Building on EPI to Establish a Modern Management Framework for Child Survival II

1. Mac W. Otten, Jr., MD MPH, CDC, motten@cdc.gov; Deo Nshimirimana MD, WHO African Region; Rose Macauley MD, WHO African Region; Vance Dietz MD MPH, CDC, Global Immunization Division Background Building on EPI to Establish a Modern Management Framework for Child Survival II • Child Survival II, IMCI, and RBM do not have a management information framework for districts and health facilities • IMCI and RBM not reaching high proportion of African districts, nor achieving high coverage with interventions, commodities, or messages • EPI management information system reaching nearly all countries and districts in Africa EPI information system reaching nearly every district in Africa 23 Nov 2005 Report; data as of Sept 2005 Or, Why Re-invent the Wheel? EPI High Coverage & Working Continent-Wide M&E System Can Be Used for CS II EPI reaching high coverage with two platforms • Routine • 45% African countries reached >=80% coverage in 2004 • 40% countries increased routine coverage by >=20% from 2000 to 2004 • Angola (+59%), Burkina Faso (+31%), Chad (+22%), CAR (+21%), Congo (+28%), Mali (+54%), Mauritania (+39%), Niger (+37%), Senegal (+35%), SLE (+37%), Togo (+21%), Uganda (+34%) • Mass campaigns Recommendations • Child Survival II should build on EPI management information system to get coverage and impact data from every district every month • Child Survival II should use EPI contacts and delivery methods to deliver child survival interventions • <5 year old nationwide mass campaigns every three years • >90% coverage in nearly all countries • Equity ratio = 1 (highest & lowest economic quintile have same coverage) Department of health and human services Centers for disease control of prevention