Multi-Year Plans

Strengthening immunization systems and introduction of hepatitis B vaccine in Central Europe and the

Newly Independent States

St. Petersburg, Russian Federation, June 24-27 2001

Multi-year plans (MYP)

• A good immunization MYP outlines the strategies, actions and resources needed to reach all target groups with quality immunization services and achieve national targets for reduction of VPD

• The planning period is usually 3-5 years - so that medium-term strategic priorities and resource needs are clearly defined

• The exact format of a MYP can differ from country to country - according to health system structure, local needs and tradition

Planning cycle

Program assessment & evaluation

Analysis

Development / revision of MYP

Implementation Monitoring

National health plan

MYP for immunization

Annual immunization plan

Sub-national microplans

3 – 5

year

s

-1 y

ear

Region

s

Distric

ts.

Operational

components

Relation between immunization plans at national and sub-national levels

The five operational componentsof immunization systems

Service deliveryService delivery

Vaccine Supply Vaccine Supply & Quality& Quality

LogisticsLogistics

Advocacy &Advocacy &CommunicationCommunication

SurveillanceSurveillance

Three broader health systems functions provide the foundation for immunization operations

Components of a MYP

• Programme objectives• Activities including responsibilities for implementation and

costs – training

– introduction of new vaccines

– Accelerated disease control activities

– social mobilization

• Indicators (related to priority areas and targets)• Budget and financing• Time-line

Monitoring of MYP

• This is based on collection and analysis of a set of indicators selected by the national immunization program and included in its annual report

• In countries receiving donor support, progress should be monitored by the inter-agency coordination committee (ICC)

• National data are reported to WHO and UNICEF on an annual basis (April) and used in international reports and database

Main reasons for limited implementation of MYP

• Disconnect between assessment and plan– The plan does not address main problems

• Unrealistic planning– Inadequate funding

– Limited human resources

– Weak time management and priority-setting

• Responsibilities for implementation of activities not well defined

In conclusion:• A MYP is an important document because it outlines national

strategic priorities and resource needs for the medium-term

• It provides a framework for coordination of donors

• Health planners can use it for estimating and allocating national budgets and resources

• It is complemented by annual national and sub-national plans

• Finally, monitoring of implementation of the MYP is essential for fine-tuning or revision of strategies and activities

Multi-Year Plans

Strengthening immunization systems and introduction of hepatitis B vaccine in Central Europe and the

Newly Independent States

St. Petersburg, Russian Federation, June 24-27 2001