The objectives of the GAVI type B and HSS projects include:

*To increase immunization coverage in-children under 5 years of age and reproductive and child health services in other 100 deprived rural communities within two districts in Ghana by June 2014
*To strengthen local capacity and health management support system
*To facilitate the delivery of outreach services to the selected hard to reach communities
*To strengthen the capacity of community volunteer In advocacy, I.E.&C, vital data collection systems.

*A total of 19,015 children were given Oral Polio Vaccine (OPV) whilst another 1,135 were given vitamin A
* Mobilized 4,050 under 5 children for immunization services *Supported the GHS to reach their highest figures in NIDs in 30 hard to reach communities in Adaklu Anyigbe
*Sensitize over 7,578 people on immunization through community durbars
* With mobilization support from the GCNH in twifo Ati Mokwa, the NID on Measles-Rubella 1st and 2nd phase achieved 120% and NID on polio in the same district achieved 109%


* Mobilize CSOs, CBO, Community actors and other stakeholders to prevent the transmission of Ebola and ensure community preparedness to address the disease should it occur
* Train stakeholders to address Ebola prevention, contact tracing, detection, management and dissemination. .

*The project reached over 150 communities, 65 mass groups, 1000 households in each of the eight project sites
*6,500 benefited at the end of the first reporting face
*Engaged several media including GNA, Peace Fm, Tv3, Multimedia and other regional media houses.


*To develop performance indicators and monitoring tools to gather data to generate ample and factual evidence of ability of skilled personnel and EmONC facilities in selected districts in the country that will enable Civil Societies and health advocates to push for more commitment of resources and attention to the issues.
*Train selected monitoring teams on the use of tools developed to facilitate data gathering in health facilities at the district level.

* Regions and districts health facilities monitored to ascertain the level of availability of skilled personnel, and equipment to guarantee the skilled delivery and EmONC services.
*Data collected on budget disbursed and spent on skilled delivery and EmONC as stated in the MAF operational Plan by MAF monitoring teams in regions and districts.
*Capacity of regional MAF monitoring teams built on advocacy and tools a developed to improve transparent and credible media in all 10 regions for skilled delivery and EmONC services to ensure value for money.
*MOH, GHS, Development Partners and Parliamentary select committee on health and finance met to share findings and implications on maternal mortality.
*Reported on Budget, Disbursement, utilization, and outcomes for the 2012 and 2013 on skilled delivery and EmONC published and evaluated to inform the success or otherwise of the MAF intervention from the perspective of civil society.
*Inter-Agency committee meetings on maternal and child health held as proposed in the MAF document and CSO actively participating.


*Develop a uniform national Monitoring and Evaluation (M&E) Tool on SRHR
*Build the capacity of CSOs to integrate the SRHR M&E tool into SRHR programming
*Establish a dialogue with CSOs and government on how CSOs can actively participate in national decision-making on the governments SRHR interventions

*Developed tool to monitor SHRH issues in the Public Health Facilities
*Develop Compendium of laws on SRHR in Ghana
*Printed and distributed 200 copies of the compendium of laws to GCNH members and other stakeholders.
*Trained 60 Local NGOs in social and Behavior Change Communication (SBCC) on SRHR issues


*Improve CSOs platforms Functionality
*Improve CSOs platforms Sustainability
*Improve Capacity to contribute to national health sector planning
*Supported the development of strategic plan for the platform (GCNH) in Ghana
*Supported the development of Advocacy plan for the platform
*Supported the development of the Communication Strategy for the platform
*Functional Structure of the platform-holding quarterly BoT meetings, Bi-Annual Governance Council meetings, and Annual General Meetings.
*Supported social mobilization for immunization in 10 low performing districts in 2 regions Brong Ahafo and Northern region
*Supported media advocacy of GCNH
*Supported training on Gender and Gender Analysis tools to ensure gender mainstreaming in programing.
*Conducted Social Network Analysis training for GCNH to help GCNH identify strategic partners.


*258 communities were selected for project implementation
*69,397 people sensitized and educated on the importance of childhood immunization through community outreach (churches/mosques/house to house), community Durbar and community leaders forum.
*258 community Durbars were held, and awareness created on the benefits of childhood immunization among 19,879 people.
*1000 T-shirts, 500 posters, 700 flyers were printed and distributed to IPS for community level education and sensitization.
*192 volunteers recruited and trained.



*Trained 100 community leaders as immunization advocates and agent of change in their communities
*Trained 60 community health volunteers and 80 Community Health Nurses to support the immunization outreach in the communities
*Formation of 1 community Health committee and revived 4 community Health committees in North Dayi district
*Social mobilization activities have reached out to 2,473 people with immunization education and sensitization.
*A total of 49 children have been mobilized for immunization services. Out of the number, 7 were immunization defaulters.



The Immunization Advocacy Initiative seeks to advocate for ‘an increase in Domestic Immunization Financing. This is because the cost of immunization in Ghana is partly paid by GAVI, the vaccine alliance. GAVI, however would be exiting by the year 2024, hence the need for the Government of Ghana to fully cater for immunization expenses in the country.
Specifically, the project seeks to achieve the following outcome;
*To sustain increment of GOG allocation to immunization year on year.
*To ensure the full allocation to immunization is disbursed and spent.
Output of Activities
*EPI Policy of Ghana reviewed with the help of a Consultant. *16 Local level NGOs selected are equipped with policy brief writing and review skills to implement immunization Advocacy at district level.
*16 Local level NGOs training on Community Score Card to be implemented at the district level.
*4 Volunteers selected to support immunization advocacy are also equipped with policy brief writing and review skills in 16 districts.
*Stakeholder workshop held and inputs solicited from actors in the Immunization Programme

Semih Durmuş Haberleri