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Nation-wide Measles/Polio SIAs in Afghanistan, 2012

Nation-wide Measles/Polio SIAs in Afghanistan, 2012. Background. The action have been prompted by the nation wide measles outbreak in 2012. Three folds increase in the number of cases as compared with 2011 High mortality rates in initial phases (before response)

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Nation-wide Measles/Polio SIAs in Afghanistan, 2012

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  1. Nation-wide Measles/Polio SIAs in Afghanistan, 2012

  2. Background The action have been prompted by the nation wide measles outbreak in 2012. Three folds increase in the number of cases as compared with 2011 High mortality rates in initial phases (before response) Double number of outbreaks almost in all provinces

  3. Age-distribution of measles,2008-2011

  4. Mapping of cases/outbreaks, Jan-June 2012 SIA Dates

  5. Nation-wide Measles/Polio Follow up SIAs in Afghanistan, 2012

  6. 3rd Nation-wide Measles/Polio Follow up SIAs in Afghanistan, 2012

  7. Challenges/Constraints • Poor quality of district micro-plans (some provinces) • Weak strategy for remote and high-risk areas • Weak communication & social mobilization strategies • Shortage of trained health workers • Difficulty in reaching all children in problematic provinces (Kandahar, Helmand, Farah, Zabul, Uruzgan, Badghis, Ghor, Kunar and Nooristan, Paktika, Paktya and khost); 54 districts underperformed • Shortage of cold chain equipment • Over-reporting

  8. Lessons learned • Early preparation and proper micro-planning is the key • Inaccurate denominator resulted in in-adequate micro-planning including incorrect estimation of vaccine/supplies, human resource need and fund in many instances. • Timely inventory of cold chain equipment is vital for adequate handling of vaccine and preventing shortage of vaccines at service delivery levels • In advance identification of trained health workers and volunteers helps to timely conduct training courses • Visiting all households for referring of children to the vaccination sites and adequate daily monitoring /reporting helps taking timely actions during the implementation

  9. Future Plan • Local measles campaigns should be conducted in partially covered districts to reach the un-reached children and supplement declining routine immunization coverage • Conduct measles mop-up campaign in the districts that could not achieve 90% coverage for measles • Implement RED strategy in all districts less than 60% coverage for EPI.

  10. Thank You

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