1 EPI services for migrant populations in Tak province

2 Tak Province Map of Thailand 3

3 5 districts along border areas 4

4 EPI services for migrants in Tak province - Following the national EPI programs - Provision of vaccine and technical supports to all health care centers, both GOs and NGOs in the province - Monitoring the cold chain systems - Provincial data on EPI services and disease surveillance - Training the surveillance and rapid response teams - Coordination and support for outbreak response

5 Migrant children in Tak Province, by age, 2012 Areas< 1 yr. 1-5 yrs yrs. Total 5 border districts 4, , , , other districts temporary shelters* 1,77 0 6, , ,7 09 Total6, , , , 275 *Data were not available from 1 shelter.

6 EPI services for migrants in Tak province, 2011 (1) Health care centers BCG (do ses) HBV (dos es) DTP- HBV (dose s) JE (dose s) DTP (dos es) Thai public health centers 2,6 99 2,48 1 3,8561,7042,50 5 SMRU3,4 12 4,91 3 2,71441,64 2 Mae Tao Clinic3,0 26 3,56 9 4,5031,0711, temporary shelters 2,7 60 2,51 5 5,7285,0604,48 0 Total11, , ,80 1 7,83910,1 20

7 EPI services for migrants in Tak province, 2011 (2) Health care centers OPV (dos es) MMR 9 m. (dose s) MMR grade 1 (doses) dT (dos es) Thai public health centers 5,48 4 1,1221,0832,42 5 SMRU2,72 2 2, ,40 9 Mae Tao Clinic1,49 3 1,25305, temporary shelters 8,26 2 3,5012,5574,38 2 Total17,9 61 8,3893,88016,9 92

8 EPI diseases, Tak province, 2004 – 2007

9 EPI diseases, Tak province, 2008 – 2011

10 Challenges Increasing migrant populations require vaccines, technical and logistic supports. Possibly not high coverage of measles immunization Rapid supports of vaccines for outbreak control Determining and monitoring immunization coverage in migrants, particularly those outside the temporary shelters Early EPI disease outbreak detection in the communities and rapid response

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