PAS Kano Coalition Host Policy Dialogue Webinar

PAS KANO COALITION HOST POLICY DIALOGUE WEBINAR ON ASSESSING ROUTINE IMMUNIZATION FUNDING, SERVICE UPTAKE & COVERAGE IN KANO STATE

On the 20th August 2020, the Kano PAS Coalition organized a webinar on assessing routine immunization funding, service uptake & coverage to brainstorm on the adequacy of the RI funding in Kano State. The webinar was aimed at providing feedback on RI uptake and coverage in Kano State, and to share experiences of select LGAs on RI performance in Kano State.

Dr. Tijjani Hussain, the Executive secretary of the SPHCMB gave the opening remark. He stated that one of the strongest pillars of the board is providing RI services in Kano state. Since its inception in 2012, the board has been ensuring quality delivery of immunization with aid of development partners. He affirmed that the Kano state government is 100 percent funding RI activities in the State.

While responding on the issues RI coverage, the Program Manager of SERICC explained that Kano has 83% RI coverage as of July 2020 against 63% in May 2020. He reiterated that the center is working to ensure 85% coverage is achieved. On the issue of funding gaps for immunization programs the PM thanked the Kano State Government for providing 100% funding for RI. He also said that despite adequate funding by the State Government the immunization program still needs more funding for new interventions.

The PM also explained that SERICC activities are very important in improving RI coverage; the center serves as the EOC for immunization and has visibility to data at the facility using SMS and DHIS2 platforms. In conclusion, the PM stated that Kano State was applauded for attaining at least 80% in all the 8 RI indicators by NPHCDA.

The DHIS2 Focal Person of the SPHCMB explained that LGAs are categorized into low and best performing Health Facilities. He stated that the procedure to categorize the facility was based on the access and utilization of RI services in the Health Facility. The webinar had health workers from both low and high performing health facilities to give participants health workers a chance to share issue areas and recommendations.

The challenges identified by the low performing health facilities included;

  • Faulty SDD for over 3 years in Yar Akwa Health Facility this has resulted in vaccines being collected from Local Government cold store

  • The dilapidated health facility in Makoda, this has affected turn out of caregivers to the facility

  • Family issues in Lengel Health Facility which lead to rejection of RI

The RI focal person from the best-performing facilities explained that sensitization activities during ANC sessions, working with Traditional, Religious Leaders and other community volunteers were the reasons for their successes. At the end of the contributions, a mitigation plan was agreed upon by the low performing facilities to improve their performances. Who will now work with Traditional Leaders and other community volunteers (TBAs, and town announcers) to sensitize communities and help in defaulter tracking particularly during ANC services and Improving timeliness of Immunization services.

OUTCOMES

  • SPHCMB intervened in Lengel HF, Tofa LGA issue where the community rejected RI due to a problem with the Family Planning Program.

  • To ensure follow up visit to the low performing facilities to assess the impact of the intervention

  • Include of some key LGA team members in any activity related to this for responding to issues regarding their LGAs

  • To henceforth provide feedback to the Traditional Leaders on RI activities so as to let them know the efforts they are making and the gaps they need to bridge.

  • SPHCMB to strengthen supportive supervision particularly to the low performing communities/Health Facilities.

  • Investigate if there is any AEFI case in the community which lead to rejection of RI in Tofa LGA