Reaching Every Child in Kenya

With High Quality Immunization

And Integrated Services

REACHING EVERY DISTRICT (RED)

APPROACH
Health facility Micro-plan

Health Facility: Sub County: County:

Period covered: Date updated:

1 A: DEMOGRAPHIC DATA
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 County:______________ Sub county:_______________ Health Facility_______________

Parameter Proportion Target Population

Total Population
0-11 months
6-11 months
12-59 months
24- 59 months
0-14 months
WCBA 15-49 YEARS
Expected pregnancies

Tool 1B: Socio Demographics and Transport Requirements to Reach Target Population

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Catchment Area Target Population Distance No. of Distance
Name (Village, nearest H/F No of Outreach/ Transpor Total Transport
0-11 12-59 Pregnant
Estate/ <5km= fixed Priority* teams Immunization t (km/month) Cost
months months women
Settlement) >5km=outreac sessions means
h
/mobile

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Tool 1C: Demographic Map.
(Show compass, villages, roads, streams/forests, populations of villages and distances
to Health Facility)

TOOL 1D: Problem identification & Priority Setting (Childhood Vaccination)

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 County: Sub County:
Catchment Compile data on population, doses of vaccine administered Analyze problem Prioritize
Area Name Calculate immunization coverage in the previous 12 months ***
(Settlement, Target Children vaccinated Immunization coverage (%) Un-immunized (No.) Drop-out rate Identify Categorize
Village/ Pop. (%) Problems * Problems
**
Estate
< 1 yr Penta 1 Penta 3 Measles Penta 1 Penta 3 Measles Penta 3 Measles Penta1- Penta 1- Access Utiliza Category Prioritize
Penta 3 Measles tion 1,2,3,4 1,2,3,4
A B C D E F G H I J K L M N O P
(C/B)x (D/B)x (E/B)X (B-D) (B-E) [(C- [(C-
100 100 100 D)/C]x E)/C]x
100 100

Key:

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M= Poor or Good, N=Poor or Good

Categories

1. No Problem: low drop-out. Coverage high

2. Utilization problem: high drop-out, high coverage rate
3. Access problem: low drop-out rate, low coverage
4. Utilization and Access problem: high drop-out rate, low coverage

P= (1) Very High, (2) High, (3) Medium, (4) Low, based on number of Un- immunized Children and Category of problem

ACCESS: Penta 1 > 80%= Good, < 80% Poor

UTILIZATION: Penta1- Measles > 10% = Poor, Penta 1- Measles < 10 %= Good.

NB: For health facility Micro-Plan;

Areas where the village population cannot be established, a defaulter list should be used to cite outreach sites.

The areas with the highest defaulters should be prioritized for outreaches. However in areas with known village population figures, the above
tool is applicable

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 TOOL 2 A: VACCINE FORECASTING SHEET
NAME OF SUB COUNTY/ HEALTH FACILITY_______________________________________ YEAR________________
BCG bOPV IPV DPT-HEPB+HiB PCV 10 ROTA MR T.D
1.ANNUAL NEEDS ( DOSES)
BASED ON TARGET POPULATION ( ALL CHILDREN 0-11 MONTHS, 12-59 MONTHS OF AGE, 10 YEAR OLD GIRLS AND PREGNANT WOMEN)
[A] Target Population
[B] Doses in immunization 1 4 1 3 3 2 2 3
schedule
[C] Wastage factor
[D] Total doses required this
year= ( AxBxC)

2. QUANTITY FOR SUPPLY PERIOD ( DOSES)

SUPPLY PERIOD: HEALTH FACILITY = 1 MONTH; SUB COUNTY STORES = 3 MONTHS; REGIONAL STORES = 3 MONTHS
[E] Supply period (months)
[F] Supply period (years)= [E/12]
[G] Total doses required for
supply period=(DxF)

3. MINIMUM STOCK (DOSES)

ANY TIME YOUR STOCK REACH THIS LEVEL, YOU MUST REORDER IMMEDIATELY
[H] Reserve stock proportion=
25%
[I] Minimum or Reserve stock
=(GxH)

4. MAXIMUM STOCK (DOSES)

YOUR STOCK CEILING, NEVER STOCK MORE THAN THIS AT ANY POINT IN TIME
[J] Maximum stock =(G+I)

5. QUANTINTY TO BE ORDERED (DOSES)

YOU MUST CALCULATE THIS EVERY TIME YOU WANT TO ORDER VACCINES
[K] Quantity in stock at this time

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 Tool 2B: Resource requirements for Immunization Services- Manpower, Transport, and Material

County______________________ Sub county_______________________________

Indicate
number Problems Identified Remarks
Needed
Qualified Staff Available
Human Resource Needed
Other Staff Available
Needed
Vehicle Available
Needed
Motor cycles Available
Transport Needed
Bicycle Available
Needed
Fuel Available
Needed
Others Available
Needed
posters Available
Needed
Fact sheets Available
Needed
EPI Registers Available
EPI TOOLS Needed
Mother child booklet Available
Needed
T.D cards for mothers Available
Needed
Tally sheets Available
Needed
Report forms Available
Needed
Vaccine order sheets Available

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 Indicate
number Problems identified Remarks
Needed
AEFI forms Available
Needed
Temperature recording forms Available
Needed
Vaccine stock ledger Available
Needed
Brochures Available
Needed
Wall charts Available
Needed
Banners Available
Needed
Cold Box Available
Needed
Vaccine Carrier Available
Needed
Ice Packs Available
Needed
Refrigerator Available
Cold Chain Equipment Needed
Freezer Available
Needed
Gas cylinder Available
Needed
FT 2E Available
Needed
Dial Thermometers Available
Needed
Specimen Kits for Measles Available
Needed
Specimens kits for AFP Available
Needed
Specimen Carrier

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 Tool 2C: Causes of problems and Solutions Analysis (Childhood Vaccination)
County: _______________________ Sub County: _________________________________________
System components Problems Identified Activities to be conducted at Support required from Sub
Health Facility Level County
A. Planning and Management of
Resources

B. Reaching the Target

Population

C. Supportive Supervision

D. Linking services with

communities

E. Monitoring and use of data for action

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 Tool 3: Mapping: stakeholder Analysis
County: ______________________ Sub County_____________________________
Catchment Community / influential School Religious Institution (sect)/ NGOs / CBOs/ Extension Workers,
Area Name leaders Traditional Practitioner Farmers & Business Name/ Others
( Village, Name/ Contact/Tel Name of Focal Contact/ Name Focal Contact/ Name Focal Contact/
Estate/ Title School person Tel person Tel person Tel
Settlement)

Current strengths of key partners

Opportunities and challenges
Area of possible support

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 Tool 4: REC Approach Activity Schedule
County:_______________ Sub County__________________________ Quarter 1[ ] 2[ ] 3[ ] 4[ ]

Activity/ Component Where? Who is Months in the Quarter Remarks

( location) Responsible? Q1 Q2 Q3 Q4
A Planning and Management of
Resources

B Reaching the Target

population

C Supportive Supervision

D Linking services with

communities

E Monitoring and use of data for

action

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 Tool 5: Budget Summary Activity for Reaching Every Child
County: ____________________ Sub County__________________________
Activities Details/ inputs Total Cost (USD) Person Responsible Remarks
A Planning and managing resources

B Reaching the target population

C Linking services with communities

D Supportive supervision

E Monitoring and use of data for action.

Grand Total

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