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Provinces in southern region has one of the poorest Routine Immunization coverages over the recent past and most districts are categorized as polio high risk. The sub-optimal routine immunization coverage contributes significantly to the polio high risk status. Aside immunization, and due to prolonged conflicts and inadequate access, deprivations for other health services (especially children and women services) and in WASH, education etc have further deteriorated the situation of children in the region. As a strategy to achieve polio free status in the region and address key child survival interventions, UNICEF has been implementing Integrated Service Delivery (ISD) through routine Immunization strengthening, provision of safe drinking water, education facilities etc. Through this agreement, UNICEF is supporting the recruitment of 56 vaccinators for Kandahar and 50 vaccinators for Helmand for a 1 year period. The objective is to accelerate coverage through enhanced vaccinations outreaches and deployment of female vaccinators at fix sites across selected health facilities in the 2 provinces.

Rational: Additional EPI vaccinators will assist the 2 provinces to fill in existing gaps (based on the national policy and contextual situations) to help reach more under 1-year children with EPI vaccines. Focus will be in many white and underserved areas that are not currently reached. This support will thus complement the existing vaccination activities for both BPHS and Non-BPHS facilities and all salaries/allowances of the additional vaccinators will be based on existing policies. The outreach vaccinators will also be provided with a motorbike from other funding sources to enable uninterrupted implementation of planned sessions.

While determining number and locations of additional vaccinators, following factors were taken into consideration-

·       Total no of vaccine administered per site per day.

·       Government regulation of minimum no of vaccinator per site.

·       Considering formidable no of female beneficiaries, adding female vaccinators.

·       White areas

·       Areas that need outreach vaccination.

• To actively participate in the development of vaccination plans (micro-plan) in coordination with the communities to ensure all target areas are covered.
• To conduct fixed vaccination activities in selected health facilities where gaps are identified either due to the existing policy and/or current vaccination coverages.
• To conduct outreach services in selected health facilities where gaps are identified either due to the existing policy and/or current vaccination coverages. Specifically, the outreach vaccinator should:
  • Plan vaccination schedules for outreach sessions as per the plan
  • Conduct the outreach sessions in consultation with CHWs and CHSs
  • Communicate with CHWs and CHSs before conducting the outreach 
    sessions.
• To correctly administer all EPI vaccines to all target children and women according to the BPHS and EPI policy/strategy at fixed center and/or during outreach sessions.
• To provide accurate and clear key information and messages to mothers and caregivers about the type of vaccines given, date of next appointment, the importance of the vaccination card etc.
• To manage vaccines and cold chain system according to the UNICEF protocols and EPI policy.
• To ensure that all vaccination information’s are recorded correctly in all forms/registers in line with the national EPI policy.
• To counsel and educate clients, the family, and community about importance of immunization.
• To analyze vaccination coverage/performance and take informed decision to address low coverage and drop out families through reminders to CHWs & CHS, visits, and reporting of such cases.
• To take active part in Polio and Non-Polio Supplemental Immunization activities.
• To participate in weekly meeting of health facility to share information and discuss the program progress.
• To identify and report immediately any problem which interferes in the delivery of immunization services and/or in achieving the program objectives to his/her immediate 
  supervisor.
• To increase awareness, encourage greater community participation and ownership that creates demand for health service 

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