status of epi in guinea dr. mariama bah child survival advisor usaid/guinea june 13, 2002
TRANSCRIPT
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Status of EPI In GuineaDR. Mariama BAHChild Survival AdvisorUSAID/GuineaJune 13, 2002
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Country Background
Surface: 245,857 kmPopulation: 8,225,750Children < 1: 329, 030WOCA: 2,056,000IMR: 98/1000UNDER 5 MR: 177/1000No. of Regions: 8No. of Health Facilities: 817
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Health StructureCentral levelNational HospitalRegional HospitalRegional LevelPrefectoral HospitalPrefectoral LevelHealth CenterSub-Prefectoral LevelDistrict LevelHealth Post
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Organigram of the MOH
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Trends In Immunization Coverage
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Data
Reported DPT3 coverage by country, African Region: 1981-2001
Country818283848586878889909192939495969798990001
Guinea217204152527373485356575757
(rev 19/11/2001)BCG coverage by country, African Region: 1981-2001
Country818283848586878889909192939495969798990001
Ethiopia56781113282744702926364665545247505156
Uganda18375174771001001009810098100968469777781
Ghana67513135353770715661686167657277889591
Guinea531505751517878596969727171
Mali1915216485827269776780767675848268
Senegal329193916965697190908080898989
OPV3 coverage by country, African Region: 1981-2001
Country818283848586878889909192939495969798990001
Ethiopia334467161626492112283657424137404250
Uganda9141421394060777771747979795947525360
Ghana7222319151836504039474850526169727280
Guinea217204152527373485356575757
Mali361826423633463949525252523251
Senegal545971665146525780806565494949
Measles coverage by country: African Region, 1978 - 2001
Country818283848586878889909192939495969798990001
Guinea917253956566969495658615959
TT2+ coverage by country, African Region: 1981-2001
Country818283848586878889909192939495969798990001
Ethiopia223345710241669121625274024313229
Uganda2057131420313983847677774538404245
Ghana1197422825191011231120148918527387
Guinea620212951516666434548484343
Mali1382231373319191720191919626118
Senegal832373326303239393434824545
DPT3
1118111
828282828282
838383838383
848484848484
858585858585
86868628686
878787878787
888888888888
898989178989
909090209090
919191419191
929292529292
939393529393
949494739494
959595739595
969696489696
979797539797
989898569898
999999579999
000000570000
010101570101
#REF!
#REF!
#REF!
Guinea
#REF!
#REF!
Years
Coverage (%)
DPT3 Coverage: 1986-2001
Measles
1118111
828282828282
838383838383
848484848484
858585858585
86868698686
878787878787
888888888888
898989178989
909090259090
919191399191
929292569292
939393569393
949494699494
959595699595
969696499696
979797569797
989898589898
999999619999
000000590000
010101590101
#REF!
#REF!
#REF!
Guinea
#REF!
#REF!
Years
Coverage (%)
Measles Coverage, Selected Countries: 1981-2001
-
Data
Reported DPT3 coverage by country, African Region: 1981-2001
Country818283848586878889909192939495969798990001
Guinea217204152527373485356575757
(rev 19/11/2001)BCG coverage by country, African Region: 1981-2001
Country818283848586878889909192939495969798990001
Ethiopia56781113282744702926364665545247505156
Uganda18375174771001001009810098100968469777781
Ghana67513135353770715661686167657277889591
Guinea531505751517878596969727171
Mali1915216485827269776780767675848268
Senegal329193916965697190908080898989
OPV3 coverage by country, African Region: 1981-2001
Country818283848586878889909192939495969798990001
Ethiopia334467161626492112283657424137404250
Uganda9141421394060777771747979795947525360
Ghana7222319151836504039474850526169727280
Guinea217204152527373485356575757
Mali361826423633463949525252523251
Senegal545971665146525780806565494949
Measles coverage by country: African Region, 1978 - 2001
Country818283848586878889909192939495969798990001
Guinea917253956566969495658615959
TT2+ coverage by country, African Region: 1981-2001
Country818283848586878889909192939495969798990001
Ethiopia223345710241669121625274024313229
Uganda2057131420313983847677774538404245
Ghana1197422825191011231120148918527387
Guinea620212951516666434548484343
Mali1382231373319191720191919626118
Senegal832373326303239393434824545
DPT3
1118111
828282828282
838383838383
848484848484
858585858585
86868628686
878787878787
888888888888
898989178989
909090209090
919191419191
929292529292
939393529393
949494739494
959595739595
969696489696
979797539797
989898569898
999999579999
000000570000
010101570101
#REF!
#REF!
#REF!
Guinea
#REF!
#REF!
Years
Coverage (%)
DPT3 Coverage, Selected Countries: 1981-2001
Measles
1118111
828282828282
838383838383
848484848484
858585858585
86868698686
878787878787
888888888888
898989178989
909090259090
919191399191
929292569292
939393569393
949494699494
959595699595
969696499696
979797569797
989898589898
999999619999
000000590000
010101590101
#REF!
#REF!
#REF!
Guinea
#REF!
#REF!
Years
Coverage (%)
Measles Coverage: 1986-2001
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Polio Eradication Progress
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Indicators of surveillance for AFP
Non polio AFP>= 1 and stools within14 days>= 80%
Did not reach the 2 indicators
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Factors Affecting Immunization Performance:Basic elements of an immunization system
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Strengthened Human CapacityRecruitment of 800 new health agents of which 80% were assigned to a health center or health postFour national consultants supported by USAID, UNICEF and WHOAdd No. of Polio technical advisorsInvolvement of NGOsStaff training in polio, measles, and essential drug management
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Improved Management5 year /annual plansmicro-planning for NIDSmonitoring/supervisionICCInjection safety policy
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Improved FinancingGovernment purchase of vaccineGAVI support Debt ReliefBamako Initiative
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Improved OperationsCold ChainLogisticsService DeliverySocial Mobilization
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ConstraintsGeographical AccessVaccine stock-outs polioAntiquated equipmentInsufficient communications/social mobilizationStaff competency
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Lessons LearnedCommitment of partners, community , health and admin authorities: Functional ICC KeyUse of debt relief funds to implement the EPIUse of mass media and theater groupsStrengthening of EPI through NIDSStrengthening of MOH capacity ( TA)Commitment of the GOG to manage funds allocated by GAVI
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Conclusions: Role of USAIDUSAID/GUINEA in partnership with other partners have significantly contributed to the accomplishment of the MOH EPI . This was achieved through:Participation in ICCAddressing Immunization system strengthening in discussions with UNICEF, WHO, the Japanese
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Conclusions ContinuedParticipating in discussions and development of GAVIThrough the BOOST immunization Initiative participating in the design and implementation of NIDS activities to raise Immunization Coverage Rates
State what your objectives are :
3-4 points you want to make:
1. Status of EPI in a country in some conflict2. Context affecting positive and negative the EPIPolio, Gavi, BI, ETC.3. Role of USAIDI think you should say something about the political context I.e Displanced Persons; IDPs; Conflict
WOCA= women of childbearing age: ( THS FOR TT)You have great maps and they should be used to show the difficult circumstances of guinea
use DHS as your data source.While presenting this state: No. of health centers incrase; Countries receiving support through USAID BOOST AND Grants to AFRO/UNICEF for Routine showing changes>Countries receiving support through USAID BOOST AND Grants to AFRO/UNICEF for Routine showing changes>
Key Levers to strengthening EPI AReStrengthen the 3 basic elements:ManagementCapacity buildingFinancingin order to implement effective & efficient operations:Vaccine supply and qualityLogisticsService deliverySurveillanceAdvocacy and communicationImprove financing for:Op. costs & perdiem for supervision & outreachCold chain & transport rehabilitationImprove management at central & district levels for:Monitoring & reporting + feedbackFight drop-out & missed opportunitiesIntensify capacity building for:Improving management capabilitiesImproving operational capabilitiesSelf-monitoring & use of data at all levelsState how much was due to polio if you can. Always highlight benefits and negatives of polio, and other things like gavi, bamako Initiative, outbreaks etc. New central Cold Store315 refrigerators123 motorcycles10 vehicles for districts ( Polio FUNDS???Spare Parts400 bikes ( Polio)Increased Access5 health centers and 48 new health posts ( 2001)Theater groups etc