DATA FOR

ACTION

Kushalgarh SC and Jhalod SC have

a
higher number of children
immunized
with DPT1 than the infant
population,
possibly because of:
incorrect estimation of the
infant
population
including children older than 1
year of

Step 5: Prioritize
areas

Step 4: Identify the problem (access or

utilization?)

Give higher priority to areas with

the larger
absolute number of unimmunized
infants,
and not necessarily the higher
dropout rates.
Other factors are: VPD outbreaks

EXERCISE
HANDOUT 11

Step 6: Decide on the actions needed and when

to respond

In general, actions can be categorized into three levels of

priority.

Urgent response to prevent interruption to the immunization

service
or risk health and/or lives
Medium- term to counteract the trends that threaten the
failure of the
immunization program
Long-term - general improvements required in the
performance and
quality of the immunization program
For example: If a cold chain failure due to breakdown of the ILR has
been identified,
The urgent response will be to ensure that vaccines are transferred
to a cold box

Step 7: Formulate action plan

Arthuna SC poor access; poor utilization; highest no. of unimmunized
infants priority 1

EXERCISE
HANDOUT 12

Feedback refers to the process of routinely sending analysis and reports

to the peripheral levels of the reporting system (SC).
Feedback can improve the accuracy and promptness of the reports
and raise the morale of the staff.
Feedback can be provided through:
Supervisory visits to health centers
Periodic meetings
Telephone calls
Letters or memoranda
Any other time you meet staff from peripheral levels

Content of feedback includes:

Comments on the timeliness of reports
Information on the total number of cases of each disease
Comparisons of data from different sub-centers/ PHCs
Information on actions taken
Congratulations on doing a good job or encouragement to do a better job

Feed-forward is the reverse of feedback. It is the process of

forwarding
surveillance and other monitoring data to higher levels.
Content of feed forward includes:
The number of VPD cases and other data from different components of the RI
program