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In Mali, the northern regions (Kidal, Timbuktu, Gao) and some of the south (Sikasso, Segou, Mopti) were known as areas at risk since the beginning of the 2012 security crisis, because they have low immunization coverage of children and women of childbearing age. Nowadays, with the proliferation of gold panning areas and the important movement towards the urban areas (several large cities including Bamako), the rate of the non-respect of the vaccination calendar, and that of absence of children during supplementary immunization activities (SIAs) increased. Low immunization coverage is linked to problems with continuity of immunization services, under-reporting of data, inadequate provision of vaccine health facilities, failure to reach high-risk and underserved populations.
The low percentage of possession of vaccination cards could be explained by the non-compliance of the supply chain, the insufficiency of interpersonal communication on card retention and the high cost of cards in some parts of the country. However, certification standards for poliomyelitis eradication (non-polio acute flaccid paralysis (AFP) per 100,000 children under 15 years of age and the percentage of stool removed within 14 days of onset of paralysis) were achieved in the last three years, despite the disparity between regions. Only the Kidal region has not reported cases during the last three years, which may be due to insecurity (PPAC 2017-2021). The last polio case detected in Mali is an imported case that dates from September 2015. Response campaigns with specific activities were organized as a response with a strong focus in the districts hosting gold panning areas with a great number of Guinean and Malian population.
The communication efforts provided by the Government and partners continue to contribute significantly to informing a large section of the community about vaccination activities, with various channels and communication media including mass media, traditional communicators’ approach and other communication tools.
According to the 2015 immunization coverage assessment, the percentage of fully immunized children from 12 to 23 months is 60.29% for the whole country compared to 62% in 2010. This rate has slightly decreased (between 2010 and 2015) with disparities between health districts. As for the dropout rates according to the results of the survey (2015), they are 19.9% for Penta1-Penta3 and 21.17% for BCG-VAR. these rates are higher than planned objectives (<=10%).
Regarding women immunization status, only 42% of them are completely vaccinated and the proportion that has received no vaccine is 9.7%. The results of the latest polio National Immunization Day (NID) independent monitoring in April 2016 and April 2017 showed a lack of interpersonal communication and social mobilization: the rate of parents informed in April 2016 is 82% (under the required 90%) with 4.1 % missed children. The results of April 2017 reveal that 76% of parents are informed. The Lot Quality Assurance Sampling (LQAS) results show that there are 22 rejected districts out of 65. These figures show that, in reality, there are efforts to be made in terms of communication. It should be pointed out that the lack of control over gold washing areas and populations in insecure areas as specific communities is a problem in the implementation of vaccination activities.
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The C4D Specialist EPI Reinforcement will carry out the following tasks:
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For every Child, you demonstrate…
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UNICEF has a zero-tolerance policy on conduct that is incompatible with the aims and objectives of the United Nations and UNICEF, including sexual exploitation and abuse, sexual harassment, abuse of authority and discrimination. UNICEF also adheres to strict child safeguarding principles. All selected candidates will, therefore, undergo rigorous reference and background checks, and will be expected to adhere to these standards and principles.
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The successful candidate for this emergency recruitment MUST be available to commence work within 31 days of receivingan offer.
Please note that this is a non-family duty station.
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UNICEF is committed to diversity and inclusion within its workforce, and encourages qualified female and male candidates from all national, religious and ethnic backgrounds, including persons living with disabilities, to apply to become a part of our organization. To apply, click on the following link http://www.unicef.org/about/employ/?job=528428
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