Nation-wide Measles/Polio sias in Afghanistan, 2012


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Nation-wide Measles/Polio SIAs in Afghanistan, 2012

  • Nation-wide Measles/Polio SIAs in Afghanistan, 2012


  • The action have been prompted by the nation wide measles outbreak in 2012.

  • Three folds increase in the number of cases as compared with 2011

  • High mortality rates in initial phases (before response)

  • Double number of outbreaks almost in all provinces













Poor quality of district micro-plans (some provinces)

  • Poor quality of district micro-plans (some provinces)

  • Weak strategy for remote and high-risk areas

  • Weak communication & social mobilization strategies

  • Shortage of trained health workers

  • Difficulty in reaching all children in problematic provinces (Kandahar, Helmand, Farah, Zabul, Uruzgan, Badghis, Ghor, Kunar and Nooristan, Paktika, Paktya and khost); 54 districts underperformed

  • Shortage of cold chain equipment

  • Over-reporting



Early preparation and proper micro-planning is the key

  • Early preparation and proper micro-planning is the key

  • Inaccurate denominator resulted in in-adequate micro-planning including incorrect estimation of vaccine/supplies, human resource need and fund in many instances.

  • Timely inventory of cold chain equipment is vital for adequate handling of vaccine and preventing shortage of vaccines at service delivery levels

  • In advance identification of trained health workers and volunteers helps to timely conduct training courses

  • Visiting all households for referring of children to the vaccination sites and adequate daily monitoring /reporting helps taking timely actions during the implementation



Local measles campaigns should be conducted in partially covered districts to reach the un-reached children and supplement declining routine immunization coverage

  • Local measles campaigns should be conducted in partially covered districts to reach the un-reached children and supplement declining routine immunization coverage

  • Conduct measles mop-up campaign in the districts that could not achieve 90% coverage for measles

  • Implement RED strategy in all districts less than 60% coverage for EPI.









  • Thank You




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