1. Microplanning for Routine Immunization

2. What is a Micro plan? Helps you identify What needs to be provided
Who will provide
Where to provide (including hard to reach)
When to provide
How to provide
How many to provide for (beneficiaries)
How much to provide (vaccines & logistics)

3. Process of Microplanning: Bottom Up
State Plan = Aggregation of District Plans + state specific activities
District Plans = Aggregation of PHC plans + mobile strategy, supervision, monitoring, IEC, Trg. and coordination etc.
State Level
District 1
District 2
District 3
Primary Health Centres
PHCs =Compilation of detailed operational plans of subcentres and add alternate vaccine delivery, waste disposal plan, supervisory plan etc.
HSC = ANM with AWW, ASHA, PRIs etc
Health Sub-Centres

4. How to plan number of sessions
Fixed Sites (SC / PHC / CHC etc.)
40 – 70 injections = one session per month
> 70 injections = two sessions per month
Outreach:
25-50 injections = one session per month
> 50 injections = two sessions per month
< 25 injections = one session in alternate month

5. Steps in preparation of Micro plan
Step 1 – List all villages and hamlets
Step 2 – Write the population of each village
Step 3 – Write the number of beneficiaries
Step 4 - Prepare a map of the sub center / PHC

6. Map of Sub-center
1st & 3rd Wed
2nd Wed
4thWed
1st Sat
2nd Sat

8. Estimating Beneficiaries In a Sub-centre Area

9. Calculating Beneficiaries for each Vaccine
TT = No. PW X 2
BCG = No. infants X 1
OPV = No. infants X 4
DPT = No. infants X 4
Measles = infants X 1
DT = No. children at 5 yrs X 1

10. Estimation of vaccine vials
Each session should have one vial of BCG
No. beneficiaries / session * 1.33
TT = 10
BCG =
OPV = 20

11. No. beneficiaries / session * 1.33
DPT = 10
No. beneficiaries/ session * 1.33
Measles = 5
DT =
Vitamin A Solution
Children below 1 year of age (1 dose of 1lakh unit) = 141
Children between 1-3 yrs. (4 doses of 2 lakh units) = 259x2=518 doses

12. Diluents with vaccines
No. of Sodium chloride ampoules = No. of BCG vials
No. of Double distilled water ampoule = No. of Measles vials

13. Estimation of ADS and Disposable Syringes
0.1 ml = (No. of beneficiaries for BCG) + 10 %
0.5 ml = (Beneficiaries of DPT + Measles + DT + TT ) + 10 %
5 ml reconstitution = (No. of BCG vials + No. of Measles vials )+ 10 %

14. Regular monitoring and review of Micro plan
Monthly reports
coverage monitoring chart
Quarterly Review meeting
review missed sessions
other problems
revise session plan and work plan (if needed)
Supportive supervisory visits
monitoring the work in the field,
providing on-the-job training,
taking notes for future discussion at review meetings.

15. Group Work
Draw map of the area showing the villages with immunization site; distance of village from the sub-centre; total and target population
Prepare the micro plan as per the format given