Transcript Status of EPI In Guinea

Status of EPI In Guinea
DR. Mariama BAH
Child Survival Advisor
USAID/Guinea
June 13, 2002
Country Background
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Surface: 245,857 km
Population: 8,225,750
Children < 1: 329, 030
WOCA: 2,056,000
IMR: 98/1000
UNDER 5 MR:
177/1000
• No. of Regions: 8
• No. of Health Facilities:
817
Health Structure
National Hospital
Ministry of Health
Central level
Regional Level
RDH
Regional Hospital
Prefectoral Level
PDH
Prefectoral
Hospital
SubPrefectoral
Level
HP
District
Level
HC
HP
HC
HP
HP
HP
HC
HP
HP
HC
HC
Health Center
Health Post
Organigram of the MOH
Minister of Health
Cabinet of Minster
General Secretary of Health
Central Secretariat
General Inspector of Health
National Health Information System
Administrative and finance Division
NDPH
NDHHCS
NDPL
-Divi Prevention
-Div . RH
-Div Tradi. Med
-Div Health Promotion
-Div. Study/org of Care
-Div. Equip/Maintenance
-Div. Drug supply
-Div. Bio-Pharm
Dependent Services :
-Maferinya Training & research. Center
-National School Health Service
Dependent Services :
-Prefectoral Hospitals
- Health Centers
EPI/PHC/ED National Coordinator
Trends In Immunization Coverage
DPT3 Coverage: 1986-2001
80
Coverage (%)
70
60
50
40
30
20
10
0
81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 00 01
Years
Measles Coverage: 1986-2001
80
Coverage (%)
70
60
50
40
30
20
10
0
81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 00 01
Years
Polio Eradication Progress
TxPFANP
%ech.0-14J
6
5
5
4,3
4
3,5
3,5
3,2
3,4
3,3
3
3
2,3
2
1
Indicators of s urveillance for AFP
Non polio AFP>= 1 and stools within14 days>= 80%
Did not reach the 2 indicators
0,8
1
0,9
1
0,7
0,9
KAN
KIN
LAB
MAM
0,9
1
0,9
0
CON
FAR
province
NZE
BOK
GUI
Factors Affecting Immunization Performance:
Basic elements of an immunization system
Operations
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5.
Vaccine Supply & Quality
Logistics
Service Delivery
Surveillance
Advocacy & Communication
Management
Strengthened Human Capacity
• Recruitment of 800 new health agents of which
80% were assigned to a health center or health
post
• Four national consultants supported by USAID,
UNICEF and WHO
• Add No. of Polio technical advisors
• Involvement of NGOs
• Staff training in polio, measles, and essential
drug management
Improved Management
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5 year /annual plans
micro-planning for NIDS
monitoring/supervision
ICC
Injection safety policy
Improved Financing
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Government purchase of vaccine
GAVI support
Debt Relief
Bamako Initiative
Improved Operations
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Cold Chain
Logistics
Service Delivery
Social Mobilization
Constraints
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Geographical Access
Vaccine stock-outs polio
Antiquated equipment
Insufficient communications/social mobilization
Staff competency
Lessons Learned
• Commitment of partners, community , health
and admin authorities: Functional ICC Key
• Use of debt relief funds to implement the EPI
• Use of mass media and theater groups
• Strengthening of EPI through NIDS
• Strengthening of MOH capacity ( TA)
• Commitment of the GOG to manage funds
allocated by GAVI
Conclusions: Role of USAID
• USAID/GUINEA in partnership with other
partners have significantly contributed to the
accomplishment of the MOH EPI . This was
achieved through:
• Participation in ICC
• Addressing Immunization system strengthening
in discussions with UNICEF, WHO, the
Japanese
Conclusions Continued
• Participating in discussions and development of
GAVI
• Through the BOOST immunization Initiative
participating in the design and implementation
of NIDS activities to raise Immunization
Coverage Rates