HEALTH SECURITY

Coordination: EOCS, Strategic Planning, Guidelines development

Support to RI Coordinating Centers at National, State and LGA levels:
A public health concern was declared in June 2017 on routine immunization by the leadership of the NPHCDA and the FMoH following a very low survey coverage in the 2016 MICS/NICS with an attendant high number of unimmunized children. AFENET Nigeria, a major partner in the RI program, supported the NPHCDA during the inauguration of the National Emergency Routine Immunization Coordinating Center (NERICC) to strengthen RI leadership and coordination, improve detection and swift resolution of RI gaps and increase outreach services especially in very low performing states. AFENET Nigeria supported the NERICC team to develop TOR for the replication of the Emergency coordination center at the State (SERICC) and LGA (LERICC) levels with AFENET State and LGA staff also providing technical support at these levels in the AFENET supported states and the nation in general.

AFENET Nigeria has continued to support the development, implementation and monitoring of innovative strategies to revamp the RI performance at the national and in the AFENET supported States/LGAs and the nation in general through these Emergency RI Coordinating Centers.

Support to National Polio emergency Operation Center (NEOC)
The Polio EOC was established in 2012 when NPEEP 2012 identified management and technical surge capacity as strategic priorities for the Nigerian Polio Program. AFENET keyed into these national priorities and deployed staff to support the National EOCs and State EOCs functioning in various working groups including Operations, Polio Surveillance, Nomadic and Data Working Groups. Staff supported development and review of many guidelines and SOPs to guide implementation of activities and the eradication process. Amongst developed guidelines and SOPs are SOPs for Revaccination, SOPs for Campaign activities during COVID-19, Polio surveillance guideline, TORs for deployment of Rapid Response Team, Crack Team and Management Support Team among others. AFENET Polio team has been involved in the development and implementation of innovative approaches to eradicate poliomyelitis. We have been able to conduct immunization and surveillance activities to target populations in nomadic/mobile/riverine, hard-to-reach, underserved, international border and security compromised areas. Enumeration of target population among nomadic the population including mapping of nomadic routes are activities AFENET has carried out. We provided technical and financial support to conduct household-based microplanning and enumeration for immunization target population across the 36 states and FCT. Using GIS, we have been able to estimate the unreach population and determine the habitation status of settlements in the NE. AFENET is also involved in the deployment of critical human resources to provide technical support and supportive supervision for scheduled activities and this helped to advance the journey to polio eradication.

Disease Prevention:

Immunization, Health promotion, Reproductive and sexual health
Immunization: AFENET Nigeria has been involved in the national RI space since inception of the NSTOP in 2012 saddled with the responsibility to provide high quality and culturally competent technical field support staff in high-risk areas to implement the Polio Eradication Emergency Plan and Polio Eradication Initiative accountability framework. AFENET Nigeria provided visibility and ensured inclusion of the nomadic/migrant and underserved communities in routine and supplemental immunization planning and implementation through the conduct of enumeration and consistent follow up by dedicated field officers especially in neglected areas of the communities. Till date, AFENET Nigeria has continued to support the immunization program at the National, State and LGA levels with dedicated and resilient staff providing technical support and facilitating implementation of routine immunization and supplementary immunization activities including the accountability framework.

Disease Detection:

Surveillance:
AFENET surveillance goals are aligned with the global, regional and country specific public health surveillance goals. Since inception in 2008, AFENET Nigeria supports the Federal and State government ministries of health, National Primary Health Care Development Agency (NPHCDA) and the Nigeria Centre for Disease Control and Prevention (NCDC) to increase the precision associated with surveillance activities and reports to ensure early detection of new infections and monitoring of trends is assured
AFENET strengthens the training within the public health system to provide experts in surveillance implementation for specific disease eradication and or elimination programs. Specifically, AFENET supports

    1. Development of novel surveillance tools – Surveillance Outbreak Response Management and Analysis System (SORMAS) for the EBOLA outbreak response and current national surveillance tool for IDSR
    2. Development and review of surveillance guidelines; Integrated Disease Surveillance and Response guideline, Acute Flaccid Paralysis Surveillance guideline, Adverse Event Following Immunization (AEFI) guideline
    3. Capacity building at the subnational level for polio surveillance
    4. Strengthening of human resource for surveillance of priority diseases including emerging diseases at the national, state and LGA levels through deployment of highly competent surveillance personnel

Laboratory strengthening:

AFENET deploys manpower to support the laboratory strengthening efforts at the National level to ensure timely detection of pathogens.

    1. NCDC Implementation Support Unit to strengthen IHR implementation
    2. Lab specimen referral and transportation system as well as the NCDC laboratory network.