Agency Support for

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• Agency Support for
• Sustainable Accelerated
• Disease Control Initiatives in Africa Focus on
  MNTE and Measles Partnerships

TFI Meeting Luanda, 4 December 2003 Francois
Gasse, M.D. Senior Project Officer UNICEF HQ,
New York
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The Measles Partnership

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WHO / UNICEF Framework for Collaboration

• Multi-year immunization plan
• Defined strategy, financing plan human
  resources
• Synergy with broader immunization health goals
• Surveillance
• Special focus for countries with large
  populations or complex emergencies

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Consolidated Appeals Process ( C. A. P. ) for
Emergency Countries

• Ensure inclusion of measles activities in CAP
  Proposal and Budget
• e.g., Côte dIvoire and Liberia have included
  specific budget lines for measles activities for
  2004 CAP
• If measles activities are excluded, some donors
  are NOT willing to fund
• Find examples of CAP proposals on
  www.reliefweb.int

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Proposed 2004 Partnership Measles Activities

• Niger, Mali, Burkina Faso, Ethiopia, Togo
  fully funded.
• Other countries partially funded.

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Summary

• 29 countries of the 45 measles mortality priority
  countries have started introduce a second
  opportunity
• Emergency countries may use CAP as a means to
  fund measles mortality reduction campaigns
• Great THANKS to our partners CDC, UNF , American
  Red Cross, IFRC, CIDA, WHO, Government of Japan,
  USAID, DFID, ECHO

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• The MNT Elimination Initiative

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MNTE A partnership
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2003 24 Countries supported by UNICEF and
partners to implement TT SIAs 13 countries in
Africa
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1998-2003 Enthusiasm
As of October 2003
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US 50 million to protect 33 million women La
lucha continua

• 1998-2002
• Raised 67.5 m
• Allocated 50.3 m
• Remaining 17.2 m
• Cash 2.6 m
• In-Kind 14.6m
• 2003
• Allocated 2.6 m (cash) in-kind

1999-2002 40.4 m CBAW targeted (10.4 m in
Africa) 32.7 m CBAW protected (7.8 m in
Africa) 2003 Approx 8 m CBAW targeted
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2003 Gates Foundation supports MNTE with 10m
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Funds allocated by region

• Funds for Africa remain at same level (45)

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2004

• 6.6 million available (cash in-kind)
• Anticipated support to 19 countries (9 in Africa)
• Targeting approx. 6 million CBAW
• Using 3 m TT Uniject in 4 countries (3 in Africa)

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Anticipated countries or areas to be validated by
2006 (12 countries or areas)
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Optimizing Resources

• Routine Immunization should remain basis of all
  programs!
• TT SIAs in areas with socio-cultural barriers -
  Strengthening Routine Immunization elsewhere
  (RED, SOS,)
• Measles SIAs as second opportunity only -
  Possibly linking Measles SIAs with other
  antigens need to document cost, program
  implications and effectiveness

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Optimizing resources in MNT
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• Thank You