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 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

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

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 MCV1 DPT3 EMO >=90% 80 -89% 50 -79% <50% Source:JRF 2007

Provincial coverage on selected antigens 2008 Provincial coverage specific Antigens 2008 %Penta3 %OPV3 %Measles FIC 120 Target 100 > 80% > 80% 89 89 85 82 80 75 75 74 71 67 64 60 40 20 0 CENTRAL COAST EASTERN NAIROBI N.EASTERN NYANZA R.VALLEY WESTERN National Provinces

Provincial coverage on selected antigens Jan –June 2009 %P3 %OPV3 %Measles FIC 120 100 80 60 40 20 0 NE NYANZA COAST NAIROBI R.VALLEY CENTRAL EASTERN WESTERN National

TRENDS OF IMMUNIZATION COVERAGE 1994 – 2008 ( Administrative data ) Target 100 BCG 80% 80 DPT3 60 OPV3 40 MEASLES 20 0 FIC 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 Yea r s

Targeting No of clients not reached 2008 Un vaccinated Chidren selectected target antigens (National) 331,670 350,000 300,582 300,582 267,301 267,301 300,000 250,000 200,000 150,000 100,000 50,000 - Measles OPV 3 Penta 3

Targeting No. of children not reached January to June 2009

Unvaccinated Provincial Performance contributions OPV3 08 No of unvaccinated Children specific Antigen Measles OPV 3 Penta 3 120,000 120,000 4 ,04 8,04 100,000 8 n hildre 6 80,000 ,38 1 0 5 3,8 1 3 60,000 5 7,2 o of C 96 4 76 3 ,9 3 40,000 ,36 22 ,4 8 N 12 4,17 1 20,000 1 - N E A S S V I A A E E O A N Y N R C W E C N Provinces

Unvaccinated Provincial Performance contributions Jan-Jun 09

Challenges • Reaching Un vaccinated • Reducing Drop out

Outline of presentation • Background and Overview of Routine immunization � Challenges � Challenges � Way forward

Challenges � Frequent Vaccine and related commodities stock out. � Sustaining gains made in Penta3, Measles and Raising other antigens to desired >80% � Obtaining districts Shape maps to update -Routine immunization module to include all 149 (256) districts = Survey of Kenya.

Planned activities • Support Provinces and districts to achieve EPI desired target • Compile the Implementation of Integrated out reach register 52 Poor performing district 3 d /4 th 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 3 nd round October/Nov 2009

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