Key Highlights

Somalia

No cVDPV-2 or cVDPV-3 isolated from AFP cases and contacts in 2019

A total of 46 AFP cases have been reported in 2019, 13 were reported this week. Of the 46 total reported cases, 31 were discarded, and 15 are in the lab for processing. There are no PV-2 or PV-3 isolated from AFP cases or contacts in 2019.

A total of 12 ES samples were collected and sent to the lab in 2019 from the 4 ES sites. Eight are negative, 3 have EV, and 1 has aVDPV2. The ES sample with aVDPV2 (ES/SOM/BAN/HDN/EGH/19/003) was collected on 03 Feb. 2019 from Egyptian hos-pital ES site

Kenya

A total of 101 AFP cases reported in 2019; National Non-polio AFP rate is at 2.95 & Stool adequacy of 92.0%; both meetings recommended targets.

There are 39 counties 39 (83%) which has detected an AFP case Jan-March 2019.

55% (26) of the counties that have reported AFP cases in Yr 2019 have Non-

polio AFP rate of >= 2/100,000, while 74% (37) have stool adequacy of >= 80%. Overall, 47% (22) counties have achieved the target for both AFP key indica- tors.

Partnerships and coordination of Polio and GHSA activities during the week;

Participated in the Kenya MOH Polio SIAs technical planning meeting at the EOC. The meeting proposed the first round of the second phase in 2019 as for April 27-

May 1, 2019 targeting vaccination of 26, 535, 712 U-5 children in 11 high-risk coun-ties in Kenya (Turkana, Marsabit, Mandera, Wajir, Isiolo, Garissa, Lamu)

Conducted BCC training for 16 CGPP Kenya and Somalia project staff in Nairobi. The training was facilitated by Rina (CGPP-India) & Lydia (CGPP-HQ)

CGPP External Evaluation Consultant, Erma Manoncourt in Kenya to conduct meetings, interviews, and field visits.

CGPP Secretariat team participated in the weekly GPEI HOA partners & Tripartite meeting organized by WHO-HOA office.

CGPP project team participated in a microplanning and mapping exercise in Garissa attended by WHO, MOH and CGPP Secretariat representative.

Participated in the USAID/CDC Africa/CGPP meeting at Jacaranda Hotel, Nairobi on possible collaboration and coordination with CGPP on community-based surveil-lance in Turkana and Wajir.

Coordination meeting between CGPP and WHO Somalia attended by among others the WHO Somalia, WHO HOA surveillance coordinator, Dr. Jenna (WHO Consultant) and Angelo Ghelardi, Communication expert from UNICEF ESARO.

Figure 1: Proposed Counties for April 2019 SIA

Participated and presented at the Event-Based Surveillance (EBS) Stakehold-ers Meeting organized by MOH/CDC in Nairobi

Participated in a WHO HOA coordination organized a meeting among WHO/UNICEF/Core Group technical staff from HOA region to discuss cross-border coordination prior to the second phase of the polio campaign

ARC Project Officer coordination meeting with Garissa County Director of Health on Polio and GHSA project.

CGPP Kenya and Somalia

Bi-Weekly Project Implementation Updates Week 22 & 23, 2019 (Feb 25-March 10, 2019)

County/Region

# outreach conducted

# Outreach by CGPP

# < 1yrs Reached

# Zero dose (M)

# Zero dose (F)

# Birth dose < 1 yr. OPV (M

)

# Birth dose < 1 yr. OPV (F)

# < 1yrs OPV3 vac-cinated (M

)

# < 1yrs OPV3 vac-cinated (F)

# < 1yrs FIC (M)

# < 1yrs FIC (F)

# 12 - 23 FIC (M)

# 12 - 23 FIC (F)

# children reached (Defaulter tracing)

Garissa 6 3 41 0 0 3 3 9 11 10 13 12 17 30

Lamu 4 4 62 0 2 2 3 3 5 3 5 4 6 64

Lower Juba 3 2 30 0 0 0 2 7 2 4 4 4 4 16

Mandera 10 10 213 1 0 1 0 27 33 10 11 5 7 65

Turkana 167

Wajir 21 21 896 0 0 9 8 39 34 32 29 29 32 1177

Total 44 40 1242 1 2 15 16 85 84 59 62 54 66 1982

Strengthening routine immunization systems: Outreaches services to hard to reach border, nomadic pastoralist

BCC training for the CGPP Kenya and Somalia staff on Feb 25-27, 2019 at Jacaranda Hotel, Nairobi

County

# Villages visited

# of HH visit-ed

# Comm

uni-ty Social M

o-bilizers

# of families

covered

# < 5 yrs. Covered

# of one on one Contact m

ade

# of group m

eetings conducted

# of social m

obilization at the Bor-der areas

Garissa 26 369 16 1625 294 211 70 51

Gedo 34 0 28 7178 3425 2 2 2

Lamu 12 1210 12 1857 184 126 18 7

Lower Juba 21 367 13 1840 351 185 76 54

Mandera 29 215 27 1310 436 85 27 32

Nairobi 1 750 15 750 2250 750 5 0

Turkana 25 1287 28 4066 809 2362 27 28

Wajir 22 638 8 638 1177 117 21 21

Total 171 4836 147 19264 8926 3838 246 195

Social Mobilization

County

# CB meeting

# CB meeting

attended by

# of vaccination border posts

# of special vac-cination posts

# of functional special vaccina-

# of vaccination transit route

# of new linkag-

es with health

system outside

Polio

Garissa 0 1 9 0 0 0 1

Gedo 1 0 1 9 4 2 0

Lamu 0 1 0 0 0 2 0

Lower Juba 1 0 5 0 0 1 1

Mandera 1 0 5 0 0 0 1

Turkana 0 0 7 1 1 7 0

Wajir 1 0 1 1 1 1 0

Total 4 2 28 11 6 13 3

Cross Border Coordination Activities

Cross-Border committee meeting in Gedo region, Somalia

County

# of comm

unity m

obilizers involved

# of HH visited

#. of AFP Cases Re-ported

#. of unreported AFP Cases

# of AFP cases am

ong nomadic

# of Silent areas

# Of Cases Females

# reached (F)

# reached (M)

# of CMs trained (F)

# of CMs trained

(M)

Garissa 21 193 249 0 0 0 0 1216 490 0 0

Gedo 14 288 0 0 0 0 0 904 746 36 224

Lamu 12 630 586 0 0 0 0 214 163 2 10

Lower Juba 22 227 218 0 0 0 0 1557 570 0 0

Mandera 28 115 107 0 1 1 1 452 418 0 0

Marsabit 6 198 172 0 0 0 0 217 150 0 0

Nairobi 15 750 0 0 0 0 0 1150 1100 0 0

Turkana 28 721 580 0 1 0 0 1328 2105 67 101

Wajir 8 580 58 0 0 0 0 364 409 0 0

Total 154 3702 1970 0 2 1 1 7402 6151 105 335

AFP surveillance: Active Case search

Mapped sites of Community Mobi-

Call Logs: Nomadic Calls from the nomadic focal point

A suspected AFP detected at Halosaden Near Gagaba Dispensary (Mandera). Photo CGPP Garissa (ARC) and WHO reviewing the Map in readiness for the upcoming Polio

Challenges

Looming drought affecting project implementation as pastoralists priority has changed and high move-ment in search of water and pasture for their livestock.

Poor network communication is affecting ODK reporting tools. Lack of refrigerators in Hamey and Banane Kokar Dispensaries (Garissa County) Movement restriction due to fear of Insurgent attacks in Lower Juba.

CGPP-HoA Secretariat

Participate in the weekly GPEI HOA Tripartite meeting on the second phase Po-lio campaign preparation.

Participate in the MOH Polio SIAs planning meeting. CORE Group and Global Health Security Agenda (GHSA) USAID focal point per-

son (Dr. Andrew) monthly progress meeting. CORE Group quarterly coordination meeting with the Heads of Disease Surveil-

lance and Response Unit and National Vaccines and Immunization Program. GHSA monthly partners coordination meeting at the Department of Veterinary

Medicine, University of Nairobi.

CGPP-HOA Partners Project field teams

Conduct routine monthly EPI outreaches for hard to reach and border communities. Support weekly active case search for AFP and zoonotic priority diseases

Training Marsabit CHAS on disease surveillance esp priority diseases, e.g. AFP, Measles, NNT

Support training of DMOs on DHIS II in Gedo region. Support Measles campaign in Wajir County. Support quarterly Surveillance review meeting in Lodwar. Support the updating the area catchment map in readiness for microplanning before next month Polio

SIA in Garissa, Wajir, Mandera, and Lamu. Support Community Dialogue and SCHMT meeting in Kamukunji Preparation activities for GHSA stakeholders and internal Cross Border Health Committee meeting in

Mandera. Participate in polio coordination meeting in Gedo

Social behavior changes and communication training for CHVs in Kamukunji

Planned activities (March 11 – 17, 2019)

Cross-border Mapping exercise in Garissa County

CGPP/WHO/UNICEF coordination meeting