Thoughts from the Last Mile Welcome to the VillageReach Blog

Tag Archives: Vaccines

01.09 2018

At VillageReach, we often use numbers and data to understand how our work increases access to quality health care. Since our founding in 2000, our programs have reached more than 20 million people in sub-Saharan Africa – and that number continues to grow. But as we look at the progress we made in 2017, numbers only tell part of the story. The success of VillageReach is also reflected by our collaboration with partners, our dedicated staff and the generosity of our supporters. Their voices tell us why 2017 has been such a remarkable year:

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01.08 2018
Nous allons prendre les vaccins au dépôt du Bureau central de la Zone de santé situé par pirogue à ramer.

Depuis plus de 14 ans, nous allons prendre les vaccins au dépôt du Bureau central de la Zone de santé situé à 135 kilomètres d’ici par pirogue à ramer et le voyage dure 4 jours au moins.

Quand nous rentrons avec les intrants au niveau du centre de santé ici à Monzambi, on arrive très épuisés par le voyage qui exige beaucoup d’effort à fournir mais, malheureusement, on ne ramène en plus que des vaccins virés ou en voie de l’être à cause de l’interruption de la chaîne de froid puisque nous transportons ces intrants avec des boîtes isothermes dans lesquelles nous mettons les accumulateurs.

Cet appui de VillageReach nous permet de nous occuper aisément de nos malades, d’économiser nos énergies et d’améliorer nos stratégies de vaccination.

Une bonne chose nous est arrivée maintenant depuis le mois de juillet 2017: VillageReach appui régulièrement le transport des intrants de bonne qualité en bonne quantité et dans les bonnes conditions depuis l’antenne provinciale du Programme élargi de vaccination (PEV). Cet appui de VillageReach nous permet de nous occuper aisément de nos malades, d’économiser nos énergies et d’améliorer nos stratégies de vaccination.

Nous en sommes très reconnaissant et implorons à VillageReach de continuer à nous soutenir.

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11.30 2017
Vaccines are stored in refrigerators and other cold chain equipment in order to maintain proper temperature. Photo Credit: Paul Joseph Brown

Vaccines are extremely sensitive to temperature. They must remain between 2 and 8 degrees Celsius in order to remain viable. Outside of this temperature range, vaccines become less effective at preventing diseases. Because of this, the storage and handling of vaccines need careful attention. The equipment and devices used to ensure vaccines stay in the right temperature range are known as the “cold chain.” When vaccines are transported, stored in a refrigerator, or used in an immunization session, the cold chain keeps the temperature right. Significant investments have been made in updating cold chain equipment in many countries, but overall performance remains a significant concern.

With our new partner Bull City Learning, VillageReach is strengthening the vaccine cold chain in Malawi. Using human-centered design principles, we are creating an easy-to-use, interactive, digital manual on refrigerator maintenance and repair. By providing this tool for cold chain technicians, we hope to improve routine maintenance of essential equipment used to keep vaccines at the right temperatures.

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11.02 2017
OpenLMIS was well-represented at the TechNet-21 Conference including this poster on the new vaccine-specific functionality.

OpenLMIS is a community dedicated to collective impact. We are always learning and listening for new ideas. We organize user-centered design workshops, talk with global leaders, and incorporate best-in-class technologies to meet the needs of global health supply chains. The most recent TechNet-21 Conference provided yet another opportunity to hear more from our partners in the immunization sector.

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10.26 2017
Melissa West and Sid Rupani from LLamasoft sharing the use of system design and modeling for supply chain improvement at the TechNet Conference.

Donors and NGOs around the world are investing in technologies that promise to make vaccines available to children everywhere. Many of these innovations took center stage at last week’s TechNet Conference, reflecting the enthusiasm to try something new. But maybe what we need is not necessarily something new – just something different.

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04.28 2017

World Immunization Week is a perfect time to reflect on global priorities and our commitment to the Global Vaccine Action Plan (GVAP). This framework guides the work of organizations around the world to reach every child with life-saving vaccines. It is also a way to measure our collective success. Accurately measuring our progress against GVAP targets is central to moving the needle globally, but we need to be confident in the data.

I recently heard a ministry official summarize the challenges to increasing immunization in an area suspected to have a high number of unimmunized children. This was very different from the story told by the numbers. The administrative coverage rates (based on census numbers and the reported number of administered vaccine doses) for the region were well over 100%. Surveys designed to provide a baseline comparison in the same area reported lower numbers, but the data still showed surprisingly high coverage – above 80%. People at this meeting quickly said they were ‘tired’ of hearing about coverage rates because of the well-known data quality issues. This frustration with data quality has echoed at nearly every immunization stakeholder meeting I’ve attended. Clearly inaccurate data is less meaningful – and less useful. It could be worse than no data at all.

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02.10 2017
Dr. Chan and me on the University of Washington Campus

One of the highlights of University of Washington’s symposium celebrating ten years in global health was seeing the Director General of the World Health Organization, Dr. Margaret Chan. Dr. Chan was charming as ever, with a spring in her step and a smile on her face. Perhaps it is because she is nearing the end of her term (her successor will be chosen during the upcoming World Health Assembly) that despite moments of levity, her words had a more sobering ring.

Dr. Chan painted a complex picture of the world in which global health professionals work.  We are confronting new diseases and old diseases, dealing with post-antibiotics and post-truth. She warned the attendees that some believe a long-standing social contract has been broken and “we are now living in a world that has lost its moral compass”. Before we could wallow in our collective struggle, Dr. Chan laid out four priorities to help guide health policies and programs.  Here’s what they mean for our work at VillageReach.

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02.03 2017

Version française

As someone who has dedicated his life to public health, I am thrilled to see Africa’s leaders making a bold commitment in support of immunization. The African Union endorsement of the  Addis Declaration on Immunization (ADI) demonstrates that vaccines, and the proper health systems to deliver them, play a significant role in the future of our continent.

Measles and many other diseases preventable by vaccination have a devastating potential. Even a few years ago, rural communities had a saying: to know how many children you have in your household, wait for the measles. Measles epidemics have decimated children in times past. This was the case of the Mankanza territory in the province of Equateur, located 220km from the provincial capital, Mbandaka, and accessible only by water. Many, many children were buried because the measles vaccine had not yet come to their communities until 1996. The few survivors can still recall the impact of these measles epidemics. Even with sub-optimal immunization coverage, once the vaccine came, no epidemics occurred.

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02.03 2017

English Version

Comme quelqu’un qui a consacré sa vie à la santé publique, je suis ravie que les dirigeants Africains se soient engagé ardemment à soutenir la vaccination. L’adhésion de l’Union Africaine à la Déclaration d’Addis-Abeba sur la vaccination démontre que les systèmes de santé adéquats pour la livraison des vaccins jouent un rôle important dans l’avenir de notre continent.

Les maladies évitables par la vaccination—tel que la rougeole—ont des conséquences catastrophiques. Il y a quelques années, les habitants de plusieurs communautés rurales en RDC disaient :« il faut attendre le passage de l’épidémie de rougeole pour savoir combien d’enfants tu as dans ton ménage ». Dans le passé, ces épidémies étaient responsables de la mort de nombreux enfants. Cela a été le cas du territoire de Mankanza dans la Province d’Equateur en RDC. Mankanza se situe à 220 km de Mbandaka (chef-lieu de la province) et est une zone totalement riveraine. Le vaccin contre la rougeole a été mis à disposition vers les année 1996. Dans les années précédentes, cette maladie aujourd’hui évitable a emporté des milliers d’enfants simplement parce qu’ils n’étaient pas vaccinés. Malgré la faible couverture vaccinale, à partir de l’introduction du vaccin contre la rougeole, aucune épidémie n’est survenue dans cette contrée, et les rares survivants peuvent encore témoigner à l’impact mortel de cette maladie dévastatrice.

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02.01 2017

Versão português

With the endorsement of the Addis Declaration on Immunisation, African leaders demonstrated their commitment to life-saving immunizations.  The Declaration names a number of components – ten, in fact – crucial to realizing the full benefits of immunization.  But there are many more pieces in the day-to-day work of getting vaccines to children.  These are the pieces I think about as I do my part in reaching global vaccine goals.

Depending on the day, I’m thinking about things like this:

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Malawi healthcare worker