PAS coalition groups, working in the area of Routine Immunization continue to particpate and contribute to discussion on policy implementation in Kano, Kaduna, Lagos and Niger States.

In Kano, the state’s  weekly SMS report on week 17 was presented by Ibrahim Abdullahi, the SMS Focal Person. His presentation centred on: increase in the number of reports for 17-week 2021 compared with 16-week 2021, Week 16, 86% and week 17, 91%. increased in planned versus conducted for both fixed session and outreach session for week 17 2021 compared with week 16-year 2021, The wastage rate of BCG and measles – measles has 67% while has BCG 43% on both fixed and outreach sessions, wastage rate of fixed sessions, BCG has 62% while measles has 39% in the week under review. For the doses opened verses children immunized for the outreach session conducted, for the wastage rate of outreach sessions, BCG has 80% while measles has 54% in the week under review. 

21 LGAs reporting as fixed post and 17 LGAs reporting stock out as at outreach session, the total number of vaccines stock out reported was 63 vaccine stock out reported in the week under review. And the number of health facilities that reported stock-outs in each LGA was highlighted in the week under review.

On Supportive Supervision, Mr Ibrahim stated that the supportive supervision is categorized into three stages category one is <10 SS, category two is 10-20 SS then category three is >20 SS, then OS stand LGA not reported, and some LGAs reported only one supportive supervision. 44 LGAs reported 581 for fixed session and reported 277 for outreach session total of 858 supportive supervision was conducted in the month under review. The presenter also compared supportive supervision conducted in week 15 vs week 16 and there was a decrease in week 16 compared to week 15. Week 16 SMS Performance based on HFs reporting rate, Five LGAs reported below the 80% and the LGAs are Kunchi, Nassarawa, Dambata, Garko and Kibiya.

Action Points

• To send a reminder to All TWG on the issues of their weekly updates., update the State supervisor on SMS report action points. resend the SMS reporting format to State Supervisor.
• Update on PHC REW Micro Plan 2021 To be Share with SERICC segregation list of private Facilities that are conducting RI Session, not conducting RI Session, and not Configured and Closed ones.
• SM&CE WG to liaise with LGA/Dawanau psychiatry Hospital to sensitize the community about the benefit on RI and find out why KNC, NSR, GRK, KBY TRN & BCH LGAs could not achieve the 80% minimum reporting rate in the week under review.

In Kaduna State, poor SMS reporting and decreasing on a daily basis, follow up by State immunization organizations on SMS reporting by health facilities to improve the rate of reporting, Poor data quality across the three LGA, Issues of opened doses of vaccines used during fixed sessions and number of children immunized with various antigens. Stockout captured for various antigens at health facilities and the potency of vaccines, Outreach sessions not supervised in 8 LGAs, Update of RISS checklist and the implementation plan for 20221 LQAS

In Niger State, non-conduct of RI outreaches due to lack of funds and wide range of insecurity problems across some communities in Niger State. RI CIP is not being implemented effectively as required due to lack of releases from the state budget and to worsen the situation is the winding up of SoML funds which is the alternative domestic source of support to RI and the Lack of new strategies for engaging traditional and religious in the month under review, except for  the continual adoption of the previous strategy of engaging traditional and religious leaders in the area of Sensitization and Community Mobilization to address issues of restriction in the entrance to homes for household RI service uptake; traditional and religious leaders are still being used to mediate between RI adhoc staffs and community members through community sensitization and Mobilization for RI service uptake, reduce the resistance of household entrance for RI services

While in Lagos state, 55% out of all the LGAs in the state have lower a NHMIS reporting rate for April 2021 compared to March of same year. (Alimosho, Badagry, Epe, Apapa, Ikeja, Lagos mainland, Lagos Island, Ojo, Oshodi, Kosofe, and Surulere LGAs) and 85% of LGAs have poor vaccine utilization reporting rate for April 2021.

Significant decline in coverage recorded for PENTA 3 at 52%, compared to 64% in April 2020. Deliberate efforts need to be put in place to ensure that the coverage rates increase in the following months, Poor utilization of services observed for 8 LGAs, evident in high dropout rates, including Agege, Alimosho, Amuwo Odofin, Apapa, EtiOsa, Ibeju Lekki, Ikorodu, and Ojo; Only 17 RISS visits were conducted in 10 LGAs in the month of Apr 2021, however, 4 (24%) were discarded because they were conducted for less than 1 hour or submitted after 24 hours. 94% of HFs visited were public facilities. 82% of HF visited were in urban upper-class areas. And 85% of health facilities currently have functional CCE following the installation of tranche 2 CCEs. 6% of health facilities currently have faulty CCE. 4% of Health facilities have CCEs yet to be installed cold chain equipment. 2% of Health facilities in the State do not have any CCE.

91% (170 out of 180) WHC community engagement with minutes of the meeting were conducted in April 2021 and 78% (53 out of 68) Community Dialogue/ Linkage were conducted. Poor access recorded for 7 LGAs, evident in poor PENTA1 coverage including, Alimosho, Badagry, Ifako, Kosofe, Lagos Island, Lagos Mainland, and Surulere.

Although efforts have increased to improve the situation, yet the  RISS report shows that 82% of HFs visits had functional equipment and 41% had vaccines delivered from the LGA Cold Store, Data entry error, Poor performance in Apr 21. Only 17 visits conducted in the State. RISS visits were not conducted in 10 LGAs and over 10% of data discrepancies seen between RI data tools (Measles CIR and Tally sheet)