COMMUNITY ENGAGEMENT

1
COMMUNITY ENGAGEMENT
Katsina State Presentation

• Katsina State
• State Communication Review
• 28th 29th June 2007

2
Overview

• Presentation Outline-
• Objectives for 2007
• State Profile
• WPV trends
• Communication Platform
• Strategic results
• Strategic Planning
• Challenges
• Way Forward

3
2007 Objectives

• Interrupt the transmission of Wild Polio by Dec
  2007
• Contribute to an increase in immunization
  coverage from 60 to 75 DPT3 in all LGAs
• Reduction of zero-dose children from current 7.6
  to 5 in high risk LGAs
• 100 of the identified traditional and religious
  leaders support and advocate for PEI
• Reduce the number of missed Children
• Reduce Non Compliance among missed CHILDREN from
  48 to 20

4
Katsina State Profile

• Demographic Information
• Total Population 5,990,265
• Target Population (0-59 mths) 1, 198,611
• Under 1yr
  239,611
• Health Facilities
• No. of Public HFs 1,012
• No. of HFs providing RI 953
• No. of Immunization Posts Teams 1410
• Health performance Indices
• Neonatal Mortality Rate 55/1000
• Maternal Mortality Rate 1000/100,000
• Under-5 Mortality Rate 269/1000
• 8 WPV as at week 23, June 07 in 07 LGAs.

5
TREND OF WPV BY DATE OF ONSET IN KATSINA STATE
2006 - 2007
NIDS
IPDS
6
KATSINA STATE 2ND Q HR ANALYSIS AND WPV
DISTRIBUTION JAN JUNE 2007
kaita
Mai'Adua
Mashi
Katsina
Jibia
Daura
Zango
Dutsi
Sandamu
Mani
Batagarawa
Rimi
Batsari
Baure
Bindawa
Kurfi
Ingawa
Charanchi
Kankia
Safana
Kusada
Dutsin Ma
Dan Musa
Matazu
Musawa
LEGEND
Kankara
Malumfashi
HIGH RISK LGAS MODERATE RISK LOW RISK
Faskari
Kafur
Bakori
Funtua
Dandume
Danja
Sabuwa

WPV 1
NB ALL WPVs ARE MORETHAN 3 MONTHS OLD
WPV 3
7
Incidence of Vaccine Preventable Diseases,
Katsina State 2003-2007
8
DPT3 coverage QI 2006/2007
9
Communication Platform Primary Strategic
Approaches

• Community Engagement-
• Community Dialogue to address community concern
  on OPV safety
• Sensitization meeting, involving community
  members, Youth, traditional and religious persons
  to create awareness and gain participation in
  resolving NC
• Peer to Peer Education involving women groups and
  CBOs to create awareness, address concerns and
  resolve NC
• Advocacy
• For partnership with line Ministries and other
  stakeholders
• Engagement of traditional and Religious leaders
• Meeting with Policy makers
• Mass Media
• To create awareness and address misconception
• Communication Materials Leaflets, posters and
  banners

10
Missed children Sept 06 Late March 07
(monitoring data)
11
Missed Children in 5 Highest R LGAs late March
07 IPDs (monitored data)
12
Reasons for missed childrenin highest risk ward
(Kudu 1)
13
Reduction of NCs in 5 HR LGAs of Katsina State
(tally data)
14
Zero Dose Katsina State Sept 06 - March 07
Tally Data
15
Child Adoption Immunization June 06 late
March.07 SIPDs
16
Community Mobilization in-between Rounds (Kudi 1
ward)
H2H visits FOMWAN in-between Rounds
17
Why Successes? Dynamic mix

• Improved Commitments
• Established State PHC Dev Agency
• Improved funding by State and LGAs
• NPI Leadership
• Quality IPDs, Add ons, Mop ups
• Use of mOPV
• Strengthened Communication
• Religious/traditional leaders
• Community Dialogue
• Media programmes

18
Strategic planning/Initiatives

• State level meeting with Ulama under the
  Chairmanship of the State Deputy Governor with
  over 2000 mallams mobilised and are now
  advocating for PEI.
• Working with Miyetti Allah Association in
  identifying, mobilising and immunising the
  Nomads/Fulanis. In the lasts 2 rounds of IPDs
  47,554 fulanis were immunised.
• Working with Pan Disabled Ass. Of Nig. To show
  case persons afflicted by Polio and reducing non
  compliance. 24 polio afflicted persons resolved
  850 cases of non compliance in last IPDs.
• Child adoption. A class 5 pupil brings a child
  she/he has adopted for OPV immunization with 92
  success.
• Collaboration with State Environmental Protection
  Agency as Contaminated Environment is a major
  source of transmission of WPV.

19
Strategic Planning/Initiatives ctd

• Mobilization in-between rounds
• H 2 H mobilization by FOMWAN,
• TBAs engagement in detecting and referral of
  zero dose.
• 722 Town announcers disseminated information
  about IPDs.
• Various Radio panel discussion program and
  broadcasting
• Peer to peer education by Teachers of SUBEB on
  OPV safety with about 1,000 teachers mobilised.

20
Challenges

• Over coming non compliance
• among Elite and Health workers
• OPV as a community felt need
• Fatigue
• Ensuring sustained ownership by LGAs and
  communities.
• Reaching the hard to reach areas.
• Ensuring accountability and transparency in mgt
  of resources
• Continuous analysis and use of LGA data of
  previous rounds to drive SM activities at LGA
  level
• Translation of micro plan data in concrete action
  (e.g. need for PA systems etc) because of limited
  resources

21
Way forward

• Continue targeted dialogue with elites and
  opinion leaders.
• Sensitization of clinicians in all facilities.
• Increased partnership with Miyetti, FOMWAN,
  SUBEB, PANDAN.
• Advocacy to governments for increased
  participation.
• Increased Radio panel discussion with a cross
  section of communities.
• Focused dialogue with NC families and
  communities.

22
High level political commitment
His Excellency Alh. Umar Musa Yaradua during SIA
Flag off
23
Sustained and consolidated commitment
His Excellency Alh. Ibrahim Shehu Shema, Governor
KT State, SIA Flag off
24
Partnering with disables in PEI

• The Chairman Pan Disabled Ass. Of Nig. Speaking
  at a flag off ceremony in Kudu I ward of Katsina
  LGA

25
The impact of child adoption in Katsina state

• A class 5 pupil brings a child she has adopted
  for OPV immunization.

26
Integrated PEI Campaign

• Contaminated water can be a source of
  transmission of WPV, stop children bathing in
  still water/ponds

27
Sallah Festival

• HRH, Alhaji, Dr Muhammadu Kabir Usman, the Emir
  of Katsina, at a gathering for the sallah
  Festival on 21 Oct 2006, estimated at more than
  200,000 persons, called on parents to allow their
  children to be immunized.