Additional Background Slides for 11th IMB

Nigeria PEI Status, 2014 National Emergency Action Plan

and Sustaining Progress

IMB Meeting
30th September 1st October 2014

National Polio Emergency Operations Centre

1

Outline of Presentation
WPV Epidemiology
Innovations and Social Mobilization Indicators
Quality Outcome Data

Surveillance
Routine Immunization

Challenges/Threats to the Programme

Priorities from now till end of 1st quarter 2015
2

Trends of WPV cases YTD 2012- 2014

Steep Reduction of Polio Cases YTD

2013
As at September 17, 2014 Nigeria has:-

6 confirmed WPV1 in 2 States

compared to 47 cases in 9 States
for the same period in 2013.
o Date of onset of latest case is
24 July, 2014

W1 (n=47)
W3 (n=0)
# Infected State: 9

2014

There have been no confirmed

WPV3 since November 2012.

19 confirmed vaccine derived

poliovirus (cVDPV2) in 2 States
compared to 2 cases in 2013 for the
same period.
o Date of onset of latest cVDPV2 case
is 22 June, 2014.

W1 (n=6)
W3 (n=0)
# Infected State: 2

Status of WPV Transmission 2013-2014 in Endemic States

Monthly Incidence of WPV: 2012,2013 and 2014 data: Steep reduction

of cases during the high transmission season
-National EOC members relocated to HR LGAs
-Increased accountability (reward & sanctions)
-increased surge capacity
-Innovations such as:
-Use of MST, Polio Survivors, VCMs. Pluses
- Increased number of Health Camps
-Engagement of Quranic school teachers etc

High Season Period

WPV 1 Epidemiology

Nigeria cases by month from January 2008 till date

WPV Onset by Month January 2008 September 2014

Total WPV

WPV 3 Epidemiology

Disappearance of WPV3 from the country with the last

reported case on 10th November 2012

No WPV3
detected in 22
months

Date of last confirmed case: 10th November 2012

10

CVDPV Epidemiology

11

Distribution of cVDPV in Nigeria from 2009 to date: Cases have

increased significantly from 2013 to date
19 cVDPV2 in Borno and Kano

180
160

154

140
120
100
80
60
40

27

34
19

20

0
2009

2010

2011

2012

2013

2014

As at week 38, 2013 Environmental surveillance detected 14 cVDPV2 (Sokoto 5, Kano 1 and Borno 8). In
2014, 45 cVDPV2 (Kaduna 6, Kano 12, Katsina 2, Sokoto 12 and Borno 13) and 1 WPV1 in Kaduna State.
12

One active WPV1 genetic type circulating in Nigeria (N5A)

There has been a 87% decline in circulating genetic clusters from 2012 to date
13

Geographic Restriction of WPV

14

LGA Sanctuaries: Reduction in cases and geography from 2012 - 2014

Katsina 12 cases

Minjibir 10
Dambatta 3 cases
cases
Bichi 4 cases

2012

Jere 5 cases

2013

Batsari 5 cases

WPV Cases (n= 81)

# Infected LGAs = 52

Zaria 4
cases

Bauchi 6
cases

2014

WPV Cases (n=49)

# Infected LGAs = 27

Gaya

Tarauni

Jigawa
Kano

Tudun Wada

MMC 7
cases

Gujba

Yobe
Borno

Bauchi

WPV Cases (n=6)

Sumaila 2 cases

# Infected LGAs = 5

15

Epidemiology Summary
88% reduction in WPV 1 cases compared to
same period 2013
Geographic restriction by 81% with 5 infected
LGAs in 2014 compared to 27 LGAs in 2013 for
the same period
There is disappearance of WPV 3 for the past 22
months
Genetic cluster of WPV 1 has been reduced from
8 to 1, 87% reduction.
Kano is the only sanctuary with active
transmission in the 3rd quarter
16

Outline of Presentation
WPV Epidemiology
Innovations and Social Mobilization Indicators
Quality Outcome Data

Surveillance
Routine Immunization

Challenges/Threats to the Programme

Priorities from now till end of 1st quarter 2015
17

SIAs so far conducted this year

Jan14

Mar14

Apr14

tOPV
bOPV

Aug14,

Non -Implementing States

June14

May14

18

1. Accountability
Rewards and sanctions in Kano state
LGA

Sanction/reward
Reason
carried out

Reward
For good performance

Sanction

Sanction

Gwale

Sanction

Sanction

Reward

Sanction
Sanction

For molesting a Team supervisor.

Indiscipline of the WFP for Gwale
ward (not giving the right amount to
the teams, non-respect for traditional
leaders)
2 teams For stealing the memory card
of their trackers and 1 team for losing
the tracker.

Description of
Reward/Sanction

Regular review meetings

with M&A officers

By chairman gave material

rewards to best WFP (from
Dorayi ward), best Team
Supervisor and Town
Announcer (JULY/AUG 2014).
The chairman removed the
WFP from his post (JULY).

The LGA team removed the

WFP (JULY 2014).
The LGA team had these teams
replaced

Entire team with code 120 was

dropped, including the
Finger-marking without vaccinating traditional leader and VCM
and concealed non-complaice in Rimi that followed the team
ward (Sabon Garawa settlement).
dropped by the LIO.
The LGA was given a
cup/trophy by the Deputy
Best performing LGA in Kano.
Governor.
Director Primary Health
poor supervision on during IPD
dropped WFP from Zango ward
in August 2014.
despite warnings
Team supervisor for team 079
Failure to report non-compliance
was not paid

19

2.

Use of Dashboard:

Pre-campaign Dashboard showing status of preparedness before each campaign.

This tool is used to monitor the each state for the campaign

20

3.

Innovations: Reaching missed children

Interventions Used for the August IPDs across the

high risk States

5,395 health camps

Polio Survivor Groups
9,844 VCMs
Religious Leaders
Community Clowns (Papalolo)
Local Theatres
Attractive Pluses
21

Attractive pluses for children!

Distribution of whistles in Batsari Alhaji town,

Batsari LGA, Katsina State

Distribution of balloons in Zungur town, Bauchi LGA,

Bauchi State

22

Health Camps continue to attract caregivers in non-compliant

communities

Health camp in Dambatta LGA, Kano State during the August IPDs
Children and caregivers queuing at a health camp; Minjibir LGA, Kano State

Whistle most commonly

demanded for by children
23

The Deputy Governor of Kano State, HE Alhaji Abdullahi Ganduje, resolving noncompliance in Baburi ward of Tudun Wada LGA on Monday 11th August 2014 during
the just concluded August SIPDs

Baburi ward in Tudun Wada is one of

the 3 most hard to reach wards in the
LGA with a distance of 148km from the
LGA headquarters
24

Supervision by the Chairman of the State Taskforce on Immunization: His Excellency

Deputy Governor of Kaduna State, Amb. Nuhu Bajoga on Saturday, 9th August 2014

At a health camp in Rigachukun, Igabi LGA

with the DPHC, Igabi LGA

At a health camp in Rigachukun, Igabi LGA

with the DPHC, Igabi LGA

With the district head of Anguwan Shanu

supervising a house-to-house team in Kaka
road, Ung/Kanawa

Handing pluses to a parent and her child

25

Orientation meeting of Deputy Governor of Kano State with the new LGA
Chairmen in Kano on 16th June 2014 in Kaduna State

26

Engagement of Community Clowns Papalolo and Local Entertainers

Maikalangu
Papalolo and Maikalangu reaching
out to missed children from noncompliance household and playgrounds
at Dallatu settlement, Tudun Wada A,
Sokoto South during the August IPDs

27

Polio Survivors Group actively involved in all campaign

activities
A Polio survivor immunizing a child at
Araba ward, Illela LGA August IPDs

28

PSG rally at Illela ward, Illela LGA

Kaduna State Taskforce Members with PSGs

resolving non-compliance cases in Rigasa
ward, Igabi LGA, August IPDs

Reaching missed children: Strengthening Community engagement with

traditional leaders
The program has actively
engaged leaders in
advocating for the polio
program

Traditional leaders have

15%

14%

15%

73%

71%

71%

Meeting with FOMWAN

group in Kaduna, August
IPDs
29

15%

15%

16%

66%

68%

68%

provided oversight, education

and
13%accountability to
vaccination activities while
working with communities to
resolve non-compliance

72%

The HR Algorithm is reviewed bi-annually: the last one was conducted on 21st August
2014 together with EOC/WHO, Institute for Disease Modeling (IDM), and CDC. A
total of 69 LGAs have been categorized as Very very high risk (VVHR) and Very high
risk (VHR)
State

VVHR

VHR

Bauchi

Jigawa

Kaduna

Kano

17

Katsina

Kebbi

Sokoto

Zamfara

31

38

Total

30

All the LGAs in Borno and Yobe states have been classified as Special due to their peculiar situation

Reviewing performance with LGAs at Risk:

EOC regular meetings with vulnerable LGAs

Review Meetings with high risk LGAs on 17th

January 2014 in Kaduna State chaired by Hon
Minister Health.

Private session with one of the LGAs in Kaduna State during a review meeting, 16th
May 2014

31

Kano State has 26 VVHR and VHR LGAs

A meeting with 19 vulnerable

LGAs was held in Kaduna from
5th 6th September 2014.
Kano state accounts for 89% of
the total LGAs that attended the
meeting.

The meeting focused on the

following:
Closing operational gaps
that still exist,
Improving selection of
house-to-house teams and
oversight,
Improving supportive
supervision,
outside vaccination
And Directly Observed Polio
Vaccination (DOPV) strategy
32

4. Outbreak Response
Outbreak response dashboard used to track the timely response to new cases

For the last reported case in Rimi ward, Sumaila LGA.

The 1st response was held 31st August 3rd September 2014 in 8 LGAs.
The 2nd response was held during the September IPDs on 20th 23rd September 2014.

33

2014 WPV Transmission Zone

Mop up exercise was conducted in 27 LGAs
across 4 states (Bauchi, Jigawa, Kaduna and
Kano) using bOPV and tOPV in select LGAs
of Kano state on 12th-15th July 2014
A total of 610 health camps were stocked
and used during the mop-up

255 Management Support Team were

deployed for the mop-up across the 4 states

34

Response 1 for Sumaila LGA of Kano State has been done : Outbreak
response LGAs and resources deployed
No of health
LGA
camps
Bebeji
28
Doguwa
20
Garko
20
Kibiya
20
Rano
20
Sumaila
63
Takai
20
Tudun Wada
61
Total
A total
of 158 human 252
resources

S/No
1
2
3
4
5
6
7
8

deployed (both Government and

partner agencies) for the 8 LGAs

Response 1: 31st Aug- 3rd Sept

Response 2: September IPDs
Response 3: October 2014

35

Outline of Presentation
WPV Epidemiology
Innovations and Social Mobilization Indicators
Quality Outcome Data

Surveillance
Routine Immunization

Challenges/Threats to the Programme

Priorities from now till end of 1st quarter 2015
36

98% of the 85 High Risk LGAs achieved 80% coverage*

Data as of 31082014

37

LQAS coverage continues to improve across the 11 high risk states

with a coverage of 95% for August IPDs

38
Data as of 31082014

Population Immunity Trends

Across northern states, type 1 immunity has increased and type 2 immunity
has decreased

39

LGA Population Immunity

It is important to note that this report does not take into account the August IPDs which was a
tOPV round

40

LGA Vulnerability
WPV1 Vulnerability

cVDPV2 Vulnerability

Green indicates significantly above threshold, red indicates significantly below threshold
41

Outline of Presentation
WPV Epidemiology
Innovations and Social Mobilization Indicators
Quality Outcome Data

Surveillance
Routine Immunization

Challenges/Threats to the Programme

Priorities from now till end of 1st quarter 2015
42

LGAs meeting 2 AFP Surveillance core indicators, 2013/2014 as at week

38, 2014
2013

2014

LGAs reporting no AFP (4)

LGAs reporting no AFP (n=0)

LGAs meeting both indicators (699)

LGAs meeting both indicators (n=737)

LGAs not meeting both indicators (71)

LGAs not meeting both indicators (n=37)

There has been a remarkable improvement in surveillance between 2013 and 2014 especially
in Kano and Borno states despite security challenges.
Two AFP surveillance core indicators are NP AFP rate > 2/100,000 children under age of 15 years and % stool adequacy of >80%

Nigeria: Polio Compatible Cases Jan Sep, 2014

as at week 38, 2014 (last updated by NPEC 15 August, 2014)

44

Surveillance in Kano State

45

Monitoring Surveillance Performance in Kano State

Kano State: Monitoring AFP Reported by month Jan Dec 2013/Jan Aug 2014

There is no silent LGA in Kano State

Surveillance in Borno State

48

Monitoring Surveillance Performance in Borno State

No WPV reported this week in security compromised LGAs of Borno State

Borno State: Monitoring AFP Reported by month Jan Dec

2013/Jan Aug 2014

No difference in reporting with respect to Security

50

Borno State: Trends of AFP cases by month

Jan Aug, 2013 - 2014

Surveillance in Yobe State

52

Monitoring Surveillance Performance in Yobe State

No WPV reported this week in the security compromised LGAs of Yobe State

Yobe State: Monitoring AFP Reported by month Jan Dec

2013/Jan Sep 2014

No difference in reporting AFP cases with respect to Security.

Yobe State: Trends of AFP cases by month

Jan Aug, 2013 - 2014

Tracking of Environmental Samples,

week 38, 2013 week 38, 2014
KANO

Site Name

Epidemiological Week 2013

38 39 40 41 42 43 44 45 46 47 48 49 50 51 52

Epidemiological Week 2013

38 39 40 41 42 43 44 45 46 47 48 49 50 51 52

Epidemiological Week 2013

38 39 40 41 42 43 44 45 46 47 48 49 50 51 52

Epidemiological Week 2013

38 39 40 41 42 43 44 45 46 47 48 49 50 51 52

Epidemiological Week 2014

10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38

Jakara Police Station

Gogau Fagge Station
Kurna Masallachi Station

SOKOTO
Site Name

Epidemiological Week 2014

10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38

Kofar Dundaye
Kofar Kw are
Tudun Wada
Rumbukaw a

LAGOS
Site Name

Epidemiological Week 2014

10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38

Otumara Ilaje Bridge

Ijora Canan Site
Maracana Field
Alh Jimoh Street
Makoko

KADUNA
Site Name

Epidemiological Week 2014

10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38

Limancin Kaura Junction

Rigasa
Kamacha Tudun Bridge

FEDERAL CAPITAL TERRITORY (FCT)

Site Name

Epidemiological Week 2013

38 39 40 41 42 43 44 45 46 47 48 49 50 51 52

Epidemiological Week 2014

10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38

Wupa Treatment Plant

OK Pure Water Lugbe

BORNO
Site Name

Epidemiological Week 2013

38 39 40 41 42 43 44 45 46 47 48 49 50 51 52

Epidemiological Week 2014

10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38

GONI ADAM JUNCTION

ABBA GANARAM FILLNI ST.
GAMBORU MARKET BRIDGE
BUDUM ROUND ABOUT

KEBBI
Site Name

Epidemiological Week 2013

38 39 40 41 42 43 44 45 46 47 48 49 50 51 52

Epidemiological Week 2014

10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38

RAFIU ATIKU BRIDGE

TALAKAU SITE
TUDUN WADA

Katsina
Site Name

Epidemiological Week 2013

38 39 40 41 42 43 44 45 46 47 48 49 50 51 52

Epidemiological Week 2014

10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38

Kofar Marusa
Kofar Goga

Nasaraw a Day Quarters

WPV1

WPV3

cVDPV2

Negative for WPV

Result pending

Update: 19 September 2014

WPV1 + cVDPV2

As at week 38, 2013 Environmental surveillance detected 14 cVDPV2 (Sokoto 5, Kano 1 and Borno 8). In
2014, 45 cVDPV2 (Kaduna 6, Kano 12, Katsina 2, Sokoto 12 and Borno 13) and 1 WPV1 in Kaduna State.

Outline of Presentation
WPV Epidemiology
Innovations and Social Mobilization Indicators
Quality Outcome Data

Surveillance
Routine Immunization

Challenges/Threats to the Programme

Priorities from now till end of 1st quarter 2015
57

Number of Un-Immunized children by zone

July 2014 versus 2013

Nationally, the country achieved 41% (312,728) reduction in number of un-immunized children from
Jan-July 2014, compared to Jan-July 2013. 17 states (46%) achieved greater than 50% reduction in the
number of un-immunized children Jan-July 2014 compared to the same period in 2013.
Measles cases continued to be detected in places that showed poor performance in immunization.
Increase in number of un-immunized children in 2014 is seen in SEZ.

Intensification of Routine Immunization in 39 polio HR LGAs Phase 1 (Jan-Jun 2014)

30 Polio HR LGAs project Phase 1 (Dec-Jun 2014). The country shifted from 1:2:3 strategy to 1:4:3 strategy, which led to an increase in the
number of Fixed and Outreach sessions. Comparative data from 2013 & 2014 shows number of children immunized increased from 141,550
to 240,453. Number of unimmunized children dropped from 72,087 to 11, 229. Vaccine availability improved, sessions cancelled due to
vaccine stock out decreased. Immunization status of children as evidenced by LQAS shows improvement in Appropriately immunized
children increased from 38% to 49%, Partially immunized children increased from 22% to 33% and reduction in the Not Immunized
children from 36% to 18%.

Improvement in Routine Immunization

Planning & Implementation:
Quarterly review of National Routine Immunization Strategic Plan (2013-2015)
Coverage is improving compared to the previous years and attempts are being made to validate it at every
opportunity DQS, Supportive supervision, smaller surveys (local) etc.
RI intensification projects in polio HR areas are being implemented 39 Polio HR project, 17 cVDPV project
& hard to reach project.
Cold Chain & Vaccine Security:
Vaccine availability has improved remarkably and lesser number of sessions are being cancelled due to
shortage of antigens.
Cold chain equipment is being procured and installed at PHCs
Tracking of vaccine stock outs is being done by using the Vaccine dashboard
Supportive Supervision & Capacity Building
Supportive supervision has been intensified with the launch of NRTRIS (Nigerias real-time tracking of
Routine immunization supervision), Mobile Device Data etc Data on 7,000 RI supervisory visits for the last
7 months is being analysed for action
Polio Surge capacity in the north are being used to support RI Training, supervision, capacity building and
data analysis.
DVD to train HW on safe injection practices and proper technique of administering RI vaccines has been
mass produced with support from WHO.
New Vaccine Introduction :
PCV 10 (Nov 2014) and IPV (Dec-Jan 2015)

Routine
Immunization
Performance
CumulativeJan-July
Aug 20102014
Nigeria
Routine
Immunization
Performance
Fixed Sessions conducted/Reported

Outreach Sessions conducted/Reported

398 LGAs (51%) and 219 LGAs (28%) conducted > 80% of their planned Fixed & outreached sessions respectively in Jan-July 2014.

The LGAs that conducted <50% of

their planned fixed and/or
outreach sessions are in Borno,
Sokoto, Kano, Katsina, Bauchi,
Kwara, Niger, Nasarawa, Kogi,
Oyo, Ondo, Delta, Plateau, Lagos
States.

< 50%
50 -79.99%

OPV-3

Above 80 %

Penta -3

Outline of Presentation
WPV Epidemiology
Innovations and Social Mobilization Indicators
Quality Outcome Data

Surveillance
Routine Immunization

Challenges/Threats to the Programme

Priorities from now till end of 1st quarter 2015
62

Challenges/Threats to the Programme

Security/Access situation in Borno and Yobe

Risk of importation
Funding gap

Political/2015 General Elections

Closing Immunity Gaps in Vulnerable States across the country

Emerging health epidemic (Ebola)

63

What are we doing differently in Borno and Yobe?

Impact on increasing coverage

Initiatives

64

Conducting regular IPDs

Combined use of IPV and tOPV in June and August IPDs to

boost immunity of chronically missed children

Expansion of Permanent Health Teams to others LGAs

Expansion of Hit & Run to all wards with WPV and

accessibility challenges that did not achieve high quality IPDs
during catch-up contacts

Conduct monthly security risk assessments to determine

accessibility for PEI/EPI activities

Firewalling Borno/Yobe borders with health teams and health

camps at borders, checkpoints, nomadic camps and motor
parks in all LGAs surrounding Borno and Yobe including
international borders.

LIDs conducted using tOPV in MMC, Jere, Mafa, Konduga and

Damboa LGAs

Integrating OPV at CMAM sites and also Intensified routine

immunization and MNCH services bundling vaccination with
free MNCH services and essential drugs

Limited Access to Children in Borno due to Security Challenges from April to

August 2014
April 2014

16%

May 2014

18%

August 2014
June 2014

16%

65

23%

IPV was conducted in Borno in two phases: during the June

and August IPDs

66

2. cVDPV response in Nigeria

Responses to cVDPV in Borno and other states
1 December 2013 IPDs in Borno State used tOPV despite being a bOPV SNIDs
2 tOPV vaccination in all settlements within the catchment areas of the

environmental surveillance in February 2014

3 LIDs conducted using tOPV in Damboa LGA and other LGAs were appropriate in

May 2014 in response to the cVDPV

4 Additional in-between round tOPV vaccination mop-up in Maiduguri, Jere, Mafa

and Konduga LGAs from 3 6 May 2014

5 Combined use of tOPV and IPV in June 2014

6 tOPV vaccination conducted in Gwale and Dawakin Kudu (Kano State) during the

July 2014 mop-up exercise.

7 tOPV round conducted across the 11 high risk and 7 other non-high risk states in

the August SIPDs

8 Another tOPV round is scheduled to take place in November 2014 across the high
risk states
67

Response to cVDPV in the country

tOPV round was conducted during the August campaign in 18 states
of the Federation
IPV was also conducted in 18 LGAs in Borno state and 4 LGAs in Yobe
state
Vaccinator administering IPV at
Bargu (Shani) LGA
Vaccinated children holding
their vaccination cards at
Bargu (Shani) LGA

Above Picture is a Health Talk

session before IPV activities at GH
Biu being supervised by the State IM

68

Vulnerable States and LGAs at Risk to Importation. Risk categorization of border

LGAs with Cameroon & Niger

Intensified RI activities
Regular IPDs
Improved surveillance
Border post vaccination
Deployment of skilled man
power

10 LGAs in Adamawa, 6 LGAs in Taraba and 1 in Benue state are at risk to import a
case from Cameroon; two cVDPV2 states likely to export to Cameroon and Niger
69
respectively.

2014 PV1 Serotype in Cameroon, Equitorial Guinea and Nigeria WEAFB1 Genotype

Legend

70

Focusing on IDP Camps and Vaccinating all Children

Population of IDP Camps Per LGA
State

LGAs

Under Fives

Total Pop.

No. of Camps

Adamawa

Fufore

76

266

Adamawa

Gombi

142

232

Adamawa

Madagali

502

4003

Adamawa

Teungo

1027

2482

Adamawa

Yola South

75

365

Benue

Ukum

Borno

Askira-Uba

5320

Borno

Biu

2167

10894

Borno

Jere

26

132

Borno

Konduga

38

Borno

Maiduguri

1210

6065

Gombe

Akko

318

1610

Gombe

Funakaye

249

1201

Gombe

Nafada

166

303

Taraba

Bali

151

Taraba

Donga

85

Taraba

Gassol

114

Taraba

Jalingo

250

Total

18

6566

32911

34

There are 6566 under 5 years old children in 34 IDP camps

in 18 LGAs for the 5 states.

71

Location of IDP Camps

State
Adamawa
Adamawa
Adamawa
Adamawa
Adamawa
Adamawa
Adamawa
Adamawa
Adamawa
Benue
Benue
Benue
Benue
Benue
Borno
Borno
Borno
Borno
Borno
Borno
Borno
Borno
Borno
Borno
Gombe
Gombe
Gombe
Gombe
Gombe
Gombe
Taraba
Taraba
Taraba

LGA
Fufore
Gombi
Madagali
Teungo
Teungo
Teungo
Teungo
Yola South
Yola South
Ukum
Ukum
Ukum
Ukum
Ukum
Askira
Biu
Biu
Jere
Konduga
Maiduguri
Maiduguri
Maiduguri
Maiduguri
Maiduguri
Akko
Funakaye
Nafada
Nafada
Nafada
Nafada
Bali
Donga
Gassol

IDP Camp
Sabon gari Nafori
sabon kasuwa
Madagali Central Primary School
Dakeu
Gangseni
Nadu
SO'O
Malkohi
New Polo Site
LGEA Prim Sch Melabu
NKST Prim Sch JOOTAR
Nkst Prim Sch Kyado
NKST Prim Sch Sankera
St. Prim. Sch. Zakibiam
GGSS ASKIRA
CENT.PR, SCH.
GGSS BIU
Mairi Guest inn
Pilgrims affairs Zonal Transit Camp
Federal training centre
Modu sulumri
NYSC Camp
Shagari Low-cost
Wulari Jurisalam EYN area
Wuro Biriji
Ung. Maiduguri
Damaje
Jigawa, Kiyayo & Jole
Mada
Ung. Madaki, Wuro Jada & Damaja
Multi Purpose Center
Dozonga Primary
Tella Collective Center

72

Political/2015 General Elections

Accountability
Ongoing community mobilization
Some communities have taken ownership of the program and driving the process.
Community driven activities involving the District heads and religious leaders and
enforcing accountability in terms of program officers at the LGA.
The EOC has taken steps to mitigate any untoward effect as the elections come closer.

Dwindling attendance of LG Chairmen

at evening review meeting
Month
14-Jan
14-Mar
14-Apr

Day 1
70%
39%
61%

Day 2
65%
39%
52%

Day 3
30%
35%
39%

Day 4
39%
30%
43%

14-May
14-Jun
14-Aug

61%
61%
48%

61%
43%
48%

No Data
43%
26%

No Data
52%
13%

Teams working closely with Community leaders and VCMs in

Sokoto South at Old Post Office Tudun Wada A, Sokoto South
73
during the August IPDs.

Closing Immunity Gaps in Southern Polio free states

HROPs have been developed
Review meeting with
Southern states to develop
plans for hard to reach
settlements and vulnerable
communities
LIDs planned to be
implemented.
Improving surveillance
Strengthening RI
Intensifying monitoring and
supervision.
Staff accountability

State

2013

2014

Abia

55%

54%

Anambra

49%

65%

Rivers

60%

75%

Osun

66%

79%

Enugu

78%

89%

Ebonyi

89%

89%

Akwa Ibom

67%

81%

Kwara

77%

86%

Benue

74%

84%

Population immunity in the southern states

is improving except in a few states
74

Funding Gap

SUMMARY (In millions of US

dollars)

2014

2015

2016

Total

Total requirements

305.29

263.42

221.67

790.38

Funding Gap (exclusive of

tentative funding)

87.28

239.25

219.9

546.43

Funding Gap (inclusive of tentative

funding)

21.65

178.47

199.45

399.58

75

Outline of Presentation
WPV Epidemiology
Innovations and Social Mobilization Indicators
Quality Outcome Data

Surveillance
Routine Immunization

Challenges/Threats to the Programme

Priorities from now till end of 1st quarter 2015
76

Priorities for September 2014 - March 2015

Stop WPV1 circulation by end 2014

Stop cVDPV circulation by 1st quarter 2015
Timely Outbreak Response at State/LGA Level
Focusing on movement of Internally Displaced Persons (IDPs) to curb the spread of the
virus
Strengthening Population Immunity and Surveillance to avoid international spread
Scale up of Directly Observed Polio Vaccination (DOPV) in high risk LGAs

NID
SNID

SNID

SNID

NID*
SNID* SNID*

SNID

Sokoto
tOPV

Mop-up

Sept
tOPV

Oct

Elections

Nov

Dec

Jan

Feb

Mar

Apr

3rd Outbreak Response for Kano (Mop Up): 11th 14th October 2014

November SNIDs (1st 4th Nov. 2014): tOPV + IPV in selected LGAs

March NIDs (14th 17th Mar. 2014): tOPV + IPV in selected LGAs

bOPV

May

Jun

Schedule of SIAs for the rest of the year

Nov14

Sep14

Dec14

tOPV
bOPV
Non -Implementing
States
78

Thank You!

79