Jigawa State Presentation

1
Jigawa State Presentation

• Country Communication Review
• Abuja, Nigeria
• June 28-29, 2007

Presented By Alhaji Garba Mohammed Bulangu
Director Family Health, State Primary Health
Care Development Agency (SPHCDA)
2
Overview

• State Profile
• State map with WPV cases for 2007
• Communication Platform
• Objectives for 2007
• Strategic Planning
• Strategic Results
• Residual Challenges
• Initiatives
• Way Forward

3
State Profile

• Total Pop. 4,342,475
• No. of LGAs 27
• No of wards 288
• No of public HFs 472
• HFs providing RI 322
• Target Pop lt5 868,495
• Target Pop. DPT 73,699
• No of teams 767
• No. WPV Cases 18
• AFP Cases 89
• (April, 2007)

4
2007 State Objectives

• Increase DPT3 coverage from 62 to 75 by
  December 2007
• Reduce Zero Dose from 8 to 4 by December 2007
• Reduce missed children from 8 to 3 by December
  2007

5
Core Platforms of Communication Strategy

• Primary strategic approaches
• IPC and Group Communication
• IPC skills training for Ward Focal Persons and
  counseling skills for health workers
• Community networking/coalition/ Community
  Dialogue
• Quranic Schools
• FOMWAN
• Advocacy and Partnerships
• State Local Govt.
• Traditional Religious leaders
• NGOs, CBOs, Professional Groups/Partners
• Mass media Communication
• Special focus on Radio and TV
• Popular Theatre Arts (Local)

6
Immunity Gap OPV Status in Non-polio AFP by
quarter 4th Q06 1st Q07
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Strategic PlanningMissed Children () in HR LGAs
and Wards - Early March 07 IPDs
Missed children in High Risk LGAs
Missed children in Wards in Hadejia
High Risk based on NC WPV Zero Dose Missed
Children
Monitoring Data
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Reasons for Missed Children in high risk LGAs
(Early March IPDs)
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Analysis of Unvaccinated Children
Reasons for Non-compliance in Gagulmari Ward
Reduction of Missed children in Gagulmari Ward
NCC No Caregiver Consent CS Child Sick FP
Fixed Post NI No Information RB Religious
Belief NFN No Felt Need TMR Too Many Rounds
Monitoring Data
Non-compliance/Redo Data
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Source of information to parents Guardiansby
High risk LGAs (Early March 2007 IPDs)
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Sources of Information in Gagulmari Ward,
Hadejia LGA (Early March, 2007)
Monitoring Data
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Social Map of Gagulmari Ward, Hadejia LGA
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Community Mobilization Activities between IPDs in
Gagulmari Ward

• Activities between the Early and Late March IPDs
• Sensitize and involve Islamiya School Teachers
  (1)
• Community dialogues (3)
• Advocacy Traditional Influential persons (1)
• Involved Professional Groups
• Rally of Polio Victims
• Traditional Birth Attendants referred zero dose
  to H/Facility
• Member of Federation of Muslim Womens
  Association involved Households to identify
  new-born and resolve non-compliance
• Non-compliance cases were resolved by Amira

14
WPV monthly onset with interventions, 2006 - 07
NIDs
IPD Interventions MOPV
Pilot IPDs
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Trend in Missed Children in Jigawa
Monitoring Data
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Trend in Zero Dose in Jigawa
Monitoring Data
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DPT3 RI Monthly Cummulative Coverage By LGA
Jan-Mar. 2006/2007
March 2006
March 2007
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Advocacy Partnerships
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Residual Challenges

• Need for further strengthening of political
  commitment (State and LGA level)
• Timely release of State funds
• Inadequate skills and capacity of Health
  personnel on IPC/counseling, Information
  Management/logistics management ( State and LGA
  level)
• Inadequate number of Vaccination Teams and
  support personnel
• Strengthen monitoring and supervision mechanisms
• Long term mass media (radio and TV) programme
  implementation
• Child to Child Engagement

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New Initiatives in Social Mobilization

• CBO Engagement Myetti Allah Cattle Rears and
  Professional Groups and Market Association, Polio
  Victims group mobilization
• Community Engagement Combined involvement of
  Traditional and Religious leaders
• NGO Engagement FOMWAN Women
• Mass Media Phone in Programme Panel
  Discussions Street Drama group

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Way Forward

• Child to Child Engagement
• Continue engaging the religious/traditional
  leaders
• Advocacy to the new policy makers at State for
  support
• Advocacy to the new LGA policy makers for
  supports social mobilization fund and engage
  more vaccination teams
• Partnership with potential NGOs and CBOs for
  manpower support during implementation
• Partnership with mass media and Private Agencies
  for longer run programmes in Radio and TV
• Further skill and capacity building for health
  personnel for the longer run of programme

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Result of completing immunization schedules A
healthy child and happy Ifamily!
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Result of completing immunization schedules A
healthy Child and happy family!
Thank You