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Npi
1. Immunization in Nigeria-
Cooperation with GAVI
At the
GAVI Board Meeting, Abuja Nigeria
4th December 2004
2. 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
4. 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
5. NPI Vision
• To achieve sustainable immunization
service delivery through community
ownership, as well as a community
operated and community driven strategy
6. NPI’s Mission Statement
The National Programme on
Immunization is committed to the
reduction of morbidity and mortality
arising from vaccine preventable
diseases through the provision of
potent vaccines, technical, cold chain
and logistics supports to States and
Local Government Areas”
8. 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.
9. 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.
10. 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
11. 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
12. % LGAs that received GAVI funds
% of LGAs that received funds
120.00
100.00
80.00
60.00 % LGAs
%
40.00
20.00
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13. 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
14. 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.
15. 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
16. 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
17. 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 Group
Social Mobilization Logistic Working Training Working M & E Working
Group (UNICEF) Group (WHO) Group (EU Prime) Group (WHO)
Zones & States
18. 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.
