om

om
.c

.c
or

or
Check list (2) for H1N1 vaccination preparedness at district level

at

at
re

re
District : Belgaum

FC

FC
D

D
Name of the district Belgaum

tP

tP
No of blocks in the district 30

ar

ar
m

m
Planning and coordination at District Level

.S

.S
District nodal officer identified Dr. J.Nuchin, Belgaum

w
w

w
District coordination committee established Yes

w
://

://
District coordination committee meeting held Yes
tp

tp
Cold chain capacity
ht

ht
om
Deep Freezers- 8
Minimum additional net capacity of 20 liters cold chain space*equivalent to 1/5* space in 300 liters ILR at District level

.c
ILRs -nil

or
at
re
Additional net capacity of 20liters cold chain space*(equivalent to a 300 liter ILRs),for each medical college/major
-

FC
private hospital (if managing H1N1 flu cases) identified at District level.

D
tP
ar
sufficient space available

m
Dry storage space (for AD syringes and reconstruction syringes and other logistics)identified

.S
w
w
Panademic (H1N1)vaccine and logistics distribution plan prepared yes

w
://
Target population

tp
ht
om

om
.c

.c
Total health workers (excluding medical colleges and private hospitals )targeted for vaccination 378
or

or
at

at
re

re
FC

FC
Health workers in medical colleges,if any,in the District 36
D

D
tP

tP
Health workers in private hospitals ,engaged in managing H1N1 flu,if any( Private Medical College Hospital) 36
ar

ar
m

m
Vaccination planning
.S

.S
w

w
w

w
w

w
://

://
tp

tp
 om

om
.c

.c
or

or
Yes

at

at
Health facility where vaccination will be carried out identified
( Distirct Hospital/ Taluka General Hospitals/ CHCs)

re

re
FC

FC
Day,s for H1N1 Immunization** Identified based on the load and avaiability of the vaccinatiors Friday & Saturday

D
tP

tP
Training

ar

ar
m

m
Trainers identified a t District Yes

.S

.S
w

w
w

w
Training load worked out training session planned Yes

w
://

://
Training facility identified Yes
tp

tp
ht

ht
Adverse event monitoring

om
.c
AEFI reporting formats avaiable Yes

or
at
IEC

re
FC
Plan for IEC for targeted group available Yes. Thruogh e-mail, telephone,

D
tP
Micro-plan

ar
m
Micro-plans for vaccinating identified target group for H1N1 vaccination avaiable Yes

.S
w
Vaccination identified for each designated site Yes

w
w
Supervisors identified and supervisory checklist prepared Yes

://
tp
No. of session needed (N=health workers/40-50 injections per sessions) estimated
ht 9
om

om
*This space includes the space neede for adjuvant.The additional cold chain space could be created by mobilizing the RI vaccines, in a planned way.
.c

.c
**The vaccination day for H1N1 should be different from RI session days in the District.
or

or
at

at
re

re
FC

FC
D

D
tP

tP
ar

ar
m

m
.S

.S
w

w
w

w
w

w
://

://
tp

tp
 om

om
Health care workers of all categories for calculation of the target population for influenza A H1N1 Vaccine

.c

.c
or

or
District : Belgaum

at

at
re

re
Number/ Total
Health Facility No of Units Category to be included Remarks

FC

FC
Unit Workers

D
tP

tP
Doctor 1

ar

ar
Nurse 1

m
A.Community Health Pharmacists 1

.S

.S
17
Centre/FRU

w
Paramedical staff 3

w
Support staff(includes engineering,safai karmacharis,dietary dept,laundry,CSSD etc) 4
w

w
://

://
Total(A) 10 170
tp

tp
Doctor 3
ht

ht
2

om
Nurse
Pharmacists 1

.c
B.Sub-district hospitals 9

or
Paramedical staff 5

at
Support staff(includes engineering,safai karmacharis,dietary dept,laundry,CSSD etc) 5

re
Total(B) 16 144

FC
Doctor 5

D
tP
Nurse 10

ar
Pharmacists 2
C.Districts Hospitals 1

m
Paramedical staff 20

.S
w
Support staff(includes engineering,safai karmacharis,dietary dept,laundry,CSSD etc) 12

w
Total ( C) 49 49

w
://
Doctor 6

tp
ht Nurse 6 * Includes both
D.Medical colleges including Pharmacists 4 Government and
om

om
2*
Tertiary careHospitals Paramedical staff 10 Private Medical
.c

.c
colleges.
or

or
Support staff(includes engineering,safai karmacharis,dietary dept,laundry,CSSD etc) 10
at

at
Total(D) 36 72
re

re
Doctor 2
FC

FC
Staff involved in
E. District surveillance Unit/ Paramedical staff 6
D

D
1 thesurveillance
District Public Health Lab
tP

tP
Support staff(includes engineering,safai karmacharis,dietary dept,laundry,CSSD etc) 7 activity.
ar

ar
Total(E) 15 15
m

m
.S

.S
Total No Of Units 30 Total Health Workers to be vaccinated 450
w

w
w

w
w

w
://

://
tp

tp