POST 00642E : IMPROVING COVERAGE 25 February 2004
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Posting by the moderator :
Those of you who have looked at the TechNet meeting agenda in details will
have noticed a session on "Improving Coverage" Tuesday, 23 March. This is
quite important as the final goal of EPI is indeed to protect as many
people as possible. As the Technet meeting discussions also draw on those
of the forum, I looked back and realized that our discussions have been
mostly centered on topics having a great incidence on programme efficiency
but largely ignored those that could impact on performance or
effectiveness. It is not that there has been no attempt.
In Post 00512E, all the way back to 21 October 2002, Robert Davis from
UNICEF was asking if anybody knew of well-documented studies about dropout
reduction efforts. This was well over one year ago. This request did not
elicitate any substantial reaction from members.
More recently, Marie-Christine Balley from Bénin, was asking for
suggestions on ways to improve vaccination coverage (Post 00584E of 18 July
2003)
Finally Robert Steinglass was sharing in Posts 00596E and 00597E PowerPoint
presentations highlighting the challenge facing the international
community. The number of countries still below 80% coverage is still very
high. The reaction to these last two postings was limited to one message
from Dexter Bersonda (mailto:[log in to unmask]) to Robert that I
decided to post below.
Dexter's contribution is very interesting and it highlights another problem
that we carry along, inadequate reporting by many countries, particularly
in the industrialized world. However, I believe Robert's intention was then
focused on a potential discussion on programme effectiveness broadly speaking.
If some of you have consulted the GAVI website recently, you will have
noticed that the last GAVI Board has approved new grants to increase
coverage in eight countries (see the press realease :"Eight Developing
Countries to be Paid $15m for Immunizing More Children"). Under the
program, countries applied for the grants by submitting to GAVI their
longterm strategies to reach more children. I couldn't find information on
these proposals and what are these strategies that countries will use. And
why out of sixteen countries, only eight succeded in having their grants
approved.
Strategies are critical, it's not only a question of money. I hope that
this message will induce some of our members to have an input in a
discussion on how to increase coverage. I am sure that those closely
involved with GAVI processes and operations can make valuable
contributions. We have learned so much through and since UCI not to let
this last achievement a one-time feat.
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Dexter's contribution:
We have received the DTP3 Vaccination Coverage maps (POST 00597E) and would
just like to ask if the maps can be modified to consider the countries who
had reported for at least two years. In our region the Philippines, Japan
and Republic of Korea had reported DTP3 coverage for 2 out of the three
years. Japan had DTP3 coverage for the two years at more than 80% while the
Philippines and Republic of Korea data indicate
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