Project Directorate

Expanded Programme on Immunization

Health Department Government of Sindh
Ex-I & I Depot Rafiqui Shaheed Road Near Jinnah Hospital Karachi Cantt
Phone 021-35223546, 021-35223547 & Fax 021-35223545
episindh@gmail.com

No: PDEPI/Steno/30514/50
Dated: 11th October 2022

To,
The District Health Officer,
Karachi East, West, South, Central, Malir, Korangi, Keamari, Hyderabad.

SUBJECT: RE-SCHEDULING OF COVID PAEDIATRIC VACCINATION CAMPAIGN

ROUND II.

A reference may be made to the NCOC Decision Points recorded during its 11th
October 2022 Session held in Islamabad (copy enclosed) for your perusal. Following its direction 02
contained therein last paragraph of Minutes of Meeting, the Round-II activities on Covid
Paediatric Vaccination Campaign are hereby re-scheduled. Revised dates will be 31st October to
05th November 2022. Copy of updated work plan (containing timeline as well) is attached herewith
for strict adherence.

PROJECT DIRECTOR
EPI SINDH AT KARACHI

CC:
 The Secretary Health Department Government of Sindh at Karachi.
 The Director General Health Services Sindh at Hyderabad.
 The Director General Federal Directorate of Immunization at Islamabad.
 The Deputy Commissioner Karachi East, West, South, Central, Malir, Korangi, Keamari, Hyderabad.
 PS to the Minister for Health & Population Welfare Department Government of Sindh at Karachi.
 Dr Nabeela Ali Party Chief JSI Pakistan at Islamabad.
 All the EPI Consultants.
 The Provincial Lead-JSI Sindh at Karachi to extend necessary technical support to all DHOs concerned on
subject matter.
 Mr Faizan Gulzar Shaikh TA to extend necessary technical support to all DHOs concerned on subject matter.
 1

NATIONAL COMMAND & OPERATION CENTER

CDC – NATIONAL INSTITUTES OF HEALTH

MORNING SESSION –12th Oct 22

Ser Agenda Time Remarks

1. Epi curve Snapshot 10:00 –10:05
2. Update on Vaccination 10:05 –10:10 In House Session
3. Update on Flood affected districts 10:10 –10:15
4. Dispersal 10:20

FUTURE AGENDA POINTS / UPCOMING TASKS

Ser Agenda Sponsor Date

1. Update on TTQ Ms Marwa 14 Oct 2022

DECISION POINTS 11th Oct 22

Ser Decision / Discussion Points Action By

1. Epi Curve snapshot was presented with following highlights;
-During last 24 hours the positivity percentage remained 0.47% with 00 death reported.
All Federating
- Keeping in view the positivity trend, all federating units are advised to increase the testing
Units
of suspected cases and vigilantly conduct the contact tracing of positive cases for the
possible detection of variants of concern.
2. Update on vaccination was presented. The following was discussed:
- Approx. 123,038 COVID 19 vaccine doses were administered on Saturday. FDI
- Approx.3,221 Pediatric COVID 19 vaccine doses were administered to the children age 5-11 years All Federating
during last 24 hours. Units
- After Pediatric COVID-19 Vaccination campaign first round phase 1, round 2 will be
commencing from 31 October to November 5 2022 in selected districts of Punjab, Sindh and
Islamabad. Second dose of the vaccine will be administered in due course of time.
 COVID

PAEDIATRIC (05-11yrs)
VACCINATION CAMPAIGN
(Round II, 31 October - 05 November 2022)

SINDH EPI
 JUVENILE COVID VACCINATION

Total Population Eligible Population (05yrs & Above)

54 Million 41 M

Fully Immunized People (≥12yrs) Partially Immunized Population (05-11yrs)

35 M 2.5 M

Round II Inoculation Target (05-11yrs)

2.5 M
Khi Div & Hyd Distt

Field Team Deployment HR Engaged in Round-II

4,371 16,000
Including Security Personnel
Salient Features
Covid pandemic is still on

New variants are emerging with rapid pace

Vaccination coupled with SOPs is the only measure of prevention

Sindh has achieved 102% of adult population (≥ 12yrs) as fully
immunized against Covid

Aggressive workplan on juvenile immunization (05-11yrs) is current

venue to keep moving on

Following FDI guidelines 70% of 05-11 yrs children to be inoculated in

high-prevalent Karachi Division & Hyderabad District by Nov 22
FDI has kindly pledged to extend maximum support on field plan
execution
 Field Plan
5 to 11yrs
# of # of # of
Target 5 to 11yrs 03-Member # of UCMO/ District
S. Population Outreach Fixed Mobile/ # of 1st Level 2nd Level # of Data Entry
Districts Population Second Dose Team AEFI Focal Education
No. (2022) Teams Center Special Supervisors Supervisors DHMT Operators
(70% of Age Targets Deployment Person Officers
Teams Teams
Bracket)

1 Central 3,269,902 389,118 357,042 700 625 70 5 51 140 10 4 2 5

2 East 3,200,913 380,909 382,302 685 612 70 3 32 137 6 4 2 3

3 South 1,970,926 234,540 252,624 438 369 65 4 27 88 4 4 2 2

4 West 2,219,839 264,161 289,851 485 420 62 3 21 97 6 4 2 3

5 Keamari 2,086,393 248,281 250,654 446 400 42 4 21 89 8 4 2 4

6 Korangi 2,702,720 321,624 367,887 581 515 62 4 30 116 8 4 2 4

7 Malir 2,209,791 262,965 300,056 482 418 60 4 19 96 8 4 2 4

8 Hyderabad 2,421,186 288,121 317,905 554 445 105 4 54 111 8 4 2 4

Total 20,081,670 2,389,719 2,518,321 4,371 3,804 536 31 255 874 58 32 16 29

Field Team Composition (All 03 Categories)

03 Members-Skilled Person 01, Technical Assistant 01, Social Mobiliser 01
Duration of Activity: 06 Days
Outreach Team: 100 Children per Team per day
Fixed Site: 200 Children per Team for 06-days
Activity Timeline
W-3 W-2 W-1 W-0
S. No Activity Level of Implementation 10-Oct 17-Oct 24-Oct 31-Oct

Establish and Notification Provincial and District Sub

1 Provincial/District
Committees (AEFI, Vaccine & Logistics, Communication)

2 Meeting of all Sub Committees at Provincial and District Levels Provincial/District

3 Meeting of the Provincial Steering Committee Provincial

4 Orientation of DCs and DHOs Provincial
5 Provincial Macro planning Provincial
6 District Macro planning District
7 Field staff & UCMO Refresher (unpaid activity) District
Provincial Monitors visits to verify HR, Vaccines, Recording
8 Provincial/District
Reporting Tools, IEC material etc
9 Develop first draft of UC Micro plans District/UC
10 Develop and implement ACSM activities plan Federal/Provincial

11 Finalization of the UC Micro plans District/UC

12 Compile UC Micro plans and develop district plan District
13 Compile District plans and develop Provincial plans District/Provincial
14 Communication material supplied to Districts Federal
15 Orientation of Doctors on AEFI Management District
Accomplished
16 Supply of Recording and Reporting Tools to districts Federal/Provincial
17 Supply of vaccine, injection equipment and other logistics Provincial/District
In process
Sunday
18 Provincial/District level Readiness Meetings Provincial/District 30 Oct

19 Implementation of Pediatric COVID-19 Campaign All levels

Rate Card – HR (Round II)
Perdiem POL
S. No Category No. of HR
(PKR) (PKR)

1 Skilled Person 4,371 1,000 250

2 Team Assistant 4,371 650 250
3 Social Mobilizers 4,371 650 250
4 UCMOs 255 1,280 3,000
5 1st Level Supervisor 874 1,280 3,000
6 2nd Level Supervisor at District Level 58 1,280 3,000
7 DHMT 32 1,280 3,000
8 District Data Entry Operator 29 1,000 -
9 Provincial Data Entry Operator 4 2,000 -
10 District Education Officer 16 1,280 -
Vaccine & Logistics Plan
No.of Doses
Population 5 to 11yrs Second No.of Diluent No.of RUP 2ML No. 0.2ML of No. of Safety Box
S# Required with 5%
District (2022) Dose Targets Required Syringes Required Syringes Required Required
Wastage

1 Karachi Central 3,269,902 357,042 374,894 37,489 37,489 374,894 5,155

2 Karachi East 3,200,913 382,302 401,417 40,142 40,142 401,417 5,519
3 Karachi South 1,970,926 252,624 265,255 26,526 26,526 265,255 3,647
4 Karachi West 2,219,839 289,851 304,344 30,434 30,434 304,344 4,185
5 Keamari 2,086,393 250,654 263,187 26,319 26,319 263,187 3,619
6 Korangi 2,702,720 367,887 386,281 38,628 38,628 386,281 5,311
7 Malir 2,209,791 300,056 315,059 31,506 31,506 315,059 4,332
8 Hyderabad 2,421,186 317,905 333,800 33,380 33,380 333,800 4,590
Total 20,081,670 2,518,321 2,644,237 264,424 264,424 2,644,237 36,358
 MONITORING AND SUPERVISION

Provincial Tier
 DGHSS
 PD EPI
 Provincial FP Covid Vaccine
 Deputy DG RMNCH
 Additional Director LHW Program

District Level Tier  DHO

 ADHO Preventive
 DFP EPI
 DFP Covid Vaccination
 2nd Level Supervisor
 DSV EPI

Taluka/Tehsil/Town
Level Tier  THO
 TSV

UC Level Tier
 UCMO
 1st Level Supervisor
ACSM Activities

• Inaugural followed by Press Talk/Conferencing-Provincial, District levels

• Engagement with PPA, PMA through Provincial & District level discourse
• Interactive Engagement with Public & Private Sector Educational Institution
Management, Teachers & Students through Seminars, Gatherings-Provincial, District &
Town levels
• Community Engagement & Social Mobilization through government dignitaries, public
representatives, religious leaders/influencers, FLWs, LHWs, teachers, CSO members
et cetra
• Media Sessions and Positive Video Testimonials with Health Experts & HCWs
• Mass Media Awareness through Radio Channels and TV Talk Shows
• Rickshaw Branding
• IEC Material-Banners, Posters.
Safety Profile-Sept 2022 First Dose Administration

67
All the Cases Recovered
No Death Reported

23

13 12
10
5 4

Total Fainting Vertigo Fever / Shivering Nausea / Vomiting Skin Allergy Local Reaction

05-11yrs Children Vaccinated: 2.5M

 AEFI MANAGEMENT
AEFI
Incidence
• Mild and Moderate cases handled • Case received at HF emergency,
• Severe cases referred to nearby or first aid given, physician called to
designated health facility review
• Mild • Ambulance arranged
• Moderate • Patient discharged if stable
• Nearby or designated HF focal person on
• Severe AEFI contacted via phone calls for making • Under the advise of physician the
arrangements before arrival of the patient unstable case be kept at ER or
• Matter reported to district control admitted in hospital or referred
Reported by room/AEFI focal person to nearby tertiary care hospital
Community/
UCMO Nearby/Designated Health
Field Staff
Facility Focal Person on AEFI

• District AEFI focal person to follow sequence of events, report

the matter to DHO and provincial control room
• DHO and the physician designated to handle crisis
communication with support of district administration
• Provincial control room to extend every kind of support to DHO
concerned and his team in the interest of patient’s life & health
AEFI Management (Supportive Matrix-Rnd I Resource )
Number of
Number of Doctors
Training / AEFI Referral
(including Integrated alignment of
Area Orientation Points established
Paediatricians) Ambulance Services
Sessions at Local Hospitals
Trained
conducted
Major service networks as
Karachi Division 24 791 71 Edhi, 1122 and Chhipa duly
aligned with field force and
Hyderabad District 10 55 12 put on alert having fleets:
Khi Div-1150
Total 34 846 83 Hyd Distt-80
In addition to hands-on capacity building of all field staff members
 DATA GENERATOIN & DISSEMINATION

• Technical Assistant will record name, age, gender, Form-B ID of the child inoculated / CNIC & contact number of
parent(s) along details of vaccine consumed & other logistics used on android phone Excel sheet
Field Team • That information will be handed over to First Level Supervisor & then UCMO by 5.00 PM each day

• Information collected from field teams will be compiled on cumulative Excel sheets and submitted to district
control room/focal person by 6.00 PM each day
UCMO

• The information collected from all UCMOs will be compiled on district cumulative sheets with help of Data Entry
Operators and submitted to provincial control room by 8.00 PM each day
District Control • NIMS & COVIM will be updated at district level with the support of Provincial Control Room by 9.00 PM each day
Room/Focal
Person

• Provincial Control Room will collect information from the districts including
line-listing of children in Excel to compile & disseminate it by 10.00 PM each
day
• Will extend necessary technical support to district teams when & where
needed
Provincial Control Room
Area Name Contact Number Station
Coordination Dr Sohail Raza Shaikh 0334 3548172
Dr Khalil Memon 0334 2884449
Vaccine, Logistics & Cold
Mr Khalid Arain 0335 0211234
Chain Management
Mr Fahad Fehmi 0331 3105846
Miss Tahira Bano 0334 1664946
Data Generation & Mr Aijaz Jamali 0300 2992824
Transmission
Mr Faizan Gulzar 0333 3316919
Teams Security & Education Dr Saira Zaidi 0321 8234999
Sector engagement EPI Sindh
Dr Arslan Memon 0332 3150115
Miss Tahira Bano 0334 1664946
Monitoring & Supervision
Dr Waqar Ahmed Soomro 0343 2032088
Dr Sohail Bin Saeed 0333 2106340
AEFI Management
Dr Mehboob Khuwaja 0331 2824418
ACSMS & Crisis Dr Sohail Bin Saeed 0333 2106340
Communication Mr Abid Hasan 0324 2043541
Waste Management/ESMP Mr Mazhar 0334 2612725

Landline Number 021-9922337

Thank You