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Status of EPI In Guinea

Status of EPI In Guinea. DR. Mariama BAH Child Survival Advisor USAID/Guinea June 13, 2002. Country Background. Surface: 245,857 km Population: 8,225,750 Children < 1: 329, 030 WOCA: 2,056,000 IMR: 98/1000 UNDER 5 MR: 177/1000 No. of Regions: 8 No. of Health Facilities: 817.

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Status of EPI In Guinea

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  1. Status of EPI In Guinea DR. Mariama BAH Child Survival Advisor USAID/Guinea June 13, 2002

  2. Country Background • Surface: 245,857 km • Population: 8,225,750 • Children < 1: 329, 030 • WOCA: 2,056,000 • IMR: 98/1000 • UNDER 5 MR: 177/1000 • No. of Regions: 8 • No. of Health Facilities: 817

  3. Health Structure National Hospital Central level Regional Level Regional Hospital Prefectoral Hospital Prefectoral Level Sub-Prefectoral Level Health Center District Level Health Post

  4. Organigram of the MOH

  5. Trends In Immunization Coverage

  6. Polio Eradication Progress

  7. Operations 1. Vaccine Supply & Quality 2. Logistics 3. Service Delivery Surveillance 4. Financing Capacity Building Advocacy & Communication 5. Management Factors Affecting Immunization Performance: Basic elements of an immunization system

  8. Strengthened Human Capacity • Recruitment of 800 new health agents of which 80% were assigned to a health center or health post • Four national consultants supported by USAID, UNICEF and WHO • Add No. of Polio technical advisors • Involvement of NGOs • Staff training in polio, measles, and essential drug management

  9. Improved Management • 5 year /annual plans • micro-planning for NIDS • monitoring/supervision • ICC • Injection safety policy

  10. Improved Financing • Government purchase of vaccine • GAVI support • Debt Relief • Bamako Initiative

  11. Improved Operations • Cold Chain • Logistics • Service Delivery • Social Mobilization

  12. Constraints • Geographical Access • Vaccine stock-outs polio • Antiquated equipment • Insufficient communications/social mobilization • Staff competency

  13. Lessons Learned • Commitment of partners, community , health and admin authorities: Functional ICC Key • Use of debt relief funds to implement the EPI • Use of mass media and theater groups • Strengthening of EPI through NIDS • Strengthening of MOH capacity ( TA) • Commitment of the GOG to manage funds allocated by GAVI

  14. Conclusions: Role of USAID • USAID/GUINEA in partnership with other partners have significantly contributed to the accomplishment of the MOH EPI . This was achieved through: • Participation in ICC • Addressing Immunization system strengthening in discussions with UNICEF, WHO, the Japanese

  15. Conclusions Continued • Participating in discussions and development of GAVI • Through the BOOST immunization Initiative participating in the design and implementation of NIDS activities to raise Immunization Coverage Rates

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