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Immunization in Nigeria- Cooperation with GAVI
At theGAVI Board Meeting, Abuja Nigeria
4th December 2004
Background Information on Nigeria
• Total Population 133 million• Under 1 population 5.1million• Under 5 population 40,539,739 • Administrative Structure:
States (36) + FCT
LGA (774)
Political wards (9,572
Zonal Map of Nigeria
Abia
Adamwara
Akwalbom
Anambra
Bauchi
Bayelsa
Benue
Borno
Cross RiversDelta
EbonyiEdo
Ekiti
Enugu
FCT
Gombe
Imo
Jigawa
Kaduna
Kano
Katsina
Kebbi
Kogi
Kwara
Lagos
Nasarawa
Niger
Ogun Ondo
Osun
Oyo
Plateau
Rivers
Sokoto
Taraba
YobeZamfara
National Immunization Policy
• It is the Policy of the Federal Government of Nigeria to provide immunization services and potent vaccines, free to all populations at risk of vaccine preventable diseases (VPDs).
• Government shall therefore ensure the use of a national immunization schedule in order to attain optimal protection for eligible children and women of child bearing age.
• The immunization policy also provides guidelines on injection safety standards and practices, AEFIs, Surveillance systems, Advocacy/Social Mobilization as well as Partner Collaboration
• These are achieved through the National Programme on Immunization as the implementing agency
NPI Vision
• To achieve sustainable immunization service delivery through community ownership, as well as a community operated and community driven strategy
NPI’s Mission Statement
The National Programme on Immunization is committed to the
reduction of morbidity and mortality arising from vaccine preventable diseases through the provision of
potent vaccines, technical, cold chain and logistics supports to States and
Local Government Areas”
Nigeria’s Immunization Schedule
Age Vaccine
At birth BGC OPV0 HBV1
6 weeks DPT1 OPV1 HBV2
10 weeks DPT2 OPV2
14 weeks DPT3 OPV3 HBV3
9 months MV YF Vit A1
15 months Vit.A 2
Collaborations with GAVI• In year 2002, Nigeria obtained conditional approval for GAVI
Support funds in the area of Immunization Support Services as well as New and Under-Utilized Vaccines (Yellow Fever)
• Subsequently, 37 GAVI Consultants were appointed in October 2002 with the responsibility of giving technical support to the 36 States and the Federal Capital Territory, Abuja to develop State and LGA proposals for GAVI funding in line with the country’s 5-Year Strategic Plan for Strengthening Routine Immunization Service Delivery.
• In May/June 2003, the GAVI Award Review Committee comprising of NPI and Partners received and reviewed State proposals, out of which only 15 States and 186 LGA plans were found satisfactory and recommended for GAVI funding.
• The States include: Anambra, Enugu, Ebonyi, Imo, Ekiti, Kogi, Kwara, Rivers, Bayelsa, Akwa Ibom, Edo, Kano, Sokoto, Borno and Yobe.
Components of GAVI support in the 15 States
Advocacy/social mobilization/information: support to mobilization activities through town and radio/TV announcements, sensitization meetings, awareness campaigns, etc
Capacity building of health providers: training of immunization service providers at State/LGAs using standardized training modules
Monitoring, Supervision & Evaluation: provision of imprest for fueling of vehicles and generators as well as support for the conduct of monthly review meetings.
GAVI funding disbursement guidelines for States and LGAs
• Opening of State and LGA GAVI Operational Accounts
• Payment of at least 10% counterpart funding of the approved funds by the respective States and LGAs to demonstrate ownership of the programme
• Forwarding of account numbers to national levels to enable disbursement of approved funds
State and LGA Current funding status
• Receipt of GAVI funds approved for disbursement to States and LGAs: N108,119,850
• Total funds disbursed to States and LGAs at date N67,537,849
• Amount awaiting disbursement to States and LGAs yet to comply with disbursement guidelines N39,711,769:30
% of LGAs that received funds
0.00
20.00
40.00
60.00
80.00
100.00
120.00
States
% % LGAs
% LGAs that received GAVI funds
Current status of payments to GAVI Consultants
• Part-Payment to 16 GAVI Consultants in July 2003 to the tune of N12,150,000
• Payment to 26 GAVI Consultants in March 2004 to the tune of N24,436,000
Major achievements in GAVI supported States
• Increased utilization of GAVI funds at State and LGA levels
• Improved Social Mobilization with high political commitments at the highest levels.
• Improved awareness of immunization activities at community levels, thereby fostering partnerships within an increased network
• Improved human resource development through Cascade Training of
immunization service providers using the standardized immunization modules
• Strengthening of monitoring, surveillance and evaluation structures State, LGA and ward levels, as well as increased implementation of M&E activities.
Challenges to Routine Immunization
• Strengthening the primary health care system• Improving immunization service delivery at HF levels
with high standard of practice and minimal risk• Improving technical skills of health workers through
continued training and capacity building• Improving inter-personal communication (IPC) skills
of health workers• Increased social mobilization and advocacy at all
levels• Improved monitoring and evaluation of immunization
services, including programme quality and efficiency of service delivery
• Improved data management at all levels
Way forward• Continued implementation of our 5-Year Strategic Plan and in
particular the Year 2005, Annual POA, which has been circulated to the GAVI Board members today.
• Continued implementation of the 5 Year Cold Chain rehabilitation plan• Improved vaccine distribution through the PSVD• Strengthening partnership collaboration through the Inter-Agency
Coordinating Committee (see next slide for ICC Governance Structure).
• Increased Technical support to GAVI desks at the NPI HQ and zonal offices
• Initiation of Exchange programmes for NPI staff with countries that are also recipients of GAVI support
Structure of ICC Governance for Immunization in Nigeria
National Council on Health Hon. Minister for Health
ERC
ICCSecretariat: NPI
Committee: Finance
Core Group
Operations (NPI) Working Group
Social Mobilization Group (UNICEF)
Logistic Working Group (WHO)
Training Working
Group (EU Prime)M & E Working Group (WHO)
Zones & States
Appreciation
• The Federal Government of Nigeria wishes to extend its appreciation to the Global Alliance for Vaccines and Immunization (GAVI) for its continued support to the immunization programme in Nigeria.
• We look forward to strengthening our collaborative opportunities, especially in the area of Injection safety support.
• I wish the GAVI Board fruitful deliberations.