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Immunization Update and New Opportunities for CSOs - Pakistan

Immunization Update and New Opportunities for CSOs - Pakistan. June 2013 GAVI CSO SC Meeting. Pakistan - Immunization Trend 2000-2011 (Source: WHO-UNICEF Estimates) . In 2012, EPI program reported: BCG vaccine coverage : 99% Pentavalent 3 coverage: 94%

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Immunization Update and New Opportunities for CSOs - Pakistan

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  1. Immunization Update and New Opportunities for CSOs - Pakistan June 2013 GAVI CSO SC Meeting

  2. Pakistan - Immunization Trend 2000-2011 (Source: WHO-UNICEF Estimates)

  3. In 2012, EPI program reported: • BCG vaccine coverage: 99% • Pentavalent 3 coverage: 94% • Measles II vaccine coverage: 66% • TT 2+ coverage: 71% • Hepatitis-B vaccine was included in EPI Program in 2002; • Combo vaccine (DPT + Hep- B) was started in 2006; • Pentavalent(DPT+ Hep-B+ Hib) was started in 2008; • Pneumococcal vaccine has been launched in phased manner in 2012;

  4. Polio eradication • Year 2011: 198 Confirmed cases • Year 2012 : 58 Confirmed cases • Year 2013: 10 Confirmed case (till June) • The last P3 case was reported on April 18, 2012. • WHO: “Pakistan successfully brought down the number of polio cases by 71 per cent in 2012 compared to 2011,”

  5. Issues and challenges • Coverage related Detailed analysis of EPI reported data shows that there are areas that have reported less than 80%. • Measles outbreaks • Year 2012 (Week 1-52): 14,984 cases and 310 deaths were reported. (Source: NIH, Islamabad and WHO Pakistan) • Year 2013 (Week 1-20): 11,337 cases and 266 deaths were reported. (Source: NIH, Islamabad and WHO Pakistan)

  6. Issues and challenges • Health Care System related • Devolution of Ministry of Health under 18th Constitutional Amendment • Low priority to routine EPI by GoP • Poor health infrastructure functionality • Shortage of Vaccines (BCG and measles) in some areas • Poor access in hard to reach areas • Security related • Security risks to the vaccination teams /killings of polio vaccination teams • Drown attacks are continuing causing internal resentment leading to insecurities. • Knowledge related • lack of awareness among care givers on the importance of routine immunization

  7. Opportunities for active CSOs • Common platform to address the issues/challenges: • Re-organization with formalized structuring of Pakistan CSO Coalition on Health and Immunization (Provincial and national level executive bodies) to address health care system related issues • Dedicated support by GAVI Alliance for strengthening CSOs Coalition is brining coordination and harmony in CSOs approaches and work for increasing immunization coverage • Information sharing through dedicated website of CSOs Coalition – recently designed and launched • Possible financial support for CSOs : • Possible GAVI funding (under IRC) to continue existing interventions carried out by CSOs in hard to reach areas • Research and advocacy: • Operational researches • Advocacy strategy for increasing immunization coverage and increasing engagement of CSOs has been designed. • More avenues for advocacy and communication at district, national and provincial level

  8. Opportunities for active CSOs • Enhanced CSOs engagement • Enhanced CSO coordination with district and provincial EPI and DoH for better planning and monitoring • Contribution in capacity building of workforce • More active role in community mobilization • Contribution in service delivery (vaccination) by selected CSOs in uncovered areas • CSOs can introduce Community based monitoring system to improve quality and coverage through establishing health committees • Supporting NIDs and celebration of immunization events • Contribution in strengthening information system • Contribution in introduction of new vaccines • Addressing refusals and dealing with conservative societies

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