Catch up of children who missed their vaccination during the rota virus vaccine stock out in 2022

Supported MoH immunization program to conduct catch up vaccination efforts. Q1 coverage was 178%, Q3 84% coverage

Scale up defaulter tracking tool nationally

Supported the pilot of registers in 10 selected health facilities before the national rollout. We supported distribution of registers nationally. All immunizing health facilities have a defaulter tracing register.

Review of facility level screening in Kisii and Busia to inform scale up decision making

The OPD screening was reviewed, and results shared with the MoH for scale-up in all the 8000 immunizing HFs. The intervention showed 34% increase in HPV coverage. The MoH has made it a priority to implement the screening tool their workplan.

Roll out covid-19 routinization in all health facilities

The routinization process of COVID-19 vaccination was started and is still an ongoing process. The screening work in Busia and Kisii counties was part of the integration process. Further supported the MoH in conducting the health facility readiness assessment program to explore how facilities were ready for the COVID-routinization. This assessment report was shared and disseminated to key stakeholders.

Disaggregate 2% zero dose children to understand who they are and where they are

Access to KNBS (Census data) data to perform data analysis was a challenge.

Identify and vaccinate at least 5,000 zero dose children

ZD identified through a mix of strategies. In 2022, at least 180,338 ZD children were identified, in 2023, 19,355 more ZD children were identified (total ZD identified in 2023 was 199,693)

Increase coverage (MR1 – 88%, MR2 -65%, HPV1 – 65%)

We assisted the Ministry of Health in developing strategies for catch-up vaccination campaigns for Measles-Rubella (MR), along with initiatives for tracing defaulters and conducting outreach programs. By the third quarter of 2023, the coverage for the second dose of the MR vaccine had reached 61%.

Work with the HF team to improve allocation in the two (2) health facilities in Kiambu that have received Linda Mama funds

Supported healthcare facilities in enhancing revenue generation through the NHIF, focusing on the Linda Mama and EduAfya schemes. This involved providing training to healthcare workers and conducting monitoring and evaluation in these facilities. Collaborating with both the county and the facilities, we advocated for effective funding, including allocation for immunization programs. However, this objective was not completely met due to different priorities in the allocation and use of funds, which varied according to the priorities of different health facilities.

Scale up LMD work

Scale up was done from 3 counties in 2022 to 7 counties in 2023

Standardised operational integration of temperature sensitive products specifically oxytocin

Sensitization and baseline assessment was carried out and data analysis and dissemination is pending

Provision of oxytocin to all maternal facilities in three (3) counties

Beyond program vaccines mandate.

100% CC capacity extension to all immunizing facilities

CCOP deployed was carried out

Begin process to transition Chanjo to MoH

Initiated transition engagement process with the health directorate team. The discussion is ongoing.

Consolidate vaccines data to central repository

Click house is currently operational and automatically pulls data from KHIS. Other programs can also benefit from this.

Use GIS microplans to support HPV microplanning and scale up

Mapped distance from health facilities to schools to inform distance coverage for HPV outreaches. Additionally, we refined the distribution strategy for vaccines to determine the most efficient routes. Implementation on a larger scale is yet to be initiated.

Provide accessibility index mapping tool to help MoH identify and reach vulnerable groups

Formulated a plan for socio-economic index analysis, but access to data from the KNBS (census) is still pending