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REVISED
■
PLAN OF ACTION
I
FOR
U. 1. P.
IN
BANGALORE
I
I Wi I m
CITY
CORPORATION
— I*** l——Il
>4
A
JANUARY 1989
‘F
4
INDEX
SI.
No.
I.
Subject
Pages
s
SITUATION ANALYSIS
1.1
City Profile
1
1.2
Vital Indices
1
1.3
Other City data
1
1.4
UFIVCs and Uncovered area
1
1.5
Wards and Divisions
1
1.6
Human resource mobilisation'
3
H
Existing Medical institutions iwith,
‘ '
pptentiafor fixed • center approachi only and
lity lor
those which can
be' developed into out
reach facilities giving centres.
*
1.7
Vaccination performance
1.8
N.G.Os
record.
1.9
Diseases surreillance
3
1.10
U.I.P. Training performance
5
1.11
Coverage evaluation studies
5
1.12
KAP and Media studies
5
<
with
3
immunisation
service
track
3
U
4.
4
il
II.
I
I
I
PLAN OF ACTION
APPROACH:
i
H
i
H
2.1
UJ.P. and Development
care services in the city.
2.2
U.I.P. and private practitioners
7
2.3
Enumeration
7
2.4
Over all controlling officer of LTP
2.5
Urban I.P.P. VIII Q U.I.P.
I
of
primary
health
7
9
•W
i
I
I
I
ii
SI.
NO.
III.
Subject
Pages
j;
i
1
STRATEGY
t...
3.1
Intra sectoral co-ordination
8
i
3.2
Inter sectoral co-ordination
8
3.3
Implementation units and area responsibility.
8
3.4
Out reach centres
8
3.5
I.C.D.S. Anganwadi Immunisations and UIP
11
3.6
Monthly immunisation days
11
3.7
targets for
and U.I.P.
3.8
Community participation
al
J
<
Health
for
all
2000
by
A.D.
11
11
responsibilities
Targets
for
UIP
in
Bangalore
1989 April to 1990 and onwards
City
from
3.9
Multilevel monitoring review committees
11
3.10
Industries and U.I.P.
14
3.11
Role of Medical Colleges and U.I.P.
14
3.12
Role of N.S.S. and Councillors in U.I.P.
14
3.13
Time
Schedule
Equipment.
3.14
Graded acceleration of the programme
15
3.15
information. Education and Communication
Plan.
15
3.16
Central veiccine supply stores
15
3.17
Geographical
Demarcation
mentation
units
and
or Outreach center units.
15
for
supply
of
Cold
chain
15
4
=4
-i
■t
i
11
Delienation
of
duties
and
amongst co-ordinating sectors
■I
’
for
each
imples u b -implementation
iii
SI.
No,
IV.
V.
Subject
3.18
Bangalore City Urban India Population Project
VII and U.I.P.
18
3.19
Missed opportunities
18
3.20
Supervision plan.
18
U.I.P. AS 100% C.S.S.:
4.1
Additional
Manpower to
U.I.P. Metropolitan District be sanctioned
pattern
4.2
Transport
19
4.3
Cold Sbhain equipment and other
materials
19
MANAGEMENT,
information and evaluation
on
19
SYSTEM
5.’1
Computerised information system installation.
19
5.2
Monthly reporting formats.
19
5.3
Independent appraisals of UIP coverage
19
5.4
Multilevel monitoring system
19
5.5
Total programme evaluation
19
5.6
Sentinal centers as Counter
programme appraisal checks.
5.7
Potency tests
20
5.8
Feed back
20
5.9
Disease surviellance by
by p
passive and active
case detection to judge impact of? U.I.P.
•20
5.10
Sentinal centers
surviellance
disease
21
MICRO PLAN F
— UPDATING ELIGIBLE
FOR
POPULATION AS ON L.-1.1989
21
i
VI*
Pages
active
and
check
passive
and
as
20
5
i
I
iv
SI.
No.
al
Subject
Pages
VII
TRANSPORT PLANNING
VIII
NET WORKING OF U.I.P. ACTIVITIES
IX
COST ESTIMATES
24
X
PROSPECTS
25
22
22-24
fag
ANNEXLRES
h
4
A.
Cost Estimates
26
B.
Phasing of expenditure
27
C.
time Schedule of U.I.P. activities
28
D.
Strategy of U.I.P.
29
E.
Vaccine requirements
30
F.
Area responsibility to City Medical Colleges
31
G.
Map of Bangalore City showing implementation units and
sub-implementation or out
reach units.
32
H
Li 57
‘i
V ACC .
OF
<*W7
P£RF0
GkNTE
/i N C k -
3/
b
«4
I. SITUATION ANALYSIS
CITY PROFILE:
1.1
Bangalore
City
agglomeration
SllSiJl
is
451
Sq.KMs.
in
area
and is the fastest growing city in South East Asia with
-4
an annual growth rate of 6.82.
tion
is
16382
and
the
The density of popula
population
as
per
1981
Census
was 24.Ve lakhs. The estimated population of the Bangalore
agglomeration
area
including
the
140
slums
has
already
is
and
C.D.R.
exceeded 40 lakhs to-day.
1.2 ‘
The
Birth
rate
is
7.5.
The
slum
Industrial
and
construction
is
25.4
I.M.R.
and
population
is
workers
5.00
44
lakhs
contribute
and
7.3
the
lakhs
to the population.
1
.
^4
1.3
Female literacy rate is 42.62%.
The
City
has
Institutions
five
Medical
belonging
to
Colleges
and
Government,
183
E.S.I.S. ,
Medical
City
Corporation and Voluntary Organisations (Table-I).
-1
1.4
38
U.F.W.Cs/P.P.Cs
21 lakh uncovered.
cover
19
lakh
population
leaving
There is only one C. F. W. B. »
respon
sible for carrying out immunisation services.
1.5
There
are
12
Ranges
and
87
Wards or Divisions.
are likely to be increased in 1989.
1
-4
These
1.6
The various
from
sation
categories of personnel available for immuni
Government,
Corporation,
E.S.I.S. ,
C.G.H.S.,
Dispensaries, Railways, Defence and Voluntary Organisations
will be as follows:
Medical Officers
200
A.N.Ms, F.H.A.S.,
200
Jr., and Sr. H.Is.
205
Pharmacists
80
Teachers
170
i
1.7
N.S.S. programme Officers
45
N.S.S. Volunteers
450
Lions Clubs Presidents
35
Rotary Clubs Presidents
19
The
vaccination
Polio for last 3
B.C.G.
years
D.P.T.,
T.T. .
and
been above 100% achievement.
has
vaccination target coverage has been less. Measles
vaccination
City
for
performance
which
was
introduced
in 1986-87
Corporation
has
improved
during
in
last
Bangalore
2
years.
Red
Cross
(Table-II).
1.8
Rotary,
C.S.I.,
Society,
F.P.A.I. ,•
organisations
Karnataka
which
are
Branch
some
have
of
good
of
the
Indian
prominent
record
of
voluntary
participating
in the immunisation programme in the city.
1.9
The
disease
surveillance
for
the
last
two
vears
of the sentinel centres is shown in Table Xo.ill.
and Polio are showint! ’declinir.c trci'.c-.
3
from. 2
. - ’.anus
O
o
co
04
04
o
ro
was started for the first time in Nov.
i
I
I
I
co
co
co
co
co
1*4
Ml
M.
J
U
Z
CO
LO
co
and
455
ils including A.N.Jds, Health Visotors
M1
166 out of 200 Anganwadi workers
using UNICEF Modules. 127 Teachers
o
o
o
o
o
C^4
C'q
04
o
co
co
CO
CO
03
CO
co
O
co
04
§
LO
ogramme.
tudies
o
co
co
o
CO
04
04
CD
LO
CD
LO
LO
CO
CO
co
CO
co
co
co
CD
r—I
CO
co
co
ne Officers were also given orienta-
CO
o
co
co
5
89
DSt
04
o
CO
O
LO
CO
CO
done
zones
in
June
separately
identical
levels
1988
for
in
November
of
the*
protection.
ion of mothers is high consistently;
iriation in the levels of protection
CO
I
CO
co
CD
2
O
o
o
o
o
O
LO
LO
LO
CO
co
co
co
co
co
o
o
o
o
o
O
O
LO
co
: diseases.
The
level
of
protection
from 32 to 53.1 but those against
from 50 to 88 (Table-IV).
w
co
LO
z
o
H
<
z
1
04
LO
CD
>—<
o
w
o
J
<
z
<
a
z
3H W
04
co
o
I
04
Doctors out of 200
I
o
a.
6
o
Ml
co
04
co
co
z
o
H
<
rv'
173
j
I
04
c-q
Ml
LO
o
I
co
o
were
u
o
<
>
CO
co
co
co
co
CD
CO
i
Hospitals;
Maternity
and
O
CD
LO
O’)
O)
co
co
o
o
o
o
o
o
o
o
o
co
in
co
co
were from Private Practitioners.
i
LQ
CO
0J
I
o
sp
M*
co
i Private Practitioners
33.21?d
•mation.
E
£
88.29^
(£)
H
CU
Q
GO Z
respectively
o
o
o
u
a;
irds immunisation.
C/3
fO
a)
Qh
04
co
iO
of
are
respon-
as
sources
Mothers
have
TABLE IV
COVERAGE EVALUATION IN BANGALORE CITY : (IN PERCENTAGES)
SI.
Period of
No.
i: III <Iy
I.June 1388
II
Nov.
1988
!l
III
Pregnant
women covpimri’
with T.T.
Zone/City Range
Infants protected
iigainsl nn’iinh’.’J
Fully immunised
In Lulls
itu I ini{ measles)
Whole City
84.7
42.80
71.40
Zone I
(Jayamahal 6 Shivajinagar)
83.8
39.10
57.10
Zone II
(Shanthinagar 8 Bharatinagar)
78.8
32.90
50. 00
(Basavanagudi 6 Jayanagar)
81.9
47.19
62.26
Zone IV
(Chickpet 8 Chamarajpet)
82.7
52.86
84.60
Zone V
(Malleswaram G Gandhinagar)
72.3
53.10
88.00
Slum areas of the whole city
l®.g
32.50
Zone III
IV.
ii
V.
VI.
VII. Jan.
1989
There is not much difference in protection levesl between slums and the city as a
levels
of
protection.
VII's proposals.
This
zone
will
receive
priority
in
infrastructural
F1! - a.
whole.
development
Zone III is showing lowest
under
India
Population
Project
PLAN of action
II.
APPROACH:
2.1
The
U.I.P.,
mented
=4
.-J
in
when sanctioned
the
context
of
to
will
the City
simultaneous
development
other
primary
health
care
services
like
basic
sanitation
and
water
supply;
health
family
welfare;
maternity
as
possible,
primary
services
medical
as
care
imple
be
provision
of
of
education;
near
etc.,
to
people
for
which
to
33.78%
there is already a built in demand creation.
I
2.2
Private
Medical
of
immunisation
the
vaccines
in
Practitioners
return
who
services
for
simple
contribute
will
be
information
supplied
with
return
system
and accountability.
2.3
An
enumeration
done
eligibles
of
harnessing
man
power
For implementation of
U.I.P.,
in
February
from
1989
many
will
be
co-ordinating
sectors.
2.4
•ii
City
Corporation
areas
will
overall
City
in
be
control
next
Bangalore
considered
of
Corporation.
the
and
few
in the city,
Chief
as
to
pl
to
objectives
in the citv.
the
to
India
be
the
Population
launched
Development
Authority
Health
2.5
linked
Bangalore
one U .I.P. ,
Development
years
the
from
of
District
Officer
under
of
Bangalore
immunisation
services
targeted
levels
Pro ;ect
VII’s
1990
I
for
will
be
goals
and
years
period
1
4
4
4-
III. STRATEGY
3.1
:ra
sectoral
Family
a.-d
co-ordination
Welfare
amongst
Services;
Directorate of Health
State
Cold
Chain
Centre;
Health
and
Family
: Public
Health
Welfare
Officer,
Education
(both Government and Private);
Medical Depart-
rents
Railways;
State
of
Scheme;
Institute)
District
Bangalore;
(Urban
Defence;
District)
Employees
Medical
Insurance
Central Government Health Scheme will be streng
thened .
3.2
Inter
sectoral
Education;
co-ordination
Industries
amongst
women and children;
Departments;
Social
Welfare;
Karnataka
Slum
Clearance
Board;
(N.S.S.);
Rotary
and
other
voluntary
organisations
oriented
working co-ordina
be
built. on
effective result
tion
system.
Activitywise
4^4
Collegiate
responsibilities
Education
will
and
tasks
P.P.Cs
will
will be delienated. (Table V).
4 '
3.3
4
Existing
serve
Urban
as
Family
Welfare
implementation
Units
Centres
and
responsible
for
one
lakh
population each on an average.
3.4
Each one of these will have on
an average 3 to 4 service
points
or
sub-implementation
J'
will
a
Nursary Schools.
J
.U
be
dispensaries,
creches,
units;
totally
M.C.H. Centres,
150
or
which
even
Wr.ile implementation units will be responsible for planning
immunisation services;
storing and distribution of vaccines
J
t—
TABLE
V
DELIENATION OF TASKS AND RESPONSIBILITIES AMONGST CO-ORDINATING SECTORS
Sectors
Personnel
Co-ordinating Mechanism
SI.
No.
Activity
Enumeration
N.S.S. Education
BCC Health
N.S.S. Volunteers, Teachers.
ANMs. F.HA., M.P.W.M. 8
W.A.M. 6 Nursing School
Trainees.
Inter Sectoral
1.
Baseline surveys
Coverage Evolution
KAP 6 Media studies.
Medl. Colleges
Rotary.
Professors trained in N.I.C.D.
Delhi, Rotary Members after
suitable training.
Meetings G work shops
II.
III.
Management study
I.I.M. or 8 other
management institutions
Rotary.
Professors of Institutions,
Rotary Members who are
experts.
Management analysis study
of plan of action 6 problem
solving.
Medl. Colleges,
HFWTC, Bangalore.
NPCD Trained staff.
UNICEF Modular training.
Training
V.
JEC Activities
Industries, Rotary,
Lions, Mass media
wing of DHFWs., B.C.C.
A.I.R. 8 T.V.
Members of Rotary, Lions, DPRO
8 PRO of BCC M.M. Officer of
DHFWS., FP Cell, Officers of
AIR 8 TV Station,. Bangalore.
Production G supply of H.E.
materials, market study
evolution of media mix.
VI.
Supply of mainte
nance of Cold chain
and other
materials.
G.O.I.
Ministry of Health, UNICEF,
Rotary of Dist. 319.
Supply as per norms,
repairs by Rotary.
co
IV.
Sector OR
Unicef, Rotary
i'eams visits
SI.
No.
Activity
Sector OR Sectors
VIII.
Budgettings 8 Control
B.C.C.
Chief Health Officer, B.C.C.
Liasion with UNICEF 8
DHFWS 6 G.O.I.
IX.
Transport system
B.C.C. DHFWS.
GOI, Rotary.
UFWC, M.Os, Rotarians, UFWC/
P.P.C. Health Posts, Medical
Officers, Store Officer, B.C.C.,
Rotary Clubs.
Sanction of seperate U.I.P.
Dist. , for Bangalore City by
Ministry of H 8 F.W. with
vehicles as per norms.
X.
M.I.E.S.
B.C.C., I.I.M.
Bangalore,
Rotary.
Chief Health Officer,
Statistical Officer
Computerist.
Rotary-Members who are ,
Management experts.
I.I.M. Professors.
Monthly
reports.
Feed
back system to the level of
even performing units,
computerisation.
Personnel
Co-ordinating Mechanism
4
and
II
monitoring the programme in the 1.00 lakh population
area,
sub-ini piementation
units
along
with
field
4
I
of
41
services at service points and Anganwadi Centres (200).
4
3.5
4l|
units
implementation
While
200
I.C.D.S.
points
will
have
mentation
units
will
be
responsible
Anganwadi
monthly
will
for
Sluff
outreach
centres
and
150
service
immunisation
hay,
the
imple
have
immunisation
weekly
day
on
of
the
a fixed strategy.
4
4
1
3.6
declared
by
the
Honourable
Chief
Minister
State, one week day will be selected as the State Immunisation day.
3.7
4’
4
As
Targets
to
reach
health
for
all
2000
by
A.D. ,
will
be adhered to : (Table VI).
3.8
Community
participation
information
Education
4
I. he
and
4
firms and social marketting experts'.
4
14.
t
4
1
The
committees
as
ment
of
Mayors’
skills
India.
will
and
be
generated
of
multimedia
strategy enlisting
Communication
expertise
by
commercial
advertisement
♦
resolved in June 1988 UNICEF
Workshop
on
Urban
Immunisation
will ba constituted as follows:
d
3.9
APEX CO ORDINATION COMMITTEE:
A.
Mayor
Chairman
Commissioner
Member Secretary
11
Govern-
ii
VI
TABLE
TARGETS FOR IMMUNISATION FOR BANGALORE CITY CORPORATION
(1989 - 1995) (Percentages)
li
li I
^4
41
Women
Infants
1989 April
90
75
1990 April
100 .
85
1991 April
100
90
1992 April
100
95
1993 to 1995
100
100
84.7%
42.8%
EXISTING LEVELS:
1988 June studies
(whole City)
12
State Secretaries of Education, Women and Children, Health,
Social
Wei fare,
Il. U. D.
Departments;
Director
of
Health
and Family Welfare services; Additional Director (MCH/FW)
Deputy
Director
a
(EPI
Administration,
Chief
President
C . P. R. W . 0. ,
and
MCH);
Health
Director
Officer,
of
of
Rotary
Bangalore
City
Municipal
319
District
Corporation
as Members.
B.
1^1
STEERING COMMITTEE:
Municipal Commissioner
Chairman
Chief Health Officer
Member of Secretary.
Members
1.
2.
3.
4.
5.
6.
7.
D. H. F. W. S.
Addl.Director (FW/MCH).
Dy.Director (MCH 6 EPI)
I.C.D.S.Co-ordinator.
Rotary, Lions, IMA
Presidents,
Dist. Immunisation Officer
P.R.O. of B.C.C.
This committee will meet monthly and review the programme,
identify problems and develop solutions.
C.
DIVISIONAL COMMITTEE:
Chairman
Divisional Councillors.
Member Secretary
Seniormost Medical Officer of B.C.C.
in the Division.
Members
M. Os
of
UFWCs,
Mat.Homes,
Health
Posts,
Dispensaries,
Sub-Health
Offices,
C. C . H. S. .
E.S.I.S.
and
Government
Dispenseries,
C.D.P.O.,
and
I.C.D.S..
Supervisors,
Sr.
and Jr.
H.Is. .
School
Teachers,
X . S. S .
Coordinators,
Local
Rotary
and
Lions Club Presidents and other
N. G.Os.
13
s(
. nese
trie
-J
tasks
coldchain
and
tasks.
.i ■
Teachers
d
4 ■
in
equipment
and
ti me
the
Rotary
like
responsible
be
U.K P. ,
contingent
4 '
1.
of
goals
allot
.1
will
committees
to
be
supply,
phrame.
entrusted
vaccine
supply
N.S.S.,
volunteers,
etc. ,
will
They
with
of
Repair
achieving
lor
l.E.C. .
Refrigerators
and
monitor
A.N.Ms, ,
those
F.H.A.S.,
and M.P.W.
(M) Trainees will be utilised for enumeration.
Enumeration
for
planned
and
will
the
regional
five
implementation
be
units
under
done
colleges
medical
the
and
sectionswise
is
supervision
of
statistics
depart-
eye catching
hoard-
1
!
ment of the corporation.
3.10
I-
Industries
will
ings
Institute
and
be
asked
up
put
to
incentives
for
best
units
performing
etc.,
I.
3.11
Medical
will
Colleges
be
asked
to
undertake
training
of Medical Officers and Supervision and develop F.P.D.A.S.
1
3.12
10
N.S.S.
were
health
Programme
Officers
given
orientation
already
education
aspects
of
of
the
training
U.I.P.
City's
in
Colleges
enumeration,
Orientation
of
Corpo
ration's Councillors is planned in 1989. The inter sectoral
I
workshop
amongst
Rotary,
Ratoract,
Government
Corporation Officers was conducted in November 1988.
14
and
9>,
I
J
3.1 3
J
J
J
Cold
chain
equipment
June
1988
Mayors1
and
Health
positioned
by
March
has
be
to
indented
resolutions
per
as
"Work-shop"
Officers
1989
Stores;
City’s
in
of
implementation units and service points.
3.14
Graded
acceleration
of
starting
with
centres,
areas
fixed
slums
like
program me
the
and
then
will
under
to
on
extending
finally
done
be
served
out-reach
to
stations in the second half of 1989 and continuing services
4
beyond 1990 in a sustained manner. (Annexure D).
-I
3.15
I.E.C. PLAN:
Press
will
reviews
Family
be
Cells
Welfare
given
monthly.
will
be
A.I.R. ,
and
T.V.
Morbidity
co-ordinated.
and Mortality statistics will be used as powerful motivational
tools.
Success stories will be highlighted.
sation
runs
by
J.
organised.
-!
care
News
services
Cricketeers
the
annually
will
be
letter U.I.P.,
and
other
primary health
started
in
1989.
Actors
will
will
children
School
Immuni
be
local
be involved on
and
T. V. ,
and A.I.R. ,
for
distributing
and slums' immunisations camps.
J
3.16.
city
Medical
vaccines
in
J
J
a
its
for
cold
Stores
will
be
the
the entire city and
chain
system
by
agency
it
will
supply
of
be strengthened
I.L.R.S.,
and
deep freezers (Table VII).
3,17
Geographical demarcation for each implementation and sub
implementation unit and service point is done as bhov.n in
Annexure-G.
&-■
TABLE
---Ita
-
VII
-"T NORMS REQUIRED TO IMPLEMENT U.I.P.
COLD CHAIN EQUIPMENT AND OTHER SUPPORT AS PER
IN BANGALORE CITY CORPORATION
SI.
No.
Institution levels
1.
Central Medical Stores
of .City Corporation
Materials
III.
Implementation Units HO)
Service Pts.
(150) Dispensaries
Additional required
as per norms
a.
I L R (300 Lts.)
Nil
2
b.
Deep freezers (300 Lts.)
Nil
2
c.
Cold Eoxes (45 Its. )
Nil
r8
Nil
8
d. “ Ice Pack sets
II.
Existing
facilities
e.
Dial Thermometer
2
12
a.
b.
Refrigerator
20
20
Freezer
40
c.
Cold Boxes
Nil
10
d.
Vaccine Carrier
20
100
e.
Ice packs
f.
Auto Clave
10
120
30
gh.
Portable Sterlizer
Nil
115
a.
Refrigerators
20
115
b.
Vaccine Carriers
20
280
(150 2)
c.
Ice Packs
150
sets
d.
Dial Thermometer
30
sets
160
Sterlizer drums
20
260
SI.
No.
Institution levels
IV.
N.G.Os (JO)
V.
Syringes and Needles
Existing
facilities
Materials
Additional required
as per norms
a.
Vaccine carrier
Nil
20
b.
Ice pack sets
Nil
20
c.
Portable sterlizer
Nil
20
For all levels
Syringes
Needles
Immunisation Cards
1 Ml.
2,500
2 Ml.
2,500
5 Ml.
4,000
23 G.
30,000
26 G.
50,000
20 G.
40,000
2,00,000
Immunisation Register
1,000
Enumeration Register
1,000
<
J
3.18
is;
slums
and
in
City
to
operationalised
be
post
volunteers
female
infants
to
doses.
They
immunisation
motivate
to
for
sessions
will
Bangalore
utilised
be
to
bring
and
third
mothers
second
will be employed on honoraria on a rotating
basis for three months at a
I•
1990
from
of
areas
peri-slum
service
health
primary
develop
to
care
to
I;.
Project
VII
I. P. P.
Urban
similar to the utilisa-
time;
tion of such services in Calcutta.
3.19
Li
to
All
Infants
coming
be
offered
immunisation
clinics
whatever
for
services
missed oppor
avoid
to
will
cause
tunities.
Each
it
Factory
Industry
and
will
be
asked
an
to
house
by
I.C.D.S.
out-reach centre in its premises.
3.20
. SUPERVISION:
J
supervisors,
4
tier.
si
At
the
•a
and
teaching
Sr.
second
and
H.Is
tier
staff
will
of
supervised
be
will
implementation
The
be
first
Range
M.O.Hs
as
the
Deputy
Health
Officers
community
medicine
paediatric
and
the
departments of the 5 Medical Colleges of the City.
The District Immunisation Officer will oversee the programme
>4
tel
for the city as a whole.
4
r
IV. ADDITIONAL INPUTS REQUIRED
4.1
■J *
44.2
4.3
PERSONNEL:
a.
One District immunisation Officer.
b.
One Statistical Assistant.
c.
One Computer specialist.
d.
Two Drivers.
TRANSPORT:
. a.
One Jeep for the District immunisation Officer.
b.
One vaccine Transport van.
c.
4 Motor Cycles.
Cold Chain equipment and materials as per Table 011.
V. MANAGEMENT INFORMATION AND EVALUATION SYSTEM
4
5.1
Data
processing
by
I.B.M.,
micro
compatiable
computer
at Corporation level by trained statistical assistant.
li
5.2
5.3
y.
Use
of state
proformae
for
the
monthly reporting system
will be followed
for City's reporting system also.
Annual
evaluation
coverage
studies
by
Medical
Colleges
will be done for city and slums seperately.
5.4
Maintenance of monthly reports flow chart in each implementation unit offices will be maintained.
5.5
Total
program me
evaluation
on
an
be asked to be arranged by Government.
19
annual
basis
will
5.6
4
Establishment
already
Four
incidence.
disease
to
centres
sentinal
of
impact
on
More
will
problems
faced
help
develop
gauge
identified.
be developed.
Use
in
i•
of
solve
and
action
have
Rotarians
Many
solutions.
of
plan
the
implementing
to
experts
management
come
forward
to
give
field
for
these services.
I
IM
5.7
Periodic
sampling
of
vaccine
vials
from
the
potency testing will be sent to N.I.C.D. Delhi.
£1
5.8.
Monthly feed back to performing units will be instituted.
U. I. P . ,
programme
the
in
incorporated
be
will
India
population project VII from 1990 onwards.
5.9
DISEASE SURVEILLANCE:
J
The
J
4
4
183
medical institutions in the city will
to report
detection of E.P.I.,
case
the passive
be required
diseases
on a monthly reporting system.
who
The
field
staff
of
target
diseases
are
already
trained
will
report
active
in
recognition
field
detection
of cases discovered during their field visits.
The
4'
4
Il
Medical
Military
the
Colleges;
Hospital
Chief
Health
Private
be
reporting
Officer,
Bangalore
will
in the monthly proforma.
20
and
the
detection
to
Practitioners
case
City
Corporation
I
5.10
To gauge the complete reporting system from the agencies
and to know more accurately the trend of these diseases
in the community;
sentinel centres are selected already
4
based on their regularity of reporting to the city corpo|
ration. (Table VIII).
I
(Table VIII)
I
3.
J
4.
4
VI. ENUMERATION OF ELIGIBLES
4
4
4
6.1
estimated
4
city
the
has
95000
births
and
and growth of population rates.
This has to be verified by actual enumeration in Feb. 1989.
6.2
ft
5.13
lakh
dwelling
the
month
of
per
day.
Inter-sectoral
will
units
February
have
the
at
teams
rate
will
be
surveyed
be
to
of
20,000
in
houses
formed consisting
of two members in each and they will visit 200 bourses/
day/team.
4
that
year arrived at by existing crude, birth; infant mortality
4
4
is
detected pregnant women population of over 50,000 every
4
4
It
25
Thus
100
teams
supervisors
are
planned
requiring
(1
200
supervisor
personnel
for
4
and
teams)
to enumerate the eligibles before April 1989.
-V 21
0 5783
5'°
""i
4
4
(Annexure E).
and phase the reindenting shedules.
slill
VII.
i
'Uil
40
attached
to
2
The
them.
can
vehicles
city
family
on
once
spared
be
have
vehicles
Welfare
Bureau1s
8
only
units
implementation
of
Out
requirements
vaccines
calculate
to
mandatory
is
This
a
for
basis
week
transport of vaccines and vaccinating teams which arrange
4’
ment
■
support.
will
units
implementation
leave
33
city
public
without
vehicle
■
il
With
the
over
crowded,
transport
system
being
always
advisable
to
transport
it
may
not . be
one
for
vaccines in them.
u
Two
closed
Jeeps,
and
another
for
Transport
will
be
the
Cycles
District
Immunisation
Officer
Four
Motor
of
Vaccines
and
minimum
transport
inputs
required
for operationalising the U.I.P., in the city.
VIII. TIME SCHEDULE OF ACTIVITIES:
-/
8.2
(Annexure III)
the help of N.S.S.
The first activity of enumeration with
volunteers, teachers and trainees of Junior Health Inspectors,
A.N.Ms
M . P . W . M. ,
I
and
H.Vs.
and
Nursing
Schools
will
be taken up in February 1989.
Im
8.2
Cold
chain
Ice-line
per
equipment
refrigerators,
forty
lakh
like
deep
refregerators,
vaccine
population.
carriers,
U .I.P . , '
vehicles
District
latest by April end .
norms have to be positioned
'7 0
freezers,
as
s.mction
8.3
The
U.I.P.
cannot
be
an
U.I.P. ,
sanction
of
of
cadre
the
implemented
District
without
Immunisation
Officer
Officer
Health
District
of
City
the
in
exclusively
for the City.
i'
8.4
system
indenting
is
going to
contingent
is
as
and ' monthly
on
an
annual
shown
in
Annexure
requirements
vaccine
The
If
E.
there
the slightest break down in this system,
be
supplies
through
other
sources
like
Rotary
training
has
already
than
75%
For
the
backlog
for
re-orientation
has to he arranged.
4
I
J
8.5
per
UNICEF
modular
from
November
1988
as
Training
commenced
and
Doctors
orientation
and
of
training
training;
more
trained.
are
paramedicals
and
new
entrants
and
courses
are
arranged
in
of
July
June,
months of 1989 and. 1990.
4
4
8.B
staff
will
first
Tuesday
finalised
before
field
unit
implementation
As
to
to
which
out-reach
or
service
point
from
to
2nd,
3rd
and
4th
Tuesday
will
be
which
go
March 1989 with mutual agreement among Medical Colleges,
a
employees
ment
1
S'
-1
4
Insurance
State
Dispensaries,
N.G.Os Medical Institutions and Corpo
ration Institutions.
8.7
I.E.C. ,
activities
on
scaling
well
from
February
itself
the
Universal
Immunisation
levels
up
before
has
to
start
operationalisation
programme.
A.I.R. ,
of
T.V. ,
Press and Hoardings by Industries, Posters, Bus Hoardings,
■I--. ■
teii
Govern-
dispensaries,
Scheme
23
••v
4
Prabhat
Pheris . and
Cricketeers
etc.,
activities
will
conduct
Im munisation
runs
by
in
final
states
of
planning.
These
continue
upto
1990;
overlapping
actual
are
vaccination
-sessions
monitoring
students,
and
control
and supervision activities.
I
|
4
8.8
Coverage evaluation is already done in June and November
1988
and
each
year
January
1989.
It
along
with
total ’ programme
will
be
repeated
April
in
evaluation
by
■1
i
extra state independent appraisal teams.
i
8.9
Fixed
centres
From July 1989,
campaign
for
be
started
vaccination
will
be taken up on a pulse
in
slums
three
routine
approach
will
started
be
will
services
months
afterwards.
October
in
The
1989
and
from April
and
1989.
as
continued
out-reach
services
developed
to
full
capacity by the year end.
IX.
One
Jeep
for
transport
for
COST ESTIMATES
District
of
Immunisation
officer
and
another
four
motor
cycles
at
vaccine
and
a
cost of Rs.3.2 lakhs.
The total non-recurring cost will be Rs.4.3 lakhs.
4'
I'
I
The
recurring
for
two
years,
costs
of
salaries
I.E.C.,
years will be 14 lakhs.
24
and
of
staff;
training
miscellaneous
for
costs
five
N
Total
r
costs
from
1.4.1989
31.3.1995
to
is
Rs.18.3
lakhs,
out of which non-recurring has to be ment during 1989-90
itself.
■'il
X. PROSPECTS
I -A
The
Rotary International has a massive investment in
I rn m.
Universal/ Programme during 1989-90. .And in 1990 Urban
Indian
Population
inflow
of
Project
VII
will
operational
be
infrastructural resources
additional
with
for under
served areas of the city.
These
two
a
system
good
of
Government
of
and
etc.,
Rotary
together
co-ordination
Government,
amongst
II'rTl
developments
City
India;
in
the
of
city
Medical
Colleges,
Practitioners;
UNICEF
Corporation,
great
have
prospects
developing
Private
will
with
on
IE I. P.
Metropolitan
Cities;
impact
programme goals in the city.
The
creation of
for
Cities
and
operationally
of
Districts
U.I.P.
the
size
of
for
Bangalore
inevitable
for
is' administratively
objectives
achieving
of the Universal Immunisation programme in them.
E.P.I.
diseases
purposes
in
may become difficult to get
Medical
Colleges
by
1990
end.
for teaching
That
then
will be the ripe time to prepare a 5 year polio eradica-
N
H
I
Lj
it
i
tion
plan
for
the
city
state areas.
25
including
the
state
and
peri-
■3
ANNEXURE
A
Cost Estimates (1989 to 1995) in Lakhs of Rupees
ar
NonRecurring
Items
Nos.
i)
Jeeps+ 4 motor cycles
24
ii)
iii)
Unit Cost
Total
1.2+ 0.2
2.4
0.8
Mini I.B.M. Compatible
Computer
0.6
0.6
Photo copying Machine
0.5
0.5
4
M
SUB TOTAL:
m.
4.3
Recurrings:
i)
p
k
a.
1.2
Salaries of staff
6.0
1.0
ii)
Training
iii)
Miscellaneous '
0.4
2.0
iv)
I.E.C.
0.5
2.5
v)
P.O.L.
0.1
2.5
SUB TOTAL
14.0
GRAND TOTAL
18.3
Cost of Cold chain equipment, stationary, office expenses and
J
4
1a
maintenance not included in the estimates.
26
r
| '
ANNEXURE
B
PHASING OF EXPENDITURE
SI.
No.
ITEM
1 .
Procurement of
vehicles
2.
Training of computer
programme 6 computer
procurement.
3.
Procurement of photo
Copying machine.
A.
Salaries
5.
Training
IKE
J F M A
□
19&9
MJJASOND
J F M A
1920 i
M J A S O D
1991-95
ANNEXURE
-
C
TIM
TIME SCHEDULE OF U.I.P. IN BANGALORE AGGLOMERATION AREA
SI
No.
1988
N D
1.
munieration
2.
Logistics
procurement
3.
Training
4.
Issue of GO sanc
tioning UIP Dist.
5.
Out reach
services.
6.
I6E Activities
1989
JFMAMJJASOND
1990
JFMAMJJASOND
1991
j F M A M J J A S O N D
.1
7.
Monthly immunisation
day strategy
ushering in
monitoring and
control
9.
Supervision
10.
Coverate evaluation
— --
id
ANNEXURE
r
iJ
--
iHE
D
STRATEGY OF IMMUNISATION SERVICES IN BANGALORE CITY CORPORATION
SI.
No.
I in muni sat ion
Location
1.
Fixed centres.
II.
Slum pulse
campaign
III.
Out-reach
services at
service points
IV.
Private
practitioners
1989
Feb. Mar. Apl. May. June. July. Aug.Sept. Oct. Nov. Dec.
1990
Jan. Feb.Mar.
1991
Jan. to Dec.
1
’ il
11
ANNEXURE
E
REQUIREMENTS OF VACCINES IN THOUSAND DOSES : (1989
Year/Vaccine
1989-90
1990-91
1991 )
D.P.T.
Polio
40.0
347
347
15.7
3.3
29
29
Quarterly
47.1
9.9
87
87
March 1989
62.8
3.2
116
116
Annual
126.0
27.2
316
316
Monthly
10.5
2.2
26.3
26.3
Quarterly
31.5
6.6
78.9
78.9
March 1990
42
8.8
105.2
105.2
Periodicity
B.C.G.
Measles
Annual
18S.0
Monthly
INDENTING MONTHS
MARCH, JUNE, SEPT. AND DECEMBER ( I WEEK)
SUPPLY MONTHS
MARCH, JUNE, SEPT, AND DECEMBER ( I WEEK)
SUPPLIES IxN MARCH WILL BE FOR FOUR MONTHS. SUPPLIES FOR OTHER
QUARTERS WILL BE FOR THREE MONTHS MINUS STORES IN STOCK.
Vaccine
a
I
ANNEXURE : F
1
Distribution of Ranges for overall planning and supervision of U.I.P. amongst
Medical Colleges, City Family Planning Bureau and other Organisations:
J
SI.
Organisation
Ranges
No.
it
a'
1.
Dr. Ambedkar Medical College
Jayamahal.
2.
M.S.Ramaiah Medical College
Malleswaram and
Rajajinagar.
3.
Bangalore Medical College
Chamarajpet and
Chickpet.
4.
Kempegowda Institute of
Medical Sciences
Jayanagar and
Basavanagudi
5.
St.John’s Medical College
Shanthinagar and
Bharathinagar.
6.
City Family Welfare’ Bureau
Gandhinagar and
Binnypet.
7.
Dist. Health and Family Welfare
Officer, Bangalore Urban
All B.D.A., areas outside
Corporation limits.
jje -J -i
05788
o1
H
■
'.G A
" ** y
ANNEXURE : G
J.
if
I
Jill
I;
_jOF______________________ _
i'1
ORPORATIO!’ OF THE CITY OF BANGALORE -
HOW I Al -7
IMP
On i Tj
SLT> 1 N) P _ p.N »IJ
.1
L
A
i
2
t
'x
■<
/
/
e
X£l
kr'5
• !i ■' vr
__ ...
T>.. H
?
JTV ‘“ •.
'*•
©
|4
Ui
rM
L-.-'.-Oo'',
.
o
El 15
©
' ■* v.
;,W
dj
/
INDEX
ifii
7 1—
—R l
H
J
' "T)
..^....,.___ _
•o
1F
«.-o i">n
| >7.1
rm)...
/inruNi
t.j Vjn (.•'<■••
~(6U6
—; un its
|<rt:»«
uTi
X K-».
■
■
.I
ll'
■i Hl
\
/
—-■'•■____ 1—
H)
■
a
S2..
32
J
Anh cx}< <
H
LIST OF OUT KEACHJJENl'l^S^
LL.NO.
(1)
I.
JAYAMAL
II.
(4)
(3)
(2)
SHI VAJI NAG AR
PERIODICITY
LOCATION
RANCE
1.
Corporation School, Nala Road,
2.
Primary School Mak han Com pound
3.
Dadigond Dispensary
4.
An g anwadi Centres, Muneshwar Block
• • Papanna
~
- 1 Block,
CAngenahalli
5.
6.
Anganwadi Centre
Baglur Layour Corpn. , Dispensary
7.
Chruch Huts Temple
8.
M. R. Huts School
Gangenahally School
1 Tuesday
2nd Tuesday
3rd Tuesday
lues duiy
1st Tuesday
2nd Tuesday
3rd Tuesday
4th Tuesday
1st Tuesday
9.
10. Matadhahalli Temple
III.
CHAMARAJPET
2nd Tuesday
3rd Tuesday
11. Chamrajpet E.S.Is.Dispensary
4th Tuesday
12. Cubbonpet E.S.Is. Dispensary
1st Tuesday
2nd Tuesday
13. Mysore Road, Dispensary
14. Mariswamy Mutt School
3rd Tuesday
15. P.V.R. Road MUR Centre,
Centre
16. Vinobhanagar Community
1
4th Tuesday
1st Tuesday
17. Poornima Huts
18. Corporation Primary Vyaymshala
School
2nd Tuesday
3rd Tuesday
19. K. S. Garden C. S. 1.
IV
RAJAJINAGAR
4th Tuesday
20. Bada Makhan Milk Centre
1st Tuesday
21. Seetha Marenhally Govt. School
Centre 2nd Tuesday
22. Nilgiri Papanna Block Anganwaui ’
3rd Tuesday
23. Swatantra Palya Anganwadi Centre
4th Tuesday
Christian Colony
Genlre
25. Narayan Rao Colony, Anganwadi
26. Ambedkar Nagar, Anganwadi Centre
24.
27. Dasarahalli E.S.Is. Dispensary
28. Shirarenahalli Govt. School
li .
29. Chelavura Palya lemple
il
31. Ashokapurarn Dispensary
30. Marenahalli lemple
1st Tuesday
2nd Tuesday
3rd Tuesday
4th Tuesday
1st Tuesday
2nd Tuesday
3rd Tuesday
Contd...2
3.3
J
2
(4)
(3)
(2)
(1)
32. R.P.C. Layout Slum Anganwadi Centre
4th Tuesday
33. Govindarajnagar Corporation Disp.,
34. Dayanandanagar .Anganwadi Centre
1st Tuesday
2nd Tuesday
35. R. C. Puram, 5th Main Rd, Anganwadi
3rd Tuesday
36. SElvan Nagar Anganwadi Centre
4th Tuesday
37. B.R.I Colony Anganwadi Centre
1st Tuesday
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38. Byatarayanapura N.T.C Quarter AWC
2nd Tuesday
39. VAlinikinagar Anganwadi Centre
3rd Tuesday
41. Bapujinagar, Anganwadi Centre
4th Tuesday
1st Tuesday
#1
42. Corporation Nursery School,
Magadi Road,
2nd Tuesday
4
V.
BINNYPET
I
40.
43.
Kadapaswamy Mull Temple, 18th Cross
Kempapura Agrahara, Anganwadi Centre 3rd Tuesday
44.
Yellamma Temple, 8th Cross,
Magadi Road, Anganwadi Centre
4th Tuesday
Hoshally E.S.I.s Dispensary
2nd Tuesday
45. Kempapura Agrahara 20th Cross
Anganwadi Centre
1st Tuesday
47. E.S.I Dispensary, Hanumanthanagar
3rd Tuesday
48. Corporation Disp., Hanumanthanagar
4th Tuesday
49. Mariyamma Temple, Jai Bharathnagar
1st Tuesday
50. Sanyasi Huts Anaganwadi, Centre
2nd Tuesday
51. Ramakrishna Huts, Anganwadi Centre
3rd Tuesday
I
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4
1
4 6.
VI.
BASAVANAGUDI
11
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52. Harijana Seva Sangha, Anganwadi Centre 4th Tuesday
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Kastoor Basava Samithi Old GuddadhaHalli, Janatha Colony, Anganwadi
Centre
B.S.K E.S.Is. Dispensary
1st Tuesday
54. Frazer Town, L. F. Dispensary
2nd Tuesday
55. Kataramman Temple
3rd Tuesday,
56. Murthy Milk Centre
4th Tuesday
53.
VII.
BHARATHINAGAR
57. Yellamma Koil St, Child Welfare Centre 1st Tuesday
2nd Tuesday
58. Ulsoor, L. F. Dispensary
59. Ulsoor E.S.I Dispensary
60.
Clerk Instt., near I.T.C Colony
61.
Primary School, Nayanpalya
3rd Tuesday
4th Tuesday •
1st Tuesday
Contd... 3
J
J
3
VIII.
JAYANAGAH
62.
.Vlavalli Milk Centre
2nd Tuesday
(•3. Nelaji Slum An^anwat i Centre
3rd Tuesday
64. Byrasandra Anganv\ ad i venire
41b Tuesday
65. Atti Mahamma Temple (ParvathipuramJ
Anganwadi Centre
1st Tuesday
67. Janapragathi A. W.C
2nd Tuesday
3rd Tuesday
68. Tilak Nagar, Anganwadi Centre
4th Tuesday
69. Bhovi Colony A. W.C
1st Tuesday
70. Manjuantha Colony A. W.C.
2nd Tuesday
-J-
71. Wilson Garden, ESI Dispensary
3rd Tuesday
72. Mavalli ESI Dispensary
4th Tuesday
“0
73. Byrasandra E.S.I Dispensary
74. Dayananda Slum Crech
1st Tuesday
2nd Tuesday
75. Lakksandra Corporation, School
3rd Tuesday
76. Corporation School, Chinnadapalya
4th Tuesday
77. ’. Urdu’ School, Lakkasandra
78. Anjeneya TEmple, Mayasandra A. W.C.
1st Tuesday
2nd Tuesday
79. Ashoknagar Sriramandir A. W.C
3rd Tuesday
80. Milk Centre Makhan Rd
1st Tuesday
81. Sadat Dispensary Ashoknagar
2nd Tuesday
3rd Tuesday
66.
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IX.
SHANTI NAGAR
Maranah alii A. W. C
82. Ne elasandra Dispensary, Corpn.,
84. Narayanapuram A. W.C
4th Tuesday
1st Tuesday
85. Lakshrnan Rao Nagar, Slum
2nd Tuesday
86. Sonnenahalli Reading Room
3rd Tuesday
87. Lakshmanagar 1st Cross, S J N C
4th Tuesday
88. RAjendranagar Slum, A. W.C
1st Tuesday
89. Gowthamapuram, A.W.C.
2nd Tuesday
90. E.S.I Dispensary Shoolay.
91. Viveknagar E.S.I Dispensary
92. Bakshi Garden A.W.C
3rd Tuesday
•1th Tuesday
1st Tuesday
J.
93. Timber Yard, A.W.C
94. Siddhartha Nagar, A. W.C
2nd Tuesday
3rd Tuesday
r
95. Jaibheemanagar, A. W. C
96. Anjanappa Garden, A. W.C
98. E.S.I Dispensary, City Market
4th Tuesday
1st Tuesday
2nd Tuesday
3rd Tuesday
99. E.S.I Dispensary, Cottonpet
4th Tuesday
83. Audugodi Police Dispensary
J
X.
CHICKPET
97. Bhangi Colony, A. W.C.
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Contd..4
eV
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XI.
G:\NDHlNz\GAn
XI.
MALLESHWARAM
100. Railway Dispensary
101. L. F. Dispensary, Malleshwaram
2nd Tuesday
102. Bhashyain Circle, S. H. 0
3rd Tuesday
103. Nagappa Block, Corpn., Disp.,
104. B. K. Nagar Slum, A. W.C
4tl) Tuesday
105. Suunada Kadu, A. W.C
1st Tuesday
2nd Tuesday
106. Vinayaka Slum Temple
3rd Tuesday
❖
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1st Tuesday
❖
❖
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.........................................................................
a
c
♦
TABLE II
B
VACCINATION PERFORMANCE DURING 1989-90
*
=(
SI. No.
VACCINE
TARGET
PERFORMANCE
P.C.
1.
D.P.T.
60308
61946
102.7
2.
Polio
60308
61946
102.7
3.
B.C.G.
60308
46859
77.6
4.
.Modsles
60308
26331
43.6
5.
T.T.
63521
54336
86.3
I
*
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ji
5;
(
I
I
*
«
37
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