Goals & Strategies-English-speaking Caribbean Countries, VWA 2011 Country Target Population Vaccines Population Goal Numeric Goal Type of campaign Strategies

1. Adolescents 2. 1. Td, polio Health care workers and other front line 2. Varicella, Td, Hep Anguilla workers B, MMR To fully immunize target population Mop-up campaigns Launching of EPI Manual

Children 2-5 years of age who have Pentavalent, DPT, Everyday from 8:30 am to 4pm in all of defaulted on their schedule Defaulters MMR, polio To immunize defaulters Complete schedules the clinics during VWA One-day workshop for managers (public health nurses) and selected senior To conduct a one-day ESAVI workshop nurses on ESAVI monitoring and Community nurses Lack of knowledge for staff reporting

Ministery of Health facility To launch the EPI manual Distribution of EPI Manual

Entire population of Antigua and To engage the media to highlight Antigua & Barbuda Barbuda Population not aware of VWA Vaccination Week

Aruba

To increase immunization awareness The Department of Public Health plans and coverage through immunization to focus on vulnerable adult populations campaigns and social mobilization in whose immunization status is not order to achieve high immunization current; visits to nurseries and daycares coverage and eliminate vaccine to identify and immunize defaulters. Also Populations whose immunization status is preventable diseases from the Region Immunization campaign, all clinics will conduct immunization Bahamas Vulnerable adult populations, children not current, defaulters of the Americas social mobilization defaulter sessions to increase coverage.

Ages 3-7 years (approximately 2,000 Low risk of contracting measles, mumps, Mop-up campaign for Barbados children) and rubella in Barbados MMR Achieve 100% MMR coverage 2,000 MMR 2 vaccine Community-based outreach

Outreach sessions in districts with Susceptible children who have not Increase vaccination coverage among Social mobilization and lowest MMR coverage; visits to Belize Children 2-5 years of age completed immunizations chedule MMR, DPT, and polio susceptible children 3,375 catch-up preschools and 1st year primary school.

General adult population Bermuda Parents of defaulters Defaulters Increase public awareness Communication campaign (booth during Increase population awareness island-wide cultural regarding the importance of vaccination General population all EPI vaccines Population education activity, fliers with epi

DPT+HIB+Topv, Pre-schoolers Children under 5 years of age in day-care MMR Increase coverage in target population 500 Catch-up campaign Migrant populations with department to obtain a Census department and health-care incomplete/unknown vaccination list of migrant Bonaire workers schedules populations

Children birth-11m Defaulters OPV. Pentavalent Improve/update coverage Mop-up Review clinic records/vaccination

Children 1-4 years old Defaulters MMR Update coverage Mop-up Clinic records search/public and private

Hepatitis, dipheria, British Virgin Islands Identified groups tetanus Ensure coverage Mop-up Vaccination/education

Cayman Islands

Sensitize the general population on the Social mobilization, printed material, 1. Children aged 6-9 years (vaccination speed-up campaign for accelerated public service annoucement, outreach activities) 2.General coverage of children aged 6-9 years Information to general program for parents. Survey to evaluate Curacao population (informational campaign) MMR2 with MMR public vaccination campaign results.

Last updated on 20 April 2010 Outreach to clinics, communities and work Adult population 19-35 years Not immunized against hepatitis B Hepatitis B To immunize all who are not immunized places

Persons who have not completed To continue the immunization of the Schools clinics School and clinic immunization activities Dominica 14-18 years old immunization against Hepatitis B Hepatitis B target group (mop up) community settings outreach to youth groups, etc.

French Guiana (doing EIW in conjunction with Documentation of measles and rubella France) elimination Heightened awareness and increased General population coverage Heightened awareness and increased General population Knowledge deficit on immunization coverage

Media personnel Occupational hazard Influenza 50% coverage Seasonal flu protection Promotion of influenza

District health staff and nurses at A&E TB screening/Training of district nurses Department at the General Hospital Nature of occupation Influenza 90% coverage of nursing staff Seasonal flu protection in Mantoux test administration

Midwifery Students Nature of occupation DT, Hep B Increased protection Catch-up

Secondary School students aged 14-15 Health education sessions in school yrs Incomplete series DT, MMR, polio Increased coverage Catch-up setting

Solid waste workers Nature of occupation DT, Hep B Increased protection Follow-up Health talks, BP screening Educational sessions to clients attending chronic disease clinics at public health facilities. Collaboration with Diabetes Persons afflicated with chronic Association for screening at selected diseases Compromised health status Influenza 60% coverage among clinic attendants Seasonal flu protection settings Increased protection among the farming Commencement/Follow- Farmers Occupational hazard DT community up BP screening, educational sessions

Immigration officers Occupational hazard Influenza Increased protection Seasonal flu protection BP screening, BMI screening

Form 3 Students Increased knowledge Essay competition

Increased awareness of surveillances of Power Point presentation at monthly Grenada Medical Association Members ESAVI meeting

Grenada Pharmacy Association Increased knowledge and adherence to Power Point presentation at monthly Grenada Members Limited knowledge of cold chain cold chain maintenance meeting

Guadeloupe (doing EIW in conjunction with France) op up ca pa g , outreach vaccination, school vaccination, High risk groups, defaulters, children Vulnerable groups who have not received To vaccinate vulnerable populations in community promotional Mobile outreach, school-based activities, Guyana who have missed doses, shut-ins all elegible vaccines MMR, YF, Tdap, Td Guyana activities open days at clinics, walk-in days.

Population living in low-coverage areas Vulnerable groups who have not Haiti and in camps around Port au Prince completed their vaccination schedules TBC TBC TBC

To improve compliance with the Principals and teachers in early immunization regulation of the public childhood facilities and primarys health law requiring adequate Health education/promotion through schools throughout the island (approx. vaccination of children for entry to sensitization workshops as well as Jamaica 350) None None schools. Educational media placements and releases. Martinique (doing EIW in conjunction with Documentation of measles and rubella France) elimination

Last updated on 20 April 2010 Farmers, fisherman Individuals working in fields, booster doses Td Follow-up Outreach programs, field visits

5-yr olds Transfering to primary school DT, MMR, polio School health follow-up Visit schools, follow-up at health centers

School visits, clinic visits for school 15 yr olds Booster doses due Td, polio To fully immunize target population School health follow-up health

All antigens as To educate Spanish-speaking Checking cards at visits, immunizing on Spanish speaking community Language barrier, lack of vaccine cards necessary community Regular clinic follow-up site

As necessary (Hep B Checking of cards, education of public, Montserrat At lease 90% of the population Study leave, travel history and YF) To sensitize public to EPI program Special clinics social communication

Saba

St. Bartholomew (doing EIW in conjunction with France) Administration of 2nd dose, Catch-up St. Eustatius Cohorts born between 1990-1995 Hepatitis B campaign Radio spot 1. Children and adolescents between 1. Achieve 100% vaccination coverage ages 2-19 years (5% of population). in children and adolescents. Link with the school health program 2. Adults population in reproductive 2. Achieve above 95% in the adult Child health program St. Kitts & Nevis years (20-49). Unimmunized population 2nd MMR population Mop-up campaign Workplace

St. Lucia pending

Vaccination outreach activity will be held in two districts, St. Peters at the Community Center and Cole Bay at the Charles L. Bell School between the hours of 18.00 until Children 0-17 years of age Children with incomplete schedules 20.00 Disseminate information on vaccination

Children 0-17 years of age Children with incomplete schedules Increase coverage and to catch up Open house Assess circulating knowledge on vaccination and to provide an Disseminate information on vaccination opportunity to promote vaccination Essay competition in the and recognize at least three students for Students 10-12 years of age information primary schools cycle 2 their contribution

Promotion of the existing vaccination program and adult vaccination/increase Media campaign, and maintain knowledge of vaccination distribution of flyers, General public in the community brochures and interviews Increase awareness on vaccination

Educational/refresher course to emphasize the need to be attentive in regards to vaccination schedule and the need to maintain the identified schedule of Training/reorientation for staff in correct/accurate data Strengthen vaccination knowledge St. Maarten Staff of vaccination program vaccination program, schedule and data analysis of the data amongst responsible group. National Immunization fair, National St. Vincent and the Farmers, nursing students, Immunization essay competitions, Daily Grenadines construction workers Hep B, Td To fully immunize target population 1,158 Health Word, Staff Award

Last updated on 20 April 2010 950 children in the communities with vaccination coverage for all antigens < 95%; 250 Rayon I (All 6 clinics), 175 Rayon IIA (Derde Rijweg, Flora, Welgelegen), 180 Rayon III (Latour, Livorno, , Domburg), 40 Rayon IV (Zanderij), 90 Rayon V (, Ellen, Alkmaar, ), 100 Rayon VI (Albina, Trans-migration: Wonoredjo, Bernharddorp), 40 Rayon • Inter districts • Pentavalent VII (Groningen, ), 70 Rayon • Intra districts (D,P,T,HepB, Hib) Achieve 95% vaccination coverage or VIII (Coronie, Wageningen, Nw • Hinterland and City • OPV higher, in urban/peri-urban communities Nickerie) • and French Guyana • MMR with low vaccination coverage 950 Mop-up campaign Link with the School Health Program

• Transportation issue/geographic accessibility issues prevent parents to visit 340 children (0-5 yr) in Brokopondo the health facility. Idem, including Yellow House-to-house visits with mobile clinic district (rural,hinterland) • Low coverage area Fever Idem, in rural hinterland communities 340 Catch-up (580 kilometers to be covered)

All school aged children along the Marowijne River (border French • Increase public awareness in Guyana): Albina, Mopikondre, • Transmigration between borders communities among local population Langatabiki, Nason, Ampuma, Suriname and French Guyana and health workers on vaccination. Gonsutu, Stoelmanseiland, • Reluctance of parents to present their Vaccination as • Introduce poster designed by French Joint launching of public awareness Suriname Kawemhakan health booklets when visiting clnics needed Guyana, to increase public awareness Social Mobilization poster with French authorities

Locate and immunize Integrate immunization activities into Infants under 1 year and children under unvaccinated infants and extended hours at selected health Trinidad and Tobago 5 years of age Exposure to wild polio virus polio, pentavalent Immunize 3,000 infants under 1 year 3,000 children centers.

Turks and Caicos Sub Regional Total 11,323

Last updated on 20 April 2010