PLANOS PAV

This comprehensive Multi Year Plan (cMYP) has been completed first as a planning document for EPI in Mozambique and then as a requirement for extended GAVI support for pentavalent vaccine for the EPI through the Ministry of Health of the Government of Mozambique. The Multi Year Plan contains a brief review of the country and its economic situation. The organization of health services provision is outlined and a brief history of the EPI programme provided. A comprehensive review of all aspects of the EPI programme was conducted in April 2006 at district level. A thorough and critical analysis of the coverage, service delivery, vaccine supply and logistics, advocacy, surveillance and monitoring, programme management and the ability of the EPI to secure sustainable financing was conducted. On completion of the situation analysis, an assessment of the Strengths and Weaknesses was conducted to determine how existing best practice could be maintained and where future management initiatives must be undertaken to enhance service delivery. Using the Comprehensive Multi Year Planning Costing Tool Vesrion 2.2, a full costing and financing of all aspects of EPI was conducted reviewing the cost of vaccines, personnel, transport, cold chain and the provision of shared services with a view to ascertaining estimated total cost for the period 2009-2013. Analysis of current and future financing and the sustainability of the activities of the EPI were assessed. The conclusion drawn is that the EPI at present is heavily dependant on donor support. The final section of the cMYP sets out a comprehensive plan for 2009 setting out objectives and strategies for strengthening current service provision by increasing coverage, improvement of the cold chain, reducing dropout and provision of training for the introduction of the Pentavalent vaccine in 2009. The comprehensive Multi-Year Plan 2009-1013 is one year longer than the National Health Sector Plan of Mozambique, and is to a great extent linked with the Medium Term Expenditure Framework (MTEF) of Mozambique 2007-2009, MDG 4 & 5, and IHP+. However, the Director of Planning has reassured the working team the last year of funding for the cMYP will be adequately catered for by her department. The cMYP sets out the priorities to strengthen EPI service provision at Central, Provincial, District and Health Facility levels. It will be the working document for the Ministry of Health and EPI management with the overall goal of achieving the Millennium Development Goals.