Provinces in southern region has one of the poorest Routine Immunization coverages over the recent past and most districts are categorized as polio high risk. The sub-optimal routine immunization coverage contributes significantly to the polio high risk status. Aside immunization, and due to prolonged conflicts and inadequate access, deprivations for other health services (especially children and women services) and in WASH, education etc have further deteriorated the situation of children in the region. As a strategy to achieve polio free status in the region and address key child survival interventions, UNICEF has been implementing Integrated Service Delivery (ISD) through routine Immunization strengthening, provision of safe drinking water, education facilities etc. Through this agreement, UNICEF is supporting the recruitment of 06 vaccinators for Helmand. The objective is to accelerate coverage through enhanced vaccinations outreaches and deployment of female vaccinators at fix sites across selected health facilities in Helmand province.
Rational: Additional EPI vaccinators will assist in the Urozgan province to fill in existing gaps (based on the national policy and contextual situations) to help reach more under 1-year children with EPI vaccines. Focus will be in many white and underserved areas that are not currently reached. This support will thus complement the existing vaccination activities for both BPHS and Non-BPHS facilities and all salaries/allowances of the additional vaccinators will be based on existing policies. The outreach vaccinators will also be provided with a motorbike from other funding sources to enable uninterrupted implementation of planned sessions.
While determining number and locations of additional vaccinators, following factors were taken into consideration-
· Total no of vaccine administered per site per day.
· Government regulation of minimum no of vaccinator per site.
· Considering formidable no of female beneficiaries, adding female vaccinators.
· White areas
· Areas that need outreach vaccination.