Sidama June 1-2024 Update on the last price

Good thing

1. COVAX project Review Hawasa June 1 , 2121

2. Regional Back ground

3. Public Health Facilities Types Actual Ratio WHO Standard Gaps Specialized Referral Hospital 1 1፡ 4,469,091 1 :3.5-5 Million General Hospitals 4 1:1,117,273 1፡1,000,000 1 Primary Hospitals 13 1:343,776 1፡100 , 000 32 Health Centers 137 1:32,621 1፡25 , 000 41 Health Posts 548 1:8,155 1፡5000 345

4. Advocacy and communication Launching ceremony conducted with the involvement of higher officials Regional level advocacy meeting with higher officials, religious and community leaders were conducted. Commination were made using local medias ( regional media, Sidama media network, Local FM ..) Demand creation was made using different community platforms and public gather i ng; religious institution, Market place..

5. Coordination Regional taskforce and 4 TWDs established TOR prepared for Regional Task force Role and responsibility shared between the sub-teams

6. Micro Planning and Target Prioritization MP for health Workers already summited to FMOH Microplanning forms for next target were translated to local language shared with Woreda Health office (to make easy for HEWs) Micro planning\MP and Repotin tem \Planning templet - Copy (2).docx The Region follows National direction for target prioritization, No region specific prioritization. Health sector Workers Elders ≥ 65 years 55-64 years with comorbid

7. Training cascading Regional level TOT training conducted as planned Cascading lower level trainings completed at all woredas and PHCUs as per the schedule

8. Vaccine distribution, Cold Chain System EPSA Hawassa hub distributed Vaccine and related supplies to all woredas timely as per the national distribution plan Non-functional refrigerators maintained in most woredas Strict direction given to monitoring cold chain system (since the vaccine have no VVM & preservative

9. Recording, Reporting and AEFI, Relevant recording and reporting tools were to Woredas. Infection prevention Surveillance, AEFI and research and development TWG established. Special direction were given to Woredas to strengthen post vaccination counselling (4 key immunization message) No any significant AEFI encountered so far

10. COVID 19 Immunization Regional coverage ( by dose received) Region Target population (No) Health Sector Workers Age ≥ 65 years and 55-64 years years with comorbidity Total vaccinated ( HWs,SS , >65yrs, 55-65 yrs ) Target Dose for HWs Vaccinated Coverage Target Dose for Aged Vaccinated   Coverage Over all target (Dose received) Vaccinated Coverage F M Total F M Total Coverage F M Total Sidama 25000 7216 9017 16233 65 70010 34637 43359 77996 111 95010 41853 52376 94229 99

11. Health sector workers vaccination coverage by sex disparity

12. Next Target Micro-planning and Final report progress 34 ( 92 %) Woredas Submitted Next target micro planning All Woreda Submitted final report officially (Except leku Town)

13. Major Activities conducted So far Joint supportive supervision Was conducted by focusing on low performing Woredas Based on the finding of JSS, regional conducted clustered review meeting ( Hawasa and Besa Daye Cluster) Regular participation in MOH EPI team zoom meeting Finalized first priority campaign report Recommend Strategy shift: Out reach service to create access to those who don’t have the capacity to visit HC

14. Challenge/Gap Competing interest Budget shortage (New region change ) Delayed MP for second Target

15. The way forward Finalizing Micro planning for next priority Conducting further advocacy, Social mobilization and program communication for next priority Strengthen Task force and TWG at all level