1 / 18

Global Measles and Rubella Management Meeting

Global Measles and Rubella Management Meeting. Progress and Challenges in Bangladesh. 15-17 March, 2011 Geneva, WHO HQ. Dr Serguei Diorditsa. cMYP 2011-2016. In 2011-2016, cMYP elimination target Including 2 nd dose MCV2 introduction.

altessa
Download Presentation

Global Measles and Rubella Management Meeting

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Global Measles and Rubella Management Meeting Progress and Challenges in Bangladesh 15-17 March, 2011 Geneva, WHO HQ Dr Serguei Diorditsa

  2. cMYP 2011-2016 In 2011-2016, cMYP elimination target Including 2nd dose MCV2 introduction Measles control plan (2004-2010) and next goals in Bangladesh Measles control plan 2004-2010 Measles catch-up campaign immunized: >35 million 85% Measles follow-up campaign immunized: >18 million plus OPV, vit A ,albendazole Source: Child deaths due to measles 2000-2009 by WHO estimation, 10 Feb 2011

  3. Measles follow-up campaign immunized: >18 million Measles catch-up campaign immunized: >35 million Trends of measles cases and valid measles coverage by one year of age (1990-2010)

  4. Measles follow-up campaign immunized: >18 million Measles catch-up campaign immunized: >35 million Spot Map of Outbreaks Reported in Bangladesh 2005 2006 2007 2008 2009 2010 Dots are randomly placed within district boundary

  5. Age Distribution of Lab Confirmed Measles Outbreak Cases, Bangladesh, 2003-2010* No Laboratory Confirmed Measles Outbreak detected in 2010 N=48 (1) N=132 (1) No Laboratory Confirmed Measles Outbreak detected in 2007 N=2,095 (34) N=9,378 (120) N=5,248 (68) N=523 (12)

  6. Measles catch-up campaign immunized: >35 million Measles follow-up campaign immunized: >18 million Measles Cases in Bangladesh by Year 2003-2010 Outbreak surveillance Case based surveillance Changes in definition of outbreak: 2003: 50 cases per ward 2005:10 cases per ward 2008: 3 cases per ward

  7. Measles surveillance indicators

  8. Virus isolation status

  9. Non-measles suspected cases reporting rate 58% (37/64) districts achieved rate ≥2.00 in 2010 2009 2010

  10. Measles vaccination valid coverage by 12 months of age, 2005 and 2010 81% (52/64) districts achieved ≥80% coverage in 2010 2005 2010 Source: CES 2005 and 2010

  11. Challenge to improve Surveillance indicators Measles case based surveillance -Integrated with AFP and other VPD Challenge: financial sustainability and transition of VPD network parallel to health systems 140 facilities included for weekly active surveillance for AFP, NT and Measles- at the same time they are reporting 6 EPI diseases on weekly basis All 471 Upazila Health Complexes (UHCs) included in weekly passive reporting 156 additional facilities conduct weekly passive reporting VPD surveillance supported by WHO funded network of 42 SMOs

  12. ICDDRB study on Impact of Measles Activities on Routine Immunization Services and Health Systems in BangladeshT. Koehlmoos et al. The Journal of Infectious Diseases ( in press) Conclusion: • Measles elimination activities had enormous positive impacts on immunization programme and health systems of Bangladesh • Effective integration of the immunization programme with health systems, high level political commitment and effective inter-agency collaboration contributed the campaigns successful Examples of impacts: • Governance • Strengthened inter-ministerial coordination and collaboration • Effective collaboration between MOHFW and development partners • Increased involvement of other sectors in immunization programme • ICC becomes more active • Raised awareness among political leaders • Improved accountability of staff members of the EPI programme • Planning and management • Improved skills of staff to develop strategies in EPI planning at national to local level • Improved skills to management of mass campaigns • Identifying and mapping of target and hard-to-reach population for other EPI outreach activities • Stimulate interdepartmental & inter-sectoral planning • Better long term planning of financing • EPI service delivery • Injection safety • Management & surveillance of AEFI • Increased awareness among community members due to huge publicity • Delivery of add-on’s interventions (vitamin A, deworming, OPV) • Increased EPI centres and clinic visits of people after campaigns resulted to do less motivational works

  13. ICDDRB study (cont’d) Examples of impacts • Impact on human resources • Positive • Increased stock of EPI workforce/volunteers • Contributed development of inter-personal communication among the staff members of different sectors • Created opportunity for staff members involved from other department of MOHFW to learn more about EPI • Negative • Staff members de-motivated from late arrival of funding • EPI staff feel overloaded with added works • Shortage of technical staff • The campaigns did not attract a sufficient number of volunteers in some areas as their refreshment fund were not enough • Impact on Logistics • New equipments were kept as fixed assets for routine immunization • Training and technical assistance to the local staff increased their skills and confidence to maintain cold chain • Impact on Financing • Helped to develop skills in fund-raising from local and international partners • Funding or in-kind support for campaigns release money for other EPI activities • Motivated government & other funders to invest more money in EP

  14. Budget for integrated VPD surveillance and measles activities in 2011-2013 ( in million USD)

  15. Thank You

  16. 2011 Plans and budget • Measles initiative co-financed activities of WHO surveillance network in 2007-2010 • No funds for specific measles surveillance strengthening activities in 2011. • In 2011 WHO SMOs network will continue support the current level of measles in integration with AFP surveillance. • No donor’s commitment to support surveillance network after 2012

  17. Budget for integrated (AFP/Measles/Other VPDs) surveillance and measles control/ elimination activities 2011-2016

  18. Advocacy Plans and Opportunities • Advocate to include measles elimination activities in the new national health sector development plan for 2011-2016 including: • Funds for surveillance activities • Create national position of district immunization and surveillance medical officers (DISMO) • Introduce MR vaccine and allocate cost in the health sector plan • EPI will apply for GAVI support on MCV-2 introduction • Advocate for donors support of WHO surveillance network to maintain current activities and during the transition to DISMOs

More Related