Nepal

Health System and EPI Program

Immunization is an essential component of Nepal’s Second Long‐Term Health Plan 1997‐2017. The Child Health Division of the Department of Health Services, Ministry of Health and Population, is the home of Nepal’s National Immunization Program (NIP). The federal NIP team provides leadership, normative and managerial support. Implementation is the responsibility of EPI sections in the five regional and 75 district Health Directorates.

Mongolia

Health System and EPI Program

Before independence, the Mongolian health care system was entirely financed out of the central budget, and all services were provided free of charge. The system is still primarily owned and funded by the Government, although the latter looks forward to an increasing share and role for the private sector as a strategic objective sector.

Mali

Health System and EPI Program

Primary health care services, including immunization, are delivered through 59 health districts. There is an EPI Unit in each of the country’s nine health regions.

Madagascar

Health System and EPI Program

In 2004 the country began de‐centralizing its health system. Immunizations are delivered through 22 regions, 111 districts and 2,392 public health centers. Vaccination is part of the minimum package of activities in each center.

Liberia

Health System and EPI Program

Liberia’s National Health Policy and Plan 2007‐2011 identifies immunization as one of the key programs in the essential child health package. Liberia launched its Expanded Program on Immunization (EPI) in 1978. The Program is located in the Preventive Services Division, Health Services Department, Ministry of Health & Social Welfare. A National EPI Manager and the network of Country Health Officers oversee and coordinate all EPI‐related activities.

Kenya

Health System and EPI Program

In 2008, the Ministry of Health and Sanitation was split in two: The Ministry of Medical Services and the Ministry of Public Health and Sanitation. A Health Sector Coordinating Committee is alternately chaired by the permanent secretaries of the MoMS and MoPHS.

Ethiopia

Health System and EPI Program

Ethiopia’s health infrastructure consists of about 15,000 health posts (kebeles), 819 district health offices (woredas), 98 health zones and 11 health regional bureaus. The Expanded Program on Immunization (EPI) was introduced in 1980. It was formerly located in the Family Health Division in the Ministry of Health. There is an EPI focal point in each health region.

DRC

Health System and EPI Program

Basic health care is provided through 515 health zones (antennes) in the country's 11 provinces.

Cameroon

Health System and EPI Program

The Government initiated decentralization efforts in 2004. The MoH was one of the first four ministries to begin decentralizing. Decentralization was implemented by Presidential decree on 1 January 2010.

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