1. Scaling up the Delivery of Infection and Treatment Method in Tanzania: Vaccinator Baseline Survey Results
Nils Teufel, Henry Kiara, James Rao, Isabelle Baltenweck and Esther Kihoro, ILRI
ITM2SCALE review meeting, 27 October 2016
Oceanic Bay Hotel, Bagamoyo, Tanzania

2. Introduction utangulizi
This presentation shows ITM vaccinators baseline survey results from the vaccinator meetings held in Tanzania. The meetings were held in the three regions as follows; Mwanza -03 Dec 2015, Arusha 05 Dec 2015 and Dar es Salaam 07 Dec 2015.
Vaccinator characterisation
Active-
Active ITM vaccinators (Wanao toa Chanjo ya ITM)
Interest
not vaccinating but are interested (wanao mvuto wa kuchanja lakini bado hawachanji)
No interest
not willing to be ITM vaccinators (Wasio na mvuto wa kuchanja)

3. Identification across vaccinator categories (Utambulisho kati ya waendeshaji chanjo)
Vaccinator Category
Active
Interest
No Interest
Number in category 51 50 55
vaccinated in the last 12 months
vaccinations last 12 months
1753.3
vaccinations last 12 months by active
Sum of all vaccinations last 12 months
89419
Vaccinators without mobile 2
Vaccinators without smartphone 17 20 19
Vaccinators without 12 16
Vaccinators without mobile or 1
Average age
42.6
41.6
40.8
Share of females in category 6%
12%
18%
Although some vaccinators do not have access to only 2 respondents lacked a phone .
The no interest group had the highest share of women at 18%

4. Identification across regions (Utambulisho baina ya maeneo)
Baseline area
Mwanza
Arusha
Dar es Salam
Number in category 72 54 30
vaccinated in the last 12 months 8 29 14
vaccinations last 12 months
8.5
vaccinations last 12 months by active
76.5
Sum of all vaccinations last 12 mo
612
80304
8503
Vaccinators without mobile 2
Vaccinators without smartphone 26 18 12
Vaccinators without 22 5
Vaccinators without mobile or 1
Average age
Share of females in category
Arusha had the highest average vaccinations in the last 12 months.
There was a very low representation of women across regions with Dar es Salaam having no woman representation.

5. Level of education across vaccinator types (Shahada/Cheti cha mwisho)
Most of the vaccinators had diploma level of education across the three categories.
However the active had a higher share of certificates and the interested group had a higher share of BSC and MSc

6. ITM history and success Historia ya ITM na Mafanikio

7. Year of first ITM activity Shughuli za ITM mwaka wa kwanza
The initial ITM activity was recorded in the early 1990s with an increase across the years.
However, most of the activities are recorded between years
This can be attributed to recent activities on promoting ITM.

8. Monthly average vaccinations Chanjo ulizotoa kuanzia dec 14 –Nov 15
There is an increase in number of vaccinations from January to April with a slight dip in April, which then rises in June.
The highest vaccinations were recorded in July with a sharp decline in the subsequent months until November

9. Animal types vaccinated Aina ya mnyama aliyechanjwa,
There were more young animals vaccinated compared to cross bred.
Valid n cross bred [43], young [43]

10. Monitoring
Ufuatiliaji

11. N = active [47], interest [19], no interest [27]
To whom the report is sent across vaccinator type Taarifa inatumwa kwa nani
The reports are mainly sent to the DVO across all the vaccinator categories.
Distributor was ranked second and lastly the agents
N = active [47], interest [19], no interest [27]

12. N = active [45], interest [18], no interest [21]
Whether vaccination fraud is a big problem Je uchanjaji usiofuata taratibu ni tatizo?
N = active [45], interest [18], no interest [21]
Above 50% of the respondents believed there is fraud.
The main fraud issue reported was mode of vaccine delivery followed by the vaccine itself.

13. How the vaccinator will grow their business mikakati ya kukuza biashara ya ITM
The highest ranked mode of growth criteria is expand within current area across all vaccinator categories
Expansion of other services was ranked second across all vaccinator types

14. Mafunzo ya chanjo ya ECF
ITM Training
Mafunzo ya chanjo ya ECF

15. How would better training help the vaccinators Ni kwa namna gani mafunzo yalioboreshwa yatakusaidia
More animals vaccinated was ranked highest across all vaccinator categories
This was followed by Better ITM services provided and more services provided respectively

16. Whether vaccinator would be willing to contribute financially to further technical training Je uko tayari kuchangia kifedha katika mafunzo zaidi ya kitaalam)
70 % of the active vaccinators were willing to contribute financially towards ITM training

17. Outlook for your ITM business
Mtizamo wako katika Biashara ya chanjo ya ECF

18. Main constraints for ITM business Vikwazo vikubwa kwenye biashara ya Chanjo ya ECFKe
Both active and interest groups ranked vaccine cost as their main constraint.
No interest ranked lack of ITM training as their main constraint.
Lack of farmer awareness, cold chain availability and ITM equipment were also highly ranked.
Active
Interest
No Interest
High cost of vaccine 19 17 14
Lack of farmers awareness on ITM 8 10 3
Cold Chain Equipment and availability 7 13 6
Lack of ITM Equipment 12
Lack ITM training 18
Lack of Capital 4 5
Transport cost and availability 9
Vaccine availability
Lack of low dose packs
Licence 1
Key
1st
2nd
3rd

19. Main vision for the ITM business Dira yako katika biashara ya chanjo

20. Conclusions Hitimisho
There was a low representation of women across the vaccinator categories and regions, there is need for sensitization of more women.
Vaccine costs was ranked as major constraint for the active vaccinators and training as a major need for the no interest category. Provision of training would increase the number of active vaccinators and reduce the fraud in delivery of ITM (mode of delivery was cited as the main fraud in vaccine dissemination).
Vaccinators report their activities with number of vaccinations and number year tags being the main issues reported. Information about vaccinations is mainly sent to the DVO while information about farmer feedback is mainly sent to the Distributors
All vaccinators ranked more animals vaccinated as their main vision and expanding their ITM business as the most prioritized next step. This is inline with national and project goals on up-scaling ITM.

21. Asanteni!