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Thoughts from the Last Mile Welcome to the VillageReach Blog

Tag Archives: #vaccineswork

08.30 2017
The first distribution of the Next Generation Supply Chain Initiative at the Konongo Health Center in DRC.

I am proud to announce that last month a team composed of provincial government and VillageReach staff successfully conducted the first direct distribution of vaccines and family planning commodities in the Equateur Province of the Democratic Republic of Congo. Under the Next Generation Supply Chain Initiative, this constitutes a major milestone worth celebrating. It represents more than a year of planning and advocacy to engage government leaders and partners (UNICEF, ECC CORDAID, SANRU, OMS, and Croix Rouge) to take bold steps toward change to ensure more reliable delivery of vaccines and other essential health commodities to “the last mile”, often the most remote and hard-to-reach communities in DRC.

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08.14 2017

Reposted from Rails Girls Summer of Code.

Who, us?

Hola! We are Protichi Basak and Nikita Gupta, fresh Computer Science graduates from IIIT-Delhi, India. And if you were to believe our batchmates, we were amongst the nerdiest girls there (something which gives us more pride than embarrassment for some reason). 😛 Although we have known each other for four years, our friendship feels like decades old already. It brings a smile to our faces every time we remember our first day, where every student was asked to introduce themselves to the entire batch, but Nikita used that opportunity to find her roommate Protichiinstead, for she found the name so unique! Being roommates from the very first day of college we have been partners in all craziness ever since. Yet we are poles apart. While Protichi is a trilingual, hardcore fish-lover hailing from the lands of Bengal, Nikita is a strict vegetarian from North India mad about Rajasthani folk and food!

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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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01.31 2017

English Version

Com a aprovação da Declaração de Adis Abeba sobre a Imunização, os líderes africanos manifestaram o seu compromisso para com as imunizações que salvam vidas. A Declaração indica várias componentes – de fato dez – que são decisivas para realizarem-se os plenos benefícios da imunização. Mas existem muitos mais elementos no trabalho quotidiano de fazer chegar as vacinas às crianças. Estes são os pedaços nos quais penso enquanto dou a minha contribuição para alcançar as metas para as vacinas a nível mundial.

Dependendo do dia, estou a pensar em coisas tais como as seguintes:

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01.19 2017

Collaboration is at the heart of a unique public-private initiative to increase availability for a range of health products in Mozambique. Tete provincial health authorities, Médecins Sans Frontieres (MSF), and VillageReach have partnered with the private sector company Confianca Absoluta to bring HIV medicines, vaccines and medical kits to rural health clinics. A new case study looks at the first six months of this initiative. It outlines the details of the partnership, benefits to date including increased availability and efficiency, and considerations for governments interested in outsourcing as a way to improve transport for essential medicines.

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01.10 2017

With the New Year upon us, I wanted to take this opportunity to reflect on some of the most important milestones that you, our partners and donors, have helped us to achieve this past year. With your support, we are reaching more people, proving the potential of emerging innovation, and working with new partners to increase access to quality healthcare at the last mile.

Reaching More


_x8a8078Chipatala Cha Pa Foni (CCPF, or “Health Center by Phone”) expanded
 to three additional districts in Malawi, reaching an additional 400,000 people, and ensuring that mothers like Patuma have access to health information, advice and care, no matter where they live. Airtel remains central to this growth as we work with the Ministry of Health towards national scale-up. New ventures like CCPF for Adolescents and collaboration with Johnson & Johnson are helping to enhance the quality of the service and expand its
potential to reach and serve more.

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