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    Epi in Pakistan

    Uploaded by

    James Smith
    This document outlines Pakistan's Expanded Programme on Immunization (EPI). It aims to protect children and mothers from diseases like tuberculosis, polio, diphtheria, pertussis, measles, and tetanus by providing routine vaccinations. Key objectives include reducing mortality from target diseases, achieving 90% vaccination coverage by 2012, and eliminating diseases like neonatal tetanus by 2015. The document reviews vaccination schedules, responsibilities at federal and provincial levels, progress made with coverage rates across provinces, and challenges to achieving full vaccination rates. Suggestions are provided to improve communication strategies and social mobilization efforts to work towards 100% immunization coverage.

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    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd

    Epi in Pakistan

    Uploaded by

    James Smith
    7K views39 pages
    This document outlines Pakistan's Expanded Programme on Immunization (EPI). It aims to protect children and mothers from diseases like tuberculosis, polio, diphtheria, pertussis, measles, and tetanus by providing routine vaccinations. Key objectives include reducing mortality from target diseases, achieving 90% vaccination coverage by 2012, and eliminating diseases like neonatal tetanus by 2015. The document reviews vaccination schedules, responsibilities at federal and provincial levels, progress made with coverage rates across provinces, and challenges to achieving full vaccination rates. Suggestions are provided to improve communication strategies and social mobilization efforts to work towards 100% immunization coverage.

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    This document outlines Pakistan's Expanded Programme on Immunization (EPI). It aims to protect children and mothers from diseases like tuberculosis, polio, diphtheria, pertussis, measles, and tetanus by providing routine vaccinations. Key objectives include reducing mortality from target diseases, achieving 90% vaccination coverage by 2012, and eliminating diseases like neonatal tetanus by 2015. The document reviews vaccination schedules, responsibilities at federal and provincial levels, progress made with coverage rates across provinces, and challenges to achieving full vaccination rates. Suggestions are provided to improve communication strategies and social mobilization efforts to work towards 100% immunization coverage.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    7K views39 pages

    Epi in Pakistan

    Uploaded by

    James Smith
    This document outlines Pakistan's Expanded Programme on Immunization (EPI). It aims to protect children and mothers from diseases like tuberculosis, polio, diphtheria, pertussis, measles, and tetanus by providing routine vaccinations. Key objectives include reducing mortality from target diseases, achieving 90% vaccination coverage by 2012, and eliminating diseases like neonatal tetanus by 2015. The document reviews vaccination schedules, responsibilities at federal and provincial levels, progress made with coverage rates across provinces, and challenges to achieving full vaccination rates. Suggestions are provided to improve communication strategies and social mobilization efforts to work towards 100% immunization coverage.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 39

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    Topic of presentation:
    “EPI IN PAKISTAN; A SUCCESS
    OR A FAILURE ?”
    PRESENTERS:

    FARHEEN ZAFAR BUTT


    SABA AHMED

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    PROGRAMME OVERVIEW
    EPI was launched in 1987.
    AIM:
    It aims at protecting children by immunizing
    them against
    Child hood tuberculosis
    Poliomyelitis
    Diphtheria
    Pertussis
    Measles
    &
    Tetanus

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    Aim continues….
    AND also protecting their mothers
    against tetanus.

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    PROGRAMME OBJECTIVES
    Reduction of mortality and morbidity
    resulting from 7 EPI target diseases
    by immunizing children of age 0-11
    months and women of child bearing
    age.
    90% routine immunization coverage
    of all EPI antigens by 2012.
    Interruption of polio virus transmission
    by 2010.
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    “Program objectives “continues….

    Elimination of neonatal tetanus by 2015


    Reduction of measles mortality by 90% by
    2010.
    Reduction of diphtheria ,pertussis and
    childhood T.B. to a maximum level.
    Control of other diseases by introducing new
    vaccines in EPI as and when they are
    available using EPI as a spearhead for
    promoting other PHC activities and finally
    integrating EPI into primary health care

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    EPI SCHEDULE:
    ROUTINE IMMUNIZATION SCHEDULE:
    BCG & OVP 0 dose are given at birth,
    DPT, HBV & OVP at 6, 10 and 14 weeks
    Measles vaccine at the age of 9 months.
    The pregnant ladies and child bearing age
    ladies are provided immunization against
    TT.

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    EPI schedule continues…

    THE SCHEDULE OF VACCINATION OF


    PREGNANT WOMEN AND LADIES OF
    CHILD BEARING AGE IS:
    TT 1 at first contact,
    TT 2 at least 4 weeks after 1st dose,
    TT 3 at least 6 months after 2nd dose,
    TT 4 at least 1 year after 3rd dose and
    TT 5 at least one year after 4th dose)

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    Program Responsibilities at
    Federal level
    Overall planning
    guidance, support , monitoring and
    evaluation
    Coordination with International
    Agencies
    Purchase of vaccines/syringes and
    supply to provinces
    Mid-level Managers Training

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    Program Responsibilities at
    Provincial level
    Implementation
    Collection of vaccines/syringes/needles from
    the Federal EPI Cell for further distribution to
    the districts
    Repair and maintenance of equipment
    Monitoring, evaluation and reporting
    Supervision at all EPI service delivery level
    Training of all EPI workers except Mid-level
    Managers

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    Evaluation of EPI success:
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    %age of children immunized in
    each province (up to 2006)
    ANTIGEN PUNJAB SINDH NWFP BALOCHISTAN

    BCG 89.9 84.2 74.3 59.0

    DPT3 82.6 66.5 61.3 40.2

    MEASLES 80.2 63.6 57.6 40.9

    FULLY
    IMMUNIZED
    76.2 59.8 52.0 32.0

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    ANTIGEN AJK FATA FANA

    BCG 95.5 53.4 86.9

    DPT3 91.1 37.4 66.5

    MEASLES 88.70 32.0 70.60

    FUULY 84.0 25.6 59.6


    IMMUNIZED

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    EVALUATION RESULTS:
    The trend of graphs shown in previous slides;
    indicates that EPI in Pakistan has been quite
    successful. Where as there is a room for
    improvement.

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    Recent additions in EPI
    targets:
    meningitis Surveillance
    The Federal EPI has established Sentinel sites at
    several tertiary care hospitals in the country to see
    the disease burden of Bacterial Meningitis in the
    country which will facilitate the EPI Program for the
    introduction of Hib vaccine in the country.

    High levels of advocacy achieved through


    involvements of politicians, religious leaders and
    community elders using Inter Personal
    Communication (IPC), Print and Electronic media
    tools.
    The federal Government ensured required funding
    for the routine programme.
    EPI Diseases Surveillance system established

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    Combination tetravalent
    vaccine
    Introduction of Combination tetravalent
    vaccine (DPT + HepB) from 2008. This
    will eliminate the coverage difference
    between DPT3 and Hep B 3.

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    HURDLES IN ATTAING 100%
    RESULTS:
    The course of vaccine is not
    completed.

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    In complete or last minute planning at federal and
    provincial level.

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    IDEAS FOR
    IMPROVEMENT:
    How to improve?
    BY:
    • Developing integrated social mobilization
    /communication plans for EPI at all levels.
    • Developing more responsibility and resources for
    social mobilization to provinces and districts for
    Facilitating local strategies.
    • Holding more frequent meetings among
    partners.

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    How to improve the
    communication strategy
    General
    • Focus messages on reaching every
    child every round, e.g. search for the
    missed children beginning
    • Strengthen EPI communication,
    especially between PEI rounds.

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    Mass media
    • Extend mass media broadcasting
    before and after rounds.
    • Work more creatively with PTV and
    build their capacity to plan and produce
    effective spots.
    • Improve the use of BBC, VOA and
    other international networks.
    • Place spots on cable TV channels.
    • Explore synergies with neighboring
    country mass media channels.

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    Other channels
    • Place the ‘every child, every time message’ on such
    as balloons, matchboxes, poster, stickers on
    vehicles, product labels focusing on the “every child,
    every time” message.
    • Distribute calling card to closed homes.
    • Employ special communication strategy for reaching
    hard-to-reach groups e.g. elites: glossy and
    special interest magazines, airlines, supermarkets,
    paediatricians, Rotary and Lions Clubs,
    hairdressers, housing co-operatives, GSM networks,
    ISPs, internet cafes, taxi drivers, colleges, etc.
    • Involve pre-schools (securing prior permission from
    parents).

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    Using electronic media can be a good source of
    generating awareness about EPI among lay men.

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    REFRENCES:
    WHO/UNICEF
    Review of National
    Immunization
    Coverage1980-
    2003
    Pakistan PEI/EPI
    Communication
    Review Report By
    Mike Favin, Robert
    Tyabji and Susan
    Mackay Islamabad,
    22 July 2001

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