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EPI

© UNICEF Angola/2003 Pirozzi

The expanded programme for Immunization (EPI) is currently one of the best developed in the country. Coverage levels for all antigens have increased continuously during recent years. In addition, the programme is an important vehicle for other interventions, such as the supplementation of vitamin A to under-fives and to women post partum. In addition, the programme is used as an entry point for the organization of Child Health Days.

Support to the EPI programme focuses on the elimination of poliomyelitis; the elimination of neonatal tetanus; and the control of measles. This will be achieved through increasing routine EPI coverage levels to 80% for polio/DPT3 and measles in the 59 prioritized municipalities; the introduction of new vaccines and the gradual expansion of the immunization intensification programme to the other municipalities.

Over the next five years, it is expected that the government will progressively cover the purchase of the vaccines.

In 2006, support will be provided to the organisation of a nation-wide measles campaign for all under-five children.  This campaign is a follow-up after the 2003 campaign which targeted all children 0 to 15 years old.

To ensure efficacy of the EPI programme, UNICEF provides support to the strengthening of the management of the cold-chain at provincial and municipal level through training of technicians, improvement of maintenance system, the distribution of spare-parts, the assessment and planning for the expansion of the cold-chain.

The following activities are or will be undertaken:

• Provision of regular vaccines, Vitamin A and immunization supplies to support routine vaccination of BCG, measles, DPT3, polio, yellow fever for children under one year old
• Provision of vaccination against tetanus to women between 15 and 45.
• Training of 1,200 health workers on immunization
• Training of municipal and provincial cold-chain technicians in all 59 municipalities
• Support communities to follow-up on immunization status of children in all 59 municipalities
• Support training and planning of TT immunization of adolescent girls in schools
• Assessment of and planning for cold chain needs at provincial and municipal level
• Provision of cold chain supplies and equipment at the municipal level
• Support to community-based monitoring of immunization status of children under 1 year
• Design and development of a social mobilisation campaign

 

 
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