
Newspaper / Poster
6
3.87#)
Relatives / Neighbours
9 5.81#)
Others
9.03#)
14
Don’t know
2
1.29#)
INTENTION TOWARDS IMMUNISATION
1.
2.
3.
4.
5.
Yee
Already started
Completed
No
Others
17(77. 27#)
16(72. 73#j
4(l8.i8#)
l( 4.55#)
l( 4.55#)
22(64.71/^
13(38. 24^,
5(14.71^
1 ( 2. 94^
2( 5.88?6,
97(62.58#)
131(84.52#)
24 (15.48#)
0
0
Reliable Respondents of 0 - 12 Months old Infants mostly felt
that the Antigens prevented Sicknese (45.50#) and (l9.43#)
did not
know the use of Antigens.
Folio was the disease thought to be prevented by most people
(37.44#) while only (4.74#) knew about pertuesia.
Commonest mentioned source of immunisation was Government
Hospital or Health Centre (80.0 9#) and services were mostly thought
to be on a fixed day (88.63#) •
4 Respondents did not know the
source of imnunisation.
Knowledge of correct Age & correct No.
of Doses was roughly
equal for all antigens except Measles which was lower.
wae mostly made by the Mother (55.92#)
Decision to immunise was
and the commonest source of information was the Health worker
(79.62#).
-
I
Only 2 Reepondente refused to get the infant immunieed.
!
20
COVERAGE FIGURES (l/2 to 11 monthinfante)
Total No.
of infants - 195
0and aveii 1 able
137(70.26%)
No t avai1able
58 (29.74%)
Ant i&en
I
i
No.
100
(%)
B. C, 0.
181
HPT 1
(84. 1OJ0
140 (71.79%)
99 (50.77%)
(92.82%)
Scar present out of (137) 156 ( 86.1 9%)
OPV 1
162 (SJ.OS^y
OPV 2
138 (77.44%)
OPV 3
97 (4 9. 74%)
1^4
DPT 2
DPT 3“
j
Female
Male - 95
(11.28^)
Mecole e
22
Fully immunised
(11.28%)
101 (51.79%)
60 (30.77%)
12 ( 6.15%)
22
Partially Immunised uptodote
Leer than due
Not Immunised
Si nc e no c one 1 u si one c on be drawn from the figures
as the i mmuni r,ati on in this group is ongoing , the only
indicator is the number of fully immunised B-lus the number
who are immunised up to date-toyether forming 123(63#08/v)
of infants.
The not immunised category indicates the
non-receipt of BCG due to delivery being at home.
r
21
•
SOURCE OP IMMUNISATION
HOSPITAL
HEALTH CENTRE
OUTREACH
1O8(5 9.6 7?S)
28(15.47%)
2(1.10%)
(l64)
23(14.0 2%)
92(56.10%)
42(25.61%)
7(4.27%)
WT 2(14})) 23(16.43%)
80(57. 14%)
29(20.71%)
8(5.71%)
DPT 3(99)
17(17.17%)
56(56.57%)
19(l 9. 19%)
7(7.07%)
OPV 1(162)27(16.67%)
94 (58.0 2%)
34(20.99%)
0?V 2(138)26(18.84%)
77(5 5.80%)
27(19.57%)
7(4. 32%)
8(5.80%)
OPV 3(97)
24(24.74%)
52(53.61%)
14(14.43%)
7(7. 22%)
Me aele e
(22)
6(27.27?$)
12(54.54?$)
4(18.18%)
0
BCG (l8l) 43(23.76%)
DPT 1
PRIVATE
Hospital & Health Centre were together the leading source of
immuniration for all antigens with outreach contributing 14.43$
to 25.61$
REASONS FOR IMMUNISATION FAILURE
(l1/2 to 11 nionthr)
PI (60)
(bcg/opv/dpt)
PI (60)
(Meaelee)
NI (12)
7(11.67/%)
1(1.67%)
4(33.33%)
I.
JU?-ok of informe.ti on
1.
Unaware of need
2.
Una-ware of need to
return for 2/3 dore 4( 6.6 7?>)
0
0
3.
P1ac e/11me not kmown
0
0
l( 8.33%)
4.
Fear of ride reaction
0
0
0
5.
V/r o n^ 1 de as about
Contra indication
l( 1.6 7%)
0
0
0
0
0
6.
01 he r b
CH ITA
OJZOAl
A NG
r
I
:
22
:
PI
(bcg/opv/dpt)
PI
(60
(Measlee
NI
(12)
II.
Lac k of mo ti v ati o n
1.
Portpone till nno t he r t i me
7(11.6??9
1(1.67^)
1 (8.^:5;$)
2.
Ho faith in
i mmuni. r a ti on
0
0
1(8.33%)
5.
Rumours
0
0
0
III.
Obrt o.cler
1.
Place too far
1 1 (18.33%)
0
0
2.
Time inconvenient
l(
1.67%)
0
0
3.
Vaccinator a b r e nt
0
0
1(8433%)
4.
Vaccine not avai
lable
2( 3.33%)
1(1.67^)
0
5.
M ot he r too bus y
14(23.33%)
3(3.00%)
0
6.
Family problems
1(1.6 7%)
7.
Child ill, not
bro ught
8.
Child ill,
not given
•
0
1(8.33%)
0
1(8.3
0
0
0
L ong w ai ti ng t i me
0
0
0
1 0.
Opposition of eldersl(
1.67%)
0
1(8.33%)
1 1.
Child too young to
be t eke n out
1(
1.6 7^)
0
0
Attitude of health
staff
1 (" 106 7?0
0
0
Wrong time
l(
1.6 7/’O
0
0
9W
1
(60)
1 2.
1 3.
broughtr
An infant which had not been immunised with antigens at
the e c.rLi e r t re c o mme n d ed. age or war
n ot i mmuni e.e d, was c 1 tic s i f i e d
ar
• Fai lure of Immunianti on*.
The commonest overall re aeon was
•Mother too bury*.
f
is
23
I
LAl-lBNiiSS SURVBY
7
Mo.
of 0.- 5 Year old children - 10 >364
No.
of Lame children
Chup e of Lame ne s e.
P oilomyeli ti b
Trauma
24
Ho. (%)
14(58.33%)
0
Congenital
9(37.50%)
01 he re ( TBM)
1 (4.17% )
Lameneer due to Folio - 14
Rote/1000 c hi 1dron
1.35
i
AGE & SEX DISTRIBUTION OF POLIO LAI1E CHILDREN
14 ale
Fe male
Total.
0 - 6 we c ke
0
0
0
7 — 14 weeks
0
0
0
15 weeks - 6 months
1
1
2(14.29%)
2
1
3(21.43%)
2 Years
0
7
7(50.00%)
3 ye arc
0
0
0
4 Ye arc
1
0
l( 7.14%)
5 Ye crs
0
1
1( 7.14%)
4(20. 57%)
10(71.43%)
■
L
I
7 -
12 months
Tot al s
i
14
IMMUNISATION STATUS OF POIIO LANE CHILDREN AT TIME OF ATTACK
Male
Fe mill e
Nil
0
5
5(35.71%)
1st dose only
2
1
3(21.43%)
2nd. do ro
0
3
3(21.43%)
3rd do re
2
1
3(21.43%)
Booster
0
0
0
I
Tot el
PROVOCATIVE POLIOliYEH TIS
History of provocation
TTumbe r (%)
Ye b
1
(7.14%)
No
13
(92.86%)
r
24
ACrB 01? ONSET OF LAMENESS
Male
Folio
Female
Male
Others
Fe mal e
0
0
4
4
8(33.33%)
7 weeks 12 Mth. 4
4
1
0
9(37.50%)
2 Ye are
0
6
1
0
7(29.17%)
3 Years
0
0
0
0
0
4 Ye are
0
0
0
0
0
5 Years
0
0
0
0
0
C nur e
i
>
I
I
i
0-6 weeks
T ot al
CALENDER YEAR OF SURVEY
Number
I
(^)
1990
4
(28.57%)
1989
1
( 7.14%)
1988
4
(28.57%)
1987
4
(28.57%)
i96e
1
( 7. 14%)
1
NEO NATAL TETANUS SURVEY
No. of live births in last one year
2146
No. of Neonatal deaths - Male - 6, Female - 6
12
No. of Neonatal deaths due to Tetanus - 2(Mal9 - 1,, rvwtj.e
i;
Fe mele - 1)
Neonatal death rate
5.59/wOO Live Births
Neonatal Tetanus rate
- O.93/1OOO Live Bii'the
BIRTH ATTENDANTS FOR' IOTT ONLY
-
(^)
Number
0
0
0
2( 100.0075)
0
0
Health staff
Trained dai
Untr ai ne d dai
Family members
Others
None
PLACE OF DELIVERY & N.N. T.
I
I
Hospital/Health Centre
Home
Others
—
0
2
0
MEDICAL CARE AT SICKNESS
GrOvt. Institution
N. 0. 0. /Private
Insti tuti on
Unqualified practioner
No treatment
0
0
0
2
IMMUNISATION STATUS OF MOTHERS
No t Im muni r e d.
1st dore
2nd dore
Boorier dore
1 (30.00^)
0
0
1(50.00^)
f
u
25
:
COLD CHAIN SURVEY
During the coverage Evaluation ^urvey, 13 P.H.C.’s of
concerned clusters were visited for the purpose of Cold Chain
Survey based on their proximity to the selected clusters. The
Cold Chain Survey was carried out as per the proforma provided
by Directorate of Health and Family Welfare Services, Bangalore.
The findings during the survey are summarised here.
1.
Medical Officers in 12 of 13 PHC’s had undergone U.I.P. training
2.
The persons in charge of Cold Chain equipment were M.O.H. -1 PH C,
Pharmacists, - 5 PHC’s, Health Inspector Senior - 2 PHC’s
L.H.V.’s - 3 PHC’s, A.N.M. - 2 PHC’s. All of them had under
gone U.I.P. training.
3.
Refirgerators had been supplied to 6 PHC’s out of which 5 were
being used. Location of the refrigetator was M.O.H. Room 3 PHC’s, injection room - 1 PHC, Store Room -1 PHC and Pharma
cists Room - 1 PHC.
4.
All the 6 refrigerators were placed at a distance of 10 Qns
from the wall/ all were level, the plugs were permanently
taped to the wall with switch taped in ON position and voltage
stabiliser was being used in all of them.
5.
Vaccines were neatly stacked in 2 of the refrigerators,
1 refrigerator was not in use and 3 did not have vaccines as these
were being stored in I.L.R.
%>.
In the 2 fefrigerators being used regularly - the vaccines
were stored in the correct places.
7.
Ice packs were kept neatly in freezing chamber in all 5
refrigerators and temperature charts were regularly maintained.
8.
Periodicity of defrosting was weekly - in 3 PHC’s, every
2 weeks in 1 PHC, occasionally in 1 PHC. None of the Refrigerators had fifiod/drinks stored in them.
9.
All the 12 PHC’s had cold boxes which were in working condition
10.
Vaccine carriers in PHC’s ranged from 2-10 (Av. 4.77)ill of
which were in working condition.
11.
Ice packs in the PHC’s ranged from 20-54 (Av-36.62) only 1
26
out of 476 Ice packs was not in working condition.
12.
Day carriers ranged from 1-10 (Av. 3.62).
were in working condition.
13.
I.L.R.8S were supplied to 10 of the 13 PHC’s.
All of which
EVALUATION OF I.L.R.
I.L.R.’s had been supplied in 10 of the 13 PHC's and
one of these was not being used due to severe voltage fluctuation.
The evaluation was done as per the proforma provided.
1.
Persons-in-charge of the ILR were - ANM's - 4 PHC’s LHV’S 3 PHC’s, HA (F) - 2 PHC's, Pharmacists - 1 PHC. All of them
had undergone UIP training.
2.
The ILR was supervised by pharmacists in 7 PHC’s and Medical
Officers in 3 PHC’s. All of them had undergone UIP training
as well as training in ILR maintenance.
3.
All 10 persons stated that voltage stabiliser is a must
for ILR.
4.
Regarding water level in vertical tubes, 6 said it must be
filled upto 3/4 of the tube, 2- upto 2 cms below the brim
and 2 said it must be filled upto the brim.
5.
The need for regular defrosting was indicated by 8 of them/
When the ILR was emptied the vaccines were stocked in Cold
Boxes - 3 PHC's, Vaccine Carriers - 3 PHC's, Refrigerators
- 1 PHC’s, Ice pack - 1 PHC, 2 of the persons were ignorant
of the place -too store vaccines.
6.
Ice packs were prepared in Deep Freezer in 9 PHC's and
Refrigerator in 1 PHC’s.
7.
The duration of power supply needed to maintain desired
temperature for 24 hours was stated to be 8 hours - 2 person,
12 hours - 4 persons, 24 hours - 2 persons and not known in
2 persons.
8.
All 10 stated that normal ILR temperature should be in the
o
range 2-8 c, with 9 saying that dial thermometer should be
i
i
i
:
27
:
placed near the lid and 1 saying that it should be kept in
the middle of the ILR*
OBSERVATIONS
1.
The temperature was maintained within normal range in all
9 ILR^s which were being used. One of them was found to
be badly maintained#
2*
Stabiliser (voltage) was working in all 10 PHC’s, but the
plug was not permanently plastered in 2 PHC’s.
3.
The level of the ILR, its distance from the wall and
presence of caps for all vertical tubes were all as specified.
4.
In 1 PHC'x the vertical tube was not filled properly with
water.
28
:
SUMMARY
CHILD COVERAGE SURVEY ( 12.23 months children)
4
1. Fully immunised children formed 52.38% of the 210 children
covered and 4.29% were not immunised.
2. Hospital and Health Centre were the major sources for all antigen
3. Among the reasons for immunisation failure ignorance of the need for
immunisation/ Mother being too busy & ignorance of the need to
return for further doses were prominent.
4. Initiation of immunisation was as per the recommended schedule
in 61.9% to 74.14% of children.
Completion within the recommended
period was achieved in 95.97% of children.
5. Overall drop out rate was 9.82 % and 9.20% respectively for DPT
AND OPV.
6. There is a significant improvement in coverage figures especially
measles as compared to December 1989 survey, with a corresponding
increase in the fully immunised category.
7. Comparision with reported Coverage during the same period shows
agreement for all antigens.
8. Knowledge of Diseases prevented by immunisation was low, while
the place (Mostly health centte) and time of immunisation (mostly
fixed day) was known to a majority of respondents. The decision
to immunise was mostly mace by the mother.
MOTHER COVERAGE:
1. A low card availability ( 39.34%),77.73% fully immunised/ 16% not
immunisee with a 10% partially immunised are the prominent features.
2. Hospitals and. Health centres were the leading Sources of immuni
sation with private sources accounting for more immunisation than
outreach activities.
3. Less than half (45.5%) of pregnant women received the minimum of 3
ante-natal contacts while only about 20% of them had the basic
examinations (Hb% estimation/ Urine examination and B.P. check-up)
3 times.
4. Only 28.44% consumed the requisite imlnmum of hundred Iron and
Folic acid Tablets. 22.27% had not even received any tablets.
5. The usual place of delivery was at Home (67.77%) and it was usually
attended by untrained Dai/ Mothers* or Trained Dai.
6 • By the 7th month 164(77.73%) of the 211 pregnant women were given
TT-1 and by 8th month 146(69.19%) had been given 2nd/feooster dose.
.2.
\ >
- 29INFANT COVERAGE:
1. 195 infants of the 211 pregnant women within the age group of 1^ 11 months were covered.
2. Card availability was 70.26%.
3. Taking the earliest recommended time of initiation as the criteria
101 (62.73%) of the partially immunised infants were upto-date and
22 (11.28%) were fully immunised.
4. The source of immunisation was mostly either the Hospital or Health
Centre for all the Antigens.
5. Immunisation failure was concluded when the child had been immunised
•less than due1 or Not immunised. The commonest reasons being place
of immunisation too far, mother too busy, t>r ignorance of the need
to return for 2nd or 3rd doses of DPT & OPV.
6. Respondents of about 20% of infants were ignorant of the use of
injection/drops, while knowledge of diseases prevented was incomplete.
Government Hospital was the commonest source cited and a fixed day
of availability was widely known, knoledge of the correct age and
correct number of doses of antigens was present in about 50% of
the respondents. Aided by information mostly from the Health worker
(79.62%), the mother was the usual decider with regard to immuni
sation.
LAMENESS SURVEY:
1. The No.of .0-5 year old children umeroted was 10,364 with 24 of th em
being lame.
2. Lameness due to polio was found in 14 (58.33%) & polio lameness rate
was 1.35/1000 0-5 years old children.
3. Polio lame children were mostly females in age group 12-24 hours
months (7-50%) with the usual Age of Onset being 7 weeks to 12 months
(8-57.14%) with the usual Age on Onset being 7 weeks igfo w 12 months
(8-57.14%) .
4. Only 21.43% of Polio lame chiIdren/were fully Immunised at the time
of attack. Histoy of provocation was found in only one child.
NEONATAL TETANUS SURVEY:
1. Total number of live births in last 1 year was found to be 2146.
2. Neonatal death occured in 12 nenonates, out of which 2 were
due to Nenonatal Tetanus (N.N.T. Rate-0-93/1000 live births)
3. Both N.N.T. deaths occured during home delivery by Family members,
with one mother being fully immnised and other partially immunised
Both nenonates did not receive any treatment.r
30
RE COMMENDATIONS
I
!•
It is essential to organise refresher course
for health workers to ensure essential/
health care examinations at least for 3
I
antenatal contacts.
This would stress the
need of safe motherhood for child survival.
2.
Increased involvement of media and other
allied departments is essential to improve
immunisation programme through community
participation.
3.
Health education ativities needs to be
strengthened to ensure parent’s right
to information.
4.
Health Service Research is indicated to
elicit the reasons for non-utilisation
of the available service.
( RURAL) DISTRICT.
AREA MAP OF BANGALORE
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31
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COMMUNITY HEALTH CELL
326. V Main. I Siock
Koramc-ng
Bangaiore-56u034
India
: 32
LIST OF CJjUBTBRS, BaNGAlORB (RURAL) DISTRICT
Cluster
No.
Names
Channep atna Town
Population
Taluk
50 >725
Channap atna
!•
2.
Horakoppa
1,685
3<
Ne 1 amakanahal li
1,625
4.
Bevooru
Ko di pur a
2,355
207
5.
6.
7.
8.
9.
Bldalapur a
G.C. Halli
Vi ehwanathapura
Doddaballapur Town
877
it
it
w
n
Devanahalli
1 ,720
it
1 ,571
47,168
it
10.
Karepura
467
11.
UjJani
1,115
12.
Be edike re
1 ,015
13.
Korati
14.
Valageropura
1,155
346
15>
16.
Jadl ge nah alii
344
Cheelur
2,119
17.
Doddaguli
10.
Hukunda
1,175
2,307
19.
Kottagalu
834
20.
Mahi manahalli
1 ,136
21.
Vaderahalli
780
22.
Gundi ger®
621
23.
Mag adi Town
24.
Sur ap p anahalli
25.
26.
17,6 23
Doddaballapur
w
it
it
Hoskota
N
II
Kanakapura
it
It
It
it
Magadi
N
513
it
Udavigere
1,143
it
Obalapura
1,195
27.
T. Begur
28.
29.
Bomnachanahalli
Lakehndpura
1,637
1,48i
30.
Va jar aha Hi
1,651
870
Neiamangala
n
Ramanagara
n
it
Position: 2624 (2 views)