PLANNING WORKBOOK 11 th Vaccination Week in the Americas
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1 PLANNING WORKBOOK 11 th Vaccination Week in the Americas 2013 slogan: Vaccination: a shared responsibility WEB: FACEBOOK: TWITTER:
2 Index PAGE Introduction 1-2 Part One: VWA 2013 National Plan VWA 2013 Goals, Target Populations and Strategies 4 Integrated Interventions 5 Guide for Communication and Social Mobilization Campaigns 6-7 Launching Events 8 Border Activities: Discussion Guide 9 Comprehensive Budget: Mobilization of Resources 10 Part Two: Evaluation of Activities and Final Report VWA Indicators 12 Contents of Final Report 13 Evaluation of Communication and Social Mobilization Efforts 14 Model Survey to Evaluate a Social Communication Campaign 15 Minimal Results Template 16
3 INTRODUCTION Originally launched in 2003, Vaccination Week in the Americas (VWA) is an annual hemispheric event, endorsed by the Directing Council of the Pan American Health Organization. VWA was initially proposed in 2002 by the Ministers of Health in the Andean Region following a measles outbreak in Venezuela and Colombia. From 2003 to 2012, as a result of activities conducted under the framework of VWA, more than 411 million people of a variety of ages have been vaccinated against a wide variety of diseases. VWA s celebrations and communication campaigns have also helped to highlight the essential work of national immunization programs and the importance of vaccination for the general public. This year marks the 11 th anniversary of the initiative. Country and territory participation in VWA is flexible and goals and activities for the initiative are chosen in accordance with national health objectives; however, the overarching objectives of the initiative are: To promote equity and access to immunization To promote the transition from child to family immunization To promote communication and cooperation between countries To maintain immunization on the political agenda The success of VWA has come to serve as an example for other regions of the World Health Organization (WHO) in the implementation of their own similar Vaccination/Immunization Week initiatives. Due to this expansion, last year marked another milestone: the first celebration of World Immunization Week (WIW), which was later endorsed by a resolution of the World Health Assembly. WIW does not replace VWA, but serves as an overarching framework to unite all worldwide efforts. **** The main purpose of this workbook is to assist national health professionals in the planning for VWA It is a tool that includes information and guidelines to organize the preparation, development, and evaluation of VWA 2013 activities in a methodical and efficient manner. The workbook is organized in two parts. Part One contains a table for countries to delineate the strategies, goals, and priority populations for their VWA 1
4 campaigns. Information is also requested regarding the integration of other preventative interventions, planned launching events, communication and social mobilization efforts, border activities and budgeting. The second part of the workbook relates to the evaluation of VWA activities and the contents of the final report. While there is great diversity of VWA activities across the Region, the collection of some standardized information is critical for PAHO to be able to respond to donor request and to promote VWA results in public forums on behalf its Member States. 2
5 PART ONE: VWA 2013 National Plan 3
6 VWA 2013 Goals, Target Populations and Strategies Please fill out the below table with regards to your planned VWA activities COUNTRY/TERRITORY VWA GOALS TARGET POPULATION(S) ESTIMATED NUMBER TO BE VACCINATED OR REACHED WITH INTERVENTION VACCINE NEEDS STRATEGIES TO BE UTILIZED Anguilla To increase Coverage of target population with Dpt, Polio, Td, MMR Hepatitis B Varicella and Influenza Vaccines. 15 year olds Children 18/12-2years Children 4-5 years Elderly. Diabetic and Most Vulnerable st booster nd booster 50 Adult Td,Polio MMR,HepatitisB Varicella,and Influenza School visit to administer Td and Polio 3 rd booster Education sessions for staff including Hospital staff Utilize Media to give 4
7 information on the availability of vaccines and schedule dates Jingle Competition for preschoolers on the theme for Immunization week Public awareness through The Media, Newspaper, Radio talks, Television, Posters and Leaflets. 5
8 6
9 Integrated Interventions When applicable, countries and territories are encouraged to consider integrating other preventative health interventions such as the provision of Vitamin A, deworming treatments, health screening, and health education, among others, together with their vaccination activities as part of VWA. A menu of potential interventions to consider across the life span is available through the following link: COUNTRY/TERRITORY INTEGRATED INTERVENTION TARGET GROUP I Anguilla Immunization combined with MCH Education sessions Prostrate screening Foot care assessment BMI, blood Pressure Blood sugars, weight and Heights 18/12-2 years and 4-5 years 15 year olds and general public Health staff Men Elderly and diabetics 7
10 Guide for Communication and Social Mobilization Campaigns VWA 2013 As in all previous years, regional VWA communications materials (posters, stickers, videos, etc) will be distributed to PAHO country offices for national distribution. Materials will also be available online for downloading at The regional slogan for VWA 2013 will be Vaccination: a shared responsibility 1. What media will be used (TV, radio)? Will different languages or dialects be used to target specific populations (migrant workers, ethnic minorities, etc.)? Radio, television, and news paper 2. What products or materials will be used before and during VWA to promote the campaign (posters, pins, magazines, brochures, educational materials, contests, etc)? How many will be printed/take place? Where will materials be posted/ distributed? Banners, Posters, brochures, a jingle competition 3. What are the key messages/slogans that will be used? Vaccination: a shared responsibility It is everybody s business: get vaccinated 4. What national and local government leaders will be asked to be involved? Ministry of Health 5. Outreach initiative for private sector, religious leaders, NGOs, celebrities: who will be invited to participate? How? NO 8
11 6. Will community and health professional workshops be organized? How many? Where? Main objective? 7. Are there any other social mobilization activities planned? No 8. What are the plans to evaluate the communication campaign post-vwa (using either the survey provided on page 13 or other mechanisms)? A survey 9
12 Launching Events Countries are asked to share planned VWA launching event dates and agendas with PAHO in order to include them in the regional VWA calendar and promote the participation of authorities. For planning bi-national/tri-national activities, the discussion guide on the following page may prove useful. The deadline for informing PAHO regarding proposed launching events is 28 February COUNTRY DATE OF LAUNCH LOCATION SCOPE OF EVENT (LOCAL/NATIONAL/ INTERNATIONAL/ REGIONAL) INVITED AUTHORITIES INVITED REPRESENTATIVES OF INTERNATIONAL AGENCY, AMBASSADORS AND OTHER GUESTS ADDITIONAL PERTINENT INFORMATION Anguilla Media National Ministry Of Health Nil Nil 10
13 Planning of Border Activities (when applicable) Discussion Guide 1. Identification of border municipalities What is the vaccination coverage of the regular program in these municipalities? Objectives of VWA activities in border municipalities Start/Complete schedules Vaccination in specific groups Planning of three rounds of vaccination Training for health care workers Crossed monitoring Other. Specify: 2. Planning Meetings Location and Date: Individuals responsible in each country: 3. Social communication Joint versus separate campaigns Languages Media outlets to employ Use of surveys to assess information dissemination 4. Resources Estimated Costs Plan for resource mobilization 5. Other activities that can be included under the framework of VWA 11
14 Comprehensive budget: Mobilization of Resources Vaccination Week in the Americas 2013 Category Vaccines and Supplies Estimated Cost Financing Status Financed 1 Not Financed 2 National Fund Cold Chain National Fund Training Operational Expenses Supervision and Monitoring Epidemiological Surveillance Social Communication National Fund National Fund National Fund PAHO AND Community Organization Evaluation National Fund Other Total PRESENTATION OF THE VWA PLAN TO THE INTER-AGENCY COORDINATION COMMITTEE Date: Responsible: Janice Hodge EPI Manager 1 If financed, please mention if funds are national or external; if external please indicate source, i.e., UNICEF, JICA, USAID, etc. 2 Funding for VWA 2013 from the regional level is extremely limited. Please be mindful not to overestimate funding needs. 12
15 EVALUATION OF ACTIVITIES AND FINAL REPORT 13
16 VWA 2013 Indicators Number and percentage of children 1-4 years of age with first, second, and third doses of DTP/ Pentavalent (to measure 0-dose, incomplete and complete schedules) 3 ; Number and percentage of WCBA vaccinated with first dose of Td in at-risk municipalities during VWA; Percentage of Rapid Coverage Monitoring (RCM) in which vaccination coverage for MR is less than 95%; Percentage of people interviewed in previously selected areas 4 who are aware of VWA; Percentage of municipalities with plans for a second and third round of vaccination to complete schedules after VWA; Number of suspected cases of measles/rubella and acute flaccid paralysis (AFP) that were identified by active community search and that were already known by the system. 3 One-year old children will be used as denominator since not all countries have disaggregated information for children < 1 year to evaluate incomplete schedules. 4 Selected areas must include high-risk zones and those with isolated populations. 14
17 Requested Contents in VWA 2013 Final Report Deadline for reporting to PAHO is 14 June Achievement of vaccination goals in specific groups: children 0-12 months, children 1-4 years, children < 5 (if no disaggregated data), adults, WCBA, older adults, and/or other populations that were vaccinated during the campaign. Please provide numeric results (number of individuals vaccinated and/or number of doses administered, when possible) 2. Analysis of defined indicators, when applicable (see previous page). 3. Report on resource mobilization. 4. Qualitative description of vaccination activities and other integrated public health activities, trainings, etc. 5. Report on border, national, and local launching events. 6. Evaluation of communication campaign. 7. Achievements and Lessons learned. 8. Documentation of activities using photos, videos, and other materials used. 15
18 EVALUATION OF COMMUNICATION AND SOCIAL MOBILIZATION EFFORTS 1. Who/How many leaders attended VWA events? Date and Place Local/ National/ National/ International/ Regional Authorities Attending the event Representatives of International Agencies, Ambassadors and other attendees 2. What partnerships were formed with the private sector, NGOs, religious leaders, etc.? 3. How many and what kind of workshops or educational sessions took place for members of the community and/or health professionals. 4. Was there an increase in the average monthly vaccination? Could this be attributable to the social communication efforts carried out during VWA? 16
19 SURVEY TO EVALUATE A VWA SOCIAL COMMUNICATION CAMPAIGN: A MODEL Instructions for Interviewer: Interview at least 10 people outside the health sector (in a market, main square, bus stop, street, etc.), avoiding to choose groups of people. It is recommended to interview one out of 3 or 5 people found in each place. Ask the following questions and mark the answers in the space provided: 1. In what category do you belong? Woman of childbearing age (15-49) Young person (6-15) Adult man (16-59) Adult woman (50-59) Older adult - man (60 or more) Older adult - woman (60 or more) If person does not belong to any of these categories, stop the interview and exclude it from analysis. 2. Are you knowledgeable about the topic of vaccination? Yes No 3. Have you heard about a special vaccination activity recently? Yes No If the answer is Negative, end the interview, if Affirmative, continue. 4. Can you indicate what kina of vaccination activity you heard about? Mark all that apply Vaccination Campaign Campaign against rubella Campaign against measles Other Vaccination Week Campaign against influenza Campaign against polio Which? 5. How did you find out about this activity? (Mark all mentioned) a. Radio d. Health center b. Television e. Newspaper c. Loudspeaker f. Schools d. Others Specify 6. When you found out about this vaccination activity, what did you do? Reviewed my children s vaccination card Got vaccinated myself Took my child or other person to get vaccinated Inquired for more information Other Which? 17
20 2013 Minimal Results Template Countries and territories are asked to use the below template as a minimum standard when reporting VWA results. This will help to assure accurate representation of activities in the VWA final report. More detailed final reports are welcome and encouraged. Type of VWA activity (i.e. vaccination, social communication, integrated activities, etc) Date Target population Total number of persons vaccinated or supplemented (children 0-12 months, children 1-4 years, children < 5 (if no disaggregated data), adults, WCBA, older adults, and/or other populations) Number of doses administered (by antigen) Other information/lessons learned 18
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