Improving Covid

Vaccination in
Nagaland
  The COVID-19 pandemic reached the state of Nagaland on 22 May
2020, with its first case confirmed on 25 May 2020 officially.

Covid-19 Seria Indicator Value

Situation In l No.
1. Total Cases 31219
Nagaland 2. Active Cases 365
3. Covid Deaths 650
4. Total covid-19 vaccine dose 1040234
administered
5. Positivity Rate Less then 5 percent
6. Recoveries 29199
  The vaccination status for the state Nagaland suggests that out of the total
Cont.………… population which is 2.3 million , 10,50,123 people have been administered
Covid-19 Situation In Nagaland
with covid-19 vaccine dose.

 52 percent of people from age 18 to 44 have administered first dose of

covid vaccine and 20 percent people of the same age group administered
both the doses of covid vaccine.

 While 44 percent of people from age group 45 years and above

administered first dose of covid vaccine and 30 percent people of same age
group administered both the doses of covid vaccine.

 Vaccine hesitancy in the state has always been the biggest cause
particularly among the age group of 45 years and above mainly due to
rumors and fake news circulating in social media platforms, casting
doubts over the efficacy and safety of vaccines and distrust in government
and health organizations can be some reasons for vaccine hesitancy in the
state.
  90 percent of the population belong to Christianity and 10 percent
belong to the others , and also the assumption is taken that all the
people who belong to Christianity are from tribal Community.
 Vaccine hesitancy for the tribal population is not given anywhere,
Rationale so the assumption is taken that in general what is the vaccine
hesitancy among the other class of the people, has the same as
hesitancy as the tribal community.
 Geography

Assessment
Socio-
of Key Health
economic
Programs

Situation Situation
Analysis
Analysis
Health Status
Demography
& Problem

Health
Infrastructure
Demographic Information Socio-economic Snapshot

 Population Characteristics- •Capital- Kohima

 Population- 1,980,602
• Male population (million)- 1.04 •Geographical area (sq. km)- 16,579
• Female population (million)- 0.95 •Administrative districts (No)- 11
• Population Growth- -0.58 %
•Population density (persons per sq. km)- 12
• Christian population - 1,739,651
(88%)
• Hindu population- 173,054 •Population growth rate 1991-2001 (%)- 64.4
• Muslim Population- 48,963
• Buddhist – 6759 •Sex ratio (females per 1,000 males)- 909
• Jain Population- 2655
• Sikh- 1890 •Literacy rate (%) - 79.55%
• Other- 3214 •Male (%)- 82.75%
• Not available- 2316 •Female (%)- 76.11%
• Rural population- 71.14
• Urban population- 28.86 •Average life expectancy (years)- 73.4*
• Major Tribes- 16 •Age group 18-44 -
• Minor Tribes- 6
•Age Group 45+ -
  The vaccination status for the state
Nagaland suggests that 52 percent of
18-44 years
people from age 18 to 44 have
administered first dose of covid
vaccine and 20 percent people of the 29% First Dose (%)
Second Dose (%)
same age group administered both
the doses of covid vaccine. 71%

Health status • While 44 percent of people from

age group 45 years and above
and problems administered first dose of covid
vaccine and 30 percent people of
same age group administered both 45 years and Above
the doses of covid vaccine.

First Dose (%)

• Almost all the frontline workers and 41% Second Dose (%)

healthcare workers have been 59%

administered with the first dose of
the vaccine in the state according to
the state data.
 1. State level Vaccination drive: By cutting short the non
development expenditure to fund for covid vaccination age of
Interventions 18years-44years.
2. NCOVID-19 Nagaland App
by the State 3. Covid 19 blog
Govt. 4. Covid 19 awareness campaigns
Health
Infrastructure
Other
Supportive
Officers
  Union-MoFH
 Union Govt India
 Nagaland-MoFH

UPWARD

 NHM-Nagaland  NGO, CSR Donations

 Disaster  Public
STAKEHOLDER Management
PROGRAM EXTERNAL


Community
Media
Authority-
ANALYSIS Nagaland  Public/Private Fundings

INWARD

 Vaccine Suppliers
 Vaccine Supply Chain
 R&D and Pharmaceuticals
 Positive Stakeholder Negative stakeholder
 Doctors, Nurses, Paramedical,  Politicians (oppositions)
Allied Staff
 Black Marketers in Health Sector
 Inventory Manager
 Private Medical Practitioners/
 Communities Hospitals/ Nursing Homes/Clinics
Categorizing  Media

 NGO’s

Stakeholders  Suppliers

 Politicians

 Chief Medical Officer

 INFLUENCE

1.MS
H 2.Doctors
I 3.Communities 1. DHA
G 4. Suppliers 2. Media
I
5. Private 3. SHA
M H
6. Medical (Key Players)
P Practitioners
O (Keep satisfied)
R
STAKEHOLDER T
MATRIX A
N
1.Nurse 1.Politicians
C L
2. Paramedical & 2. NGO’s
E O Allied Staff
3. Schools &
W 3. Black Marketers, coaching
(Keep engaged)
(Keep informed)
Problem Tree
Objective Tree
  To understand the Covid -19 vaccine hesitancy in the Christian
Objective population belonging to the tribal community for the state of
Setting based Nagaland.
 To propose better intervention to accomplish 100 percent vaccine
on Objective coverage in the state of Nagaland among the tribal population.
Tree Analysis
 INTERNAL FACTORS Strengths(S)
• High Literacy rate
• 64% of districts- 1 st dose
coverage greater than 60%,
capital city has more almost
100% coverage .
• Availability of healthcare workers
• IEC activities
• Availability of vaccines
EXTERNAL FACTORS
Weaknesses(W)
• Erratic weather with incessant
rains
• Poor road connectivity
• Network and communication
issues
• Cultural affiliations.
• Ignorance in health seeking
behaviour

Opportunities(O) SO Strategies WO Strategies

• Improving efficiency of health
system
• State funds for the free vaccination
• Demand for vaccination
• Vaccination on wheel
• Healthcare workers given extra
incentives for their works
• Vaccination availability at community
centers
• Training of the healthcare workers
• Involvement of the NGOs, private &
renowned agencies, teaching institutes
etc.
• Improve the supply chain of the

TOWS Matrix • Effective IEC to be introduced through

radio, phone calls, newspapers , TV &
social media
•
vaccination and decrease the waste
Seeking help from the eminent
personalities of the societies and
enhance the communication gap

Threats(T)
• Myths & misconception
• Ignorance in health seeking
behaviour
• Geographical barriers
• Reluctance among specific age
group of young adult
population
• Lack of trust on the
government
WT Strategies
ST Strategies
• Effective use of the IEC to minimise the • Tacking the ignorance of the people in
myths & misconceptions the health seeking behavior
• Seeking help of armed forces and local • Improving the connectivity and
leaders to minimise the geographical decreasing the communication gaps
barriers
• Government intervention so as to gain
trust in the public by the public
speaking