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Due to conflict, socio and cultural norm and poor access of communities to health services Kandahar, Helmand and Zabul has become the deprived provinces of the country where people living in hard-to-reach areas have limited access to health service especially immunization. According to AHS survey proportion of fully immunized children was 5%. Massive outbreaks of vaccine preventable diseases including measles, pertussis reported from the provinces.  To meet up with the needs with support of our Client the micro plan at provincial level has been revised and the white and unreached areas are identified. Currently the BPHS NGOs in these provinces don’t have the capacity under the HER project to recruit outreach vaccinators and cover the white areas. the need to have adequate and capable manpower to provide routine immunization outreach services at village and community level becomes imperative. With support from our Client, PEMTs and BPHS NGOs will ramp-up its human resource capacity as of Polio support to EPI to strengthen provision of EPI services in Kandahar, Helmand and Zabul provinces. Recruitment of additional outreach vaccinators will contribute to addressing of the reported/observed demand and supply side issues faced by the provinces.

Specific tasks and responsibilities

A.     Health facility monitoring and supervision.

1.      Visit at least 20 HFs (EPI fix, outreach, mobile) once in every month to monitor, supervise and support vaccination team in HFs and MHTs visited and ensure that EPI activities are implemented according to plan and best practices.

2.      To provide on the job training for vaccinators during visit based on observed and documented evidence in areas that require improvement.

3.      To flag and report urgently any challenge/issue that require urgent attention of the R/PEMTs, DoPH, R/PEOC

B.     Polio Eradication

1.      Participate in NID (National Immunization days) monitoring and support vaccination teams to ensure they have adequate supplies, and implement campaign based on plan and assist in resolving any refusals that may be encountered by the teams.

2.      Participate in evening review meeting and ensure all reported/observed weakness are address as part of plan for subsequent day campaign activities.

C.      Reporting and coordination

1.      Prepare monthly report of the HF visit that include vaccine and non-vaccine supplies situation, good practices observed, areas requiring improvement, actions taken at field level and key recommendations for follow-up

2.      Share monthly report based on the agreed template, either online or hard copy or both as may be requested by the R/PEMT.

3.      Participate in EPI and PEI microplanning processes.

4.      Participate in EPI sub-committee meetings and R/PVLC and provide suggestions and recommendations on EPI improvement actions

5.      Participate in NGO monthly HF in charge meetings and provide constructive feedback on how to improve EPI performances based on the findings from the HF visits

In addition to above, the EPI Monitor Coordinator (EMC), one person to be selected from the monitors will

1.      Develop monitoring and supervision plan for all monitors and is to ensure all monitors implement those plans within the month

2.      Collate, analysis and provided harmonized EPI monitoring/supervision report each month to the R/PEMT, R/PEOC

3.      Carry out any other task assigned by the line manager

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