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TFI Follow Up meeting

TFI Follow Up meeting. COMMUNICATION FOR EPI/Polio Dakar, Senegal, 5 – 7 April 2008. Flow of data and information. National State LGA Ward. Information for action / feedback. Data. Process.

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TFI Follow Up meeting

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  1. TFI Follow Up meeting COMMUNICATION FOR EPI/Polio Dakar, Senegal, 5 – 7 April 2008

  2. Flow of data and information National State LGA Ward Information for action / feedback Data

  3. Process • Collect/receive IPDs data for the LGAs/states from WHO (exported Excel files include all the data from the different forms used during the IPDs). • The data are then converted into specific charts as required and compared with identical charts from previous IPDs • IPDs data for states or LGAs is mapped to allow for visual interpretation of the geographical patterns over time. • Feedback thru Consultants and review meetings • Analysis by states sent to national data FP who gives feedback

  4. Actors Involved • Socmob data officer at UNICEF • Nat Socmob working Group (NSMWG) • M&E working Group (Chair is WHO) • Health Education officers (LGA/State) • State Consultants (WHO/UNICEF) • WHO data FPs • Other partners (COMPASS, RED Cross)

  5. 2008 Monitoring Indicators Major % reduction in NC Households (trends analysis) % reduction in missed children (trend analysis) % reduction in Zero dose children Trend analysis of sources of information Trend analysis of knowledge of campaign Other Trend analysis of data from Koranic schools Trend analysis of data for children immunised on the streets

  6. Priority Zones: Trend in Non-compliance NCHH by LGA, Sept 07 NCHH by LGA, Jan 08 NCHH by LGA, Feb 08 Trend in NCHH in 6 VHR States Tally Data

  7. Strategic Result: Sources of Information JANUARY 2008 JANUARY 2007 FEBRUARY 2008 Independent Monitoring Data

  8. Strategic result: Missed Children in the 6 VHR States 9.0 7.8% 8.0 7.0% 7.0 n e r 5.6% Non - compliance 6.0 d l i h Child Absent 5.0 C d e House Not 4.0 s Visited s i 3.0 M % 2.0 1.0 0.0 Nov 07 Jan 08 Feb 08 10.6% reduction in children missed due to non-compliance in the 6 Very High Risk States from Nov 07 to Feb 08 Monitoring Data

  9. Reasons for Child Absent, Feb 08 Monitoring Data

  10. Jigawa State– Trend in NCHH September 2007 November 2007 February 2008 January 2008 SuleTankankar Tally Data

  11. Missed Children (%) by Ward Sule Tankakar LGA, Jigawa State – January 08 IPDs

  12. Sources of information, Danadi Ward, Sule Tankakar LGA , Jigawa IPDs JAN-08

  13. Key Communication Issues for HR Danadi Ward in S/Tankankar • Very high level of missed children. • SECT (Digawa) does not believe in western medication • Non-compliance, overt and passive • Significant levels of zero-dose children • No correlation between influence of traditional institutions and compliance • Inadequate implementation by teams/health workers to counsel HH for acceptance. Responses: • Line listing of Qur`anic schools and population of children • Additional teams provided by Jigawa • Use of TBAs in every team as vaccinators. • Use of Qur`anic schools teachers as vaccinators in HR. • Engagement of Emir of Gumel

  14. Indicators for Special Initiatives Koranic schools • No of Schools sensitized • No of schools that allowed immunisation • No of Children reached in Koranic schools Child to child and Youth participation outreach • No of youths involved/participating • No of eligible children identified • No of identified children that are immunized

  15. Indicators for Special Initiatives (2) Community Dialogues (CDs) • No of CDs conducted • No of participants in CDs • Issues raised in CDs • No of Non-compliant children immunised after CDs IPC improvement initiative • No and categories trained (vaccinators, TBAs, CBOs WFPs, HEOs) • Quality of training • Basic skills (GATHER)

  16. Strategic Results: Community Mobilization Federation of Muslim Women Associations of Nigeria (FOMWAN) resolved over 70% of non-compliance cases identified

  17. Strategic Result: Children Vaccinated in Koranic Schools

  18. Impact of Community Dialogues Children Immunised Non-compliant Households Tally Sheet Data for Settlements where dialogues were monitored

  19. Follow Up & Supervision Mechanisms • Review of microplans • Feedback and guidelines for next IPDs • Deployment of national consultants to supervise states • STOP teams focus on supportive supervision for data • 2 annual retreats for SM personnel • Monthly State reports (LGA and state)

  20. Key Challenges • Weak Capacity of personnel at ward, LGA and state to analyse social mobilization data to guide planning of interventions • Weak feedback from states on linkages between epidemiological and SIA data and targeted communication interventions • Inconsistent data collection tools across states on different initiatives by partner agencies

  21. Key Challenges contd. • Frequent gaps in the data received from the states and sometimes data are entirely unavailable • Weak capacity of vaccination team personnel to collect social mobilization data at household/settlement level • Weak capacity of NPHCDA monitoring and evaluation personnel to support SMWG in data analysis in the absence of UNICEF personnel • Poor access to social data collected and analysed by partner agencies on various communication approaches

  22. Key Lessons Learned • Profiling and disaggregated analysis of communities and households has now led to better understanding of reasons and therefore better response • Data analysis and use helps to pin point problem areas requiring priority attention • HR analysis is key to deployment of Human and Financial Resources

  23. Recommendations/Suggestions • Retain position of EPI Social Mobilization Data Specialist in new UNICEF Country Programme • NPHCDA to assign staff from the data department of the agency to NSMWG to help build capacity, share workload • UNICEF or partners to field Consultants with basic data analysis skills at State level to facilitate the use of social data on immunization for communication • NSMWG and MEWG to harmonise tools for state-specific and agency-specific initiatives and then ensure partners regularly share their data.

  24. Next Steps • Guidelines on data collection, analysis and use • Harmonize and share basic tools • Orientation on use of current tools

  25. Routine Immunisation (RI)Reaching Every Ward (REW)

  26. Process and Actors • Not systematically planned for • Data collected through annual KAP • Partners collect periodic data (PRRIN) • SMWG • M and E Working group • SM consultants • Integration of indicators in supervisory checklists (3 critical messages)

  27. Priority Zones • Polio HR States/LGAs • Priority wards based on numbers of un-immunised children (some wards in Lagos, Oyo and Benue)

  28. Indicators • % of caretakers who can state benefits of immunisation • % of caretakers who can state Vaccine Preventable Diseases • % of caretakers who can state number of doses required before child’s 1st birthday • % of caregivers who can state correct age for measles vaccination • No of Community Dialogues that indicate discussion of routine immunisation • No of Health talks on radio that discuss/integrate Routine immunisation

  29. Knowledge on Routine Immunisation – KAP 2007 Age a child should be vaccinated against measles Number of doses of DPT required by child in first year

  30. REW Indicators • No of Community Coordinating Groups functional in wards • No of Health Facilities with a community link plan • No of community mobilizers or Community Health Workers involved in defaulter tracking • b.Reasons for defaulting • No of community groups mobilized in support of immunization • b. Type of support they provided as a result of the mobilization • Caregivers knowledge of diseases prevented, immunization schedule and dates of clinic sessions/outreaches) • Health educators monthly plans (facility based and outreach) • Sources of information on immunization

  31. Follow up and Supervision Mechanism • Ensuring that Village Development Committee (VDC) health FP reports on immunisation to community and Ward Development Committee (WDC) • HEO follows up (LGA/State) • Supervision from state and LGA

  32. Key Challenges • Weak supervisory system especially for health education • No FP for SM at community and ward level • No agreement on indicators and tools • System not in place for regular data collection for RI communication • SM very centralised at LGA level

  33. Key Lessons Learnt • Establishment of a system for planning and monitoring communication for RI is a necessary first step for regular data collection

  34. Suggestions and Way Forward • Strategic communication planning for communication for RI • indicators and tools • training • data collection, analysis and systematic use

  35. Targeted advocacy makes a difference in the lives of children and brings a smile First lady of the Federal Republic of Nigeria at National flag off for IPD

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