1. Status of EPI In Guinea DR. Mariama BAH Child Survival Advisor USAID/Guinea June 13, 2002

2. Country Background Surface: 245,857 km Population: 8,225,750 Children < 1: 329, 030 WOCA: 2,056,000 IMR: 98/1000 UNDER 5 MR: 177/1000 No. of Regions: 8 No. of Health Facilities: 817

4. Health Structure Central level National Hospital Regional HospitalRegional Level Prefectoral Hospital Prefectoral Level Health Center Sub- Prefectoral Level District Level Health Post

5. Organigram of the MOH

6. Trends In Immunization Coverage

9. Polio Eradication Progress

10. Financing Management Capacity Building 1. Vaccine Supply & Quality 2. Logistics 3. Service Delivery 4. Surveillance 5. Advocacy & Communication Operations Factors Affecting Immunization Performance: Basic elements of an immunization system

11. Strengthened Human Capacity Recruitment of 800 new health agents of which 80% were assigned to a health center or health post Four national consultants supported by USAID, UNICEF and WHO Add No. of Polio technical advisors Involvement of NGOs Staff training in polio, measles, and essential drug management

12. Improved Management 5 year /annual plans micro-planning for NIDS monitoring/supervision ICC Injection safety policy

13. Improved Financing Government purchase of vaccine GAVI support Debt Relief Bamako Initiative

14. Improved Operations Cold Chain Logistics Service Delivery Social Mobilization

15. Constraints Geographical Access Vaccine stock-outs polio Antiquated equipment Insufficient communications/social mobilization Staff competency

16. Lessons Learned Commitment of partners, community, health and admin authorities: Functional ICC Key Use of debt relief funds to implement the EPI Use of mass media and theater groups Strengthening of EPI through NIDS Strengthening of MOH capacity ( TA) Commitment of the GOG to manage funds allocated by GAVI

17. Conclusions: Role of USAID USAID/GUINEA in partnership with other partners have significantly contributed to the accomplishment of the MOH EPI. This was achieved through: Participation in ICC Addressing Immunization system strengthening in discussions with UNICEF, WHO, the Japanese

18. Conclusions Continued Participating in discussions and development of GAVI Through the BOOST immunization Initiative participating in the design and implementation of NIDS activities to raise Immunization Coverage Rates