Table 3 Regional disparities and gap analysis in immunisation services and expected outputs in sustaining national immunisation services in Ghana

Ashanti

• First dose measles immunization (Measles 1) coverage of 78.9%

• Have 95% of infants aged 12-23 months fully immunized by 2018 (measles2)

• Second dose measles immunization (Measles 2) coverage of 77%

• Have 80% facility staff trained on EPI

• Fully immunized infants aged 0-11 months rate of 66. 9%

• Communities with outreach/static points increased from 63.9 to 80%

• Only 63.9% of Communities have outreach/static points

Brong Ahafo

• First dose measles immunization (Measles 1) coverage of 82.2%

• Children 0-11months vaccinated increased from 82.2 to 95%for measles 1

• Second dose measles immunization (Measles 2) coverage of 75.1%

• Children 18-23months vaccinated increased from 75.1 to 95% for measles 2

• Tetanol-diphtheria (Td2+) coverage of 73%

• Women with 2 or more tetanol-diphtheria vaccinations (Td2+) increased from 73 to 80%

Central

• Fully immunized infants aged 0-11 months rate of 70.9%

• Proportion of health facilities who had at least 80% of health care workers trained on EPI (Routine

• Second dose measles immunization (Measles 2) coverage of 59.2%

Immunisation) within last 2 years increased from 35% in 2014 to 80%

• Tetanol-diphtheria (Td2+) coverage of 60.8%

• Proportion of communities in the region which had a fixed or outreach EPI service delivery point increased from 55.5% in 2014 to 85%

• Only 55.5% of Communities have outreach/static points

• Proportion of infants aged 0-11 months fully immunized increased from 70.9% in 2014 to 80%

• Only 35% of health facilities had at least 80% of health care workers trained on EPI within last 2 years

• Proportion of children aged 12- 23 months who received second dose measles during the past year in region increased from 59.2 in 2014 to 80%

• Proportion of expected pregnant women who received Tetanol-diphtheria (Td2+) during the past year in region increased from 60.8% in 2014 to 75%

Eastern

• Only 60% of health facilities had health care workers trained on EPI within last 2 years

• Eighty percent (80%) of health facilities have their staff receiving in-service training on EPI (Routine immunisation) in the region

• Second dose measles immunization (Measles 2) coverage of 64.5%

• Coverage of children aged less than 23 months receiving second dose measles increased from 64.5 to 95%

• Tetanol-diphtheria (Td2+) coverage of 31.2%

• Tetanol-diphtheria (Td2+) immunisation of expected Pregnant women increased from 31.2 to 60%

Greater Accra

• Only 66.7% of health facilities had health care workers trained on EPI within last 2 years

• Have 90% of facilities trained at least 80% of their Health Care Workers on routine EPI

• Fully immunized infants aged 0-11 months rate of 70. 9%

• Have 80% of children aged 0-11month are fully immunized

Northern

• Fully immunized infants aged 0-11 months rate of 69%

• Health care workers trained in EPI increased from 69.2 to 95% in Northern region

• Second dose measles immunization (Measles 2) coverage of 47%

• EPI service delivery points in Northern region increased from 75 to 95%

• Tetanol-diphtheria (Td2+) coverage of 85%

• Children 0-11months have receiving third dose of pentavalent vaccine in Northern region increased from 80 to 90%

• Only 69.2% of health facilities had health care workers trained on EPI within last 2 years

• Second dose measles coverage increased from 47 to 85% in Northern region

• Only 80% of Children 0-11months had third dose of pentavalent vaccine (Penta3)

• Tetanol-diphtheria (Td2+) coverage increased from 85 to 90%

• Only 75% of Communities have outreach/static points

• Coverage of fully immunized children increased from 69 to 80%

Upper East

• Only 2 of the 13 district were without stock outs of vaccines and logistics for immunization

• Second dose measles coverage increased from 43 to 60%

• Second dose measles immunization (Measles 2) coverage of 43%

• Tetanol-diphtheria (Td2+) increased from 68.1 to 70%

• Tetanol-diphtheria (Td2+) coverage of 61.8%

• Reduced number of districts with stock outs of vaccines and logistics at all levels

• Only 58.3% of Communities have outreach/static points

• Improved access to immunisation services in the region

Upper West

• None of the health facilities had at least 80% of health care workers trained on EPI within last 2 years

• The number of health facilities with at least 80% of staff trained in EPI increased from 0 to 60%

• Fully immunized infants aged 0-11 months rate of 91.2%

• The coverage of fully immunized infants age 0-11 months increased from 91.2 to 98%

• First dose measles immunization (Measles 1) coverage of 76.0%

• The coverage of first dose measles immunization for infants 0-11 months increased from 76.0 to 90%

• Second dose measles immunization (Measles 2) coverage of 70.1%

• The coverage of second dose measles immunization for children 12-23 months increased measles from 70.1 to 85%

Volta

• Only 69.8% of Communities have outreach/static points

• proportion of communities in region with a fixed or outreach EPI service delivery point increased from 69.8 to 80%

• Fully immunized infants aged 0-11 months rate of 78.2%

• proportion of infants aged 0-11 months fully immunized during the past year in region increased from 78.2 to 90%

• Second dose measles immunization (Measles 2) coverage of 64.2%

• proportion of children aged less than 23 months who received second dose measles immunization during the past year in region increased from 64.2 to 90%

• Tetanol-diphtheria (Td2+) coverage of 55.8%

• proportion of expected pregnant women who received Tetanol-diphtheria (Td2+) during the past year in region increased from 55.8 to 90%

Western

• Only 53% of health facilities had health care workers trained on EPI within last 2 years

• Proportion of health facilities with at least 80% of health care workers trained on EPI (Routine Immunisation) increased from 53% in 2014 to 70%

• Only 32.6% of Communities have outreach/static points

• Communities in region with a fixed or outreach EPI service delivery point increased from 32.6% in 2014 to 60%

• Fully immunized infants aged 0-11 months rate of 65%

• Infants aged 0-11 months fully immunized increased from 65% in 2014 to 85%

• Second dose measles immunization (Measles 2) coverage of 64.8%

• Children aged 12-23 months who had received second dose measles immunization (Measles 2) increased from 64.8% in 2014 to 85%

• Tetanol-diphtheria (Td2+) coverage of 52.6%