Progress and Challenges in Revitalizing Routine Immunization

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Progress and Challenges in Revitalizing Routine
Immunization

• Achievements and challenges in routine
  immunization
• in West Central Africa
• Dr M.Kamwa, WHO ICP/EPI,West Africa
• 11th Task Force on Immunization in Africa

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Presentation outline

• The GAVI Subregional Working Group for West
  Central Africa
• Paving the way
• Main achievements
• Constraints challenges
• Way forward

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West Central Africa SRWG
CORE PARTNERS Vaccine Fund WHO UNICEF AMP ADB ARI
VA CVP BASICS THE WORLD BANK WAHO
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The GAVI West Central Africa SRWG

• Target countries 25 countries
• Core partners on the map
• Functions
• Co-ordination
• Consensus building
• Health information and monitoring for action
• Advocacy

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Paving the way

• Monitoring (tool quarterly meetings)
• Vaccine management
• TrainingMLM,EPIVAC, Fin. Management(VII),
  vaccine management, waste management,
  communication,etc
• Introduction of new vaccines (increasing demand)
• Waste management
• RED implementation
• Technical support to countries

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Main achievements

• Taking advantage of GAVI-VF funding opportunities
• Monitoring system
• Vaccine management
• Immunisation coverage

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GAVI funding opportunities
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of countries with YF vaccine stock-out at
Central level storeICP/EPI WA 2001 2003
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of countries with DTP vaccine stock-out at
central level storeICP/EPI WA 2001 2003
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of countries with BCG vaccine stock-out at
central storeICP/EPI WA 2001 2003
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Improvements in vaccine management Burkina Faso,
2001 2003
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West BlockTrends in DPT3 coverage DPT1-DPT3
drop out 2001-2003
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Central Block DPT3 district performance, 2002-3
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Central Block Monthly reported DPT3 Jan-August,
2002-2003
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Constraints

• Weak health systems
• Disrupted health services in Liberia, CAR, Côte
  dIvoire
• Underfunding
• Conflicting priorities

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Challenges

• Sustaining capacity building for service delivery
• Effective functioning of the national ICCs, under
  the leadership of the MOH
• Definition, timing and request for/provision of
  technical assistance
• Compliance with requirements for quality
  reporting at country level
• Promotion of internal/external evaluation
  culture at country level for programme
  performance
• Appropriate communication to boost demand

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Way forward(1)

• 1. Attain and sustain high routine coverages
• Fast implementation of RED approach
• Enhanced partnership
• Promote efficient use of scarce resources
• Sustain financing
• 2. Promote adequate management of EPI related
  activities
• Logistics (vaccine, waste, equipment..)

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Way forward(2)

• Promote adequate management of EPI related
  activities (contd.)
• Data (collection, analysis, feedback action)
• Linking monthly reporting with annual statistics
  on WHO/UNICEF Joint Reporting Form
• Documentation of immunization activities and
• dissemination of best practices