1 / 20

Strengthening Ghana's 2YL Platform for Measles & Rubella Elimination

Explore Ghana's progress, challenges, and strategies in introducing Men A vaccine for measles and rubella elimination in young children. Learn about the 2YL platform, achievements, lessons learned, and special strategies in accelerating immunization.

janetm
Download Presentation

Strengthening Ghana's 2YL Platform for Measles & Rubella Elimination

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. Strengthening the 2YL Platform & Men A Introduction Plan in Ghana Accelerating Progress towards Measles and Rubella Elimination Hotel Royal, Geneva, Switzerland, 21 – 23 June 2016 Dr George Bonsu National EPI Manager Ghana

  2. Outline • Background • Second Year of Life platform in Ghana(2YL) • Achievements • Challenges • 2YL Project • Progress towards introduction of Men A into routine EPI • Lessons Learnt Strengthening 2YL Platform & Men A Introduction Plan

  3. Country Information Population (2016): 28,688,100 Pop <1 : 1,147,524 Regions : 10 Districts : 216 Sub-districts : 1,296 CHPS zones : 2,565 Bordering countries: • North: Burkina Faso • East: Togo • West: Cote d’ivoire Strengthening 2YL Platform & Men A Introduction Plan

  4. Mandate of the EPI Programme • The EPI Programme aims at reducing morbidity and mortality by controlling, eliminating or eradicating vaccine preventable diseases (VPDs) through immunization; an essential component of Primary Health Care • The Programme currently vaccinates against 12 VPDs in routine immunization Year 2002 1978 1992 2012 2013 Antigen HB Hib into PENTA Total: 9 PCV Rota MSD Total: 11 (M)R Td Total: 12 BCG OPV DPT Measles Total: 6 +TT YF Total: 7 Men A IPVHPV RTS,S Strengthening 2YL Platform & Men A Introduction Plan

  5. Rationale for establishing the 2YL Platform • Establish an additional schedule for the second dose of measles at 18 months (>95% protection after 12 months) • Establish a platform for the introduction of new vaccines; Men A and RTS,S • Provide missed vaccines to children after one year • Opportunity to strengthen growth monitoring, vitamin A supplementation and other childhood interventions • 18 months was selected for measles second dose to coincide with the 3rd dose of vitamin A Strengthening 2YL Platform & Men A Introduction Plan

  6. Interventions delivered in 2YL • The following interventions are currently provided in the 2YL; • Provision of missed vaccines to children • Measles Second Dose (MSD) • Vitamin A Supplementation • Growth monitoring • Provision of Long-lasting Insecticide Net (LLIN) • The provision of long-lasting insecticide net (LLIN) was strategically fixed at 18 months to ‘pull’ caregivers to vaccination sites Strengthening 2YL Platform & Men A Introduction Plan

  7. Preparatory Activities: 2YL • National level advocacy with key stakeholders, ICC • Revision of data collection and analysis tools; tally sheet, Child Welfare Clinic register (CWC), monthly vaccination report, child health record booklets and soft wares • Training of health staff at all levels • Dissemination of health education messages Strengthening 2YL Platform & Men A Introduction Plan

  8. Coverage of Measles 1st and 2nd doses in Ghana, 2012 – 2015 Strengthening 2YL Platform & Men A Introduction Plan

  9. Routine Measles Vaccine Coverage - 2015 Measles 1st dose Measles second dose 72 % Ghana 94 % Ghana

  10. Children vaccinated by age category in 2015

  11. Impact on Measles Control: Measles suspected cases & measles vaccination 1994-2015 No death from measles Since 2003 (past 14 yrs) Strengthening 2YL Platform & Men A Introduction Plan

  12. Challenges • Low coverage rates for interventions in the 2YL: MSD, 3rd dose vitamin A, growth monitoring and catch up on missed children • Varied understanding of the 18 month MSD schedule among health staff • Inadequate information among caregivers and decision makers at the community level on 2YL • Incentivizing MSD with LLINs became a challenge: some caregivers refused vaccination wherever and whenever LLINs were not available • No clear national policy and guidelines on catch up vaccinations in the second year of life Strengthening 2YL Platform & Men A Introduction Plan

  13. Addressing challenges: 2YL Project • This is a project which seeks to offer protection for children from vaccine preventable disease (VPD) by strengthening the second year of life (2YL) immunization platform • It is supported by CDC in collaboration with WHO and UNICEF Strengthening 2YL Platform & Men A Introduction Plan

  14. Special Strategies: 2YL Project • Rationale for the project: • To strengthen second year of life visit for immunizations: • To improve Measles second dose coverage, • To facilitate rapid uptake of meningitis A vaccine into routine • To reduce inequities by allowing opportunities to catch-up children missing infant vaccinations Strengthening 2YL Platform & Men A Introduction Plan

  15. Special Strategies: 2YL Project • Six (6) Intervention Areas; • Communications/Demand generation • Healthcare worker training/supervision • Data reporting and recording: Expansion of electronic data management for immunization registration and reporting at the district and/or health facility level • Programme integrations • VPD surveillance • Special innovations for reducing inequities and improving coverage among hard-to reach populations Strengthening 2YL Platform & Men A Introduction Plan

  16. Algorithm for Measles Vaccination Strengthening 2YL Platform & Men A Introduction Plan

  17. Plan for Men A Introduction-1 • Ghana has received approval to introduce MenAfriVac™ into routine immunization • All data collection tools as well as the data management system (DHIMS) have been revised to incorporate Men A • Routine introduction is scheduled for November 2016 • One dose schedule at 18 months to coincide with MSD • The routine introduction of the vaccine will be preceded by a mini catch-up campaign in July 2016 targeting chn. aged 1-4 years Strengthening 2YL Platform & Men A Introduction Plan

  18. Plan for Men A Introduction-2 • Timelines for mini catch-up campaign; • Distribution of vaccines to regions : 01 – 03 June 2016 • Planning and training of Regional teams : 22 – 23 June 2016 • Training of District teams : 27 – 30 June 2016 • Distribution of vaccines to districts and below : 04 – 08 July 2016 • Distribution of tools and other logistics : 04 – 08 July 2016 • Training of vaccinators and volunteers : 11 – 15 July 2016 • Advocacy and Social Mobilization : 01 – 26 July 2016 • Regional level Press Briefing : 18 – 19 July 2016 • Campaign Implementation : 20 – 26 July 2016 • Post Campaign Review Meeting : 17 – 18 August 2016 • Nationwide Routine introduction of Men A : 1 November 2016 Strengthening 2YL Platform & Men A Introduction Plan

  19. Lessons Learnt • Updated policy and field guide to cover vaccinations in second year of life very necessary • Cascaded training for all health workers including managers essential • Advocacy at all levels: national, regional and community • Sustained communication on interventions in 2YL needed to create demand • Revision of all tools and databases to include 2YL indicators- (services recorded by age categories- 0-11, 12-23mo, >= 24months) • Enhanced supervision and feedback Strengthening 2YL Platform & Men A Introduction Plan

  20. Thank You

More Related