Week-06 Ending 11 February 2018

Transcription

1 Somalia Weekly Update Week-6 Ending 11 February 218

2 Somalia cvdpv2 update 3 new VDPV2s are isolated from 2 environmental samples collected from an ES site called KAWMA' sewage site, in Hamerewoini district in Banadir region in Central zone Samples were collected one week apart on 4th and 11th of January 218 Sequencing results were received from the CDC on February 1, 218 The VDPV2 from the first sample had 44 and 38 NT different from the parent Sabin and the second was 4 NT The 3 new viruses are genetically linked to previous ES viruses detected in 21October site. These are classified as cvdpv2 as per guidelines Site name: 21October site 3 VDPV2s isolated from 2 Samples-217 Kawma sewage site was established on 2th September 217 and a total of 16 samples were collected since establishment Site name: Kawma 3 VDPLV2s isolated from 2 samples-218

3 Somalia cvdpv2 update List of ES samples sent for Sequencing in 217 and 218 and summary of final classification Region District Site name Year Epid. Number Date of Sample Collection Final Classification Date sent for Sequencing NT Deference from parent Date of Sequencing result Banadir Waberi 21October 217 ES/SOM/BAN/WBR-TOO Oct-17 cvdpv2 2-Nov nt 9-Nov-17 Banadir Waberi 21October 217 ES/SOM/BAN/WBR-TOO Nov-17 cvdpv2 36 & 37 nt Banadir Hamerewoini Kawma 217 ES/SOM/BAN/HMW/KAWMA-1/17/9 21-Dec-17 SL-2 2-Feb-18 1-Feb-17 Banadir Hamerewoini Kawma 217 ES/SOM/BAN/HMW/KAWMA-1/17/1 28-Dec-17 SL-2 2-Feb-18 1-Feb-17 Banadir Hamerewoini Kawma 218 ES/SOM/BAN/HMW/KAWMA-1/18/1 4-Jan-18 cvdpv2 2-Feb & 38 nt 1-Feb-17 Banadir Hamerewoini Kawma 218 ES/SOM/BAN/HMW/KAWMA-1/18/2 11-Jan-18 cvdpv2 2-Feb-18 4 nt 1-Feb-17 Banadir Hamerewoini Kawma 218 ES/SOM/BAN/HMW/KAWMA-1/18/3 18-Jan-18 SL-2 2-Feb-18 1-Feb-17

4 mopv2 second round campaign The second round mopv2 campaign conducted from 29 January 1 February 218 in all 29 accessible and partially accessible districts of Banadir, Lower Shabelle and Middle Shabelle targeting 726, under 5 children. Preliminary data collected through the ODK showers most districts have achieved more than 9% administrative and intra-campaign independent monitoring coverage. Data collected through the ODK in Banadir region shows, there are 413,577 under 5 children vaccinated which is 98% of the target. Both intra-campaign and post campaign data also shows 91%. Proportion of households who are aware about the campaign were found 85%. All vials distributed to vaccinators (Unopened/Opened/Used) were collected and no single vial reported missing far mopv2 Round 2. The DPOs received their clearance letter of handing over mopv2 Vials to cold chain team.

5 Part I AFP-Surveillance

6 Week-6 Somalia Weekly EPI/POL Update Epidemiological Curve 1 January February Pending Lab Pending ERG Discarded Compatable WPV avdpv Graph no. 1

7 Table no.-1 Total W5 217W6 217W7 217W8 217W9 217W1 217W11 217W12 217W13 217W14 217W15 217W16 217W17 217W18 217W19 217W2 217W21 217W22 217W23 217W24 217W25 217W26 217W27 217W28 217W29 217W3 217W31 217W32 217W33 217W34 217W35 217W36 217W37 217W38 217W39 217W4 217W41 217W42 217W43 217W44 217W45 217W46 217W47 217W48 217W49 217W5 217W51 217W52 Total W1 218W2 218W3 218W4 218W5 218W6 Total 217 Week-6 Somalia Weekly EPI/POL Update Weekly AFP cases reported by Provinces, Somalia. (cases are distributed across weeks based on date of onset of paralysis). PROVINCE BANADIR GALGADUD M. SHABELLE L. SHABELLE HIRAN BARI NUGAL MUDUG TOGDHER GALBEED SANAQ AWDAL SAHIL SOOL LOWER JUBA BAY GEDO MIDDLE JUBA BAKOOL Total Somalia new AFP cases were reported last week making the total AFP cases reported in from from 16 regions. - Only Nugal, Sanaq and Bay region are not reported AFP case in 218 Silent (not reporting) for > 8 weeks Reported AFP cases Community Samples collected in silent regions Community Samples collected but regions not silent

8 Table no.-2 Week-6 Somalia Weekly EPI/POL Update Classification of AFP cases by status (217 & 218) REGION Discarded 16 In process (lab) Chart no. 1 WPV 29 AFP Cases Reported in Pending Pending ERG Compatibl e VDPV Pending ITD Discarded Pending Total Discarded Pending Total BANADIR M. SHABELLE HIRAN BARI NUGAL GALGADUD MUDUG TOGDHER 1 1 GALBEED SANAQ AWDAL SAHIL 6 6 SOOL LOWER JUBA GEDO MIDDLE JUBA BAY BAKOOL L. SHABELLE Grand Total

9 Week-6 Somalia Weekly EPI/POL Update Annualized NP-AFP Rate by Zone Surveillance Indicators by Zone and Region Central Puntland Somaliland South Total Somalia Annualized NP-AFP rate by accessibility status Graph no In-accessible Partially Acceessible Accessible Somalia Graph no. 3 Map no. 1 Map no. 2

10 Map no. 3 Map no. 4 Week-6 Somalia Weekly EPI/POL Update Surveillance Indicators (NP-AFP rate and Stool adequacy) by district, districts reported at least 1 AFP case each the first 5 weeks of 218. All of these districts reported AFP cases in 218 have annualized NP-AFP rate above 2 and also Stool adequacy rate above 8%. The remaining 86 districts have not reported any AFP case in 218 however there is no district in Somalia which is silent for more than 52 consecutive weeks.

11 Week-6 Somalia Weekly EPI/POL Update Number of NP-AFP cases reported across years during the same period ( ) by zone CENTRAL PUNTLAND SOMALILAND SOUTH SOMALIA Less number of AFPs reported in Somalia in general and also in all zones compared to number of reported AFP cases last year during the same period.

12 BANADIR GALGADUD HIRAN L. SHABELLE M. SHABELLE BARI MUDUG NUGAL AWDAL GALBEED SAHIL SANAQ SOOL TOGDHER BAKOOL BAY GEDO L. JUBA M. JUBA Week-6 Somalia Weekly EPI/POL Update Early case detection within 7 days from onset of paralysis at zonal and region levels-218 Notification within 7 days, Zonal Notification within 7 days, Regional 1% 9% % 9% % 8% 7% 7% 6% 6% 5% 4% 5% 4% 3% 3% 2% 2% 1% 1% % % CENTRAL PUNTLAND SOMALILAND SOUTH SOMALIA CENTRAL PUNTLAND SOMALILAND SOUTH TOTAL All the 29 AFP cases reported in 218 were notified within 7 days of onset of paralysis. Nugal, Sanaq and Bay regions did not report AFP cases in 218

13 # AFP cases NP-AFP Rate # Cases with Adq. Specimen Cases pending lab results Cases with lab. result. Cases with stool in good cond. % Cases with stool in good cond. # of samples with NP- EV Isolated % Samples with NP EV Isolated # cases with Sabin like virus Isolation % of cases with S L Virus Isolation Week-6 Somalia Weekly EPI/POL Update Summary of AFP surveillance key indicators by Zone, 218 ZONE % Stool Adq. % Inv. within 48 hrs. % Notif. within 7 days Central % 1% 1% % % % Puntland % 1% 1% % % % Somaliland % 1% 1% % % % South % 1% 1% % % 1 1% Total % 1% 1% % % 1 7.7% Table no.-4

14 Week-6 Somalia Weekly EPI/POL Update Summary of AFP surveillance key indicators by Province, 218 ZONE CENTRAL PUNTLAND SOMALILAND SOUTH SOMALIA PROVINCE Number of AFP cases reported NP-AFP Rate % Stool Adq. % inv. within 48 hrs. % Notif. within 7 days % Stool condition % Samples with EV isolated % cases with SL isolated # Cases with late 6 days follow-up BANADIR % 1% 1% 1% --- % 2 GALGADUD % 1% 1% 1% --- % 3 HIRAN % 1% 1% 1% --- % 2 LOWER SHABELLE % 1% 1% 1% --- % 1 MIDDLE SHABELLE % 1% 1% 1% --- % 2 BARI % 1% 1% 1% --- % 3 MUDUG % 1% 1% 1% --- % 2 NUGAL AWDAL % 1% 1% 1% % % 1 GALBEED % 1% 1% 1% % % 2 SAHIL % 1% 1% 1% % % 1 SANAQ SOOL % 1% 1% 1% --- % 1 TOGDHER % 1% 1% 1% --- % 1 BAKOOL % 1% 1% 1% --- % 2 BAY GEDO % 1% 1% 1% --- 1% 29 LOWER JUBA % 1% 1% 1% --- % MIDDLE JUBA % 1% 1% 1% --- % % 1% 1% 1% 7.7%

15 Week-2 Somalia Weekly EPI/POL Update Summary for Somalia Environmental Surveillance Epidemiological week 217 Epidemiological week 218 Region District Name of Sites Banadir Banadir Banadir Waberi Shangani Hamerewoini Twenty One October Urobo Kawma Banadir Hodan Egyptian Hospital Legend 1 Not scheduled 6 Sabin 11 WPV1+cVDPV2 2 Pending 7 NPENT + Sabin 12 Sent for sequencing 3 Negative 8 VDPV2 13 Scheduled but not collected 4 NEV 9 WPV1 14 Sabin 2 5 NPENT 1 WPV3 15 Sabin + NPEV + NEV

16 Week-6 Somalia Weekly EPI/POL Update Summary of AFP surveillance key indicators for contacts, 218 ZONE # AFP Cases # CONTACTS # Contact samples with Lab result Average contacts per cases % contacts < 5 age % Contact collected within 7 days of AFP notified # Contact with stool in Good Condition # Contact pending lab results # Specimens with NPEV isolated % Specimens with NPEV Isolated # Contacts with Sabin virus isolated % contacts with Sabin like virus Isolated Central Puntland Somaliland South Somalia % 1% % 1% % 1% % 1% % 1% Table no.-5

17 Week-6 Somalia Weekly EPI/POL Update Distribution of AFP cases by source of case notification, 217 1% 9% 8% 7% 6% 79 Source of AFP cases notification Zone Number of VPVs Number of cases reported # of cases Notified by VPV Proportion of cases reported by VPV CENTRAL % 5% 131 4% 3% 2% 1% % Year of onset VPV HFs Other PUNTLAND % SOMALILAND % SOUTH % Key: 1. VPVs: Village polio volunteers 2. HFs: MCH, Hospitals and Private clinics 3. Others: community members, district field assistants, traditional healers Somalia % Table no.-6

18 Week-6 Somalia Weekly EPI/POL Update AFP cases by specific sources notification NOTIFIED BY COMMUNITY AND VOLUNTEERS 25 NOTIFIED BY COMMUNITY AND VOLUNTEERS 3 NOTIFIED BY HEALTH FACILITIES CAMPAIGNS DISTRICT FIELD ASST DPO NID VACCINATOR OTHER TRADITIONAL HEALER CHW COMMUNITY HOUSEHOLD VOLUNTEERS HEALTH POST HOSPITAL MCH PRIVATE CLINIC PRIVATE PHARMACY

19 Week-6 Somalia Weekly EPI/POL Update AFP surveillance indicators by accessibility status of districts Accessibility # of districts U-15 Pop in this area # of AFP cases Reported # of Cases reporte d by VPVs % of Cases reporte d by VPVs NP AFP rate Numbe r of cases with lab result % of Stool adequa cy % inv. Within 48 hrs. % of Notif. within 7 days % Speci mens with NPEV % cases with Sabin like virus Inaccessible , % 3.5 Partially accessible 23 1,72, % % 1% 1% Accessible 75 4,24, % % 1% 1% 1% National 115 6,364, % % 1% 1% 7.7% Table no.-7

20 Week-6 Somalia Weekly EPI/POL Update AFP surveillance indicators by Life Style of Population 218 Accessibilit y % of <15 populati on in the area # of AFP cases Reporte d # of Cases reported by VPVs % of Cases reported by VPVs NP AFP rate Number of cases with lab result % of cases with lab result within 14 days % of Stool adequac y % inv. Within 48 hrs. % of Notified within 7 days % Specim ens with NPEV % cases with Sabin like virus Nomadic 28.8% % % 1% 1% 1% % % Rural 25.9% % % 1% 1% 1% % 14% Urban 45.3% 8 4 5% % 1% 1% 1% % % National 1% % % 1% 1% 1% % 7.7%

21 Week-6 Somalia Weekly EPI/POL Update Tracking lab results of AFP cases Total AFP cases 29 Tracking AFP with stool specimens Total AFP cases with stool specimens Total AFP cases without stool specimens 1 cvdpv Other viruses neg st in lab With lab results En route In the lab Note: Both SL and EV was found in 4 samples en route cvspv2 SL EV -ve 1 12

22 Week-6 Somalia Weekly EPI/POL Update Sample source # Specimen collected Lab performance indicators for AFP surveillance in Somalia, 217 # Specimen with culture result # Specimens pending lab result # Specimen with culture result within 14 days % of specimen with culture result within 14 days Number of specimen with NPEV % of specimen with NPEV Number of Specimens with Sabin isolation % of Specimen s with Sabin isolation Cases % % 1 8% Contacts % % % Total % % 1 2% Table no.-1

23 Week-6 Somalia Weekly EPI/POL Update Median and average number of days from onset of paralysis up to final lab result Date of onset Date of Notification Second stool collected Specimen reached to Lab Primary Culture result ITD result Median: no data Average: 3.no data Median: no data Average: no data Median: no data Average: no data Median: no data Average: no data 1 day Date second stool collected Median: no data Average: no data Date final ITD results Chart no. 2

24 Week-6 Somalia Weekly Polio Update Village polio volunteers weekly house to house visit and AFP cases notified, 11 February 218 January Feberuary March April May June July Aug Sept Oct Nov December Central HH visited AFP HH cases AFP cases visited notifie notified d HH visited AFP cases notified HH visited AFP cases notified HH visited AFP cases notifie d HH visited AFP cases notifie d HH visited AFP cases notified HH visited AFP cases notified HH visited AFP cases notified HH visited AFP cases notifie d HH visited AFP cases notifie d HH visited AFP cases notifie d Central South Puntland Somaliland Total

25 Week-6 Somalia Weekly Polio Update Routine Immunization Services, status of Cold Chain & Vaccine stocks in AFP Surveillance Sites. 11 February 218 Region Expected weekly AFP sites visits Health facility have a routine EPI service AFP sites with EPI service and functional cold chain Health facility have EPI vaccine available Health facility have IPV vaccine available No No. % No. % No. % No. % Nugal % 19 1% 19 1% 18 95% Bari % 32 94% 34 1% 33 97% Mudug % 38 97% 38 97% 23 61% Galbeed % 23 1% 23 1% 23 1% Sahil % 1 1% 1 1% 8 8% Sanag % 11 1% 11 1% 11 1% Sool % 1 1% 1 1% 1 1% Awdal % 23 1% 23 1% 23 1% Togdher % 21 1% 21 1% 21 1% Middle Shabelle % 15 79% 18 95% 19 16% Hiran % 5 21% 23 96% 23 1% Galgadud % 18 72% 24 96% 15 63% Banadir % 25 4% 59 94% 63 17% Lower Shabelle % 15 54% 27 96% 23 85% Middle Juba % % 1 1% % Bakool % 1 1% 1 1% 1 1% Gedo % 2 95% 2 95% 19 95% Bay % 3 1% 3 1% 3 1% Lower Juba % 24 1% 24 1% 2 83% Somalia % 349 8% % %

26 Part -II Fever and rash Surveillance

27 Week-6 Somalia Weekly Polio Update 215 (n=7498) Epi-curve on suspected measles cases by week, Somalia (Week 2, 215-Week 5, 218) 216 (n=5657) (n=23,353) Suspected cases reported since beginning of 218

28 W25 W26 W27 W28 W29 W3 W31 W32 W33 W34 W35 W36 W37 W38 W39 W4 W41 W42 W43 W44 W45 W46 W47 W48 W49 W5 W51 W52 Total 217 W1 W2 W3 W4 W5 Total 218 Week-6 Somalia Weekly Polio Update Fever & Rush cases reported by AFP surveillance System 11 February 218 Region Fever and Rash Cases by weekly 217 Fever and Rash Cases by weekly 218 Nugal Bari Mudug N/East Zone Galbeed Sahil Sanag Sool Awdal Togdher N/West Zone M/ Shabelle Hiran Galgadud Banadir L/Shabelle Central Zone Middle Juba Bakool Gedo Bay Lower Juba South Zone Grand Total

29 Week-6 Somalia Weekly Polio Update Distribution of reported fever and rash cases in Somalia, Fever & rash cases (214) Fever & rash cases (215) Fever & rash cases (216) Fever & rash cases (217) Fever & rash cases (218) Nugal Bari Mudug Galbeed Sahil Sanag Sool Region Awdal Map no.7 Map no.8 Data source: from the Polio surveillance system and CSR. Map no Togdher M. Shab Hiran Galgadud Banadir L. Shab M. Juba Bakool Gedo Bay L.Juba Total 1,279 7,498 5,

30 Week -4 Somalia Weekly Polio Update Fever & Rush cases reported by AFP surveillance System. 11 Feb 218 Age-wise distribution of fever and rash cases reported by AFP surveillance system Zone-wise cases of fever and rash reported by AFP surveillance system _9yrs, 3, 18% Yrs1+, 172, 1% <1yr, 297, 18% _4 yrs, 888, 54%

31 Week-6 Somalia Weekly Polio Update Trend of reported fever and rash cases by zone in 215 /16/17/218 Source AFP surveillance, Puntland Somaliland January February March April May June July AUG Sept. Oct. Nov. Dec Central January February March April May June July AUG Sept. Oct. Nov. Dec South January February March April May June July AUG Sept. Oct. Nov. Dec

32 Part -III Population Immunity

33 Alula Armo Bargal Bosaso Iskushuban Qandala Ufayn Gardo B/bayla Rako Hafun Waiye Garowe Burtinle Dangorayo Eyl Galdogob Galkayo Jariban Hobyo Daadyar Galshale Quracyadher Badhan Dhahar Hingalol Lasqoray Bo'ame Hudun Taleh PL 5,92 16,356 9,26 9,227 16,483 16,841 7,986 35,473 13,154 9,757 11,769 9,74 72,851 34,489 25,337 8,9 15,713 21,958 49,678 5,14 6,482 5,565 47,787 1,573 6,195 5,468 8,872 9,192 15, ,46 Week-6 Somalia Weekly Polio Update 1% Coverage of measles mass vaccination campaign by districts - Puntland 9% 8% 7% 6% 5% 4% 3% 2% 1% % Bari Karkar Nugal Mudug Ayn Sanag Sool Measles mass campaign conducted from January 2-6, 218 targeting a total of 1,14,791 children aged from 6 months to 1 Years living in 3 districts of Puntland concluded vaccinating 933,46 children.

34 Supplemental Immunization Activities

35 Week-6 Somalia Weekly EPI/POL Update Maps showing accessibility and security/ risk level, Somalia Source: UNDSS Map no.1 Map no.11

36 Zones CENTRAL PUNTLAND SOMALILAND SOUTH Somalia Week-6 Somalia Weekly EPI/POL Update Summary Strategic features and initiatives in Somalia by accessibility Accessibility status VPV AFP active Surveillance site TPVP Settlement Under 15- POP. Accessible ,297,618 Inaccessible ,368 Total ,935,985 Accessible ,628 Inaccessible - Total ,628 Accessible ,469,441 Inaccessible - Total ,469,441 Accessible ,4,636 Inaccessible ,119 Total ,499,755 Somalia Total ,179,427 Accessible ,267,323 Inaccessible ,97,488 Somalia Total ,364,811

37 Table no.-14 Week-6 Somalia Weekly EPI/POL Update 218 SIA Calendar, Implementation status Summary Somalia SIA Callender for 217 Planned Date Campaign Type Geographic Areas to be covered Target Age Group Zonal target Population Implementation date Vaccine # Reached/ Vaccinated Admin Coverage in % IM Coverage in % LQAS Result 29-Jan- 1 Feb. 218 SNID (mopv2) Districts of Banadir, Lower Shabelle and Middle Shabelle U-5 years 726, January - 1 February 218 mopv April 218 SNID (IPV) Districts of Banadir, Lower Shabelle and Middle Shabelle U-2 years 29,691 IPV 18-March -218 NIDs R-1 July-218 HtR - R-1 18-Oct-218 NIDs R-2 All accessible areas of Central zone 931,588 Puntland all districts 546,17 Somaliland all districts Under 5 years 64,44 All accessible areas of South zone 397,122 Nomadic; Agro pastoral; Scattered, remote, far settlements & Small villages with difficult / no road access All accessible areas of Central zone Under 5 years 2,515,256 75,65 33, ,37 15,359 4, ,585 Puntland all districts 545,49 Somaliland all districts Under 5 years 642,166 All accessible areas of South zone 41,38 bopv bopv bopv 2,529,62 SIADs Jemame East and Jemame West in South SIADs Some areas in Galgadud region of Central zone A) Target population: includes all accessible areas including the areas/districts that became and 3% population growth added 218. B) Buffer stock: 1 million bopv doses kept in country for: Transit/Cross Border Permanent Vaccination Teams and SIADs for new areas accessible. C) Country team strategy for newly accessible areas: conduct house to house bopv vaccination, 4 Rounds at 1 days interval, R-1 target U<5 years, R-2 target U1 years, R-3 target all age groups; R-4 target U 5 years OPV + Measles.

38 Number of vaccinated Zero doses % Zero doses Number of vaccinated Zero doses % Zero doses Number of vaccinated Zero doses % Zero doses Number of vaccinated Zero doses % Zero doses Number of vaccinated Zero doses % Zero doses Number of vaccinated Zero doses % Zero doses Table no.-16 Week-6 Somalia Weekly EPI/POL Update Transit Points Vaccination Activities as of 11 February 218 January February March April May June Zones CENTRAL % % PUNTLAND % % SOMALILAND % % SOUTH % % SOMALIA % % A total of 215,199 < 1 years individuals were vaccinated week 5,218. Among them 23 (1%) were vaccinated for the first time.

39 Week-6 Somalia Weekly EPI/POL Update 1% 9% 8% 7% 6% 5% 4% 3% 2% 1% % Immunity Profile of NP-AFP Cases 6-59 Months, Graph no dose 1-3 doses 4-6 doses 7+ doses Immunity Profile of NP-AFP cases (6-59 Months) and Contacts % 9% 8% 7% 6% 5% 4% 3% 2% 1% % Immunity Profile of NP-AFP Cases 6-23 Months, Graph no dose 1-3 doses 4-6 doses 7+ doses % 9% 8% 7% 6% 5% 4% 3% 2% 1% % Immunity Profile of NP-AFP cases 6-59 Months by Zone, dose 1-3 doses 4-6 doses 7+ doses Graph no % 9% 8% 7% 6% 5% 4% 3% 2% 1% % Immunity Profile of NP-AFP cases 6-23 Months by Zone, Dose 1-3 Doses 4-6 Doses 7+ Doses Graph no % 9% 8% 7% 6% 5% 4% 3% 2% 1% % Immunization Profile of contacts (all-217) Graph no Dose 1-3 doses 4-6 doses 7+ doses 6 2 zero dose reported in from inaccessible and 1 from partially accessible areas of South zone.

40 Week-6 Somalia Weekly EPI/POL Update Immunity profile of 6-59 months age NP-AFP cases by Zone SOMALILAND CENTRAL 1% 1% 8% 6% 4% 2% % % 6% 4% 2% % dose 1-3 doses 4-6 doses 7+ doses dose 1-3 doses 4-6 doses 7+ doses Graph no.-24 Graph no.-25 SOUTH PUNTLAND 1% 8% 6% 4% 2% % % 8% 6% 4% 2% % dose 1-3 doses 4-6 doses 7+ doses dose 1-3 doses 4-6 doses 7+ doses Graph no.-26 Graph no.-27

41 Part -IV Routine Immunization

42 1 9 Trend of routine EPI coverage by zone, (N.B. 217 is annualized from 9 months data ) BCG P-1 P-3 Measles OPV-3 BCG P-1 P-3 Measles OPV-3 BCG P-1 P-3 Measles OPV-3 BCG P-1 P-3 Measles OPV-3 PUNTLAND SOMALILAND SOUTH CENTERAL SOMALIA Source: HMIS/DHIS-2 data 216 and Nine month

43 Axis Title Week-6 Somalia Weekly EPI/POL Update Immuinzation monitoring chart, Somalia216 Somalia Monitoring Chart, % 3 12% 3 9% 8% 25 1% 25 7% 2 8% 2 6% 5% 15 6% 15 4% 1 4% 1 3% 2% 5 2% 5 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Pent Penta Measles Target 7.5% 15.% 22.5% 3.% 37.5% 45.% 52.5% 6.% 67.5% 75.% 82.5% 9.% Penat1% 5% 11% 16% 22% 28% 34% 4% 46% 52% 59% 66% 73% Penta3% 6% 11% 16% 2% 25% 3% 36% 4% 45% 51% 57% 63% measles% 4% 9% 13% 18% 23% 28% 33% 39% 43% 46% 51% 55% 1% % Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Sum of Pent Sum of Penta Sum of Measles Sum of Montly target on surval% 8% 17% 25% 33% 42% 5% 58% 67% 75% 83% 92% 1% Sum of P-1% 8% 16% 23% 31% 38% 46% 55% 64% 7% Sum of penta-3% 7% 14% 2% 26% 33% 39% 46% 52% 58% Sum of Measless% 5% 11% 17% 23% 3% 36% 43% 49% 54% %

44 Part -IV Communication

45 Week - 5 Somalia Weekly EPI/POL Update Communication for development 885 social mobilizers were deployed mostly in high risk localities during the mopv2 campaign. Below are the results of their work: Regions Total No. SM Number of SM reported Daily Data total HH reached by social mobilizers mosques announcing polio messages No of total Schools and madrasas total religious leaders reached No of people reached through community meetings total villages reached by sound truck Banadir , Lower Shabelle , Middle Shabelle , Total , ,76 492

46 Week-34 Somalia Weekly EPI/POL Update Communication for development Some photographs of the official launching ceremony And vaccination in households

47 the end