Expanded programme on immunization

Approaches

EPI-WPR approaches are linked to the objectives of each goal and can be summarized as follows:

  • Strengthen national commitment to ongoing immunization services through policy and strategy development that also includes human resources and financial planning with national budget allocations, in the context of a wider health sector strategic plan
  • Implement comprehensive multi-year national strategic plans (cMYPs) and annual workplans that should cover all areas supporting the national immunization programme.
  • Institute the RED initiative, as appropriate, in countries in the Region as a tool to strengthen the national immunization programmes and ensure that microplanning at the district or local level supports identification and reaching the unreached target populations at least four times a year.
  • Optimize immunization schedule based on epidemiological, programmatic and logistical considerations.
  • Achieve and maintain routine immunization coverage against poliomyelitis at a level greater than 80% at all levels.
  • Maintain polio surveillance standards at certification requirements and ensure that these performance levels are also achieved at the subnational levels applicable.
  • Plan for post-global poliomyelitis eradication through ensuring poliovirus laboratory containment and developing plans for future immunization policies, especially after synchronous OPV cessation.
  • Achieve and maintain 95% population immunity against measles in each birth cohort within each district.
  • Develop and sustain a sensitive and timely case-bases measles surveillance system that fulfils recommended surveillance performance indicators.
  • Establish a system to deliver a timely scheduled birth dose (within 24 hours of birth) with a target to reach at least 80% of births at each subnational level and at the national level.
  • Implement routine and supplementary TT immunization to achieve protection of 90% of newborns at birth against NT through routine immunization of pregnant women and, in high risk areas, supplemental immunization of child bearing age women.
  • Develop a medical waste management policy in all countries in close collaboration with other sectors, such as environmental health sectors within WPRO and in-country.
  • Establish a functional NRA in all countries that provides the essential control functions necessary for that country.
  • Establish high-quality AEFI surveillance systems including formulating independent causality committees in all countries in the Region, using WHO guidelines.
  • Support countries in decision-making, and operational and managerial issues related to new vaccines and their introduction.
  • Identify synergies resulting from integrating interventions and monitor and evaluate impact of combined interventions and best means of delivery. Subsequently, joint interventions should be included in EPI and health sector wide cMYPs to ensure acceptance and participation of all stakeholders and explore joint financing, monitoring functions.
  • Strengthen existing and build new partnerships to achieve our mission, both at the regional level and the country level to meet the specific needs and partner composition of countries.