During the month of June the Ministry of Health completed
the third national round of tetanus toxoid
vaccinations for all females aged 12-45 years. The first two rounds were completed in
October and November of 2008. UNICEF
provided primary support for the TT campaign.
During the first two rounds WHO support was primarily for the
monitoring of campaign implementation in several districts.
With the support of WHO, measles vaccine was added to the
June 2009 round, targeting all children aged 9-59 months. Through the recruitment and backstopping of
local hires, WHO helped with the preparation of 3rd round microplans
in the three most populous districts.
During the round WHO supported and coordinated the participation of 8
international monitors; 3 from Nepal,
2 from Bangladesh, 2 from
CDC/Atlanta USA and 1 from Indonesia. These monitors were present for the first
two weeks of the campaign. WHO country staff also participated in the
There will not likely be additional vaccination campaigns
for the next 2-3 years, so the immunization programme focus is now expected
to shift to assessing routine immunization coverage and the development of
sub-district plans for increasing coverage.
WHO expects to have major involvement in this. At present, true routine immunization
coverage nationally is in the 60-70% range, depending on the antigen. It is thought that about 20-30% of the
national population does not presently have regular access to vaccination