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Watch as Eric Mafuta discusses the importance of effective management across all phases and levels of a vaccination program. (Step 2.4)
ERIC MAFUTA: We will also, today– as I said– talk about management. The management is a set of principles relating to the function of planning, organizing, directing, and controlling, and the application of this principle to other things– physical, financial, human, and informational resources– efficiently and effectively to achieve organization goal. During polio health program, we have three phases in the management. We have a pre-campaign management phase. We have intra-campaign management activity and we have post-campaign management activity. In per-campaign, we have– for example– to establish readiness to microplanning to prepare the team and to train them and to carry out social activity. So we have to plan all this activity during the pre-campaign management phase.
During the intra-campaign management, we have to plan about field implementation of supplemental immunization activities, supervision of team activities, monitoring, and to try to correct all challenges we are facing during the campaign. In the post-campaign, we have to plan evaluation activity. There is a critical role that play the district level. In a lot of country, we have a local level, which is supervised by a district level and after we have intermediary level and the upper level. So in polio activities, the district level plays a critical role. All the activity is not done by– they have support from the district.
And in the district, we have to put together a team which involve local administrative authority, traditional authority rulers, other sector such as NGO, religious sector, private sector, to work with partner and also other team member of the polio group. During the management or [INAUDIBLE] time, we use some tools such as the tally sheet. Here we have an example of a tally sheet. And this sheet, you have information that you have to fill. So, for example, you have first to number all the houses in the community. And after, [INAUDIBLE] this house, you have to number the number of target child.
And after the immunization activity, you have to fill for the number of children which are with currently and normally vaccinated and the number of children that have to be followed up. And at the bottom, you have a summary of the activity for a community– for example. This data can be also used to fill in other tools. And these tools, we have to follow-up the missing child in their house. So we have the name of the village. We have the number of the house. You have the name of the family. And the SIM data that we filled about the missed child, the planning activity, and other related to documents, all the information about the immunization activity.
During the immunization, there is another important activity related to the supervision, but also the training of vaccinator. So during this strategy, we have to train team members about house-to-house vaccination strategy. They have to learn from previous rounds activities. They have to be developed in their interpersonal communications skill. How to deal with refusal. And to have what are the frequently asked question so they can be more prepared to carry out activity. And each day after team work, the team
usually handle the activity around 2:00 or 3:00 PM. And they meet together to discuss, to review progress of work, challenges, success, and to plan the remainder activity. So it’s important to know that this activity of evening meeting is carried out at the different level of the health system. Each level is meeting. That is [INAUDIBLE] others information so they can aggregate more information and try to address what was the challenge for the lowest level.

Eric Mafuta, MD, MPH, PhD School of Public Health, University of Kinshasa, Democratic Republic of the Congo (DRC)

Successful implementation of programs necessitate effective management of activities across all phases of a program (for example, before, during, and after a vaccination campaign), as well as across all levels of a program (i.e. global, national, and sub-national).

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Planning and Managing Global Health Programmes: Promoting Quality, Accountability and Equity

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