Joining hands to finish the race for polio eradication

Rotary International advocates, UN advocates and Rotaracts gathered to participate in the National Polio Immunizations campaign at Shinile and Dire Dawa.
Rotary International advocates, UN advocates and Rotaracts gathered to participate in the National Polio Immunization campaign at Shinile and Dire Dawa ©UNICEF Ethiopia/2015/Mersha

World Health Organization, UNICEF and Rotary International, on the occasion of World Polio Day 2015, renew their commitment to finish the race for polio eradication and secure a long-lasting legacy for a healthy Ethiopia

Addis Ababa, 23 October 2015 – Marking the occasion of World Polio Day 2015, the World Health Organization, UNICEF and Rotary International, jointly reaffirm their commitment to ensure Ethiopia joins all countries in a polio-free world by 2018 – the global target for polio eradication world-wide. 

Ethiopia has been free of the wild-polio virus (WPV) for the last 21 months, since the last confirmed case in Ethiopia’s Somali Region. The 2013-2014 Horn of Africa (HOA) polio outbreak resulted in 223 WPV cases across Somalia, Kenya and Ethiopia combined. Out of this number, 10 WPV type-1 (WPV1) cases were reported in Ethiopia, all in the Somali Region. The HOA polio outbreak was a devastating setback for the region, Ethiopia as a country and its people.

Due to the aggressive and innovative response led by the Ethiopian Federal Ministry of Health (FMOH) and polio partners, the outbreak was declared successfully interrupted by national and international experts in June 2015. The last reported wild polio virus WPV on the entire continent of Africa was 14 months ago – with the last WPV1 case confirmed in neighboring Somalia in August 2014. While these successes are cause for celebration; we also underline the importance of sustained commitment at every level. 

In an effort to maintain the momentum, we each play our part as polio partners and bring an important and unique contribution to the polio eradication efforts. “Thirty years ago, we told the world what Rotary believes: that we can achieve the eradication of only the second human disease in history. Our belief is close to becoming reality. For every child, let’s make sure that reality is a bright one. On 23 October, Rotary will host its third annual World Polio Day event,” states   K.R. Ravindran Rotary International President in his friendly call to partners and allies to join World polio Day 2015. 

UNICEF Ethiopia, Rotary International and Somali Regional Health Bureau team members with the signed Pledge of Commitment on the Eradication of Polio
UNICEF Ethiopia, Rotary International and Somali Regional Health Bureau team members with the signed Pledge of Commitment on the Eradication of Polio ©UNICEF Ethiopia/2015/Getachew

WHO and UNICEF continue to prioritise quality polio supplementary immunisation activities (SIA); alongside sustained quality disease surveillance; coordination and technical assistance; social mobilisation; vaccine procurement; cold chain and logistic support. Routine immunisation, the backbone to polio prevention, is the flagship programme for FMOH, WHO, UNICEF and other partners.

The National Routine Immunization Improvement Plan 2014-2016, with the objective to achieve national Penta 3 coverage of 95 per cent by 2016, provides focused support to 51 zones, home to the vast majority of unimmunized children of the country.

“In the spirit of the polio legacy, we as UNICEF and as a global polio eradication partner, are working together towards a country with a strong routine immunization system, to protect all children, everywhere against polio and vaccine preventable diseases, paving the way for a better future for all,” states Patrizia DiGiovanni, Officer in Charge of UNICEF Ethiopia.

As we commemorate World Polio Day 2015 alongside the 70th anniversary of the United Nations, we reflect upon and celebrate the polio eradication initiative contribution to themes of development and human rights; and we envision further contributions to an even brighter future. Closing out 2015 we celebrate together in recognising Ethiopia’s achievements made towards the Millennium Development Goals particularly the reduction of under-five mortality; and we look towards a polio-free world by 2018.

WHO Representative, Dr Pierre M’pele Kilebou affirms, “WHO is proud of its contribution towards the success attained so far in achieving MDG 4, interruption of WPV transmission and routine immunization improvement; and our efforts would continue to sustain the gain that Ethiopia have realized.”

Even more ambitiously, we all envision the polio eradication legacy contribution to the 2030 Sustainable Development Goals for equitable health and development for all children and families. The possibilities are endless; the successes are at our fingertips. In partnership, we are almost there. We will continue to work together for a polio-free Ethiopia until the job is done. And then we will keep going.

Drop by drop closer to polio-free Ethiopia

Polio vaccination a response of a recent polio outbreak in the Horn of Africa
Polio vaccination a response of a recent polio outbreak in the Horn of Africa ©UNICEF Ethiopia/2013/Sewunet

 

Jigjiga/Wardher, 9 February 2015: A pledge of commitment for a polio-free Ethiopia was made on 8 February 2015 in Jigjiga and Warher to launch the polio national immunization days (NIDs) in Somali Regional State. Ethiopia has been polio free since 5 January 2014, but the risk of polio cases in Horn of Africa prevails. The campaign running until 11 February 2015 aims to reach over one million children under the age of five in the region.

“Despite the progress, Ethiopia is in a fragile position and the risks for outbreaks remain. We invite all stakeholders to make the goal of a polio-free Africa in 2015 a reality,” said Dr Pierre M’Pele-Kilebou, WHO Representative to Ethiopia at the launch event in Jigjiga.

The pledge signatories – the State Ministers of Health, the Vice President of the Somali Regional State, the Head of the Somali Regional Health Bureau, Doollo Zonal Administration, religious and clan leaders, WHO, UNICEF, Rotary International and Ethiopian Pharmaceuticals Fund and Supply Agency among others, – pledged to do their part to ensure that all children are provided with an equal chance for health and success in life through immunization.

The State Ministers of Health are supervising the work of almost 3000 vaccination teams in Somali Region. H.E. Dr Amir Amin, State Minister of Health, said at the launch in Wardher, the epicentre of the Ethiopian polio outbreak, that the Government, partners, communities and families need to share responsibility to ensure immunization of children and “to save children from sickness, disability and death.”  H.E. Dr Kebede Worku, State Minister of Health, stressed in Jigjiga that parents should get their children vaccinated even if they had been vaccinated in the previous round. 

“Ethiopia is working to find hard-to-reach communities and settlements, to bring vaccination to those areas. So, when polio eradication is achieved, we will end polio everywhere for everyone and leave a legacy of healthy families and communities, rooted in equality for all,” – Ms Anupama Rao Singh, Country Representative a.i. to UNICEF Ethiopia.

The national polio campaigns conducted in all regions of Ethiopia between 6 to 9 February 2015 reached over 13 million children under 5 years of age. Since August 2013, when the outbreak began, 12 rounds of polio immunization campaigns have been conducted in addition to vaccination of children along Ethiopia’s border with Somalia. A total of 10 polio cases are recorded in Ethiopia during the outbreak. Working closely with national and regional authorities, WHO and UNICEF established an Operations base in Wardher, Doollo Zone, in August 2014 to bring together the needed expertise to support polio interventions in the zone and kick polio permanently out of Ethiopia.

World Polio Day 2014 commemorated in Ethiopia

By Shalini Rozario

On 24 October 2014, UNICEF, WHO, Rotary International and Federal Ministry of Health (FMOH) gathered to commemorate World Polio Day, which also coincided with United Nations Day. In a Joint Statement issued by WHO, UNICEF and Rotary, the partners appreciated frontline workers in the fight against polio and called for sustained support for eradication efforts.

World Polio Day celebrated in Addis Ababa Ethiopia in the premises of the UNECA compound.
World Polio Day celebrated in Addis Ababa Ethiopia ©UNICEF Ethiopia/2014/Ayene

The World Polio day commemoration commenced with a moment of silence for the late Past District Governor (PDG) Nahu Senaye Araya, President of the Rotary National Polio Plus Committee. Ato Araya’s family, in attendance, was presented with a certificate of appreciation by WHO, UNICEF and Rotary for his years of dedicated service to the polio programme.

Dr. Pierre Mpele-Kilebou, WHO Representative to Ethiopia, stated in his welcoming remarks, “Today is a reminder of our duty to make sure that no more children are paralyzed by the disease that can be prevented with a simple, easy to administer vaccine.” The screening of two short videos, Help #EndPolio Forever and Curbing the polio spread through nation wide immunisation campaign, followed his welcoming remarks.

Patrizia DiGiovanni, Acting Representative to UNICEF Ethiopia commended the contribution of partners in her key note address and emphasized the gains being made to reach all children with the polio vaccine and improved child survival interventions. “As the World Polio Day coincides with UN Day, we place our efforts within the broader context, as we work to uphold a child’s right to health as a basic human right for all. With the deadline fast approaching for measuring progress against achievement of the MDGs, our minds turn to the Ethiopia’s remarkable achievement of reaching MDG4. I believe, if we had the ability to achieve this goal three years ahead of schedule, we can certainly work together to ensure all eligible children are fully immunized by their first birthday.”

PDG Tadesse Alemu speaks at the World Polio Day
PDG Tadesse Alemu speaks at the World Polio Day commoration in Addis Ababa, Ethiopia ©UNICEF Ethiopia/2014/Ayene

On a keynote address by PDG Dr. Tadesse Alemu, who recalled the commitment and dedication of PDG Nahu Senaye Araya, said “Swift and unprecedented changes in the world has impacted efforts of polio eradication. We must have strong push to end polio now. Dr. Taye Tolera, Special Advisor to the State Minister of Health, Federal Democratic Republic of Ethiopia, delivered remarks from the Ministry of Health. He stated, “This joint commemoration clearly shows that all partners and allies have maintained the stamina in the commitment and support to the Expanded Programme on Immunization and the Polio Eradication Initiative.” He called for continued commitment: “We all should be proud of our shared achievements. But, we should continue the journey until this highly interconnected world we all share is free of polio before 2018.”

As part of the World Polio Day events, Rotary International announced earlier in the week a US$44.7 million grant to fight polio in Africa, Asia and the Middle East on 21st October this year with Ethiopia to receive US$ 2 million for polio eradication efforts in the country.

Read the press release by UNICEF here.

World Health Organization, UNICEF and Rotary International, appreciate frontline workers in the fight against polio and call for sustained support for eradication efforts.

World Polio Day 2014 banner
Addis Ababa, 24 October 2014 – The World Health Organization, UNICEF and Rotary International stand together in the fight against polio and in commemoration of World Polio Day, 24 October 2014.

Despite significant progress made in polio eradication since the launch of the initiative in 1988, the wild poliovirus (WPV) continues to infect people, causing life-long paralysis and disability. The Horn of Africa was struck with a polio outbreak in April 2013. To date, 223 cases of WPV1 have been confirmed in Somalia, Kenya and Ethiopia. The date of onset of the last case confirmed in Somalia was in August 2014.

Up until 2013, Ethiopia was polio-free since 2008. However, since last year, Ethiopia has confirmed 10 cases of polio in Doolo Zone, Somali Region. Ethiopia’s response to this crisis has been fast and aggressive. Since June 2013, 11 rounds of polio immunization campaigns have been conducted in addition to ongoing border vaccination at 45 permanent vaccination posts along the border with Somalia. National immunization days (NIDs) in October and December 2013 reached over 12 million and 15 million children, respectively. Due to these aggressive efforts, the last case of WPV in Ethiopia was confirmed more than 9 months ago, in January 2014.

The success of these polio immunization efforts is a result of national commitment and the coordinated efforts of immunization partners. We recognize those who are in the forefront of the fight against this debilitating disease: health workers, vaccination teams, mobilizers, traditional and religious leaders, partners and others who work long hours, and walk long distances, to ensure all children are reached with the polio vaccine.

Rotary International launched a new campaign that promises every dollar donated to Rotary will be matched 2-to-1 by the Bill & Melinda Gates Foundation. On 21 October 2014, Rotary International announced the release of US$ 2 million to support polio eradication efforts in Ethiopia. UNICEF supports communication and social mobilization, vaccine procurement, cold chain and logistics and technical assistance while WHO is providing technical assistance, coordination support, including across cross border coordination, and surveillance support.

As World Polio Day is commemorated on the same day as UN Day today, we remember our efforts within the broader context, a day when we uphold a child’s right to health as a basic human right for all. As we look to 2015, we measure the success of our efforts against achievement of the Millennium Development Goals, acknowledging the contribution of polio immunization efforts to MDG achievement. In two weeks, Ethiopia will conduct the first of two rounds of the 2014 NIDs aiming to vaccinate over 13 million children. We look to all partners, decision makers, donors, leaders and other stakeholders to provide their support so that we can ensure no child is left behind. We will continue to work together to END POLIO NOW.

 

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For further information, please contact:

Mohammed Idris, Rotary International, +251911197755, mohammedsany@gmail.com

Wossen Mulatu, UNICEF, +251 11 518 4028, wmulatu@unicef.org

Fiona Braka, WHO, +251 11 553 4777, brakaf@who.int

In Ethiopia, Nationwide Polio Vaccination Campaign Reaches 13 Million Children

Somali Region, Ethiopia, 12 May, 2014 – Ethiopia kicked off a polio vaccination campaign on 3 October 2013, targeting 13 million children across the country following an emergency response that began in the Dollo Ado refugee camps in June 2013.

In July 2013, Ethiopia Reports First Wild Poliovirus Case Since 2008.

Ayan Yasin, a four-year-old girl, was one of the first confirmed polio cases in Ethiopia. Ayan lives with her father and mother, a typical pastoralist family, in their house, made of tin, wood and woven bed sheets in a remote secluded area three kilometers from Geladi Woreda in Ethiopia’s Somali Region. Living next to the Somalia border means that the family move frequently between Ethiopia and Somalia – making routine immunisation practices difficult.

When Ayan fell sick, her father took her to the nearest hospital in Somalia where he was told there was very little hope. After many visits to various health posts, Hergeisa Hospital finally confirmed she had Polio. “We call this illness the disease of the wind. We know that there is no cure for it, and that it can paralyse and even cause death. My daughter hasn’t died but it has disabled her forever,” says her father.

Polio vaccines arrive in Warder
Bukhari Shiekh Aden of UNICEF helps in moving polio vaccines of an airplane which just arrived in Warder district, Somali region of Ethiopia for a campaign as a response of a recent polio outbreak in the Horn of Africa. ©UNICEF Ethiopia/2013/Sewunet

Close to 50,000 health workers and volunteers and 16,000 social mobilisers have been deployed all over the country as part of a campaign that includes remote and hard to access areas. With the support of the European Commission- Humanitarian Aid and Civil Protection Department (ECHO), UNICEF has procured vaccines to support immunisation efforts particularly for children and the refugee population being hosted in the Somali Region. In total, 135,000 vials or 2.7 million doses of bivalent Oral Polio Vaccine (bOPV) were procured to immunise 2.43 million children with a polio vaccine – a critical input to immunisation activities in the Somali Region and Polio high-risk areas. The support from ECHO has also helped to airlift the Polio vaccine to hard-to-reach zones of Afder, Gode and Dollo in the Somali Region.

Synchronised cross-border polio outbreak preparedness and response

Supplementary Immunisation Activities (SIAs) were conducted in Ethiopia, Somalia, Kenya, and Djibouti to accelerate progress towards ending Polio in the Horn of Africa. The synchronised SIAs were an outcome of the Horn of Africa Countries Cross-Border Polio Outbreak Preparedness and Response Meeting in Jigjiga, from 21 to 23 May 2014, where Ethiopia, Somalia, Kenya and Djibouti agreed to strengthen cross-border collaboration to eradicate polio from the Horn of Africa.

To reinforce support and strengthen Polio eradication efforts in the Somali Region, a high-level delegation consisting of Dr Kebede Worku, State Minister of Health, Mr Abdufatah Mohammed Hassen, Vice President of Ethiopia’s Somali Regional State and Head of the Somali Regional Health Bureau, Dr Pierre M’Pele-Kilebou, WHO Representative to Ethiopia, and Dr Willis Ogutu, Head of UNICEF programme in Somali Region, visited Warder in Dollo Zone, the epicentre of the wild polio virus outbreak in Ethiopia, on 14 June 2014. The delegation, together with the Warder Zonal Administration, launched the ninth round of Supplementary Immunisation Activities (SIAs) in the outbreak zone and formally inaugurated the Zonal Polio Outbreak Command Post, which had been established in April 2014 to improve coordination of response activities.

Polio vaccination in the Somali region of Ethiopia, as a response of a recent polio outbreak in the Horn of Africa
Polio vaccination in the Somali region of Ethiopia, as a response of a recent polio outbreak in the Horn of Africa ©UNICEF Ethiopia/2014/Sewunet

Sustained interventions to ensure long-term success

While the campaigns to vaccinate children against Polio in the Somali Region have been going well, ensuring long-term success in eliminating the disease will require sustained interventions.

Abdufatah Mohammud Hassen believes the best solution is to immunise every child and ramp up routine immunisation activities in the region. “The campaigns are just to stop the emergency but the main thing that we are doing is to reach every child by strengthening the routine EPI and ensuring that the health facilities have the capacity to respond to the demands of the public”

With the help of developing partners like ECHO, Bill and Melinda Gates Foundation, the Rotary International and the Crown Prince of Dubai, UNICEF together with the Ministry of Health is continuing its efforts so that young children like Ayan Yasin living in the region are protected from the disabling symptoms of the Polio disease.

Video makes Community Based New-born Care (CBNC) training more productive

By Hailemariam Legesse

The Community Based New-born Care (CBNC) initiative was launched in March 2013, following the national policy breakthrough of allowing Health Extension Workers (HEWs) to treat new-born sepsis. The programme is supporting four agrarian regions: Amhara, Tigray, Southern Nations Nationalities and Peoples’ Region (SNNPR) and Oromia.

One of the methods and tools used during the four day CBNC training in Ethiopia is a training video produced in English, Amharic and Oromiffa. The video helps to make CBNC training more productive through presentation of communication skills and specific technics and procedures performed by Health Extension Workers in a rural setting of Ethiopia.

Though, first and foremost produced to support the four-day standard training on CBNC, the individual components of the video can be used also to support specific separate skill’s training like; Measuring Temperature; Weighing the Baby; Hand Washing; Essential New-born Care; and Expressing Breastmilk.

The video demonstrates components designed to follow the principles of continuum of care for mothers and new-born.             

  1. Registering women in childbearing age by HEW
  2. Communication skills during antenatal care follow up
  3. Filling the birth preparedness plan
  4. Measuring temperature of the new-born
  5. Weighing the baby
  6. Postnatal care visit (PNC) for the mother and new-born
  7. Hand washing
  8. PNC visit for the sick new-born
  9. Essential new-born care
  10. Ikram case study
  11. Expressing breast milk

Federal Ministry of Health led the production of the video with the financial and technical support from UNICEF and WHO and help of CBNC partners through the National Technical Working Group.6