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April 14, 2021
Pakistan and Sudan Move to Ensure Immunization for Hard-to-Reach Communities

As an essential public health service, routine immunization (RI) must be made available to all children. Ideally, this should be the case. Prior to the pandemic, the delivery of RI services in the region was challenged by several factors that are now compounded with COVID-19 restrictions. Hard-to-reach communities are the most affected.

 

To make RI services- which are provided by the Expanded Programs on Immunization (EPIs)- available to these communities, detailed planning is needed through what is termed as RI microplanning which covers all details of the immunization service delivery, ensuring that such services are delivered continuously and efficiently.

 

In the region, Pakistan and Sudan are among several countries moving towards implementation of RI microplanning.  With technical support from GHD|EMPHNET, these two countries are working towards empowering immunization workers with the skills needed to prepare and implement microplans to enhance RI service delivery.

 

As a first step, both countries began with conducting training of trainers (ToT) workshops to build a core team of facilitators at the state and provincial level who will be in charge of training EPI frontline workers in the districts.

 

In Pakistan, a ToT led by the EPI trained forty participants from Khyber Pakhtunkhwa between February 15-20, 2021. The training focused on integrating EPI services into the Lady Health Workers Program as an essential step toward achieving universal health coverage.

 

In Sudan, the EPI conducted eighteen ToT workshops for 451 immunization officers from 188 localities in eighteen states. This training focused on enabling local management to plan comprehensively for immunization services by applying strategies suitable to the COVID-19 context.  

 

Following these training workshops, participants trained frontline immunization staff at the facility level on how to develop microplans. At this point, these plans are being developed and expected to be implemented in the coming months.

 

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