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.

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.

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.

Legislation

Even if political will exists, legislative guarantees of publicly provided vaccination are sometimes lacking or insufficient, and few countries have up-to-date legislation. Ideally, a vaccination law should contain a range of provisions, including means of EPI financing, vaccine procurement mechanisms, vaccination regulations.

In the Democratic Republic of Congo’s southwestern city of Matadi, a review of the country’s Comprehensive Multi-Year Plan (cMYP) for immunization for 2011-2015 took place from August 20-25.

Cambodia

Health system and EPI Program

In 1996, following decades of civil war, Cambodia undertook to reform its healthcare system.

Public health services are delivered through 76 health districts. The districts, which do not correspond to political jurisdictions, prepare annual plans and administer 930 health centers. A cadre of supervisors links the central level with 24 provincial health departments.

Vaccine Advocacy & Education

The Vaccine Advocacy and Education program at Sabin is dedicated to reducing the burden of preventable diseases by bringing together key stakeholders and leaders in government, private sector and civil society in order to foster cooperation, share information and best practices, and develop improved vaccine policy and access.

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