Results of data analysis regarding RCH performance of Uttar Pradesh during the month of April to June 2020 as compared to previous year 2019 for same months were compared for RCH services.
The immunisation services had been adversely affected during the months analysed as compared to previous year 2019. It seems that not only newborn children but even the older ones have missed proper immunisation services as evident from the data analysis.
For BCG immunisation there is a decrease of 29.0% as compared to previous year 2019 data. Since BCG is given at birth it seems that either less no. of children’s is born during this period or many have not received it.
For Penta3 + DPT3 the decrease was 43.1%.
For DT or DPT5 the decrease was 45.1%.
For Measles + MR the decrease was 33.4%.
For OPV3 the decrease was 43.2 %.
For TT10 the decrease was 45.4%.
For TT16 the decrease was 44.6%.
For vitamin A which is given from 9 months of age 1st dose decreased by 16.6 %
Vitamin A 2nd to 9th dose starts from 16 months of age (one dose every 6 month).
Vitamin A 5th dose decreased by 11.3%
Vitamin A 9th dose decreased by 10.9 %
Here it is important to mention that vitamins A as well as OPV both are administered orally. The only difference is that OPV3 is given at the age of 14 weeks whereas vitamin A is started from 9 month onwards. This shows that the immunisation coverage for children of all ages decrease in 2020 April/May/June as compared to 2019 when the pandemic was not in existence.
The full scenario is as follow:
Immunisation | ITEM CODE | NUMBERS ACHIEVED DURING APRIL TO JUNE − 2020 | NUMBERS ACHIEVED DURING APRIL TO JUNE − 2019 | % INCREASE/DECREASE IN 2020 COMPARED TO 2019 |
BCG-BACILLUS CALMETTE GUERIN | 9.1.2 | 762618 | 1073425 | DECREASE 29.0% |
PENTA 3 + DPT 3 | 9.1.5,9.1.8 | 617553 | 1084744 | DECREASE 43.1 % |
DT (2ND DOSE) OR DPT-5 | 9.5.2 | 338323 | 616760 | DECREASE 45.1% |
MEASLES + MR | 9.2.1,9.2.2 | 795341 | 1193706 | DECREASE 33.4 % |
POLIO (OPV 3) | 9.1.12 | 610795 | 1074508 | DECREASE 43.2 % |
TETANUS TOXOID (TT10) | 9.5.3 | 269797 | 493890 | DECREASE 45.4 % |
TETANUS TOXOID (TT16) | 9.5.4 | 280265 | 505789 | DECREASE 44.6 % |
VITAMIN A (1ST DOSE) | 9.8.1 | 710516 | 852041 | DECREASE 16.6 % |
VITAMIN A (5TH DOSE) | 9.8.2 | 147588 | 166404 | DECREASE 11.3 % |
VITAMIN A (9TH DOSE) | 9.8.3 | 64649 | 72541 | DECREASE 10.9 % |
The ANC services and institutional deliveries are important to assess the status of maternal care.
Although home deliveries are reduced but at the same time the institutional deliveries also reduced which is a matter of great concern. The scenario is as below:
MATERNAL HEALTH | ITEM CODE | NUMBERS ACHIEVED DURING APRIL TO JUNE − 2020 | NUMBERS ACHIEVED DURING APRIL TO JUNE − 2019 | % INCREASE/DECREASE IN 2020 COMPARED TO 2019 |
ANC | 1.1 | 1120172 | 1579423 | Decrease 29.1% |
MATERNAL HEALTH- HOME DELIEVERIES | 2.1.1.a,2.1.1.b | 81626 | 110955 | Decrease 26.4% |
MATERNAL HEALTH – INSTITUTIONAL DELIEVERIES | 2.2 | 531528 | 655121 | Decrease 18.9% |
Although there is a general trend of increase in all above indicators every year as the population of India is growing rapidly. The decrease of such important indicators clearly signifies that covid-19 pandemic have a negative impact on delivery of important health services such as maternal and child health
The role of family planning is very important in context of India. All important family planning programmes show a decrease from previous year timeline for the same months indicating that the population control strategy of India also suffered during this period.
Family Planning | ITEM CODE | NUMBERS ACHIEVED DURING APRIL TO JUNE − 2020 | NUMBERS ACHIEVED DURING APRIL TO JUNE − 2019 | % INCREASE/DECREASE IN 2020 COMPARED TO 2019 |
Condom user | 8.13 | 244692 | 428060 | Decrease 42.8% |
Oral Pill user | 8.12, 8.14 | 168382 | 252961 | Decrease 33.4% |
IUD insertion | 8.3,8.4,8.5 | 103233 | 170656 | Decrease 39.5% |
Sterilisation | 8.2.1,8.2.2, 8.2.3,8.2.4,8.1.1 | 3986 | 25251 | Decrease 84.2% |
Tubectomy | 8.2.1,8.2.2, 8.2.3,8.2.4, | 3971 | 24429 | Decrease 83.7% |
Vasectomy | 8.1.1 | 15 | 822 | Decrease 98.2% |