1. MEASLES AND RUBELLA INITIATIVE Presentation by : Sylvia Khamati. Health Advisor Kenya Red Cross Society “Story from the Field” 15 th September 2015 American Red Cross,2025 E Street, Washington D.C

2. THE EXPERIENCE OF KENYA RED CROSS SOCIETY "Targeted Social Mobilization Approaches based on Data Driven Planning,"

3. BACKGROUND Humanitarian Org. put in place by CAP 256.In existence since 1965. Structure of KRCS informed by the distinction between Governance and Management. Governance structure includes the boards at Branches, Regions and National Programming areas: Health and Human development, Nutrition, Water and Sanitation, Disaster Management(Response, Disaster Risk reduction). Supported by Finance, Monitoring and Evaluation, Internal Audit, Supply chain and Human Resource units. Established Research Centre(International Centre for Humanitarian affairs).

4. KRCS REACH … Kenya Red Cross - National Society The Headquarters - in Nairobi 8 Regions 64 Branches - countrywide Branch Headquarters

5. MEASLES AND RUBELLA IN KENYA Kenya hasn’t achieved the recommended >90% routine coverage. There are huge county variances ranging from as low as less than 30 % to as high as 94%. Percent of children age 12-23 months fully vaccinated (KDHS 2012/2013)

6. Childhood Vaccinations (KDHS 2012/13) Percent of children age 12-23 months vaccinated Pentavalent PolioPneumococcal

7. PARTNERSHIP WITH MOH AND OTHER ACTORS Kenya Red Cross is an active member of the CH – ICC(Child Health ICC), Routine Immunization ACSM committee, Disease Outbreaks ACSM committee.(ACSM – Advocacy, Communication, Social Mobilization) KRCS has been funded several times by UNICEF for ACSM. WHO has appointed KRCS for Independent Monitoring of Campaigns. Currently KRCS is an Implementing Partner for CORE group in 3 Counties. KRCS District Focal person meeting the MOH Vaccinators for updates.

8. KRCS INVOLVEMENT IN MEASLES CAMPAIGNS….. January to February 2014 Turkana County112 Volunteers October – November 2012 Nairobi, Kisumu and Busia districts 2,098 volunteers September 2009Country wide700 volunteers 200625 hard to reach districts 600 volunteers 200216 hard to reach districts 300 volunteers Volunteers supporting the vaccination

9. KRCS ROLE During SIAs ACSM (Advocacy, Communication, Social Mobilization). Logistical support for movement of vaccines Support supervision and Independent Monitoring Innovation including use of M-Health platform(use of mobile phone technology) Documentation and Publication Routine Support in Micro planning at Facility, Sub county and County level. Development and roll out of strategies to reach the hard to reach populations like the nomads. Community mobilization for immunization uptake through community strategy. Defaulter tracking and referrals for immunization. Innovation including use of M-Health platform. Documentation and Publication

10. BACKGROUND… The evidence “In September 2005, a cluster of laboratory-confirmed measles cases was reported from a predominantly Somali immigrant community in Nairobi. During September 2005--May 2007, this outbreak grew to a total of 2,544 confirmed measles cases reported from 71 (91%) of the 78 districts, with peak monthly totals of 375 and 332 confirmed cases reported in April and August 2006, respectively.” “Progress in Measles Control --- Kenya 2002—2007,” Morbidity and Mortality Weekly Report, September 21 2007, pp. 969-972. The outbreak of 2005-2006 started in Eastleigh, spread to the rest of Nairobi, and from Nairobi, via matatu, to 2/3 of the then defined rural districts in Kenya. Children resident in slums are underserved with vaccination and indicate that service delivery of immunization services in the urban slums needs to be reassessed to ensure that all children are reached. http://www.ncbi.nlm.nih.gov/pubmed/21205306 http://www.ncbi.nlm.nih.gov/pubmed/21205306 Rubella is endemic in the country and the risk of CRS is real http://www.ncbi.nlm.nih.gov/pubmed/26116437http://www.ncbi.nlm.nih.gov/pubmed/26116437 Measles coverage require a broad strengthening of health systems with a special focus on disadvantaged sub-groups. http://www.ncbi.nlm.nih.gov/pubmed/23294938 http://www.ncbi.nlm.nih.gov/pubmed/23294938

11. TARGETED ADVOCACY COMMUNICATION AND SOCIAL MOBILIZATION Targeted Social mobilization with focus on high risk groups: Populations in Informal settlements. Ethno – linguistic minorities. Nomadic populations – in ASAL parts of the country. Cross border populations. Refugee population (Dadaab)

12. STRATEGIES Pool of locally recruited volunteers – mobilized on short notice House to house strategy ( endorsed by WHO/AFRO measles technical working group in 2013 ) House to house, place to place strategy – for nomadic populations Cross border initiatives. Use of technology – use of mobile phones for registration and follow up

13. KRCS MNCH WEST POKOT.M4V STORY FROM FIELD…….

14. ASANTE SANA