#1གསོ་བའི་ལྷན་ཁག། དཔལ་ལྡན་འབྲུག་གཞུང་།། འབྲུག་ཐིམ་ཕུ།། Ministry of Health, Royal Government of Bhutan, Thimphu, Bhutan Twelfth Meeting of the South-East Asia Region Immunization Technical Advisory Group (SEAR-ITAG) Country Presentation: Bhutan 9-11 August 2021 ས་ལ ས་རྣམ བྱངས་ལྡན་འཁྲུག་པ་ཆེན བན་ - A FEE#2Immunization Coverage 2020 Total Population: 748,931 (Source Population and Housing Census 2017) Antigen Target Population Under 1 years Nos. of doses administered Coverage in Percentage BCG 11,024 10,,854 98 Hep, B. Birth Dose 11,024 9348 85 DTP-Hep.B-Hib, 3 10,600 10,040 95 PCV 3 90 10,600 9,548 OPV 3 10,600 10,151 95 IPV 1 10,600 9,853 93 MMR 2 10,600 10,557 99 HPV 2 5771 5,287 92#3Routine Immunization in the Context of COVID-19 Pandemic . Contingency plan was developed to ensure provisional of essential health services in the worst case COVID-19 pandemic scenario ⚫ In 2020 There is no major disruptions in the delivery of normal routine immunization services In 2021 in few areas the frequent lock down due to COVID-19 pandemic routine immunization services were disrupted and services were provided in zoning system as a mobile clinic/ Lock down is over • No vaccines stock out in 2020/2021 as of now IPV 2nd dose Introduced from 1st July 2021 at 8 Months#4Vaccine Preventable Disease Surveillance 2020 AFP case AFP rate Non Polio AFP rate Percentage AFP case with adequate stool sample 6 2.19 2.19 100 2021 1 1.05 2020 Measles (121) Rubella (121) total sample tested 2 positive case 3 Positive case 2021 (67) Total Sample Rubella Tested 2 Positive Case (67) Sample tested 1 100#5Issue/challenges on VPD Surveillance COVID-19 pandemic has disrupted the routine mechanism of specimen shipment both within and outside the country Restriction on movement to outbreak site (in case there is one) due to COVID-19 pandemic and delay in shipment of specimens. Health workers focus more on COVID-19 Sustain High MMR 2 coverage but still few cases of Measles and Rubella Reported#6Way forward for Routine Immunization /VPD Surveillance • To conduct EPI coverage survey in few districts to validate the coverage report in 2022 • To advocate the general public on the importance of immunization through various media platform . . . To investigate every positive case of Measles and Rubella To sensitize the new health workers on reporting and investigation of VPD Surveillance To conduct vaccine effectiveness study in the two different vaccine recipients group Conduct vaccine study on safety in pregnancy Continuous disease surveillance and monitoring for varaints of concern • To monitor the vaccination status during the pre enrolment of school both in Government and Private schools#7THANK YOU