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Enhancing Immunization in Guinea: Status and Progress of the EPI

This report provides an overview of the Expanded Program on Immunization (EPI) in Guinea, highlighting its achievements and challenges. With a focus on immunization coverage, polio eradication, and systemic improvements, it details the health landscape, including a population of over 8 million and specific immunization metrics. The report discusses the roles of USAID, UNICEF, and WHO in enhancing vaccine supply, logistics, and community awareness while addressing constraints such as geographic access and staffing needs. Key lessons learned and future recommendations are also included for continued progress.

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Enhancing Immunization in Guinea: Status and Progress of the EPI

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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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