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Resource Library: EPI Plan

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Aug 27, 2012

Nigeria Immunization Fact Sheet

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Nigeria

According to official country reports, infant immunization coverage in Nigeria, as reported by DTP3, increased significantly from 57% in 2008 to 74% in 2010. This was followed by a significant drop to 61% in 2011. These reported coverage improvements were primarily due to the country’s decision in 2006 to add multiple antigens and other child survival interventions to the polio eradication campaigns (now referred to as Immunization Plus Days or IPDs) that are held every 4-6 weeks in the northern polio endemic states and at least twice per year nationally. Given the challenges with disaggregating IPD and routine immunization data sub-nationally, denominator issues, and also increased routine immunization focus nationwide through the Reaching Every Ward (REW) approach, official country estimates have greatly fluctuated since 2007.

Download File: vnd.openxmlformats-officedocument.wordprocessingml.document (3.9 MB)

Jun 1, 2013

Using PRISM to strengthen and evaluate health information systems

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Global

The PRISM framework identifies strengths and weaknesses in RHIS performance and bridges the gaps, leading to improved health system performance. Routine health information systems (RHIS) attempt to produce timely and quality information about what is happening in health sector organizations. Ideally, this information is used to guide day-to-day operations, track performance, learn from past results, and improve accountability

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Aug 21, 2012

Liberia Routine Immunization Overview

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Liberia

The DHS conducted in 2007 pointed to coverage rates in Liberia that were significantly lower than official country reports.  Despite an increasing trend between 2004 and 2009, WHO/UNICEF estimates illustrate a sharp decrease in coverage over the last two years.  In 2011, Liberia’s immunization program failed to reach 39% (or 56,160) of its target population of children under one year of age with even a first dose of the DTP vaccine.  Twelve percent of the children who began the DTP vaccination series did not complete it (drop out rate between DTP1 and DTP3), as shown in the graph below. Drop-out rates that are higher than 10% typically indicate problems with how immunization services are being delivered, perceived (e.g. friendly and reliable services) and used.   The population’s use of routine immunization services is determined by the availability of, access to, demand for, and acceptance of those services.

Download File: vnd.openxmlformats-officedocument.wordprocessingml.document (4.2 MB)

Aug 6, 2012

Kenya Routine Immunization Overview

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Kenya

Kenya’s national immunization program was one of the most successful in East Africa in the 1990s.   In the last ten years, Kenya’s immunization coverage for DTP3 has averaged between 73% and 88%. The drop-out rate nationally was reported at 7% in 2009 (see graph below). Coverage has varied, however, between provinces–with some reporting DTP3 below 70% and with DPT1-DPT3 drop-out rates above 10%.  In 2008, a post-election political crisis destabilized the country, particularly in Western, Nyanza and Rift Valley provinces.  This resulted in interruption of health services, including vaccination, during that year.  There were also vaccine stock-outs in 2008 and the first quarter of 2009.  Additionally, the division of districts and creation of new districts (from 78 to 254) has resulted in problems with denominator calculations and difficulty in ensuring fully functioning District Health Management Teams and services in many of the new districts. The recent creation of two separate health ministries with split program functions has also resulted in managerial and financial complications for preventive services like immunization.

Download File: vnd.openxmlformats-officedocument.wordprocessingml.document (4.3 MB)

Jan 1, 2014

Evaluation of Effective Vaccine Management for Senegal

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Senegal

A presentation of findings from the Evaluation of Effective Vaccine Management for Senegal (French).

Download File: vnd.ms-powerpoint (2.9 MB)

Nov 18, 2014

BLN Webinar: RED-QI (Reaching Every District incorporating Quality Improvement)

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Ethiopia, Uganda

The Better Immunization Data Learning Network (BLN) recently hosted a webinar which elaborated on RED-QI (Reaching Every District incorporating Quality Improvement approaches). The “RED-QI” approach is a process that supports addressing larger priority problems (e.g. persistently high drop-out rates) using small, rapid, doable changes that can be quickly tested and evaluated for adoption, adaption, or abandonment at the local level.

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Mar 1, 2013

OPTIMIZE Albania Report

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Albania

This report presents the results of demonstration projects and other activities undertaken in Albania as part of a partnership between project Optimize and the Albanian Institute of Public Health (IPH). Between 2010 and 2012, Optimize collaborated with the IPH to demonstrate innovations in the supply chain that can help to meet the demands of an increasingly large and costly portfolio of vaccines. This report describes the two demonstration projects undertaken in Albania as part of the collaboration.  

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Apr 10, 2006

WHO Global observatory for eHealth Cameroon

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Cameroon

Cameroon reports that policies and strategies to support the information society will be introduced by 2008. The country started providing ongoing public funding for information and communication technologies (ICT) support to programmes addressing national health priorities in 2005 and rates it as slightly e! ective. Most likely this action will be reviewed and continued within the next two years.

 

Download File: pdf (112 KB)

Apr 11, 2011

Rwanda EPI cMYP 2011-2015

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Rwanda

The overall goal of the national EPI is to contribute to the improved well-being of the Rwandan people through reduction of child morbidity and mortality due to vaccine preventable diseases. Created in 1978, EPI in Rwanda became operational in 1980. It is comprised of three principal components: routine vaccination, supplemental immunization activities, and surveillance for target diseases.

 

Download File: pdf (409 KB)

Dec 17, 2010

Ethiopia EPI cMYP 2011-2015

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Ethiopia

The Federal Democratic Republic of Ethiopia is the second most populous country in sub Saharan Africa with an estimated population of approximately 79.2 million people and the tenth largest by area with its 1.1 million square kilometres, . The IMR is 77/1,000 in 2005, it is still among the highest in the world (DHS 2005). The health status of Ethiopian children is very poor as attested by the death of an estimated 472,000 under five children each year. Of every 100 children in Ethiopia, 14 do not live to celebrate their fifth birthday mostly due to preventable causes.

 

Download File: pdf (1.5 MB)

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