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Progress in Measles Control in the African Region

Progress in Measles Control in the African Region. Annual Measles Partnership meeting Feb 2007 Washington DC. Outline. Regional goals Routine immunization Second opportunity for measles vaccination Disease surveillance Conclusions/ challenges Priorities for 2007. 75% reduction.

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Progress in Measles Control in the African Region

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  1. Progress in Measles Control in the African Region Annual Measles Partnership meeting Feb 2007 Washington DC

  2. Outline • Regional goals • Routine immunization • Second opportunity for measles vaccination • Disease surveillance • Conclusions/ challenges • Priorities for 2007

  3. 75% reduction Estimated Reduction in Measles Mortality in AFR, 1999-2005 2005 Goal Source: WHO/IVB measles deaths estimates

  4. Regional goal for measles control • Reduction of measles deaths by 90% by 2009 as compared to estimates for 2000

  5. ND EMRO <50% 50 - 79% >=80% ND: No data 2005 Jan – November 2006 Reported measles coverage. AFR. 2005 – Nov 2006 ND

  6. Reinforcing Routine EPI • Measles Partnership support for routine EPI amounting to 10% of operational costs coming through the WHO • Total USD 2,711,429 between 2004 - 2006

  7. Measles SIAs. AFR. 2001- 2006 A total of 297.4 million children reached.

  8. Target persons reached in measles SIAs. AFR. 2001 - 2006

  9. < 85% 85 – 94% 95 – 100% Measles catch-up SIAs. Nigeria. 2006

  10. Financial support through the MP for measles control in AFR. 2001 -2006

  11. Financial contribution to the catch-up SIAs in Southern Nigeria. 2006 • Government of Nigeria: 31% costs of measles SIAs

  12. Integration of multiple interventions during measles SIAs. AFR. 2006 All 17 countries integrated at least one intervention: • Vitamin A: 12 countries • Anti-helminthes: 7 countries • ITNs:7 countries (mostly sub-national) • OPV: 5 countries • TT for WCBA: 1 country

  13. The AFR measles surveillance and lab network. Feb 2007

  14. Measles surveillance performance indicators in AFR. 2002 - 2006

  15. Countries planning Measles SIAs in 2007 Target: 22.5 million (+ 9 million SoA) children in 16 countries

  16. Inter-campaign interval for 2007

  17. Inter-campaign interval for 2007

  18. Integrated interventions planned during measles SIAs. 2007

  19. Challenges • Routine measles vaccine coverage is improving but not yet adequate even in the “best performing” countries: • Sub-national gaps leading to outbreaks • SIAs integrating multiple child survival interventions • Risk of decreased funding availability (unpredictable in-country funding, increasing operational costs) • Need for better coordination • Sub-optimal administrative coverage during follow-up SIAs

  20. Priorities for measles control in AFR. 2007 • Continue efforts to improve routine EPI coverage: • RED approach • Continue advocating for more local resource mobilization for SIAs • Capitalize on the opportunity for integration to ensure synergy – planning, coordination, funding…

  21. Thank you

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