immunization in uganda dan wamanya immunization in uganda dan wamanya usaid/uganda

IMMUNIZATION IMMUNIZATION IN UGANDAIN UGANDA

Dan WamanyaDan WamanyaUSAID/Uganda

PROBLEMS WITH IMMUNIZATION

Low immunization coverage rate over the past 12 years

Decline in immunization coverage in all the districts of the country over the last 5 years

High immunization drop out rate

PERCENT OF CHILDREN PERCENT OF CHILDREN FULLY IMMUNIZEDFULLY IMMUNIZED

38.147.4

31

0

20

40

60

80

100

1988/89 1995/5 2000/1

Source: DHS 1989/95/2000

PERCENT OF CHILDREN PERCENT OF CHILDREN AGED 12-23 MONTHS AGED 12-23 MONTHS

RECEIVING IMMUNIZATIONSRECEIVING IMMUNIZATIONS

60

82 85

61

8277

31

59 57

46.1

33

61.1

0

20

40

60

80

100

1988/9 1995 2000/1 1988/9 1995 2000/1

POLIO 1 POLIO 3 DPT 1 DPT 3

CAUSES OF LOW COVERAGE

Poor communication strategies resulting in low demand for immunization services

Inadequate management of challenges related to health sector reform

Disruptions of routine immunization resulting from eradication campaigns

CAUSES OF LOW COVERAGE Con’t

Inadequate involvement of the private sector in the delivery of immunization

Vocal opposition to immunization by some opinion leaders and FM radio stations

UGANDA IMMUNIZATION

PARTNERS USAID/AFR funds WHO & UNICEF SOSDisease SurveillenceRoutine ImmunizationsSupplemental Immunization Activities

BASICS IIAdvisor with UNEPI Models for Routine ImmunizationLinks to IMCI

UGANDA IMMUNIZATION PARTNERS Con’t

DELIVERLogistics

DISH IIIEC/BCCIMCI

GAVI

PARTNER COORDINATION

ICC was formed in 2000

Provides policy and oversight of resource need and implementation

Meets every three months, is chaired by MOH, and all donors attend

Gives high level attention to immunization

MOH & USAID/UGANDAFOCUS AREAS

New Integrated Strategic Plan – Use of Universal Primary Education to implement health interventions

Making decentralization work for health, especially the delivery of immunizations.

MOH & USAID/UGANDAFOCUS AREAS Con’t

Improve access to EPI services through opening of new outreaches

Use IMCI, SOS and child health days to reduce missed opportunities

A strong advocacy and social mobilization strategy for EPI

MOH & USAID/UGANDAFOCUS AREAS Con’t

Investing in functional and sustainable disease surveillance systems

Conducting Supplemental Immunization Activities (SIAs)

- Polio eradication- Measles control- MNT elimination

CHALLENGES AND LIMITATIONS

Scaling up at the national level to cover all 56 districts

Engaging the private sector in immunization

Limited communication with USAID/Uganda about USAID/W funded activities

CHALLENGES AND LIMITATIONS Con’t

Introduction and the cost of new vaccines

Continued supplemental immunization campaigns

Increasing urban and peri-urban populations

POSITIVE DEVELOPMENTS & OPPORTUNITIES

Good EPI infrastructure exists

Regular supply of adequate potent vaccines

Experience gained through successful NIDs

Improvement in funding levels