Download - Aia update ri task force meet 20th jan
Accelerated Immunization Activity :Objectives
• To increase the immunization coverage with all vaccines under the National Immunization Schedule.
• To reach the beneficiaries in hard to reach areas, especially those who are left out from routine services.
Fully immunized children aged 12-23 months by province
50
.9%
2.5%
7.0%
7.8
% 13.7
% 19.4
% 25.
9% 31.
6%
39.8
%
41.6
%
45.5
%
45.7
%
49.5
%
50.3
%
51
.0% 55
.7%
57
.1%
59
.1%
61
.5%
62.7
%
64
.1%
64
.9%
65
.3%
66
.3%
67
.0%
70
.0%
70
.4%
71
.6%
72
.8%
76
.8%
77
.3%
80
.6%
82
.7%
86
.3%
86
.8%
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
70.0%
80.0%
90.0%
100.0%
Nat
ion
al
Fara
h
No
ori
stan
Hel
man
d
Uro
zgan
Gh
or
Zab
ul
Kan
dah
ar
Bad
ghis
Fary
ab
Dai
kun
dy
Loga
r
Gh
azn
i
Kh
ost
Bad
akh
san
Ku
nar
Sare
-Pu
l
War
dak
Kab
ul
Bag
hla
n
Ku
nd
uz
Nim
roo
z
Par
wan
Nan
garh
ar
Jaw
zjan
Lagh
man
Takh
ar
Pak
tika
Her
at
Bal
kh
Sam
anga
n
Bam
yan
Kap
isa
Pan
jsh
ir
Pa
ktia
Progress GVAP update Efforts to improve coverage PEI to EPI
Accelerated Immunization Activity :Target population
• Category A (Highest priority): Areas which are never or rarely reached e.g.• Not reachable during harsh winter (Seasonal problems), • Sub centers without vaccinator having >10 clients /day, • villages with poor access, • Urban slums, periurban areas,• Villages with poor access,• Vacant sub-centers, • Migrant and mobile populations, • Marginalized population etc.
• Category B (Second priority): Areas where immunization was planned but not held during previous 3-4 months.
• Category C (Third priority): Villages/urban areas where RI is normally done but coverage is considered low.
S N Province District S N Province District S N Province District1 Badakshan 1 Faizabad Gazni 7 Giro 12 Logar 1 Pulialm
Badakshan 2 Darwaz Gazni 8 Nawa Logar 2 M Agha
Badakshan 3 Raghistan Gazni 9 Gillan Logar 3 Khoshi
Badakshan 4 Kohistan Gazni 10 zanakhan 13 Nuristan 1 Kamdish
Badakshan 5 Yawan Gazni 11 Muqor Nuristan 2 Norgram
Badakshan 6 Khahan 7 Ghor 1 Firooz kooh Nuristan 3 Mondol
Badakshan 7 Shahribuzurg Ghor 2 Charsada Nuristan 4 Waigal
Badakshan 8 Yafta-i-Payan Ghor 3 Dulaynah Nuristan 5 Doaba
Badakshan 9 Argoo Ghor 4 Daulatyar 14 Saripul 1 Sangcharak
Badakshan 10 Kiran-o-Munjan Ghor 5 Shahrak Saripul 2 Balkhab
Badakshan 11 Yumgan Ghor 6 Taywra Saripul 3 Saripul
Badakshan 12 Jurum Ghor 7 Pasaband 15 Urozgan 1 Trinikot
2 Badgis 1 Jawand Ghor 8 Lal wa Sar Jangal Urozgan 2 Chora
Badgis 2 Qadis Ghor 9 Toolak Urozgan 3 Dehrawud
Badgis 3 Abkamary Ghor 10 Sghar Urozgan 4 Shahid Asas
3 Diakundy 1 Miramor 8 Helmond Lashkargah Urozgan 5 Khos Urozgan
Diakundy 2 Shahristan Helmond Nahreseraj 16 Wardak 1 Behsood 1
Diakundy 3 Ashterly Helmond Nad Ali Wardak 2 behsood2
Diakundy 4 Bandar Helmond Nawa Wardak 3 Daimerdad
Diakundy 5 Khider 9 Kandahar 1 Panjwai Wardak 4 Chak
Diakundy 6 Kiti Kandahar 2 Khakriz Wardak 5 Nerkh
4 Farah 1 Farah City Kandahar 3 Arghistan Wardak 6 Jaghtoo
Farah 2 bakwa Kandahar 4 Dand 17 Zabul 1 Shajoy
Farah 3 Gulistan Kandahar 5 Shahwalikot Zabul 2 Qalot
Farah 4 Purchaman 10 Khost 1 Tani Zabul 3 Zadk Tarnk
Farah 5 Balaabuluk Khost 2 Nader Shah Kot Zabul 4 Shinkai
Farah 6 Khkisafeed Khost 3 Spera Zabul 5 Mezana
Farah 7 Anardara Khost 4 Ali sheer
Farah 8 Pushtako Khost 5 Dwamanda
Farah 9 Sabi ko Khost 6 Matune Provinces 17
5 Faryab 1 Almar Khost 7 Musa Khel Districts 105
Faryab 2 Qaisar Khost 8 Qalandar
Faryab 3 Pashton Kot Khost 9 Jaji Miedan
6 Gazni 1 Qarabagh Khost 10 Sabari
Gazni 2 Nawor Khost 11 Gurbuz
Gazni 3 Jaghuri Khost 12 Baak
Gazni 4 Malestan 11 Kunar 1 Dangam
Gazni 5 Ajristan Kunar 2 Noorgal
Gazni 6 Waghaz Kunar 3 Peach
Accelarated Immunization Activity 2014
105 Districts 17 Provinces
Provinces-17 out of total 34 Round 1 Round 2 Round 3
Farah, Nuristan, Helmand, Uruapan, Kandahar, Ghor, Kabul, Badghis, Faryab,
Daikundi, Logar, Ghazni, Khost, Badakhshan, Kunzar Sari-Pul, Wardak.
11th to 16th October 2014 22 to 27th November 2014 27th December to 1st January 2015
2296
3
991
2818
3
4362
34
38
2812
2549
8
35
75
2454
1787
1
1731
3
1270
1191
1499
6369
606
507
140
94
5092 64
85
5921
3201
2008
0
5000
10000
15000
20000
25000
30000
35000
40000
Coverage AIA three rounds: I-16 II-8 III- 4
I II III
High coverage of BCG, Penta1,OPV1 PCV1 AND Measles 1 TT1
Implying left out children are being vaccinated through the accelerated activity
18
32
93
1848
722
555
552
233
81
20
13
22
496
18
5
217
54
0 0 0
487
11
31
1476
1113
627
411
713
67
975
1456
611
339
25
100
10
686
137
481
264
12 0 0 0
74
746
1520
2717
672
368
254
62
0
133
597
10
65
1618
461
87
191
162
788
86
212 32
3
0 0 0 0
147
117
1172
2231
547
316
24
7
0
500
1000
1500
2000
2500
3000
3500
Badakshan three rounds
I II III
0 69
4252
937696
341
4441
809577
2187
23534 32 53 0 0 0
27487
6541
1493 1453
935
660
0
1000
2000
3000
4000
5000
6000
7000
Gazni :3 rounds coverage :AIA
I II III
Coverage against the micro-plan target
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
BCG OPV0 OPV/Penta1 OPV/Penta2 OPV/Penta3 OPV4 PCV1 PCV2 PCV3 Measles1 Measles2 Vaccine TT1 TT2 TT3 TT4 TT5
52.6
1.2
47.0
2.5 2.0 1.2
34.2
2.4 2.0
30.5
0.0 0.0 0.01.8
0.1 0.0 0.0 0.0
75.8
0.5
75.4
2.60.3 0.0
78.3
0.0 0.0
58.8
0.0 0.0 0.0
18.2
0.1 0.0 0.0 0.0
% of children covered by antigen against the microplan target
Helmond Urozgon Kunar Logar Sari pul
High coverage of BCG, Penta1,OPV1 PCV1 AND Measles 1
Implying left out children are being vaccinated through the accelerated activity
Action points
• Letter to concerned PEMTs to conduct remaining rounds before end of Feb 2015.
• Collection of the reports from the remaining provinces
• Monitoring plan from NEPI and partners
• Regularize Quarterly accelerated catch up rounds:
( based on the coverage and other criteria to make microplans to cover the left outs and dropouts from each district)
5
14
8 9 12 13
1
0
2
1 19 7
20
119 17
3
8
2
16
17
15
29
27
287
2
1
0
2
15
11
29
4719
44
16
24
17
6
7
11
11
19
13
2
1
1
2
2 9
9
16 13
11
18
15
4
5
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Jan-13 Feb-13 Mar-13 Apr-13 May-13 Jun-13 Jul-13 Aug-13 Sep-13 Oct-13 Nov-13 Dec-13 Jan-14 Feb-14 Mar-14 Apr-14 May-14 Jun-14 Jul-14 Aug-14
Monthly distribution of Measles cases by age category in Afghanistan January 2013-AUG 2014
<1 Year 1-4 Years 5-9 Years 10-14 Years 15-19 Years 20-24 Years 25+ Years
13
26
16
39 40
46 46
49 49
53
0
10
20
30
40
50
60
2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
MCV2 National Reported coverage
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
Percen
t o
f p
op
ula
tio
n
Age (in years)
Protected by maternal antibodies Protected by routine vaccination with 1st dose
Protected by routine vaccination with 2nd dose Protected by SIAs
Unprotected by vaccination
Current Immunity gap :Measles 2014
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
Percen
t o
f p
op
ula
tio
n
Age (in years)
Protected by maternal antibodies Protected by routine vaccination with 1st dose
Protected by routine vaccination with 2nd dose Protected by SIAs
Unprotected by vaccination
Reduction of Immunity gapo with 9 Months to 5
years.
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
Percen
t o
f p
op
ula
tio
n
Age (in years)
Protected by maternal antibodies Protected by routine vaccination with 1st dose
Protected by routine vaccination with 2nd dose Protected by SIAs
Unprotected by vaccination
Reduction of Immunity gap with 9 Months to 9 years.
Action points
• Explore funding options for inclusion of 5-9 years for the upcoming measles campaign
• Planning for 9months to 9 years
• Preparation steps to including of cold chain management and space for the huge campaign