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Multi-Year Plans

This document discusses the development of Multi-Year Plans (MYP) aimed at strengthening immunization systems in Central Europe and Newly Independent States. It emphasizes defining strategic priorities, resource needs, and monitoring progress to achieve national vaccination targets, particularly the introduction of the hepatitis B vaccine. The MYP format may vary by country, reflecting local health systems and needs. Key operational components include vaccine supply, service delivery, and advocacy. Effective monitoring ensures fine-tuning of strategies, leading to improved immunization outcomes.

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Multi-Year Plans

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  1. Multi-Year Plans Strengthening immunization systems and introduction of hepatitis B vaccine in Central Europe and the Newly Independent States St. Petersburg, Russian Federation, June 24-27 2001

  2. Multi-year plans (MYP) • A good immunization MYP outlines the strategies, actions and resources needed to reach all target groups with quality immunization services and achieve national targets for reduction of VPD • The planning period is usually 3-5 years - so that medium-termstrategic priorities and resource needs are clearly defined • The exact format of a MYP can differ from country to country - according to health system structure, local needs and tradition

  3. Planning cycle Program assessment & evaluation Implementation Monitoring Analysis Development / revision of MYP

  4. Relation between immunization plans at national and sub-national levels National health plan 3 – 5 years - MYP for immunization Annual immunization plan 1 year Sub-national microplans Regions Districts Operational components .

  5. The five operational componentsof immunization systems Vaccine Supply & Quality Logistics Service delivery Advocacy & Communication Surveillance

  6. Three broader health systems functions provide the foundation for immunization operations Financing Management Strengthening Human and Institutional Resources

  7. Components of a MYP • Programme objectives • Activities including responsibilities for implementation and costs • training • introduction of new vaccines • Accelerated disease control activities • social mobilization • Indicators (related to priority areas and targets) • Budget and financing • Time-line

  8. Monitoring of MYP • This is based on collection and analysis of a set of indicators selected by the national immunization program and included in its annual report • In countries receiving donor support, progress should be monitored by the inter-agency coordination committee (ICC) • National data are reported to WHO and UNICEF on an annual basis (April) and used in international reports and database

  9. Main reasons for limited implementation of MYP • Disconnect between assessment and plan • The plan does not address main problems • Unrealistic planning • Inadequate funding • Limited human resources • Weak time management and priority-setting • Responsibilities for implementation of activities not well defined

  10. In conclusion: • A MYP is an important document because it outlines national strategic priorities and resource needs for the medium-term • It provides a framework for coordination of donors • Health planners can use it for estimating and allocating national budgets and resources • It is complemented by annual national and sub-national plans • Finally, monitoring of implementation of the MYP is essential for fine-tuning or revision of strategies and activities

  11. Multi-Year Plans Strengthening immunization systems and introduction of hepatitis B vaccine in Central Europe and the Newly Independent States St. Petersburg, Russian Federation, June 24-27 2001

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