Routine Immunization update Mr. Kubai Progressive routine - - PowerPoint PPT Presentation

routine immunization update
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Routine Immunization update Mr. Kubai Progressive routine - - PowerPoint PPT Presentation

Routine Immunization update Mr. Kubai Progressive routine immunization performance PERCENTAGE SUMMARYOF IMMUNIZATION COVERAGE 2004 TO MAY 2009 - KENYA Antigen 2004 2005 2006 2007 2008 May-09 BCG 83 82 95 92 84 78 PENTA1 84 86


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SLIDE 1

Routine Immunization update

  • Mr. Kubai
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SLIDE 2

Progressive routine immunization performance

PERCENTAGE SUMMARYOF IMMUNIZATION COVERAGE 2004 TO MAY 2009 - KENYA Antigen 2004 2005 2006 2007 2008 May-09 BCG 83 82 95 92 84 78 PENTA1 84 86 90 89 84 79 PENTA3 75 76 80 81 72 76 MEASLES 65 69 77 80 76 61 FIC 58 63 77 76 71 69 BCG -MEASLES 28 24 23 21 21 14 P1-P3 11 11 10 9 14 4 P1-MEASLES 23 19 14 11 9 9 LIVE BIRTH 1,349,160 1,374,195 1,402,126 1,430,527 1,452,347 1,943,759 SURVIVING 1,254,628 1,277,920 1,293,742 1,316,798 1,344,621 1,793,507

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SLIDE 3

Background ( Cont ) National Coverage’s

2006 2007 2008 Jan- June 2009 Antigens % % % % BCG 92 92 83 69 OPV 0 51 51 49 42 TT2+ 76 78 70 57 Penta3 80 81 72 66 OPV3 77 76 74 65 Measles 77 80 76 65 FIC 71 76 71 61

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SLIDE 4

MCV1 DPT3

Where is Kenya In AFRO before decline Where is Kenya In AFRO before decline Reported DPT3 & MCV1 coverage in AFR, 2007 Reported DPT3 & MCV1 coverage in AFR, 2007

<50% >=90% 80 -89% 50 -79% EMO

Source:JRF 2007

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SLIDE 5

Provincial coverage on selected antigens 2008

Provincial coverage specific Antigens 2008

89

100 120

%Penta3 %OPV3 %Measles FIC

Target > 80%

89 64 67 75 85 82 71 75 74

20 40 60 80

CENTRAL COAST EASTERN NAIROBI N.EASTERN NYANZA R.VALLEY WESTERN National Provinces

> 80%

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SLIDE 6

Provincial coverage on selected antigens Jan –June 2009

80 100 120

%P3 %OPV3 %Measles FIC

20 40 60 CENTRAL COAST EASTERN NAIROBI NE NYANZA R.VALLEY WESTERN National

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SLIDE 7

TRENDS OF IMMUNIZATION COVERAGE 1994 – 2008 ( Administrative data )

60 80 100

BCG DPT3 OPV3

Target 80%

20 40

1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008

Yea r s

MEASLES FIC

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SLIDE 8

Targeting No of clients not reached 2008

Un vaccinated Chidren selectected target antigens (National) 300,582 267,301 331,670 350,000 300,582 267,301

  • 50,000

100,000 150,000 200,000 250,000 300,000 Measles OPV 3 Penta 3

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SLIDE 9

Targeting No. of children not reached January to June 2009

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SLIDE 10

Unvaccinated Provincial Performance contributions OPV3 08

No of unvaccinated Children specific Antigen

,04 4 120,000 Measles OPV 3 Penta 3 1 1 ,36 3 12 ,4 76 5 1 ,38 6 22 ,9 96 4,17 8 3 7,2 3 5 8 8,04 4 3,8 1

  • 20,000

40,000 60,000 80,000 100,000 120,000 C E N C O A E A S N A I N E N Y A R V W E S Provinces N

  • of C

hildre n

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SLIDE 11

Unvaccinated Provincial Performance contributions Jan-Jun 09

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SLIDE 12

Challenges

  • Reaching Un vaccinated
  • Reducing Drop out
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SLIDE 13

Outline of presentation

  • Background and Overview of Routine

immunization Challenges Challenges Way forward

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SLIDE 14

Frequent Vaccine and related commodities stock out. Sustaining gains made in Penta3, Measles and Raising

  • ther antigens to desired >80%

Challenges

Obtaining districts Shape maps to update -Routine immunization module to include all 149 (256) districts = Survey of Kenya.

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SLIDE 15

Planned activities

  • Support Provinces and districts to achieve EPI desired target
  • Compile the Implementation of Integrated out reach register 52

Poor performing district 3d /4th quarter of calendar year 2009

  • Planned to enhance Cascade training on data quality self

assessment (DQS) in preparation for DQA 2009/2010 assessment (DQS) in preparation for DQA 2009/2010

  • Planned to conduct sub national MNT SIA’s in 37 risk districts

3nd round October/Nov 2009

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SLIDE 16

Welcome for comments