KATSINA LGA FACILITATION REPORT

APRIL 2011 BY

NASIRU I. BARDA LGAF

Field activities to ensure quality routine immunization, SIAs, and surveillance

[2011]

WORLD HEALTH ORGANIZATION

TABLE OF CONTENT
1. EXCUTIVE SUMMARY Objective List of activities conducted Achievements New insight Constrain Recommendations 2. INTRODUCTION LGA Profile Previous SIAs result Routine immunization Constrain Surveillance 3. ACTIVITIES CONDUCTED Advocacy/ sensitization meetings Training Border activities Flag off 4. RESULTS AND ANALYSIS 5. CONCLUSION Strength Weakness and way forward 6. ANNEXES

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N A S I R U I B

EXCUTIVE SUMMARY
Katsina LGA is one of the 34 LGAs in Katsina state. It has an estimated total population of 402638 as per 2010 population projection with OPV target population of 101788 base on three IPDs round highest coverage , and under one year target of 16106. Data based fact evidenced the performance of the LGA in Routine immunization, supplementary immunization and, diseases surveillance activities. Majority of non compliance are more prominent in Kudu 1, Gabas 11 and Arewa11. There was no IPDs exercise conducted this month due to Election activities and industrial action of the state joint medical association, which led to complete closure of all public health industries, up to 12th April, 2011, and elections ended on 26th April 2011, although there were some election crises which resulted to insecurity throughout the month, yet some pre-implementation activities against may round commenced from 27th April, 2011. The LGA has 22 health facilities qualified for RI activities. This month the RI activities was very poor due to interruption of strike action by the Health workers in all the Public Health Sectors, which indeed has rendered many sessions not done. In line with this, we distributed RI materials to six private HF attended sensitization meeting on RI in march, 2011 with a view to engage them to participate actively in routine Immunization activities, thus improving RI coverage in the LGA. The surveillance status is still improving, although the detection rate is very poor compared to number of AFP focal sites and No of AFP cases detected. To date the LGA has a total of 2 AFP cases. The strike action also affected surveillance seriously in the Local Government; yet active case search was carried out in some private HF and Traditional medical institutions.
OBJECTIVES

Interruption of wild polio virus transmission, improved high quality and strong routine immunization, Improve high coverage of qualitative supplementary immunization and Proper active case search through integrated diseases surveillance and response.

INTRODUCTION (BACK GROUND)

Katsina local Government is one of the 34 LGA in Katsina state created in 1972 from the then Katsina Native Authority, during Local Government reforms. It has a total population of 402638 as per 2010 population projection. It shares boundaries with Jibia, Kaita, Batagarawa and Rimi . Katsina LGA has 12 political wards of Arewa 1, Arewa 11, Gabas 1, Gabas 11, Gabas 111, Kudu 1, Kudu 11, Kudu 111, Shinkafi 1, Shinkafi 11, Yamma 1, and Yamma11. It has 22 health facilities that qualified for RI across the 12 political wards, Including General Hospital, Federal Medical Centre, Maternal and Child Health Centers, Primary Health Centers, Clinics and Dispensaries both Public and Private. The LGA has 94 settlements, with 7 hard to reach areas mostly in Shinkafi 1 and Gabas 111. Being a Municipal and state capital, Katsina Local Government has large number of social and economical infrastructures, such as township stadium, open air theatre, Central Market/ Motor Pack, NYSC Orientation Camp, Hotels and Restaurants, Air Port, State Ministries and Small and large Scales Industries. The LGA constituted large number of Educational Institutions including Tertiary such as School of Nursing and Social Development training centre, Secondary, Nursery and Primary Schools both Public and Private, and Major Quranic schools, it also has 13Jumaat mosques, 22 churches and 2 cyclical markets. The major issues affecting SIAs in the LGA is non compliance due to religious and political differences. It is under the Sahel savanna zone, which is mostly semi desert, with 5 month raining season, from May to September and 7 months dry season. The majority of inhabitants are peasant farmers and civil servants with very few conducting agric irrigation farming

SUPPLEMENTAL IMMUNIZATION ACTIVITIES This month there was no IPDs exercise conducted due to industrial action observed by the state joint medical association, which led to complete closure of all public health industries, although some pre implementation activities such as Planning meeting at LGA level and Advocacy Meeting with the District head, LGA level training was held in preparation to May 2011 IPDs round.
ROUTINE IMMUNIZATION

This month the RI activities was very poor, hence strike action by the Health workers in all the Public Health Sectors interrupted the RI activities, which indeed has rendered many sessions not done, In line with this, we distributed RI materials to six private HF attended sensitization meeting on RI in march, 2011 with a view to engage them to participate actively in routine Immunization activities, thus improving RI coverage in the LGA. Lack of organizational support, inadequate human resources and poor supervision by some of the LGA team members continue to be our major concerns. SURVEILLANCE SITUATION The surveillance status is still improving, although the detection rate is very poor compared to number of AFP focal sites and No of AFP cases detected. To date the LGA has a total of 2 AFP cases. The strike action also affected surveillance seriously in the Local Government; yet active case search was carried out in some private HF and Traditional medical institutions, also I conducted case investigation in respect of all AFP cases detected at Turai and Mallamawas house in shinkafi2 political ward. Similarly also, we conducted review meeting with AFP focal persons to discuss on the current surveillance situation in the LGA, and as well develop an action points to improve performance. Our major concern in surveillance activities is lack of commitment of the DSNO and AFP focal persons.

LIST OF ACTIVITIES CONDUCTED

The following activities were carried out to enhance effective services delivery in the LGA. Facilitate LGA level planning meeting, Advocacies and LGA level training in respect of May, 2011 IPDs.. Sensitization of Private Health Facilities on surveillance activities, including AFP reporting, Distribution of RI materials to 6 private Health facilities, with a view to increase number of RI providing facilities in the LGA, increase accessibility, improve coverage and enhance participation of private health sectors. Active case search in private Health Facilities and Traditional Healers, including case investigation. RI Supervision, including community survey in FMC and General Hospital Katsina.

BEST PRACTICE
Sensitization of private Health Facilities, Engagement of private health sectors in RI and surveillance CHALLANGES Industrial action by joint medical and health workers association resulted to serious setback on RI and Surveillance activities in the LGA, thus increasing DPT3 dropout rate, Non participation of private health facilities stand to be additional mean of missing opportunity of many clients patronizing their services, and as well create surveillance gap. Lukewarm attitude by some LGA team in supervision particularly in RI and Surveillance, still a major concern

ANEXTURE

LGA TEAM PAYING ADVOCACY VISIT TO THE DISTRICT HEAD OFFICE, CIGARIN KATSINA, ALHAJI AMINU MAMMAN DEE, IN PREPATION TO MAY IPDs ROUND

LGA TEAM PAYING ADVOCACY VISIT TO EDUCATION SECRETARY FOR KATSINA LGA, IN PREPATION TO MAY IPDs ROUND

PARTICIPANTS ATTENDING LGA LEVEL TRAINING IN PREPARATION OF MAY 2011 IPDs

LGAF AND STF MAKING VISUAL PRESENTATION AT THE LGA LEVEL TRAINING, IN PREPARATION TO MAY 2011 IPDs