Measles outbreaks and control plans in South Sudan l i S th S d 22 - - PowerPoint PPT Presentation

Measles outbreaks and control l i S th S d plans in South Sudan

22 Feb 2014 eb 0

Routine immunisation MCV1 administrative and survey coverage in S Sudan. 2000 ‐ 2013

Previous Measles SIAs in S Sudan Previous Measles SIAs in S Sudan

Year Target Age group Target population Type of campaign (catch‐up, follow‐up) % coverage

2005‐2006 6 mos –15yrs 5,000,000 Catch‐up 74% 2009 ‐ 2011 6 – 59 months ? “Accelerated Child Survival 62% months Survival Initiatives” 2011 2012 6 59 1 892 279 Follow up 90 2% 2011‐2012 6 – 59 months 1,892,279 Follow‐up 90.2% 2013 6 – 59

2,082,374

Follow‐up postponed 2013 6 59 months

2,082,374

Follow‐up postponed

The context of the conflict in SSD The context of the conflict in SSD

Measles Cases Reported from all IDP camps by Epi‐ W k W k 51 2013 k 7 2014 [N 655]

• Week. Week 51, 2013 – week 7, 2014. [N=655]

Age distribution of suspected measles cases reported from the IDP camps. reported from the IDP camps. (Epi‐week 51, 2013 – week 7, 2014)

• Average age: 40 months (3 years and 4 months) old

N= 405 cases with age information

• Median age: 24 months (2 years)
• 80% cases less than 5 years of age

Measles Cases Reported from all IDP camps by Epi‐ W k W k 51 2013 W k 7 2014 [N 655]

• Week. Week 51, 2013 – Week 7, 2014. [N=655]
• 2/3 of all cases reported from the camps were from Juba Tomping camp.

Number of Measles Cases & Deaths Reported in Tomping IDP Camp by EPI Week 1‐7, 2014

Second mass response vax’n Second mass response vax n

Outbreak response interventions provided in the IDP camps (as of Feb 16th 2014) the IDP camps. (as of Feb 16th 2014)

Interventions Measles doses Vitamin A Site of intervention Measles doses (6 months ‐ 15 years) OPV (0 ‐ 15 years) Vitamin A (6 months ‐ 5 years) Deworming (1 ‐ 5 years)

UNMISS Tong‐Ping 20 585 16 142 12 857 666 UNMISS Tong Ping 20,585 16,142 12,857 666 UNMISS ‐ UN House 10,414 8,275 5,111 630 Other Juba (Mahat) 1030 489 1030 509 Bentiu UNMISS camp 2,542 2,839 1,513 1,258 Bentiu UNMISS camp 2,542 2,839 1,513 1,258 Minkaman IDP camps 41,582 39,621 499 1,998 Malakal UNMISS camp 18984 20074 Bor UNMISS Camp 2,817 2,817 1,935 ‐ Nemule IDP Camp 15,114 15,548 11,735 Twic IDP camp 1,826 1,080 724 708 Lankein 9550 Torit 30 Yirol West 77 207 Warrap 45 Warrap 45 Rubkona 2,802 2,839 1,605 1,338 Total Reached 127,398 109,931 25,274 18,842

Planning for the nationwide measles g follow‐up SIAs

Measles follow up SIAs S Sudan 2014 Measles follow up SIAs, S Sudan. 2014

• Date: April 21 – 28, 2014
• Nationwide: in all 10 States
• Target: 2,106,000 (2,240,000)children aged 6 – 59 months

B d t f SIA d ill USD 5 032 095 (6 707 106)

• Budget for SIAs and surveillance: USD 5,032,095 (6,707,106)

– Cost per child for the SIAs: USD 2.38 per child (2.77) – “Secured” funding: USD 3,451,537 g , , – Funding gap: USD 1,550,558 (3,225,569)

NB C ld h i t th i t t b d th h UNICEF – NB: Cold chain strengthening support to be covered through UNICEF as part of the emergency response!!

• High operational costs mainly driven by:

– transportation of vaccines and personnel: 24% of total costs

Measles SIAs Funding Status by agency

A i Fi i l UNICEF WHO American Red Cross Financial Gap Total Vaccines & devices $ 864,073 $ ‐ $ ‐ $ ‐ $ 864,073 Vaccines & devices $ 864,073 $ $ $ $ 864,073 Transport of vaccines and inputs $ 151,632 $ ‐ $ ‐ $ 278,368 $ 430,000 ld h i h b & Cold chain rehab & equipment $ 387,304 $ ‐ $ ‐ $ ‐ $ 387,304 Social mobilisation and $ ‐ $ ‐ $ 200,000 $ 310,956 $ 510,956 communications Transport of personnel $ ‐ $ 300,000 $ ‐ $ 457,813 $ 757,813 T i i & l i $ $ 400 000 $ $ 90 464 $ 490 464 Training & planning $ ‐ $ 400,000 $ ‐ $ 90,464 $ 490,464 Personnel costs $ ‐ $ 824,454 $ ‐ $ 226,047 $ 1,050,501 M & E $ ‐ $ 224,074 $ ‐ $ 150,000 $ 374,074 Other ops costs $ ‐ $ ‐ $ ‐ $ 36 910 $ 36 910 Other ops costs $ $ $ $ 36,910 $ 36,910 Surveillance and lab $ ‐ $ 100,000 $ ‐ $ ‐ $ 100,000 Total $ 1,403,009 $ 1,848,528 $ 200,000 $1,550,558 $ 5,002,095

Availability of inputs for the integrated measles SIAs

• tOPV :
• tOPV :

– Not yet in country, but available from GPEI

• Measles vaccine :
• Measles vaccine :

– 830,000 doses available in country – 1.6 million doses available in UNICEF warehouses in Nairobi – 300,000 doses ordered: Expected to arrive by end March , p y

• Support to re‐establish cold chain in the States most

Support to re establish cold chain in the States most affected by the conflict : through UNICEF

Closing the funding gap for the SIAs Closing the funding gap for the SIAs

• February 21:
• February 21:

– Submit the S Sudan SIAs PoA to the Measles Rubella initiative (MRI) – Apply to the MRI for consideration to increase the total MRI budget for S Sudan beyond the USD 1 per child envelope.

• Week of February 24:

– Circulate the PoA and budget to major local donors and partners to secure additional operational funding – in cash or in kind. – Present budget to the cluster coordination forum to secure support for implementation.

Technical support for planning, i l i & l i f l

• Needs identified in consultation with MoH EPI manager

implementation & evaluation of measles SIAs

Needs identified in consultation with MoH EPI manager, UNICEF, WHO EPI team

• Plans to recruit consultants – starting early March for 3

Plans to recruit consultants starting early March for 3 months

• 2 epidemiologists and 1 logistician thru WHO
• 1 cold chain officer/ logistician thru UNICEF

1 cold chain officer/ logistician thru UNICEF

Support sought from local donors and partners partners

• To close the funding gap of USD 1.5 million for

g g p

• perations

– In cash – In cash – In kind: esp. fuel and transportation

• To ensure that locally operating NGOs can provide

y p g p support during implementation

Service delivery – Service delivery – Supervision – Advocacy at National and subnational levels – Social mobilisation and communication