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IMMUNIZATION IN UGANDA Dan Wamanya USAID

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IMMUNIZATION IN UGANDA Dan Wamanya USAID

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    1. IMMUNIZATION IN UGANDA Dan Wamanya USAID/Uganda

    2. PROBLEMS WITH IMMUNIZATION Low immunization coverage rate over the past 12 years Decline in immunization coverage in all the districts of the country over the last 5 years High immunization drop out rate

    5. CAUSES OF LOW COVERAGE Poor communication strategies resulting in low demand for immunization services Inadequate management of challenges related to health sector reform Disruptions of routine immunization resulting from eradication campaigns

    6. CAUSES OF LOW COVERAGE Con’t Inadequate involvement of the private sector in the delivery of immunization Vocal opposition to immunization by some opinion leaders and FM radio stations

    7. UGANDA IMMUNIZATION PARTNERS USAID/AFR funds WHO & UNICEF SOS Disease Surveillence Routine Immunizations Supplemental Immunization Activities BASICS II Advisor with UNEPI Models for Routine Immunization Links to IMCI

    8. UGANDA IMMUNIZATION PARTNERS Con’t DELIVER Logistics DISH II IEC/BCC IMCI GAVI

    9. PARTNER COORDINATION ICC was formed in 2000 Provides policy and oversight of resource need and implementation Meets every three months, is chaired by MOH, and all donors attend Gives high level attention to immunization

    10. MOH & USAID/UGANDA FOCUS AREAS New Integrated Strategic Plan – Use of Universal Primary Education to implement health interventions Making decentralization work for health, especially the delivery of immunizations.

    11. MOH & USAID/UGANDA FOCUS AREAS Con’t Improve access to EPI services through opening of new outreaches Use IMCI, SOS and child health days to reduce missed opportunities A strong advocacy and social mobilization strategy for EPI

    12. MOH & USAID/UGANDA FOCUS AREAS Con’t Investing in functional and sustainable disease surveillance systems Conducting Supplemental Immunization Activities (SIAs) - Polio eradication - Measles control - MNT elimination

    13. CHALLENGES AND LIMITATIONS Scaling up at the national level to cover all 56 districts Engaging the private sector in immunization Limited communication with USAID/Uganda about USAID/W funded activities

    14. CHALLENGES AND LIMITATIONS Con’t Introduction and the cost of new vaccines Continued supplemental immunization campaigns Increasing urban and peri-urban populations

    15. POSITIVE DEVELOPMENTS & OPPORTUNITIES Good EPI infrastructure exists Regular supply of adequate potent vaccines Experience gained through successful NIDs Improvement in funding levels

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