Status of EPI In Guinea
DR. Mariama BAH
Child Survival Advisor
USAID/Guinea
June 13, 2002
Country Background
•Surface: 245,857 km
•Population: 8,225,750
•Children < 1: 329, 030
•WOCA: 2,056,000
•IMR: 98/1000
•UNDER 5 MR:177/1000
•No. of Regions: 8
•No. of Health Facilities:817
Health Structure
Central level
National Hospital
Regional Hospital
Regional Level
PrefectoralHospital
Prefectoral Level
Health Center
Sub-PrefectoralLevel
DistrictLevel
Health Post
Organigram of the MOH
Trends In Immunization Coverage
Polio Eradication Progress
Financing
Management
Capacity Building
1.
Vaccine Supply & Quality
2.
Logistics
3.
Service Delivery
4.
Surveillance
5.
Advocacy & Communication
Operations
Factors Affecting Immunization Performance:
Basic elements of an immunization system
Strengthened Human Capacity
•Recruitment of 800 new health agents of which80% were assigned to a health center or healthpost
•Four national consultants supported by USAID,UNICEF and WHO
•Add No. of Polio technical advisors
•Involvement of NGOs
•Staff training in polio, measles, and essentialdrug management
Improved Management
•5 year /annual plans
•micro-planning for NIDS
•monitoring/supervision
•ICC
•Injection safety policy
Improved Financing
•Government purchase of vaccine
•GAVI support
•Debt Relief
•Bamako Initiative
Improved Operations
•Cold Chain
•Logistics
•Service Delivery
•Social Mobilization
Constraints
•Geographical Access
•Vaccine stock-outs polio
•Antiquated equipment
•Insufficient communications/social mobilization
•Staff competency
Lessons Learned
•Commitment of partners, community , healthand admin authorities: Functional ICC Key
•Use of debt relief funds to implement the EPI
•Use of mass media and theater groups
•Strengthening of EPI through NIDS
•Strengthening of MOH capacity ( TA)
•Commitment of the GOG to manage fundsallocated by GAVI
Conclusions: Role of USAID
•USAID/GUINEA in partnership with otherpartners have significantly contributed to theaccomplishment of the MOH EPI . This wasachieved through:
•Participation in ICC
•Addressing Immunization system strengtheningin discussions with UNICEF, WHO, theJapanese
Conclusions Continued
•Participating in discussions and development ofGAVI
•Through the BOOST immunization Initiativeparticipating in the design and implementationof NIDS activities to raise ImmunizationCoverage Rates