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Multi-Year Plans. Strengthening immunization systems and introduction of hepatitis B vaccine in Central Europe and the Newly Independent States St. Petersburg, Russian Federation, June 24-27 2001. Multi-year plans (MYP).
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Multi-Year Plans Strengthening immunization systems and introduction of hepatitis B vaccine in Central Europe and the Newly Independent States St. Petersburg, Russian Federation, June 24-27 2001
Multi-year plans (MYP) • A good immunization MYP outlines the strategies, actions and resources needed to reach all target groups with quality immunization services and achieve national targets for reduction of VPD • The planning period is usually 3-5 years - so that medium-termstrategic priorities and resource needs are clearly defined • The exact format of a MYP can differ from country to country - according to health system structure, local needs and tradition
Planning cycle Program assessment & evaluation Implementation Monitoring Analysis Development / revision of MYP
Relation between immunization plans at national and sub-national levels National health plan 3 – 5 years - MYP for immunization Annual immunization plan 1 year Sub-national microplans Regions Districts Operational components .
The five operational componentsof immunization systems Vaccine Supply & Quality Logistics Service delivery Advocacy & Communication Surveillance
Three broader health systems functions provide the foundation for immunization operations Financing Management Strengthening Human and Institutional Resources
Components of a MYP • Programme objectives • Activities including responsibilities for implementation and costs • training • introduction of new vaccines • Accelerated disease control activities • social mobilization • Indicators (related to priority areas and targets) • Budget and financing • Time-line
Monitoring of MYP • This is based on collection and analysis of a set of indicators selected by the national immunization program and included in its annual report • In countries receiving donor support, progress should be monitored by the inter-agency coordination committee (ICC) • National data are reported to WHO and UNICEF on an annual basis (April) and used in international reports and database
Main reasons for limited implementation of MYP • Disconnect between assessment and plan • The plan does not address main problems • Unrealistic planning • Inadequate funding • Limited human resources • Weak time management and priority-setting • Responsibilities for implementation of activities not well defined
In conclusion: • A MYP is an important document because it outlines national strategic priorities and resource needs for the medium-term • It provides a framework for coordination of donors • Health planners can use it for estimating and allocating national budgets and resources • It is complemented by annual national and sub-national plans • Finally, monitoring of implementation of the MYP is essential for fine-tuning or revision of strategies and activities
Multi-Year Plans Strengthening immunization systems and introduction of hepatitis B vaccine in Central Europe and the Newly Independent States St. Petersburg, Russian Federation, June 24-27 2001