Federal Ministry of Health, Addis Ababa, Ethiopia.
United Nations Children's Fund (UNICEF), Addis Ababa, Ethiopia.
Pan Afr Med J. 2020 Nov 16;37(Suppl 1):36. doi: 10.11604/pamj.supp.2020.37.36.26614. eCollection 2020.
The COVID-19 pandemic has disrupted immunization activities in many countries, causing declines in the delivery of routine doses of antigens, and the postponement of scheduled supplemental immunization activities (SIAs). Following the declaration of the pandemic, Ethiopia postponed nationwide follow-up measles preventive vaccination campaign which was scheduled for April 2020. The disruptions to routine services and the postponement of the SIAs increased the risk for measles outbreaks. The national authorities, in consultation with the secretariat of the National COVID-19 Pandemic Prevention and Control Ministerial Coordination Committee, subnational level authorities, technical partner agencies and stakeholders, reviewed the risks for measles outbreaks and decided to implement the nationwide measles SIAs, with strict implementation of COVID prevention measures. The revised micro-plans accommodated the additional human resource and logistics needs for COVID prevention, for which partner resources were mobilized to fill the gaps. The key SIAs preparatory and implementation activities including training, logistics, social mobilization, service delivery and supervision were modified to take into consideration the COVID context. Infection prevention and control supplies were procured and distributed as a package with the bundled vaccines and other supplies. The SIAs were completed in July 2020 and reached 102.8% administrative coverage nationwide, with 78% of the 1123 woredas attaining the target of 95% coverage. The strong commitment of the leadership, the coordination role of the national and regional COVID prevention and control taskforces, the engagement of community leaders, the use of multi-channel communication, the timely availability of additional resources and modification of the service delivery approaches contributed to the success of the SIAs.
COVID-19 大流行使许多国家的免疫活动陷入停顿，常规抗原剂量的接种工作减少，计划中的补充免疫活动（SIAs）也被推迟。大流行宣布后，埃塞俄比亚推迟了原定于 2020 年 4 月进行的全国性麻疹预防接种运动。常规服务的中断和 SIAs 的推迟增加了麻疹暴发的风险。国家当局与国家 COVID-19 大流行预防和控制部级协调委员会秘书处、国家以下各级当局、技术合作伙伴机构和利益攸关方协商，审查了麻疹暴发的风险，并决定实施全国性麻疹 SIAs，同时严格执行 COVID 预防措施。修订后的微观计划考虑到了 COVID 预防方面额外的人力资源和物流需求，并调动了合作伙伴资源来填补空白。关键的 SIA 筹备和实施活动，包括培训、物流、社会动员、服务提供和监督，都进行了修改，以考虑到 COVID 背景。感染预防和控制用品与捆绑疫苗和其他用品一起采购和分发。SIA 于 2020 年 7 月完成，全国行政覆盖率达到 102.8%，1123 个沃里达中有 78%达到了 95%覆盖率的目标。领导层的坚定承诺、国家和地区 COVID 预防和控制工作队的协调作用、社区领导的参与、多渠道沟通的使用、额外资源的及时可用性以及服务提供方法的修改，都为 SIA 的成功做出了贡献。
