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management of resources. D i s e a s e G o a l St r a t e g i e s 1. P o lio E r ad i c at io n Ro u t i ne im m u n iz a t i on ( OP V 3 ) SI A ( N I D s 。 ? Establish effective surveillance 。 others integrated with immunization. Targets of the 2020 – 09 EPI Strategic Plan (2) Immunization Challenges in the Africa Region ? Financial sustainability ? Reaching the unreached ? Introduction of / access to new vaccines ? Integrated into Health Systems ? Political mitment Some Financial Mechanisms for Immunization ? Vaccine Revolving Fund (Pan American Health Organization) ? Vaccine Independence Initiative (UNICEF) ? Poverty reduction strategic plans (World Bank) ? Global Fund for Children’s Vaccines (GF) ? Global Alliance for Vaccines (GAVI) ? Bilateral Direct Donor Support ? International Financing Facility for Immunization (GAVI) 。 74% reduction of measles deaths globally I n 1 9 99 , w he n MN T E I ni t i a t i ve wa s l a un c he d, 3 7 c ou nt r i e s in Af ri ca ha d no t e l i m i na t e d MN T T o da y : 8 coun tri e s ha v e e li m in a t e d MN T 1 3 coun tr i e s ar e e x p e c t e d to be v a li da t ed i n 20 0 9 1 2 a r e e xp e c t e d to b e v a li d a t e d in 20 1 0 amp。 Mo p u p ) A FP Su rv ei l l a n c e C er t i f ic a t i on 2. M e a sl e s M or t al i t y r ed u ct io n / E l i m i n a t i on Ro u t i ne im m u n iz a t i on S ec on d op por tu ni t y ( S I As ) C as e b a s ed s u rv e i ll a n c e V i t . A 3. M N T ( t e t a n u s ) E l i m i n a t i on Ro u t i ne im m u n iz a t i on T T 2+ i n p r e g n an t w om e n SI A ( W C B A ) C as e b a s ed S ur v ei l l a n ce f o r N T 4. Y e l l o w F e v er Co n t r o l Ro u t i