Update on Periodic Intensification of Routine Immunization (PIRI)

Transcription

1 Update on Periodic Intensification of Routine Immunization (PIRI) Presented by: Adolphus T. Clarke Deputy Programme Manager Expanded Programme on Immunization (EPI)/MOH January 30, 2015

2 Presentation Structure (1) Background & Rationale (2) Impact of EVD on Routine Immunization Performance (3) PIRI: Round 1 result December 2014 SOPs for Round 2 Implementation Date Interventions Targets Strategies (3) General observation PIRI round 1 IPC Assessment

3 BACKGROUND, RATIONALE

4 HF Reporting Rate by Quarter 352 HFs

5 EVD and immunisation in Liberia- monthly number of vaccinated children. Jan Dec, 2014

6 Penta 3 and MCV1 coverage by county Jan - Dec 2014

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9 Monthly trends of confirmed measles. Liberia

10 THEREFORE DECISION TAKEN TO CONDUCT 3 ROUNDS OF PIRI

11 RD 1: Dec 2014 PIRI results Results of multi-antigen routine immunization activities to be reported as part of the HMIS Non selective measles vaccination for under fives: Total Target population (9-59 months) = 551,364 nationwide A total of 95,540 children aged 9 59 months were reached with measles vaccine as part of the PIRI round 1 activities (Dec 2014) 17% of total target, 21% of 12 counties NB: Info not yet complete!

12 Dec 2014 round PIRI Coverage: (Measles for 9-59 months olds) NOT YET IMPLEMENTED A third of the target population!!!!

13 Some observations for improvement Generally, the PIRI activity was conducted very well, but some reports of: Inadequate fuel For pre-positioning supplies, supervision Some reports of gaps in IPC precautions Weak social mobilization Hard-to-reach areas left out Many HFs in Montserrado did not take part in the exercise as expected despite training and provision of IPC supplies

14 Concerns being addressed Gaps in IPC provisions and implementation of IPC precautions Vaccine related IPC assessment planned Jan Re-calculation and replenishment of stocks Tech assistance and supervisory support Very low coverage in Montserrado Ensure to get complete results from the PIRI round Assure technical assistance to get most HFs to provide services in round 2 Weak surveillance for VPDs Stimulate reporting through TA and county field coordinators

15 SOPS FOR PIRI ROUND 2

16 PIRI RD 2 Date: Feb 2-6 Types of intervention: Routine Antigens Measles non selective supplemental dose Vitamin a supplementation TT for pregnant women

17 PIRI RD 2 Target population (National) for 3 rounds: 0-11 months for routine doses = 160, months missed doses of routine antigens 9 59 months for measles supplemental doses = 562,943 (except in Lofa 6 59mths) 6 59 months Vitamin A supplementation Pregnant women TT =

18 PIRI RD 2 Strategy: One vaccination team (1 vaccinator and 1 recorder) provides service in all health facilities One outreach team per HF (1 vaccinator, 1 recorder, 1 CHV) provides service at out-reach sites

19 Areas of support to Counties Ensure that IPC supplies, (gloves, disposable gowns, hand washing solutions, thermoscan, are available Ensure adequate stock of vaccines, devices and Vitamin A at all sites Ensure that the district and health facility leadership as well as vaccinators are familiar with the SOPs for the PIRI activity

20 Areas of support to Counties cont d Ensure that the health facility have data Tools (temporary measles vaccination cards, tally sheets and summary forms) Ensure that the Teams & sites are selected, schedule for visit to sites developed and target communities mobilized Ensure that a means of transportation has been organised for the outreach teams

21 Areas of support to Counties cont d Ensure that locally operating NGOs, FBOs are aware of the activity and can render their assistance Provide supportive supervision during the PIRI exercise Ensure documentation and reporting of the provided interventions is done properly

22 We are all friends aim at one objective which is to ensure that the children survive