Submitted by admins on Wed, 10/16/2019 - 12:05

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1. EPI Fact sheet

2. EPI Progress

3. Revised NVI Opportunities (HPV and MCV2)

4. Trends of and Patterns vaccination inequity in Ethiopia

5. Measles elimination in Ethiopia

  1. Key areas raised/discussed under the sub theme
  • Challenges and possible solutions on uptake of new vaccine introduction at point of care (HPV and MCV 2)
  • Challenges and possible recommendations to narrow vaccination inequity gaps
  • Measles elimination in Ethiopia Challenges and way forward
  1. Major challenges raised/discussed  

Vaccination Access challenges

    • Inadequate micro planning to identify the hard to reach and high risk population.
    • Inadequate logistics and transportation support for immunization service including cold chain equipment's
    • Week Private sector involvement and engagement
    • Limited budget allocation and utilization capacity for immunization activities at lower level

Vaccination service Utilization challenges

    • Lack of tailored service delivery and community engagement approaches in respect to the local context
    • Lack of client centered service providers interpersonal communication skills
    • Limited involvement of religious and community leaders
    • High dropout of Pent 3 and Measles vaccination
    • Inadequate monitoring mechanism for immunization session(static and outreach)  

Immunization EQUITY Challenges

    • Inadequate  tailored strategies to focus reaching unreached  areas and populations like urban slums, pastoralist communities and conflict-affected areas
    • Missed opportunity not well addressed
    • Limited implementation capacity particularly in pastoralist region
    • Limited evidences to understand gaps on stratified factors for immunization equity

DATA QUALITY challenges

    • Discrepancy in the reported and actually vaccinated/ Immunized among different data source.
    • Reporting of over 100% and negative dropout probably due to denominator problem
    • Limited capacity to use data and take action at the point of service delivery 
    • Lack of accountability of data and limited data verification mechanism

Measles elimination Challenges

    • Policy and adherence to schedule of Measles vaccine
    • Rollout of MCV2 implementation is not reached to all health facilities
    • Low MCV1 coverage
    • Inadequate Measles surveillance at national and sub-national level
    • Inadequate population Immunity profile against Measles
    • Ongoing measles outbreak
  1. Consideration for EFY 2012 implementation and beyond to be considered in the next HSTP (in the following four categories)
  • Intervention/s that need to be dropped: None
  • Intervention/s that need to be modified: No modification required
  • Intervention/s that need to be continued as is: All will be continued
    • Intervention/s that need to be newly added: consideration of Policy revision on opening Measles vaccine vial,



Thanks for your online comment form preparation but i will ask one thing about CBHI implementation at ground level including top level is roles and responsibilities only for ministry of health because health care providers task was household cash collection and awarness creating especially for Health extension workers daily activities was to collect money from each household.

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