situation analysis puntland state of somalia garowe 28th may 2001
TRANSCRIPT
Situation analysis
Puntland State of Somalia
Garowe 28th May 2001
AgreementsAgreements
• MOSA
• 2 International NGOs
• 1 National Society (SRCS)
MCH/OPD FacilitiesMCH/OPD Facilities
• Bossaso
• Gardo
• Bender Beila
• Iskushuban
• Bargal
• Garowe
• Sinjiif
• Kalabyr
• Burtinle
• Dangorayo
• Eil town
• Qarhis
• Godobjiran
• Hasbahale
• Galkaio
• Harfo
• Baadweyn
• Goldogob
• Jirriban
• Balibusle
Districts where EPI services are functional??????
Bari Nugal MudugBossasoBargalUfeinGardoAlulaKandalaIskushubanB/Beila
GaroweEilBurtinleDangaroyo
GalkaioJiribanGoldogob
BARI
NUGAAL
MUDUG
Bossaso
Garowe
Galkayo
Alula
Iksuhsuban
Kandala
Bender/Beyla
Gardo
Eyl
Giriban
Goldogob
Dankoroyo
Burtinle
Cold Chain
Cold chain situation
Bargaal
Hasbahale
Harfo 50 % is workingBacad Weyne
SUMMARY OF UNICEF EPI COVERAGE SURVEY
40
49 46
32 31
21
05
101520253035404550
BCG scar
BCG card
& hist
ory
DPT 1
DPT 3
Mea
sles
Fully im
m.
TT2 +
coverage
Very low coverage during baseline survey.
Very low coverage during baseline survey.
Drop out rate (DPT1 DPT 3.)
30 % drop out
Drop out rate (DPT1 DPT 3.)
30 % drop out
Very low coverage in Puntland.
2% of women were provided second dose
of TTimmunization
in 2000..Only 21 %
of all children immunized
48 5145
22
36
49.3
30.3
20.416
25
0
10
20
30
40
50
BCG Scar BCG Card +History
DPT1 DPT3 Measles Not immunised Partiallymmunised
Fullyimmunisaed
Before oneyear
TT2+
48% BCG scar shows very low coverage in Baidoa. 6% of BCG immunization have not developed BCG scar.
48% BCG scar shows very low coverage in Baidoa. 6% of BCG immunization have not developed BCG scar.
Drop out rate (BCG/ DPT3) of 57% in child immunization.
Drop out rate (BCG/ DPT3) of 57% in child immunization.
36% measles immunization resulted to conduct measles
campaigns in Baidoa District.
The results depicted very low coverage. However 78% out 20.4% of children were fully immunized before one year of age.
The results depicted very low coverage. However 78% out 20.4% of children were fully immunized before one year of age.
25% of women were
provided second dose
of TTimmunization.
SUMMARY OF EPI COVERAGE SURVEY RESULTSCONDUCTED BY UNICEF & PARTNERS IN BAIDOA TOWN
3032 31
10
24
19
13 14
3
15
9
0
5
10
15
20
25
30
35
BCG Scar BCG Card + History DPT1 DPT3 Measles TT2+
Perce
ntage
IMC Bay 2000 IMC Bakool 2000
Very low coverage during baseline survey.
Very low coverage during baseline survey.
Drop out rate (BCG/ DPT3) of 67% in Bay and 77% in Bakool.
Drop out rate (BCG/ DPT3) of 67% in Bay and 77% in Bakool.
9% of women were provided second dose
of TTimmunization. No data in Bay
IMC survey
Very low coverage in Bay and Bakool
regions.
SUMMARY OF IMC EPI COVERAGE SURVEY RESULTS IN BAY AND BAKOOL REGIONS
81 83 83
26
65
26
68 68
42
62
0
10
20
30
40
50
60
70
80
90
BCG Scar BCG Card + History DPT1 DPT3 Measles TT2+
Perce
ntage
World vision Buale 2000 World visiion Buale 2001
Very good coverage but needs to be sustained.
Very good coverage but needs to be sustained.
Drop out rate of 69% in 2000 and 38% in 2001.
Drop out rate of 69% in 2000 and 38% in 2001.
26% of women were provided second dose
of TTimmunization
in 2000. No data in 2001.
Good coverage ofbut needs to be
increased.
SUMMARY OF WORLD VISION EPI COVERAGE SURVEY RESULTS IN BUALE 2000
& 2001
• Cold chain not functioning in certain areas
• Inadequate supervision
• Shortage of qualified Human resources
• Few implementing partners
• Existing MCH structures are not providing EPI services on a daily bases.
• Request for supply come in late
• TOR MCH staff not well defined. (Staffing pattern)
• Information lacking concerning immunization schedule for mothers/ caregivers
• Lack of confidence in MCH staff
• Attitude of MCH staff towards parents, patients etc… .
• Missed opportunities
• Availability/ use of IEC materials for MCH centres and parents/ caregivers
• HIS system not completely understood
• Reporting not regular
• Quality/ reliability of data ?
• Motivation of staff?
• Definition of catchment areas?
• target population?
• Social mobilization (responsibilities)
• Co-ordination between partners
• Strengthen the MCH structure
• Question of Catchment population
• Need for more implementing (EPI) partners
• Need for transportation - resource allocation
• Appropriateness of cold chain eg gas/solar panels/electric as opposed to kerosene refrigerators
• Need for separate budget line for EPI implementation
• Training and follow up of EPI activities
• Monitoring and evaluation of EPI activities
• Feedback of EPI surveys
• Quality of vaccines (for purpose of monitoring)
• Cold chain management training
• Further development of MCH standards
• Need for common EPI policy eg incentives, motorcycles, office equipment etc
• Appropriateness of social mobilisation strategies - Puntland version best
• Inadequate participation of international staff in EPI (acceleration) activities
• Need for regional cold chain
• No clear roles and responsibilities of EPI stakeholders
• Need for clear action points and prioritisation
• Lack of EPI maintenance/replace old equipment
• Service providers - no screening, high drop-out rates, no supervision tools
• Mothers not aware of vaccination schedules
• Need to increase capacity of MCH staff related to EPI activities
• Contraindication not clearly known to health staff
• Missed opportunities
• Low community participation
• Inadequate cold chain
• Social mobilisation messages insufficient
• Inadequate distribution of MCH facilities (eg in Bossaso)
• Enlarge scope of EPI partners - private, local NGOs, MOSA
• Lack of motivation of MCH staff
