1. Rwanda Integrated Campaign
Catch up campaign - February 2003
Nationwide follow up campaign - September 5 - 9, 2006
Target Population for measles: 9 to 59 months - 1,236,005 children.
Routine measles coverage by 12 months – 79.4% (DHS)
Observed: 7 Health Centers - 7 outreach sites Rubavu District
Preliminary results:
National unavailable; Rubavu District >107% coverage

2. Rwanda Integrated Campaign
Vitamin A
100,000 UI; 6 to 11 months - 181,511 children
200,000 UI; 12 to 59 months - 1,054,494 children
Mebendazole: 12 to 59 months - 1,054,494 children
Measles vaccine: 9 to 59 months - 1,236,005 children
ITN: 6 to 59 months - 1,248,970 children

3. Integrated campaign – triaging system

4. Mebendazole Children: 12 to 59 months Discussion / challenges
Assessment by WHO regarding targeting at 12 months versus 2 years of age
Stock outs observed after day 2 and 3.
Discussion / challenges
Stock out: high market value and/or underestimation
WHO assessment: target age for future campaigns?
Need for training: how to deliver

5. Bundling Bundling of vaccine supplies Discussion
Vaccines, vaccine diluents, safety boxes & A-D and mixing syringes
Stock out of A-D syringes for vaccines
Dilution syringe not distributed per protocol (1 per ampoule)
Discussion
How to ensure bundling occurs?
Should dilution syringes be single use?

6. ITNs Malaria # 1 cause morbidity ITN household coverage 18%
Children: 6 to 59 months
Pre campaign distribution by PSI
Stock outs after day 2 & 3
Large families - some families received 4 nets
Discussion/challenges
Stock outs: market value issue or underestimation
Policy: need for policy for # of distribution
(# per household / per child)
Reduced credibility: could stock outs affect future campaigns?
Need for Follow up on ITN usage (Red Cross role)?

7. Conclusion - Integrated campaign a success Measles delivery not compromised High turn out - related to added interventions? Difficulties related to underestimation Next steps?: policy issues - ensuring usage - M & E

8. Cameroon integrated campaign Vouchers
Targeted selected districts
Underestimation of population
Vouchers distributed late
ITN not distributed to sites early