PROGRESS IN VACCINATIONS.ppt

* * * * * * * * * * * * * * Coverage statistics: In Yr 2004: 4 countries achieved a coverage of over 80%- Gambia, Benin, STP and Burkina Faso 8 Countries reaching at least 50% namely Senegal, Guinea, Sierra Leone, Ghana, Kenya, Cameroon, Mali, and Central African Republic. Nigeria coverage= 21% * * * * * * PROGRESS IN VACCINATIONS FRANCIS K. NKRUMAH, MD, MPH,FGA PROFESSOR EMERITUS FORMER DIRECTOR, NOGUCHI MEMORIAL INSTITUTE FOR MEDICAL RESEARCH,GHANA Global Vaccination Goal Fully immunize 90 percent of children under one year of age in every country, with at least 80 percent coverage in every district by 2015. (United Nations General Assembly Special Session and MDG 2002). Current Vaccines New Vaccines Tuberculosis Diphtheria Pertussis (whooping cough) Tetanus Poliomylitis Measles Yellow Fever Hepatitis B Hib (haemophilus influenza type B) Pneumococcal conjugate (childhood pneumonia) Rotavirus (childhood diarrhoea) Human pappiloma Virus (cervical cancer) Meningococcal A conjugate (epidemic meningitis) EPI VACCINES Immunization (EPI) Strategies Routine Immunization (delivered within the first year of life) Supplementary Immunization (mass preventive campaigns) Case-based Surveillance (epidemiologic, laboratory, integrated) Social Mobilization / Communication / Advocacy) Immunization Systems Support (cold chain. logistics, injection safety) Service delivery Vaccine Supply Quality Logistics Advocacy Communication Surveillance Operational Components of Immunization System ARE WE ON TRACK TO REACH OUR COVERAGE GOALS? Global Immunization 1980-2007 and projections 2008-2010 to reach 90% global coverage goals in 2010 DTP3 coverage Source: WHO/UNICEF coverage estimates 1980-2006, August 2007 193 WHO Member States. Date of slide: 15 February 2008 DPT3 MCV1 Reported coverage/WHO-UNICEF best estimates RED Approach introduction Coverage stagnation DPT3 coverage in the AFR, Jan – Aug 2007/8 ≥ 90% 80 - 89% 50 - 79% 50%