E P I

EPI Coverage 2011 BMNS camp (Site 1)BMS camp (Site 2)

EPI Coverage 2012 BMNS camp (Site 1) Jan 2012 To Aug 2012 Targeted children for 8 months251 # children completed within Jan- Aug 12 Vaccine coverage BCG18273% DPT121787% DPT224397% DPT % Measle s % Vaccine drop out rate (Site 1)-19% Measles drop out rate (Site 1) -15% BMS camp (Site 2) Jan 2012 To Aug 2012 Targeted children for 8 months61 # children completed within Jan- Aug 12 Vaccine coverage BCG5286% DPT13253% DPT25082% DPT32135% Measle s 5692% Vaccine drop out rate (Site 2 clinic)34% Measles drop out rate (Site 2 clinic)-75% Vaccination Every Tuesday (ONE DAY A WEEK) Vaccination Every Alternate Tuesday (ONE DAY EVERY TWO WEEKS)

EPI Coverage 2012 Tham Hin camp (at the end of August) VaccinesCoverage Fully Vaccinated86.30% MMR87.50% DPT82.50% Polio86.30% BCG96.30% Change from once a week to ONCE IN EVERY TWO WEEKS

Challenges BMNS and BMS camps Mae Hong Son Tham Hin camp Ratchaburi People movement makes difficult to follow up (resettlement,outside, return to Burma) People moving often makes difficult to follow up Newly arriving children with lack of record of vaccination history Limited outreach activity of RCH workers, mostly rely on runners Takes time to train new RCH workers On time transport of ice packs in summer, Quality cold chain management Stock out of MMR2 vaccine for 5 months (Feb to June, 2012) MMR2 schedule has been confused (BBG vs. MoPH)

Future Plan BMNS and BMS camps Mae Hong Son Tham Hin camp Ratchaburi Improve collaboration with CHW team in order to increase coverage Do the best to follow up closely More Health education to increase community awareness and participation Proper documentation of EPI registerEncourage the parents More efficient cold chain management if budget allows

Need of BMNS and MBS Quality supplies for cold chain management Technical training for VPD control (MoPH/ WHO)