IJCM₄0A: Process Evaluation of Routine Immunization in post pandemic period in districts of Assam

Background: Globally, immunization faced disruption in 2020, for COVID19. DPT3 coverage fell from 91% (2019) to 85% (2020) in India. Assam reports 67% coverage. Reasons were fear of contracting covid, challenges in community mobilisation, transportation restrictions, deployment to covid duty. Overburdened HCP were under stress affecting service. Capacity building gap was also associated with vaccine hesitancy. Objective: Process evaluation of routine immunization in post pandemic period in Assam. Methodology: The supportive supervision data generated from 1.04.2022 to 30.03.2023 covering all 33 districts of Assam about using MOHFW M paracetamol 94%, Vitamin A 88%, spoon for Vitamin A 86.1%, red and black bag 85.5%, ORS 86.9%, and zinc 75.8%. Anaphylaxis kit available in 92% of which 83.5% were within expiry date. Handwashing with soap and water or hand sanitizer was practiced in 81.6% of sessions. Conclusion: Availability of logistics, manpower as per microplan, capacity building and effective communication needed for further improving the vaccination coverage.