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Progress in Measles Control in the African Region. Annual Measles Partnership meeting Feb 2007 Washington DC. Outline. Regional goals Routine immunization Second opportunity for measles vaccination Disease surveillance Conclusions/ challenges Priorities for 2007. 75% reduction.
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Progress in Measles Control in the African Region Annual Measles Partnership meeting Feb 2007 Washington DC
Outline • Regional goals • Routine immunization • Second opportunity for measles vaccination • Disease surveillance • Conclusions/ challenges • Priorities for 2007
75% reduction Estimated Reduction in Measles Mortality in AFR, 1999-2005 2005 Goal Source: WHO/IVB measles deaths estimates
Regional goal for measles control • Reduction of measles deaths by 90% by 2009 as compared to estimates for 2000
ND EMRO <50% 50 - 79% >=80% ND: No data 2005 Jan – November 2006 Reported measles coverage. AFR. 2005 – Nov 2006 ND
Reinforcing Routine EPI • Measles Partnership support for routine EPI amounting to 10% of operational costs coming through the WHO • Total USD 2,711,429 between 2004 - 2006
Measles SIAs. AFR. 2001- 2006 A total of 297.4 million children reached.
< 85% 85 – 94% 95 – 100% Measles catch-up SIAs. Nigeria. 2006
Financial support through the MP for measles control in AFR. 2001 -2006
Financial contribution to the catch-up SIAs in Southern Nigeria. 2006 • Government of Nigeria: 31% costs of measles SIAs
Integration of multiple interventions during measles SIAs. AFR. 2006 All 17 countries integrated at least one intervention: • Vitamin A: 12 countries • Anti-helminthes: 7 countries • ITNs:7 countries (mostly sub-national) • OPV: 5 countries • TT for WCBA: 1 country
Measles surveillance performance indicators in AFR. 2002 - 2006
Countries planning Measles SIAs in 2007 Target: 22.5 million (+ 9 million SoA) children in 16 countries
Challenges • Routine measles vaccine coverage is improving but not yet adequate even in the “best performing” countries: • Sub-national gaps leading to outbreaks • SIAs integrating multiple child survival interventions • Risk of decreased funding availability (unpredictable in-country funding, increasing operational costs) • Need for better coordination • Sub-optimal administrative coverage during follow-up SIAs
Priorities for measles control in AFR. 2007 • Continue efforts to improve routine EPI coverage: • RED approach • Continue advocating for more local resource mobilization for SIAs • Capitalize on the opportunity for integration to ensure synergy – planning, coordination, funding…