Media4Child

Media4child blog is an initiative by IGNOU and UNICEF to engage with stakeholders on social media discourse about public health and human development issues. This unique initiative is designed to encourage columnists, academicians, research scholars and correspondents from media to contribute positively through their commentary, opinion articles, field experiences and features on issues of child survival, adolescents, girl child, mother and child and immunisation programme.

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Friday, 18 November 2011

सामूहिक प्रयास से बनाएं खसरा नियंत्रण अभियान को सफल: प्रशांत

Dainik Jagran,Dumka -Jharkhand                                                                   16 Nov,2011
दुमका, संवाद सूत्र: खसरा रक्षक अभियान की सफलता को लेकर बुधवार को उपायुक्त प्रशांत कुमार की अध्यक्षता में समाहरणालय के सभागार में एक बैठक हुई। इस संबंध में जानकारी देते हुए आरसीएच पदाधिकारी डा.सी.पी.सिन्हा ने बताया कि बैठक में उपायुक्त श्री कुमार ने 21 नवंबर से शुरू होने वाले खसरा रक्षक अभियान की सफलता के लिए जिले में प्रचार प्रसार तेज करने का निर्देश दिया है। बुधवार को समाहरणालय के सभागार में जिले के स्वास्थ्य विभाग के पदाधिकारियों एवं अन्य पदाधिकारियों को यह निर्देश दिया गया है कि अभियान की सफलता के लिए गंभीरता से प्रयास किया जाए। श्री कुमार ने बैठक में उपस्थित जिला शिक्षा अधीक्षक राजीव लोचन को इस अभियान में सफलता के लिए सहयोग करने को कहा। उन्होंने कहा कि चूंकि यह अभियान की शुरूआत जिले के विद्यालयों से किया जाना है इसलिए सभी विद्यालयों के प्राध्यापक को यह जानकारी उपलब्ध कराया जाए। उन्होंने बाल विकास परियोजना पदाधिकारियों को भी आंगनबाड़ी सेविका सहायिका से इस अभियान को सफल बनाने में सहयोग करने को कहा। अभियान के तहत पहले सप्ताह में जिले के सभी विद्यालयों में एवं दूसरे एवं तीसरे सप्ताह में शहरी एवं ग्रामीण क्षेत्रों में चलाया जाना है। बैठक में सिविल सर्जन डा.सोबान मुर्मू, डब्ल्यु.एच. के पदाधिकारी डा.सुमन कंडुला, प्रखंड विकास पदाधिकारी श्याम नारायण राम, डा.अजय कुमार दास, बामदेव गोराई, कई प्रखंडों के प्रभारी चिकित्सा पदाधिकारी, बाल विकास परियोजना पदाधिकारी, युनिसेफ के प्रतिनिधि उपस्थित थे।

Tuesday, 15 November 2011

झारखंड में खसरे के खिलाफ अभियान


 
झारखंड में शिशु मृत्यु दर उत्तरी राज्यों में सबसे कम    
                         
रांचीः मंगलवार को बारहवां स्थापना दिवस मनाने जा रहे झारखंड राज्य में तमाम कठिनाइयों के बावजूद शिशु मृत्यु दर घटकर सिर्फ़ 41 रह गयी है, जो उत्तर प्रदेश की 70 बच्चों की शिशु मृत्यु दर की लगभग आधी ही हैं. 

संयुक्त राष्ट अंतरराष्ट्रीय बाल आकस्मिक कोष यूनिसेफ़ के झारखंड प्रमुख जाब जकारिया ने बताया कि शिशु मृत्यु दर कम करने के अंतरराष्ट्रीय मानक को हासिल करने की दिशा में झारखंड ने बडी सफ़लता हासिल की है. नवीनतम आंकडों के अनुसार यहां शिशु मृत्यु दर नौ प्रमुख उत्तरी राज्यों में सबसे अधिक घटकर सिर्फ़ 41 रह गयी है, जबकि इन नौ राज्यों में से उत्तर प्रदेश में शिशु मृत्यु दर अभी भी सर्वाधिक सत्तर है. इतना ही नहीं इन नौ प्रमुख उत्तर के राज्यों में झारखंड में मृत्यु दर भी घटकर सिर्फ़ छह रह गयी है, जबकि उत्तर प्रदेश में सबसे बुरा हाल है और वहां मृत्यु दर प्रति एक हजार जनसंख्या पर लगभग 8. 5 है.

उन्होंने बताया कि भारत का औसत शिशु मृत्यु दर भी 48. 2 है, जो झारखंड के 41 के आंकडे से लगभग सत्रह प्रतिशत अधिक है. इतना ही नहीं झारखंड के दो जिलों जमशेदपुर और धनबाद ने तो शिशु मृत्यु दर घटाकर क्रमश 26 और 28 हो गयी है, जो संयुक्त राष्ट्र द्वारा तय सहस्त्राब्दि विकास लक्ष्य के अनुकूल है. जॉब ने बताया कि प्रति एक हजार शिशु जन्म पर सहस्त्राब्दि लक्ष्य अधिकतम 28 रखा गया है. यह लक्ष्य सभी देशों को वर्ष 2015 तक प्राप्त करना है. झारखंड की राजधानी रांची और औद्योगिक शहर बोकारो भी इस लक्ष्य के बिलकुल निकट हैं और इन दोनों जिलों में शिशु मृत्यु दर क्रमशः सिर्फ़ 35 और 29 ही रह गयी है.

                                                   
12 नवम्बर, 2011

58 लाख बच्चों को दिये जाएंगे खसरे के टीके 

रांची, राज्य सरकार और यूनिसेफ के सहयोग से खसरे के खिलाफ एक बड़े अभियान की शुरुआत 19 जिलों में होगी। इन जिलों में नौ महीने से लेकर 10 वर्ष तक के आयु वर्ग के 58 लाख बच्चों को खसरे के टीके दिये जाएंगे। 18 नवंबर से दस जिले में और दो दिसंबर से 9 जिले में खसरा टीकाकरण अभियान को शुरू किया जाएगा। इससे पहले इसी वर्ष 31 जनवरी को 5 जिलों में आठ लाख बच्चों को खसरे के टीके दिये गये थे।
आज यहां आयोजित मीडिया उन्मुखीकरण कार्यक्रम में यूनिसेफ के झारखंड प्रमुख जॉब जकारिया ने बताया कि झारखंड में प्रतिवर्ष दो हजार बच्चे खसरे की वजह से मरते हैं। अगर खसरे से बचाव कर लिया जाय तो झारखंड में शिशु मृत्यु दर कम हो सकती है। उन्होंने कहा कि यदि बच्चों को सही पोषण हो और बच्चों के स्तनपान करने को बढ़ावा दिया जाए तो वर्ष 2015 तक शिशु मृत्यु दर में कमी होगी और झारखंड वर्ष 2015 तक मिलेनियम डेवलपमेंट लक्ष्य को प्राप्त कर सकता है। वर्तमान में झारखंड में शिशु मृत्यु दर (आईएमआर) एक हजार बच्चों पर 40 है। जबकि राष्ट्रीय औसत एक हजार पर 50 है। हमारा लक्ष्य है कि वर्ष 2015 तक शिशु मृत्यु दर को एक हजार पर 28 तक लाया जा सकता है। इस लक्ष्य को प्राप्त करना असंभव नहीं है। चूंकि पूर्वी सिंहभूम जैसे जिलों इसे पहले ही प्राप्त किया जा चुका है। उन्होंने कहा कि कैचअप राउण्ड के बाद सभी बच्चों को नियमित टीकाकरण कार्यक्रम के तहत प्रथम नौ महीने और फिर दूसरी बार 16 महीने में डीपीटी बूस्टर के साथ खसरे के टीके दिये जाएंगे। वर्तमान में बच्चों के जीवन में सिर्फ एक बार ही यह टीके दिये जाते हैं। 





Anti-measles drive in Jharkhand



                                                  

Anti-measles drive from Nov 18

Jaideep Deogharia, Nov 11, 2011 

RANCHI: The entire health apparatus in the state has fastened its seat belt to ensure success of the second round of measles vaccination drive being launched in 19 districts of the state on November 18 and December 2 targeting 57 lakh children in the age group of nine months to 10 years. 

Unicef, Jharkhand, in collaboration with the department of health, the government of Jharkhand, WHO, National Polio Surveillance Programme (NPSP) and MCHIP organized media sensitization workshops to create awareness about the campaign. 

Principal secretary, health, K Vidyasagar, said public awareness about vaccination is not sufficient as people should also know about the safety standards to be followed. "People should know that there is an elaborate arrangement to handle adverse events following immunization (AEFI) as 95 per cent of such events occur due to lapses in the programme," he said. 

The campaign is being launched in Bokaro, Dhanbad, Dumka, East Singhbhum, Godda, Hazaribag, Pakur, Ranchi, Sahebganj and Simdega on November 18 and on December 2 in the remaining nine districts of Chatra, Garhwa, Giridih, Koderma, Latehar, Palamu, Ramgarh, Saraikela and West Singhbhum. Earlier, the first phase of measles vaccination campaign was held in the five districts of Deoghar, Gumla, Jamtara, Lohardaga and Khunti on January 31, 2011. 

National Rural Health Mission (NRHM) director National Rural Health Mission, Jharkhand, Aradhna Patnaik, said till date children were administered only one dose of measles vaccine on the nineth month as part of the routine immunization programme. "From now onwards, a second dose of measles will be given to all children of 16 months, along with the DPT booster dose. The present campaign aims at reaching out to children who did not get the second dose of vaccination," she said, adding that measles vaccine have been found to be more effective when given at 12 months or above age. 

Underlying the importance of measles vaccination state chief, Jharkhand Unicef, Job Zachariah, said measles is among the world's most contagious diseases and one of the leading causes of death among children worldwide. "Measles attributes to around 4 per cent of the total death of children in the age group of below five years and if we want to achieve the target of bringing infant mortality rate to 28 per 1000 live births by 2015, as per the millennium development goals, we must check deaths due to measles," he said. 

Calling upon media to create awareness about the campaign he said that it would be conducted in two phases "The first week of campaign will be in schools, excluding routine immunization days, and during the second and third week children in villages and community would be targeted," he said. 
                                                           


                                                           
Measles drive from Nov. 18
OUR CORRESPONDENT

Aradhana Patnaik at the workshop in
Ranchi on Friday.
Picture by Prashant Mitra

The state government, in association with Unicef, will begin its second phase of the anti-measles vaccination campaign from November 18.

Measles is one of the killer diseases for India’s children.

A daylong interactive workshop, jointly organised by the state health department, WHO-National Polio Surveillance Project, Maternal and Child Health Integrated Program and Unicef, was held in Ranchi on Friday to spread awareness on the life-threatening disease among mediapersons.

A campaign to administer vaccines in 19 districts across Jharkhand will cover 58.77 lakh children in the age group of nine months to 10 years. The three-week exercise will cover 10 districts of Bokaro, Dhanbad, Dumka, East Singhbhum, Godda, Hazaribagh, Pakur, Ranchi, Sahebganj and Simdega on November 18.

On December 2, the campaign will start in the rest of the nine districts — Chatra, Garhwa, Giridih, Koderma, Latehar, Palamau, Ramgarh, Seraikela and West Singhbhum .

The chief guest on the occasion, principal secretary of health and family welfare and medical education K. Vidyasagar, applauded the efforts of organisers. He added the media had an important role in combating this disease.

State project director of National Rural Health Mission Aradhana Patnaik said a team comprising 1,000 supervisors and 40,000 sahiyas will carry out the drive in its second phase. “Only trained health workers will administer vaccines. They will also ensure that all targeted children are vaccinated through random checks,” she said.

Job Zachariah, Unicef’s Jharkhand chief, said the contagious disease could be avoided by increasing the immunisation rate for measles and encouraging breastfeeding.

Praveen Chandra, director-in-chief of state health services, focused on cold chain to store vaccines.

The first phase of campaign was held on January 31 in Deoghar, Gumla, Jamtara, Lohardaga and Khunti.


Jharkhand to launch anti-measles campaign
By Indo Asian News Service | IANS – Thu, Nov 10, 2011

Ranchi, Nov 11 (IANS) A measles vaccination campaign covering 57 lakh children in 19 districts of Jharkhand is set to begin Nov 18, a statement said Thursday.

Being organised by the state government and Unicef, the drive will vaccinate children in the age group of 9 months to 10 years.

According to a Unicef statement, the first phase will cover 10 districts.

'An estimated 400 children die from measles every day in the world. Three out of four children who die from measles in 2008 were in India. In India, measles account for 4 percent child deaths below five years,' the statement added.

                                                          

Monday, 17 October 2011

ANM and Anganwadi workers are the backbone of immunization campaign


As a follow-up to the IGNOU-UNICEF partnership, several journalists have been engaged as 'a ore group of media' to continue reporting on immunisation along the lines of the media training and disucssion done on 26th June during the first workshop. Santosh Kumar, Special Correspondent from Prabhat Khabar, a leading daily fro Bihar recently is one such media participant who continues to write on immunisaiton. Enclosed is his article on a routine immunisation session and the role of an Anganwadi worker,  written while in remote district of Bihar in  Muzaffarpur, on a UNICEF facilitated visit. Many thanks to Alpana from our A&P section and to Dr. Ravi Chandran for facilitating the visit.

UNICEF-IGNOU Routine Immunization Awareness Programme


ANM and Anganwadi workers are the backbone of immunization campaign

Santosh Kumar Singh back from Muzzafarpur

New Delhi: Today is the last Monday of the month. Anganwadi worker Vaijayanti Kumari is asking women in areas around her centre in Muzzafarpur to come for immunization. She keeps moving forward…. Then, 30-year old Kishori Devi‘s voice can be heard, “How can I come? I have to go for work. Vaijayanti Kumari speaks in an admonishing tone, “You had been informed about the immunization day in the Women’s Group meeting. Is earning more important to you than your child? Anganwadi helper is coming. Send your child along with her.” Within the next 10 minutes, a crowd starts assembling outside centre no.55. Everyone has a card in their hands. ANM of the concerned block, Rita Kumari is taking the cards from the mothers and immunizing the children accordingly. The anganwadi worker has the record of all the children in the area who have to be immunized. Then, the anganwadi helper comes and informs that in spite convincing her Shabana is not ready to bring her 3-month old child for vaccination. She says that the child’s father has refused for immunization saying that people perform incantations in the garb of vaccination. Vaijayanti Kumari gets concerned, but hopes that she comes for immunization. She takes Shagina Khatoon, who is a mother of a 3-month old child, along with her to Shabana’s house. She tells Shabhana again about the advantages and importance of immunization. Shabana finally comes to the centre and the child is immunized.

ANM Rita Kumari says that since it is a backward area, most of the women are uneducated. Initially, they were not at all ready for immunization. But, now they have started realizing its importance. It may not be 100 per cent, but 70 per cent of the women are coming to the centre for immunization on a regular basis. At the meeting of the Women’s Group at the anganwadi centre, this issue is usually discussed and is proving beneficial. Superstitions that are deep seated in the minds of the people are slowly diminishing. Now, even men are getting their wives to the centre along with the child which is proving easy.

Rita Kumari says that immunization for BCG, OPB, DPT, Hepatitis-B, Measles and Encephalitis is done on a regular basis. Vaijayanti Kumari shows her register and says that most of them do not even know what vaccinations have been given to their children. But through this register and with the help of the card which has been given to them, we find out about the vaccines to be given to the child. On every immunization day, some new children are also included. Sometimes, there is shortage of vaccines as well.

Muzaffarpur District immunization officer, Dinesh Prasad Singh says that two months back there was a problem due to shortage of vaccines for a few days, but now we have all the vaccines available. He says that immunization safeguards children from 8 life-threatening diseases. Concerns remain regarding providing training to the anganwadi workers. When new types of vaccines are introduced, the anganwadi workers and ANM need the necessary training on the issue. Under the National Immunization Programme, new vaccines are introduced from time to time. Inconsistency in the Women’s Group meetings too causes a bit of problem. On providing information regarding Encephalitis, Singh says that in reports that have come in from Pune, Hyderabad and Delhi, this disease has not been confirmed. However, as a precautionary measure, immunization is been carried out in sensitive areas. ANM of Mithanpura Neelu and Urmila, Vibha of Chhata Chowk, Seema of Baalu Ghat too were agile at their work. They realize that the responsibility for ensuring a better future for the children rests on them.  


Sunday, 16 October 2011

Second round in measles vaccination campaign allows children to ‘catch-up’ in India

© UNICEF India/2010/Giacomo Pirozzi

Recently, the second dose of a
 national measles vaccination 
campaign was administered to 
children at outreach sites 
all across the country, and for 
those who missed out on 
their first scheduled dose 
at nine months, they were given 
a chance to ‘catch up’ with 
those children who have 
already received it.
By Sonia Sarkar
DABHIPUR, India, 11 October 2011- In November of 2010, the Government of India, supported by UNICEF and WHO, launched the measles ‘catch-up’ campaign with the aim of reaching 134 million children in 14 high risk Indian states, to prevent an estimated 60,000 to 100,000 child deaths annually.. Recently, the second dose of the measles vaccine was administered to children at outreach sites all across the country, and for those who missed out on their first scheduled dose at nine months, they were given a chance to ‘catch up’ with those children who have already received it.

Measles is a highly contagious respiratory illness and a leading cause of death among young children worldwide, despite the fact that a safe and effective vaccine has been available for 40 years. In the first few weeks after contracting measles, a child’s immune system weakens and this can lead to severe health complications, such as pneumonia, diarrhoea and encephalitis.

Mr. Kapurji Rupaji, principal at Dabhipur School in the western Indian state of Gujarat, is well aware of the severity of the disease. He has received special orders to ensure that each student is informed about the measles catch-up campaign.

“During such a school session, we make sure that all children under 10 receive the measles vaccine,” he said.

Challenges and setbacks
However, not all schools readily receive the campaign vaccinators and this can cause problems. When this happens, proactive direct engagement with the parents must take place.

“Some parents wrote back to us that they do not want their children to be vaccinated,” explained Dr. Tapasvini R. Acharya, Health Supervisor at the Primary Health Centre in Dabhipur. “We will tried to convince them so that they willingly brought their children for vaccination.”Ms. Manju Joshi is an Auxiliary Nursing Midwife working at the Vaghrol Public Health Centre (PHC). The PHC is the cornerstone of the rural healthcare system in India and it relies on the dedication and expertise of trained paramedics like Manju to coordinate with other frontline health workers to mobilise women and children to the center for vaccination.

“We got the message from the PHC about the forthcoming measles campaign,” said Ms. Joshi. “We prepared a list of villages and schools and mapped the total number of children anticipated, syringes and needles needed and the number of booths.”

Ensuring vaccine safety

The measles campaign lasted three weeks. While school children between the ages of five and 10 years of age were targeted in the first week, non-school going children were reached in the second and third weeks at the outreach sessions.

Cold chain management is an integral part of the routine immunization program. During Village Health and Nutrition Days, the vaccine vials are transported from vaccine storage units in the state capital of Ahmedabad and carefully preserved in specially designed carriers that are kept at the optimum temperature.

“On the back of the tally sheet, we write the mixing time and the batch number of the vial, the name of the manufacturer, the expiry date, and the names of the children who have received the vaccine from that vial,” explained Dr. Acharya.

Severe reactions following measles immunisation are rare. Minor reactions such as fever and rashes follow within 6-12 days and usually subside naturally. However, most adverse events following immunisation that occur are the result of programme or human errors. This is why training of vaccinators for safe injection practices is an essential aspect of the second dose of measles campaign.


Children's Asha

Article contributed by Ms. Shivani Pandey, Freelance Journalist





Sunday, 9 October 2011

बिहार में टीकाकरण

Contributed by Mr. Santosh Kumar Singh, Senior Correspondent, Prabhat Khabar
प्रभात खबर से जुड़े संतोष कुमार सिंह बिहार में टीकाकरण अभियान पर काम कर रहे हैं। पेश हैं उनकी दो रपटें