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Expanded Program on Immunization

Multi Year Plan

2017-2021

Revised January 2016

Central Expanded Programme on Immunizatio

n

Department of Health, Ministry of Health,

The Republic of the Union of Myanmar

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• Maintain neonatal death caused by neonatal tetanus to be less than 1 case per 1000 live births by 2019

The objective of the Myanmar Immunization Plan is to improve performance of the immunization system that is measured in terms of coverage and equity as listed below in Table 6:

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The national cMYP is aligned with most of GVAP and regional targets as shown in Annex 1 'GVAP

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Transport

5. Logistics (vehicles, cold chain and other equipment)

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GVAP strategies

Key activities

Activity included in cMYP

Strategic Objective 1: All countries commit to immunization as a priority. Yes No Not applicable New activity needed

Establish and

sustain commitment to immunization • Ensure legislation or legal framework in all countries, including provisions for a budget line for immunization, and for monitoring and reporting. x • Develop comprehensive national immunization plans that are part of overall national health plans through a bottom-up process including all stakeholders.. X • Set ambitious but attainable country- specific targets within the context of morbidity and mortality reduction goals. X • Scrutinize, defend, and more closely follow immunization budgets, disbursements and immunization programme activities. X • Support local civil society organizations and professional associations to contribute to national discussions on immunizations and health. X

Inform and

engage opinion leaders on the value of immunization • Explore models to promote collaboration between the stakeholders that generate evidence on immunization and those who use it, to set priorities and formulate policies. X • Develop and disseminate the evidence base on the public-health value of vaccines and immunization and the added value of achieving equity in access and use of immunization. X • Develop and disseminate the evidence base for the broad economic benefits of immunization for individuals, households, communities and countries. X • Include immunization in the agendas of governing body meetings at all levels and in other social, health and economic forums. X

Strengthen

national capacity to formulate evidence- based policies • Create or strengthen independent bodies that formulate national immunization policies (for example, NITAGs or regional technical advisory groups). X 54
• Develop more effective ways for National

Regulatory Agencies (NRAs), Health

Sector Coordination Committees

(HSCCs), and Interagency Coordination

Committees (ICCs) to support

immunization programmes as part of disease-control programmes and preventive health care. X • Create regional forums and peer-to- peer exchange of information, best practices and tools. X • Create expanded and more transparent mechanisms for aggregating, sharing and using information to monitor commitments. X GVAP strategies

Key activities

Activity included in cMYP

Strategic Objective 2: Individuals and communities understand the value of vaccines and demand immunization as both their right and responsibility. Yes No Not applicab le New activity needed

Engage

individuals and communities on the benefits of immunization and hear their concerns • Engage in a dialogue which both transmits information and responds to people"s concerns and fears. X • Utilize social media tools and lessons from commercial and social marketing efforts. X • Leverage new mobile and internet-based technologies. X • Include immunization in the basic education curriculum. X • Conduct communications research. X

Create

incentives to stimulate demand • Create incentives to households and health workers for immunization, where appropriate, and while respecting the autonomy of beneficiaries (for example, cash or in-kind transfers, bundling of services, media recognition). X • Conduct social research to improve the delivery of immunization services and the ability to meet the needs of diverse communities. X

Build advocacy

capacity • Recruit new voices, including those of educators, religious leaders, traditional and social media personalities, family physicians, community health workers and trained immunization champions (among others). X 55
• Train health-care workers on effective communication techniques, especially to address vaccine hesitancy and to respond to reports of serious AEFIs in order to maintain trust and allay fears. X • Engage, enable and support in-country

CSOs to advocate to local communities and

policy-makers and in local and global media regarding the value of vaccines. X • Create national or regional advocacy plans that involve in-country CSOs. X • Link global, national and community advocacy efforts with professional and academic networks. X 56
GVAP strategies

Key activities

Activity included in cMYP

Strategic objective 3: The benefits of immunization are Yes No Not applicable New activity needed

Develop and

implement new strategies to address inequities • Recast "Reaching Every District" to "Reaching Every Community" to address inequalities within districts. • Engage underserved and marginalized groups to develop locally tailored, targeted strategies for reducing inequalities. • Introduce appropriate new vaccines in national immunization programmes (see also

Objective 5).

• Establish a life course approach to immunization planning and implementation, including new strategies to ensure equity across the lifespan. • Prevent and respond to vaccine-preventable diseases during disease outbreaks, humanitarian crises and in conflict zones. Build knowledge base and capacity to enable equitable delivery • Track each individual"s immunization status, leveraging immunization registries, electronic databases and national identification number systems. • Take advantage of community structures to enhance communication and deliver services (for example, traditional birth attendants, birth registries). • Involve CSOs in community outreach and planning. • Develop new approaches to community engagement for urban and peri-urban areas.quotesdbs_dbs12.pdfusesText_18