Priorities for Measles Elimination in the African Region
Discover the African Region's strategies and priorities to achieve the 2020 measles elimination goal, as highlighted by Dr. Balcha Masresha of the WHO Regional Office for Africa in September 2012. The summary covers regional committee resolutions, measles case reports, MCV1 coverage estimates, and more key data points towards eliminating measles in Africa.
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Presentation Transcript
African Region- priorities to reach the 2020 measles elimination goal. Dr Balcha Masresha WHO Regional office for Africa Sept 2012
Regional Committee resolution on Measles Elimination. Sept 2011
Measles case reports & MCV1 coverage (WHO- UNICEF estimates). AFR. 1980 - 2011 Follow up SIAs Catch up SIAs 64% of case reports in 2010 = from Malawi 69% of case reports in 2011= from DR Congo
Number of countries according to MCV1 coverage category. 2009 - 2011. (WHO UNICEF coverage estimates) MCV1 coverage category Number of countries 2009 2010 2011 >90% 16 16 16 80 89 % 4 7 7 70 79% 11 8 10 60 69% 9 10 5 <60% 6 5 8
MCV2 introduction in AFR. August 2012 A total 30 countries are expected to introduce MCV2 by end 2015.
Measles SIAs. AFR. 2012 SIAs reached 17 million children (Jan - Aug 2012) in 10 countries Additional 22.3 million to be reached by the end of 2012 in 5 more countries Including wide age group SIAs in 3 countries
SIAs admin coverage against 95% coverage target (in 2011 - 2012)
Year Country BFA GAM CIV LIB MOZ GAB CAR MAI BEN CHA MAU TAN ANG EQG DRC ZAM GUI CAE ERI UGA ZIM SIL BUR NAM STP GUB CAV KEN NIG RWA Amount in USD per child reached $ $ $ $ $ $ $ $ $ $ $ $ Amount in USD $ $ 20,000.00 $ 130,000.00 $ 252,100.00 $ 47,916.00 $ 51,532.00 $ 943,000.00 $ 409,204.00 $ 670,000.00 $ 193,681.00 $ 2,090,112.00 $ Local funding for measles SIAs, 2011 - 2012 - - - - 0.01 0.05 0.06 0.07 0.10 0.20 0.29 0.32 0.38 0.53 2011 2,000,000.00 $ 5,541,000.00 $ $ 809,799.00 $ 116,000.00 $ 3,191,000.00 $ 555,850.00 $ 682,869.00 $ 248,575.00 $ $ $ $ $ $ $ $ $ 0.86 0.00 0.55 0.42 0.51 0.34 0.58 0.17 6,302.00 NB: A total of USD 18 million PLUS raised locally by these countries in 2011 - 2012 2012 $ 0.04 $ 1,000.00
Measles case reports and MCV1 coverage (WHO UNICEF estimates). Ghana. 2000 - 2011
Measles case reports and MCV1 coverage (WHO UNICEF estimates). Kenya. 2000 - 2011
Measles case reports and MCV1 coverage (WHO UNICEF estimates). Nigeria. 2000 - 2011
Measles case reports and MCV1 coverage (WHO UNICEF estimates). DR Congo. 2000 - 2011
Trends in weekly measles case reporting. DR Congo, 2010 week 33, 2012 6000 5000 4000 ZS en alerte (5) ZS en pid mie (80) 3000 2000 1000 0 16 29 1 6 11 21 26 31 36 41 46 51 4 9 14 19 24 34 39 44 49 2 7 12 17 22 27 2010 2011 2012 vendredi 21 mars 2025 Source: DLM
Measles surveillance performance. 2010 2012. AFR 2012 Performance indicators/ parameters 2010 2011 (Jan 1 - Aug 10) Number of reporting countries 42 43 43 Number of suspected measles cases reported Number of confirmed measles cases Non-measles febrile rash illness (target >2/ 100,000 population ) % countries meeting target for NMFRI rate 163,575 74,896 32,449 127,422 32,323 12,964 3.7 4.4 2.9 25/42 (60%) 22/42 (51%) 25/43 (58%) % districts reporting > 1 case with blood sample (target >80%) % countries meeting target for district reporting Incidence of confirmed measles per 100,000 population 84% 81% 76% 29/42 (69%) 23/43 (53%) 19/43 (44%) 16.5 4.2 1.5
Status vis-a-vis 2012 pre-elimination targets (as of end 2011) Indicator Proportion Countries with MCV1 coverage in 2010 (WHO UNICEF estimates) of 90% or more 35% Countries with at least 80% districts reporting MCV1 coverage of 80% or more in 2010 7% Countries with at least 90% districts reporting 95% or more SIAs coverage in 2009 -2011 23% Countries with at least 80% districts reporting suspected measles cases in 2011 53% Countries with a NMFRI rate of at least 2 per 100,000 population in 2011 51% Countries with incidence of confirmed measles of less than 5 cases per million population in 2011 56%
Main Challenges Measles outbreaks in the face of: gaps in immunisation systems Shifting epidemiological susceptibility towards older age groups Gaps in local and partner resource mobilisation Multiple social and health sector priorities at country level Polio eradication, HIV-AIDS, epidemics, health worker attrition, NUVI
Priorities for the Region Strengthening routine immunisation systems SIAs targeting susceptible population groups Resource implications Strong advocacy at regional and global level Introducing rubella vaccines
Opportunities ahead for measles elimination in AFR Efforts to reprogram/ realign HSS support to immunisation program outcomes Focus on CAR, CHA, DRC, ETH, GUB, GUI, NIE, NIG, UGA, ZAM GAVI support: for SIAs in selected countries ETH, NIE, DRC in 2013 for wide age group MR SIAs for outbreak response
Anne Ray Charitable Trust 209-OFF-Vodafone_Square 19
