Immunization in Nigeria Cooperation with GAVI

1
Immunization in Nigeria- Cooperation with GAVI

• At the
• GAVI Board Meeting, Abuja Nigeria
• 4th December 2004

2
Background Information on Nigeria

• Total Population 133 million
• Under 1 population 5.1million
• Under 5 population 40,539,739
• Administrative Structure

3
Zonal Map of Nigeria
4
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

5
NPI Vision

• To achieve sustainable immunization service
  delivery through community ownership, as well as
  a community operated and community driven
  strategy

6
NPIs 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

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Nigerias Immunization Schedule
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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 countrys 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.

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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.

10
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

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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
  N39,711,76930

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LGAs that received GAVI funds
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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

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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 ME
  activities.

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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

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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

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Structure of ICC Governance for Immunization
in Nigeria
National Council on Health
Hon. Minister for Health
ERC
ICC Secretariat NPI
Committee Finance
Core Group
Operations (NPI) Working Group
Training Working Group (EU Prime)
M E Working Group (WHO)
Social Mobilization Group (UNICEF)
Logistic Working Group (WHO)
Zones States
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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.