Overview of Karen EHOs Implementation

of EPI in Karen EHO Areas

2017-2018

KDHW/KEHOC EPI Team

1

Accreditation by Ministry of Health and

Sports to Karen EHO Vaccinators

IIP certificate presented to traineesBest motivation award presented by

SHD Dr. Zaw Lin

ကနးမ ာေရး းႏ င အ းကစ း ၀နၾက းဌ န းႏ င KEHOC တ ႕ာေျမျျ တတ က ကတယာေဆးး းးျ နး ျ းာေျ းးျာေဆ မးႏမ း

Karen Department of Health and Welfare

Karen Ethnic Health Organizations Consortium

(KEHOC)

Karen Ethnic Health Organization Consortium

• KDHW တတ ၂၀၀၈ ခ းႏစမးႏ စတ ၍ ာေဆးခနး ၉ ခနး တတ အးးႏရးႏ Child’s Dream အက အည ျ င က ကတယာေဆးး းးျ နး စတ ခခင -2016 အး

• ၂၀၁၄ ခ းႏစတတ း း ကနးမ ာေရးဌ န အက အည ျ ငး း းႏ င း စျာေနာေေ နယစျရးႏ ာေဆးခနး ၇ ခနး းႏ ငးႊမးျခရတ မ းအတတက က ကတယာေဆးး းးျ နးက IRC/PLE အက အည ျ င စတ ခခင - ၂၀၁၇ အး

• KDHW ၏ ယခ က ကတယာေဆးး းးျ နးအ းးး (Child’s Dream & Thai PHO supported) ေည း း တတ း းာေနာေေ က ကတယာေဆးး း းျ နးစစအတ းျ စေညသည။

KDHW တတ တ းခခ႕ က ကတယာေဆးး း းျ နးအ း စတ ခခငမးႏ ေမ းာေၾက း

ေ ငာေေ -

• ာေရရးႏည ရျတည ရန ခကခခ• ာေ တာေၾကးျ းဆ ရ က ကတယာေဆး ၀ယယ ရရးႏ မးႏ ခကခခ (ာေစးအးတနၾက းျခ း)• ာေဆးကမမၸ မ းတတ က ကတယာေဆး ျျတးျျခ း (အဘယာေၾက ငဆ ာေေ - က ကတယာေဆးေည တ း၏ အမ းေ းကနးမ ာေရး းျ နး အစ အစစျ စ)

• တစ တတ က ကတယာေဆးး းာေေ ျစေည တစခေ ျ စေ ငျခ း (းႊမးျခ ခခ က ကတယ မးႏအတတက)

တစခ နတညးမးႏ ျ ျ စာေျေး ာေေ အခတ ငအးမးမ း -

• KDHW းႏ င မ တ က အ တခ႔အစညးမ းတတ းကရးႏ စတမးရည ျျညင၀ာေေ ကနးမ ာေရး းျေ း အ အ းစရးႏ ျခ း

• ာေရး အာေျျ းအးခ (Nationwide Ceasefire Agreement on 15 October 2015)

KDHW ၏ MOHS းႏ င ျ းာေျ းာေဆ ရတကေညင EPI းျ နး၂၀၁၆ တတ အရးႏ နအဟနျမ ငအ းာေက းး မးႏမ း

ဇတနး ၂၀၁၆ - ကရ ျျညနယအတတ းရးႏ တ းရ းေ း ကနးမ ာေရးအ တခ႔အစညးမ းေည ျမနမ ကနးမ ာေရး းႏ င အ းကစ း ၀နၾက းဌ န ၀နၾက းာေဒ ကတ စ းျမ ငာေးတး းႏ င တကတ ကနးမ ာေရး းႏ င အ းကစ း ၀နၾက းဌ နမးႏး ျတနး တ ၀နခ ၅ စ း းႏ င ေတ းာေရ ကာေတတ႕ဆခခငသည။

၂၀၁၆ခ းႏစ၊ ဇ း း၊ (၁၂) ရကာေန႕တတ က ကတယာေဆးး းရန ညးႏ းႏ းအစညးအာေ၀းက ဘ းအတတ ျျးျက းျခခငျျ း ၊ ျျညေ ႕ကနးမ ာေရးစ းစ းဌ န၊ အမ းေ းတ းခခ႕က ကတယာေဆးး းးျ နး၊ ကရ ျျညနယ ျျညေ ႕ကနးမ ာေရးစ းစ းဌ န းႏ ငကရ တ းရ းေ းကနးမ ာေရးအ တခ႕မ းၾက း က ကတယာေဆးး းးျ နးက KEHOC း နးချနယာေျမမ းတတ ျျးျရန ညးႏ းာေဆတးာေ တးျခ း

ခကခခာေဒေရးႏ း အျစတ းဆ ေ ႕က ကတယာေဆးရရးႏ ရနစတ ျခ း အခမးအန းေ ႕ကရ ျျညနယ၀နၾက းချ းႏ ငကရ အမ းေ းအစညးရးစကးဌ တ ႕မးႏတကာေရ ကခ းျမးႏ ငျခ း

ာေအ ကတ ဘ း - ၂၀၁၆ ခ းႏစတတ - MOHS Central EPI team မးႏ ၾက းမးႏးျျ းကရ ျျညနယ ျျညေ ႕ကနးမ ာေရး စ းစ းဌ န အက အည ျ င EPI – Immunization in Practice ဆရ ျ စ ေ တနးက ျျးျျျ းစ းခခငေညသည။

EPI IIP – Multiplier Trainings Kyarinnseikkyi 2017

Immunization In Practice Training in Hpa An 2018, Trainees 37 new vaccinators for KEHOC areas

ဤးျ နး အာေက အးညာေျေရန အဓ က ျ ၀ ခခငေ မ း -

• ကနးမ ာေရး းႏ င အ းကစ း၀နၾက းဌ န Central EPI - နညးျည ျ းဆ ရ းႏ င က ကတယာေဆးာေး ကျငာေျးျခ း

• ကရ ျျညနယ ျျညေ ႕ ကနးမ ာေရးစ းစ းဌ န - နညးျည ျ းဆ ရ ၊ က ကတယာေဆး၊ Solar-refrigerated Cold Chain Site းႏ င အာေအးးမးာေၾက းစနစ၊ IEC materials မ း းႏ င အျခ း ာေဒေအတတ း း အျာေေ ခ တဆကညးႏ းႏ း ာေဆ ရတကမးႏ မ း ျျးျာေျးျခ း

• UNICEF - နညးျည ျ းဆ ရ ာေး ကျငာေျးျခ း

• CPI-SDC /IRC-PLE /Child’s Dream/ Malteser/ PHASE-M – SDC အစရးႏ ေညင INGO မ း -ာေ တာေၾကးျ းဆ ရ အာေး ကအျင းႏ င ညးႏ းႏ းာေဆ ရတကျခ း

• KDHW စ းာေဆ ာေေ ကရ တ းရ းေ းကနးမ ာေရးအ တခ႕မ း းႏ င BMA, BPHWT and MTC အစရးႏ ေညင း းအာေျချျ ကနးမ ာေရး အ တခ႕မ း - ာေဒေအတတ း က ယတ ဆးျ တခကခမးႏတျခ း းႏ င က ကတယာေဆးး းျခ း

၂၀၁၇ ခ းႏစတတ းျာေဆ ခခငာေေ တ းခခ႕က ကတယာေဆးး းးျ နးအစ အစစမ း (1)

ကရ ျျညနယ တတ မတး ၂၀၁၇ မးႏ ဇတနး ၂၀၁၇ အး EPI CRASH ၄ းဆကတ ကး း းႏခခငျ ေညသည။

• ၾက အ းဆ ျၾက းတတ ာေကးရတ ၆၅ ရတ - ကာေးးာေျ း (၂၀၀၂ ာေယ က) ၊က ယ၀နာေဆ မ ခ (၂၉၃ ာေယ က)

• ဘ းအျမ ႕နယတတ ာေကးရတ ၂၂ ရတ - ကာေးးာေျ း (၅၇၉ ာေယ က) ၊က ယ၀နာေဆ မ ခ (၇၂ ာေယ က)

• းးႏ းဘတချမ ႕နယတတ ာေကးရတ ၂၃ ရတ - ကာေးးာေျ း (၄၁၆ ာေယ က) ၊က ယ၀နာေဆ မ ခ (၄၂ ာေယ က)

၂၀၁၇ ခ းႏစတတ းျာေဆ ခခငာေေ တ းခခ႕က ကတယာေဆးး းးျ နး အစ အစစမ း (2)

• တ၀နး ဂျနစ းာေ းႏ ကာေရ က ကတယာေဆးအ း ကရ ျျညနယတတ ျမ ႕နယ ၆ျမ ႕နယ (ဘ းအ၊ းးႏ းဘခတ၊ ၾက အ းဆ ျၾက း၊ ောေတ ၾက း၊ ျမ၀တ ၊ ာေက ငကရ တ) တတ စစာေျ း ၁၄၀၀၀ ာေက သည။

• ာေရႊက ၊ ာေက ကၾက း၊ း း၀ယ၊ တနေၤ ရ ျမ ႕နယမ းတတ - ကာေးးစ းာေရ စစာေျ း- ၃၃၀၀ ာေက သည။

တ၀နး ဂျန စ းာေ းႏ ကာေရ က ကတယာေဆး အစး က း း းႏျခ း (ကရ ျျညနယ) -၂၀၁၇ ခ းႏစ ၀ ဘ း

ျမ ႕နယ ာေကးရတ စစာေျ း ရညမးႏနးကာေးးစ းာေရ း း းႏစ းာေရ ရ ခ းႏ နး Financial Support

းးႏ းဘတခ 21 1907 1097 58% PHASE-M SDCဘ းအ 22 2546 1642 64% Central EPI + KDHWာေက ငကရ တ 13 2459 1964 80% CPI-SDCျမ၀တ 37 3249 1961 60% CPI-SDCၾက အ းဆ ျၾက း 94 12412 7024 57% CPI-SDCောေတ ၾက း

38 1705 1023 60%Central EPI + KDHW

+ Malteser Internationalစစာေျ း 225 24278 14711 61%

တ၀နး ဂျန စ းာေ းႏ ကာေရ က ကတယာေဆး အစး က း း းႏျခ း (ျခခ းတ း ၊တနေၤ ရ တ း) - ၂၀၁၇ ခ းႏစ ဒ ဇ ဘ း

ျမ ႕နယ ာေကးရတ စစာေျ း ရညမးႏနးကာေးးစ းာေရ း း းႏစ းာေရ ရ ခ းႏ နး Financial Support

ာေက ကၾက း 35 1589 1580 99% Central EPI + KDHWာေရႊက 20 1072 675 63% Central EPI + KDHWး း၀ယ ၊တနေၤ ရ 24 2208 1048 47% Central EPI + KDHWစစာေျ း 79 4869 3303 68%

KNU and MIMU Maps Compared

KNU MIMU

Taw Oo Tantabin, Thantaunggyi

Kler Lwee Htoo Kyaukkyi, Shwekyin, Mone

Doo Tha Htoo Thaton, Bilin, Kyaiktoe

Mutraw Papun

Pa-an Paan, Hlaingbwe, Myawaddy,

Kawkareik

Doo Pla Yar Myawaddy, Kawkareik,

Kyarinseikkyi, Kyonedoe, Yay,

Kyaikmaraw

Bleet Dawai Tanintaryi Region, Dawai,

Tanintharyi, Myeik, Lay Nyar,

Ye Pyu

Standard Partners

• IRC-PLE, CPI with 2017

• CPI-SDC, PHASE M-SDC, Pact Myanmar(ACE)-USAID, Malteser International-BMZ with 2018

• CPI-SDC, Pact Myanmar(ACE)-USAID, Malteser International-BMZ with 2019

• Technical and Vaccine supported by Ministry of Health and Sports and UNICEF

• Implemented by Karen Department of Health and Welfare and Karen Ethnic Health Organization Consortium

Total Covered EPI Program

No Townships VTHCs Villages Total Population

1 Kyarinnseikkyi 15 96 6389

2 Myawaddy 11 29 5450

3 Kawkareik 2 13 6376

4 Hlaing Bwe 8 43 6460

5 Hpa An 2 22 5300

6 Thandaunggyi 2 42 6727

7 Myeik 1 96441

8 Dawei 2 14

9 Shwe Kyin 2 20 2993

10 Kyouk Kyi 2 23 3283

11 Mone 2 23 3513

Total 11 49 334 52932

Total EPI Population

No Townships Under 1 Under 5 PW

1 Kyarinnseikkyi 491 1220 112

2 Myawaddy 169 595 176

3 Kawkareik 129 702 79

4 Hpa An 159 171

5 Hlaing Bwe 209 440 213

6 Thandaunggyi 163 830 176

7 Shwe Kyin 85 370 90

8 Kyouk Kyi 82 394 89

9 Mone 88 422 95

10 Myeik 172 784 185

11 Dawei

Total 11 1747 5757 1386

Total Coverage of EPI Program 2018

1. Penta 1- 77%

2. Penta 3- 48%

3. MR 1- 57%

4. MR 2- 44%

• Total Immunized – 77%

• Fully immunized - 48%

KEHOC EPI Team

1. Hpa An Central staff- 22

2. EPI Field supervisor- 9

3. EPI vaccinator- 40

4. New EPI vaccinator- 37

Outbreak Response Immunization

1. Myawaddy - under 15 -154 children

2. Hpa An – Under 15 – 74 children

3. Hlaing Bwe – Under 15 – 54 Children

4. Kawkareik January– Under 15- 390 Children

5. Kawkareik February- Under 15- 365 Children

Trainings/Review Meetings Time Responsible

One Month TOT trainings September 2017 KDHW staff

IIP Multiplier trainings All Townships in 2017 Vaccinators

IIP Refresher training April 2018 36 vaccinators and CCKP

IIP training December 2018 37 new vaccinators

Review Meeting April 2018 MOHS and KEHOC

IIP Multiplier Training in KyaukKyi

December 2017 12 Vaccinators

IIP Multiplier Training in Myawaddy

December 2017 Vaccinators

IIP Multiplier Training in Hlaing Bwe

December 2017 Vaccinators

IIP Multiplier Training in KISK December 2017 Vaccinators

Trainings and Review meetings

Cold Chain Set Up in KEHOC areas

1. Mae Pra VTHC

2. Kyaw Hta VTHC

3. Kwee Lay VTHC

4. ( One Cold chain has been approved for Thandaunggyi)

Challenges Action Plan

Transportation and other operational costs Adequate funding for operation costs

Motivation of trained vaccinators Refresher or new training of vaccinators

Capacity building of supervisory skills of supervisors and coordinators

Training of supervisors for the supervisory skills

Lack of surveillance mechanism for the adverse affects on following immunization(AEFI) and outbreak response immunization

Reporting by the local community and surveillance of the adverse affects following immunization

Low knowledge of immunization in community

Community engagement

Difficult to maintain cold chain Maintain cold chain route

Vaccine wastage and damage Take care of vaccine transport, Accurate population data for improvement of data quality and reduce vaccine wastage

Vaccine damage

1. Expired vaccine

2. VVM is unusable

3. Broken bottle

4. Lost the diluent

5. No label of vaccine

6. Freeze test show cross

TownshipImmunizati

onBCG

OPV Penta PCVMR 1 MR 2 TT

I II III I II III I II III I II

KyarinnseikkyiImmunized 277 1429 946 641 1370 879 561 349 234 149 1255 820 233 119

Coverage 61% 64% 42% 29% 61% 39% 25% 77% 52% 33% 56% 37% 48% 24%

Hlaing BweImmunized 99 338 300 237 349 304 244 78 66 46 315 282 43 22

Coverage 98% 69% 61% 48% 71% 62% 50% 77% 65% 46% 64% 57% 73% 37%

Hpa AnImmunized 149 563 455 316 550 443 298 146 98 78 457 360 70 40

Coverage 84% 66% 53% 37% 65% 52% 35% 82% 55% 44% 54% 42% 37% 21%

2017 KDHW EPI Immunized and Coverage

2018 Immunization Achievement and

Coverage by Townships

1220

337

977

320

0

200

400

600

800

1000

1200

1400

Children PW

Kyarinnseiikkyi 2018 Target and Immunized

Target Acieved

319

977

791

613

376

294 220

963

777

583

222

796

627

285 320

159

-

200

400

600

800

1,000

1,200

Kyarinnseikkyi Immunized in 2018

65%80%

65%

50%

77%

60%

45%

79%64%

48%

45%

65%

51%

58%

95%

47%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

BCG

Penta 1

Penta 2

Penta 3

PCV 1

PCV 2

PCV 3

OPV 1

OPV 2

OPV 3

IPV

MR 1

MR 2

JE

Td 1

Td 2

Kyarinnseikkyi Immunization coverage 2018

595

176

358

43

0

100

200

300

400

500

600

700

Children PW

Myawaddy 2018 Target and Immunized

Target Achieved

49

358

252

179

135

88

57

361

252

174

114

364

308

69 43

9 -

50

100

150

200

250

300

350

400

Myawadddy Immunized in 2018

29%

60%

42%

30%

80%

52%34%

61%

42%

29%

67%

61%

52%

41%24%

5%

0%

20%

40%

60%

80%BCG

Penta 1

Penta 2

Penta 3

PCV 1

PCV 2

PCV 3

OPV 1

OPV 2

OPV 3

IPV

MR 1

MR 2

JE

Td 1

Td 2

Myawaddy Immunization coverage 2018

702

79

308

96

0

100

200

300

400

500

600

700

800

Children PW

Kawkareik 2018 Target and Immunized

Target Acieved

61

308

244

195

153

122 96

308

244

196

148

316

232

78 96

38

-

50

100

150

200

250

300

350

Kawkareik Immunized in 2018

47%44%

35%

28%

119%95%

74%44%35%28%

115%

45%

33%

60%

122%

48%

0%

20%

40%

60%

80%

100%

120%

140%

BCG

Penta 1

Penta 2

Penta 3

PCV 1

PCV 2

PCV 3

OPV 1

OPV 2

OPV 3

IPV

MR 1

MR 2

JE

Td 1

Td 2

Kawkareik Immunization coverage 2018

159171

114

70

0

20

40

60

80

100

120

140

160

180

Children PW

Hpa An 2018 Target and Immunized

Target Achieved

115 114

94

62

114

96

64

114

96

65

97

75

54

112

70

50

-

20

40

60

80

100

120

140

Hpa An Immunized in 2018

72%72%

59%

39%

72%

60%

40%

72%60%

41%61%

47%

34%

70%41% 29%

0%

10%

20%

30%

40%

50%

60%

70%

80%

BCG

Penta 1

Penta 2

Penta 3

PCV 1

PCV 2

PCV 3

OPV 1

OPV 2

OPV 3

IPV

MR 1

MR 2

JE

Td 1

Td 2

Hpa An Immunization coverage 2018

98 101

149

55

0

20

40

60

80

100

120

140

160

Children PW

Hlaing Bwe 23 villages 2018 Target and

Immunized

Target Achieved

91

128

105

74

114

92

63

128

105

74

101

54

36 33

55

33

-

20

40

60

80

100

120

140

Hlaing Bwe 23 villages Immunized in 2018

93%

131%

107%

76%

116%

94%64%

131%107%

76%103%

55%

37%

34%

54% 33%

0%

20%

40%

60%

80%

100%

120%

140%

BCG

Penta 1

Penta 2

Penta 3

PCV 1

PCV 2

PCV 3

OPV 1

OPV 2

OPV 3

IPV

MR 1

MR 2

JE

Td 1

Td 2

Hlaing Bwe 23 villages Immunization coverage

2018

440

112

307

49

0

50

100

150

200

250

300

350

400

450

500

Children PW

Hlaing Bwe 20 new villages 2018 Target

and Immunized

Target Achieved

36

63

90

212

50 45

18

54

78

193

76 94

195

168

49 33

-

50

100

150

200

250

Hlaing Bwe 20 new villages Immunized in 2018

32%

14%20% 48%

45%

41%16%12%18%

44%68%

21%

44%

38%

44% 29%

0%

10%

20%

30%

40%

50%

60%

70%

BCG Penta 1

Penta 2

Penta 3

PCV 1

PCV 2

PCV 3

OPV 1 OPV 2

OPV 3

IPV

MR 1

MR 2

JE

Td 1

Td 2

Hlaing Bwe 20 new villages Immunization

coverage 2018

920

176

607

53

0

100

200

300

400

500

600

700

800

900

1000

Children PW

Thandaunggyi 2018 Target and

Immunized 2 rounds

Target Achieved

45

473

298

6

172

87

5

525

272

7

128

503

279

112

53 12

-

100

200

300

400

500

600

Thandaunggyi Immunized in 2018, 2 rounds

28%

51%

32%

1%

106%53%3%

57%

30%

1%

79%

55%

30%

64% 30%7%

0%

20%

40%

60%

80%

100%

120%

BCG

Penta 1

Penta 2

Penta 3

PCV 1

PCV 2

PCV 3

OPV 1

OPV 2

OPV 3

IPV

MR 1

MR 2

JE

Td 1

Td 2

Thandaunggyi Immunization coverage 2018, 2

rounds

773

174

616

86

0

100

200

300

400

500

600

700

800

900

Children PW

Myeik and Dawei 2018 Target and Immunized 2

rounds

Target Achieved

92

480

262

56

157

48 9

485

269

66 50

434

237

156

86

35

-

100

200

300

400

500

600

Myeik and Dawei Immunized in 2018, 2 rounds

57% 62%

34%

7%

98%30%6%

63%

35%

9%31%

56%

31%

97% 49%20%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

BCG

Penta 1

Penta 2

Penta 3

PCV 1

PCV 2

PCV 3

OPV 1

OPV 2

OPV 3

IPV

MR 1

MR 2

JE

Td 1

Td 2

Myeik and Dawei Immunization coverage 2018,

2 rounds

406

99

308

35

0

50

100

150

200

250

300

350

400

450

Children PW

Kyoukkyi 2019 Target and Immunized 1st

round

Target Achieved

66

200

- 1

192

- 1

308

- 1 -

271

-

172

35

-

50

100

150

200

250

300

350

Kyoukkyi Immunized in 2019, 1st

round

71% 82%

0%0%78%0%0%

76%

0%0%67%

0%

42%35%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

BCG Penta 1

Penta 2

Penta 3

PCV 1

PCV 2

PCV 3

OPV 1 OPV 2

OPV 3

IPV

MR 1

MR 2

JE

Td 1

Td 2

Kyoukkyi Immunization coverage 2019 1st

round

436

104

332

36

0

50

100

150

200

250

300

350

400

450

500

Children PW

Mone 2019 Target and Immunized 1st

round

Target Achieved

64

212

2 1

212

2 1

332

2 2 -

301

1

155

36

-

50

100

150

200

250

300

350

Mone Immunized in 2019, 1st

round

65%80%

1%0%

80%1%0%

76%

0%0%

69%

0%

36%

35%

0%

10%

20%

30%

40%

50%

60%

70%

80%

BCG Penta 1

Penta 2

Penta 3

PCV 1

PCV 2

PCV 3

OPV 1 OPV 2

OPV 3

IPV

MR 1

MR 2

JE

Td 1

Td 2

Mone Immunization coverage 2019

1st

round

370

90

221

24

0

50

100

150

200

250

300

350

400

Children PW

Shwe Kyin 2019 Target and Immunized

1st

round

Target Achieved

57

136

2 2

136

2 2

221

2 2 -

183

3

118

24

-

50

100

150

200

250

Shwe Kyin Immunized in 2019, 1st

round

67% 60%

1%1%

60%1%1%

60%

1%1%49%

1%

32%

27%

0%

10%

20%

30%

40%

50%

60%

70%

BCG

Penta 1

Penta 2

Penta 3

PCV 1

PCV 2

PCV 3

OPV 1

OPV 2

OPV 3

IPV

MR 1

MR 2

JE

Td 1

Td 2

Shwe Kyin Immunization coverage 2019

1st

round

2527

47

13

0

5

10

15

20

25

30

35

40

45

50

Children PW

Mon State 2018 Target and Immunized

Target Achieved

25

21

17

14

21

17

13

21

17

14 16

14

5

16

13

9

-

5

10

15

20

25

30

Mon State Immunized in 2018

100%

84%

68%

56%

84%

68%

52%

84%

68%

56%64%

56%

20%

64%

48% 33%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

BCG

Penta 1

Penta 2

Penta 3

PCV 1

PCV 2

PCV 3

OPV 1

OPV 2

OPV 3

IPV

MR 1

MR 2

JE

Td 1

Td 2

Mon State Immunization coverage

52

65

53 49

57

32

18

64

54 50

44 44 43

63

79

35

-

10

20

30

40

50

60

70

80

90

Kyarinnseikkyi Mae Pra Routine Immunized in

2018, 3 rounds

168%

210%

171%

158%

184%

103%58%

206%

174%161%

142%

142%

139%

203%

208%

92%

0%

50%

100%

150%

200%

250%

BCG

Penta 1

Penta 2

Penta 3

PCV 1

PCV 2

PCV 3

OPV 1

OPV 2

OPV 3

IPV

MR 1

MR 2

JE

Td 1

Td 2

Kyarinnseikkyi Mae Pra Routine Immunization

coverage 2018, 2 rounds

Way forward 2019

1. To do more health education session about EPI

2. Community engagement in village level or VTHCs level

3. To combine with Mobile clinic in EPI activities in 2019

4. To give Health education before vaccination

5. Candy for children

6. To measure the BP of the children and Pregnant women

7. Routine Immunization in Mae Pra VTHCs 13 villages

8. Primary health care services during EPI activities

71

Way Forward 2019

9. Crash immunization activities in 5 townships under 1 children and pregnant women

10. Crash immunization 3rd round in Thandaunggyi

11. Crash immunization 2nd round in shwe kyin, kyoukkyi and Mon

12. Drop out follow up

13. To cover the whole KEHOC areas

14. To increase routine immunization area such as Hpa an and

Kyaw Hta VTHC

Transportation of vaccine in Thandaunggyi

Immunization services to Hard to reach area

ခကခခာေဒေမ းတတ က ကတယာေဆးး း းႏခခငျခ း

ခကခခာေဒေမ းတတ က ကတယာေဆးး း းႏခခငျခ း

ခကခခာေဒေမ းတတ က ကတယာေဆးး း းႏခခငျခ း

ခကခခာေဒေမ းတတ က ကတယာေဆးး း းႏခခငျခ း

ခကခခာေဒေမးႏ ကာေးးမ း က ကတယာေဆးရရးႏ ျျ …………

ခကခခာေဒေမးႏ ကာေးးမ း က ကတယာေဆးရရးႏ ျျ …………

Routine Immunization activity in Mae Pra 13

villages

Crash Immunization activities in Hlaing Bwe

Township

Community engagement in Hpa An and Kler

Lwi Htu

Advocacy Workshop in Taw Oo District

Action of vaccination in Measles outbreak

area in Myawaddy

Cold chain transport from State Health

Department to Kwee Lay VTHC

Immunization activities in Kyarinnseikkyi

Reaching the unreachable child

Immunization services to children

May there be peace