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Role of the National Technical Advisory Group NITAG in S upporting Immunization

Role of the National Technical Advisory Group NITAG in S upporting Immunization. Najwa Khuri-Bulos MD,CIC,FIDSA Chairman of the Jordan NITAG Immunization Week, April 29, 2013. Outline. Why Immunization and the EPI Tools for Decision Making in Immunization Role of the NITAG

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Role of the National Technical Advisory Group NITAG in S upporting Immunization

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  1. Role of the National Technical Advisory Group NITAG in Supporting Immunization Najwa Khuri-Bulos MD,CIC,FIDSA Chairman of the Jordan NITAG Immunization Week, April 29, 2013 Immunization Week, EPI Jordan 2013

  2. Outline • Why Immunization and the EPI • Tools for Decision Making in Immunization • Role of the NITAG • Moving forward together for the future Immunization Week, EPI Jordan 2013

  3. EPI, case study Jordan • 1979, EPI started with DTP,OPV,BCG • 1982 Measles • 1995 HBV • 2000 MMR • 2001 HIB • 2005 IPV • Uptake more than 85% for all vaccines • In private sector, a different agenda • MMR since 1990, HIB since 1993, Pneumo,Rota,Hep A and VZV since 2006

  4. Vaccines don’t prevent disease Vaccination prevents disease Immunization Week, EPI Jordan 2013

  5. Immunization can save money • Immunization is one of the most cost-effective health interventions. • Investing in vaccines SAVES more money than it costs.

  6. HIV/AIDS Future TB Malaria Dengue Mening (conj) HPV Rotavirus Pneumo (conj) Cholera Underutilized Typhoid Vaccines Hib (conj) HepB Influenza Rubella YF JE Measles Traditional EPI Tetanus Polio Pertussis Diphtheria // // 1960 1980 2000 The vaccines pipeline

  7. Challenges and the decade of vaccines • Maintain current immunization level for all vaccines and ALL groups • Keep both measles eliminated and work for polio eradication • Introducing new vaccines into the EPI • Expand the benefit of immunization to ALL AGE Groups • Maintain Public Confidence in Immunization Immunization Week, EPI Jordan 2013

  8. Guiding Principles Country ownership • Countries have primary ownership and responsibility for establishing good governance and for providing effective and quality immunization services for all. Shared responsibility and partnership • Immunization is an individual, a community and a governmental responsibility that transcends borders and sectors Equitable access • Equitable access to immunization is a core component of the right to health Integration • Strong immunization systems, which are part of the broader health systems and closely coordinated with other primary health care delivery programmes Sustainability • Informed decisions and implementation strategies, appropriate levels of financial investments, and improved financial management and oversight Innovation • The full potential of immunization realized only through learning, continuousimprovement, and innovation across all aspects of immunization.

  9. Immunization Week, EPI Jordan 2013

  10. New and under-used vaccines Leading causes of vaccine-preventable death in children under 5 years old: New vaccines: • Hepatitis B • Hib • Pneumococcal disease • Rotavirus diarrhoea • HPV • Meningitis • Hepatitis a • Chickenpox

  11. Tools for Decision MakingVaccine Introduction Preparedness Policy decision Programme issues Financing Priority Cost-effectiveness Burden Immunization Week, EPI Jordan 2013

  12. Immunization Week, EPI Jordan 2013

  13. Role of NITAGS in strengthening Immunization programmes Independent technical input with broad expertise: allow for an evidence-based review and decision for an increasingly complex area Adaptation of global policy recommendations with consideration of local epidemiology and social contexts Way to demonstrate country ownership and important element of other DoV - GVAP guiding principles e.g. sustainability, shared responsibility and partnership, equity, integration, sustainability and even innovation Promotes sustainability of programmes and local investments in the programme Facilitates the monitoring of GVAP implementation at country level Immunization Week, EPI Jordan 2013

  14. Role of the Jordan NITAG in strengthening the National Immunization Program Advocacy Help in upgrading knowledge of all health care workers about vaccines and immunization Help in upgrading knowledge of the public about value of vaccines and immunization Help in maintaining public confidence by acting as a resource of local expertise on vaccines and investigate adverse events Advocate for the value of the EPI for Jordan Immunization Week, EPI Jordan 2013

  15. Immunization Week, EPI Jordan 2013

  16. Diseases Preventable by New Vaccines Immunization Week, EPI Jordan 2013 MIC HIC GAVI supported

  17. Thank you Immunization Week, EPI Jordan 2013

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