NIGERIA: Breaking Down Barriers to Immunization Coverage
Annual deaths of children under age 51
7,718,736 REST OF THE World
child
For every
under age 5 that dies
in the U.S. of the leading vaccine-preventable
diseases*,
die in Nigeria1 —about 35
school buses full of children.
1,744
*pneumonia, diarrhea, whooping cough, tetanus, measles, and meningitis
U.S.
nigera
1,076,613 Nigeria alone
SCALING UP TO
100
80
60
40
20
0
90%
vaccine
coverage*
in NIGERIA
will save more than
will avert u.s. $17 billion
in economic losses
*Hib, Pneumococcal, Rotavirus, Measles, Pertussis
= $1 BILLION
600,000 lives
over the next 10 years 2
= 100,000
lives
LOWER IMPACT
HIGHER
Taking Aim at Child Deaths: Best Bets for Scaling Up Immunization Coverage 3
Transportation contracts
Results-based financing
Vehicle distribution
Recurrent vaccine budget
Conditional cash transfers
Performance tracking
Maintenance contracts
lexible funding, donor
F
guarantees, state-level
basket funds
Management training
Satellite cold chain storage
facilities, solar refrigerators
Transition of donor-funded
projects to state agencies
Political advocacy, state
health agency support
Independent data checks
Mobile immunization units
Health care vouchers
SMS reminders to parents
SMS reminders to staff
LOWER HIGHER
FEAS IB ILITY
Financing and Vaccine Security Transport Cold Chain Performance Management Advocacy and Leadership Demand Creation
World Health Organization Child Mortality Estimates for 2008. www.thelancet.com/journals/lancet/article/PIIS0140-6736%2810%2960549-1/fulltext
Stack, M. L., Ozawa, S., et al. (2011). “Estimated Economic Benefits During The ‘Decade Of Vaccines’ Include Treatment Savings, Gains In Labor Productivity.” Health Affairs 30(6): 1021-1028.
3
Wonodi, C., Stokes-Prindle, C., et al. (2012). “Landscape Analysis of Routine Immunization in Nigeria.” IVAC.
1
2