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Ressource	A Guide for conducting an Expanded Programme on Immunization (EPI) Review
Objectif	A comprehensive assessment of the strengths and weaknesses of an immunization programme. Provides evidence for the programme’s strategic directions and priority activities.
Contenu	Provides guidance, tools and templates to implement the five stages: (1) developing concept; (2) planning and preparing; (3) conducting the review; (4) synthesizing findings; (5) translating into action. The EPI Review should be a comprehensive assessment of all seven basic immunization topics: programme management and financing; human resources management; vaccine supply, quality and logistics; service delivery; immunization coverage and AEFI Monitoring; Disease Surveillance; Demand Generation. The review can also put emphasis on any other special area that is relevant, for example, gaps between survey and administratively reported data, EVM management scenario, urbanization and equity, human resources capability for surveillance. The reports evaluate the strengths and weaknesses of each of the immunization components, often include a SWOT analysis, and outline recommendations for the changes and adjustments needed to improve the immunization programme. Information on barriers may appear in different parts of the report.
Résultats attendus	Evidence and recommendations to inform multi-year planning, development and implementation, including identification of sustainable sources of financing.
Utilisation	•To be used if report available at the country level. •Does not require user input. This is an assessment that would have been conducted before. It shouldn't be conducted just for the purposes of informing a criterion in decision-making (e.g. in CAPACITI decision-support tool), as it is resource intensive. Make note of when it was published.
Forces	Provides a comprehensive evidence-base for multiyear planning.
Contraintes/Limitations	•The process is highly resource intensive. •The EPI Review is designed to give a qualitative overview of the situation in the country, but some countries include a quantitative overview or interpretations based on quantitative information from a limited number of districts which can be misleading. •If the guidelines are not followed then there is a risk that the document will turn into a surveillance report, or in a program implementation evaluation.
Pourquoi l'utiliser	(a) Links review findings to the multi-year planning process, and identification of unreached populations. (b) Facilitates problem solving on zero dose/under-immunised through selection of both high and low performing geographic areas and health facilities, mapping of areas where there have been VPD outbreaks, and development of recommendations based on criteria of targeting the underserved and improving equity.
Qui devrait l'utiliser	National and sub-national EPI and health system planners and partners.
Exemples de critères que cette ressource pourrait traiter	As this is the most comprehensive review of the NIP, it is imprtant to review it to understand the strenghts and weaknesses, in order to decide whether the options in consideration would be suitable.
Si disponible, notes sur le processus de développement	Developed by the country. Although there are development guidelines, the quality will be context specific.
Liens supplémentaires
Lien d'accès à la ressource	/fr/ressources/orientations/a-guide-for-conducting-an-expanded-programme-on-immunization-epi-review