Immunization in Nigeria- Cooperation with GAVI At theGAVI Board Meeting, Abuja Nigeria 4th December 2004
Background Information on Nigeria• Total Population 133 million• Under 1 population 5.1million• Under 5 population 40,539,739• Administrative Structure: States (36) + FCT LGA (774) Political wards (9,572
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
NPI Vision• To achieve sustainable immunization service delivery through community ownership, as well as a community operated and community driven strategy
NPI’s Mission Statement The National Programme on Immunization is committed to thereduction of morbidity and mortality arising from vaccine preventable diseases through the provision ofpotent vaccines, technical, cold chainand logistics supports to States and Local Government Areas”
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 country’s 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.
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.
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
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 N39,711,769:30
% LGAs that received GAVI funds % of LGAs that received funds 120.00 100.00 80.00 60.00 % LGAs % 40.00 20.00 0.00 a u o yi no iti om s to gi a o o be a Im ug br er ls on Ed rn Ek ko ar Ko Ka Yo ye Ib am iv Bo En Kw Eb So R Ba a An w Ak States
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
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 M&E activities.
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
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
Structure of ICC Governance for Immunization in Nigeria National Council on Health Hon. Minister for Health ERC ICC Committee: Finance Secretariat: NPI Core Group Operations (NPI) Working GroupSocial Mobilization Logistic Working Training Working M & E Working Group (UNICEF) Group (WHO) Group (EU Prime) Group (WHO) Zones & States
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.