:

2013

2012

2011

2010

2013

9th Annual African Vaccinology Course

Cape Town, South Africa 25 November, 2013 to 29 November, 2013

Since 2005, NESI has been involved in building capacity in vaccinology for the Southern African sub-region through annual vaccinology courses with the University of Cape Town (UCT), South Africa, as local organiser. The 9th African vaccinology course was organised in Cape Town, South Africa, from 25 to 29 November 2013, and was hosted by the Vaccine for Africa Initiative (VACFA), based at UCT's Institute for Infectious Diseases and Molecular Medicine.

The objectives of the course were to introduce participants to the various disciplines associated with vaccinology including vaccine development, immunology, microbiology, clinical trials, safety, ethics, economics, evidence-based medicine, advocacy and communication, and immunisation programmes. At the end of the course, participants will have the necessary expertise to support national immunisation programmes, and to support high quality phase I-IV vaccine trials in Africa.

The course was attended by 59 participants from 19 African countries, with the following profile: EPI managers and staff, medical doctors, nurses, public health specialists, academics and scientists working in the field of vaccinology.

Lecturers are experts in the field of vaccinology from academia, industry and private practice. NESI gave lectures on the following topics: Vaccination schedules; and Hepatitis vaccines. NESI was also part of the "meet the experts" session, a session that allowed for questions and discussions.

Development of interactive resource for New Vaccine Introduction

Chongwe, Zambia 8 September, 2013 to 14 September, 2013

The introduction of new vaccines worldwide has highlighted the need for comprehensive training materials for healthcare workers who have been assigned the task of running immunisation sessions.

Three new vaccines currently being introduced into the African region are pneumococcal, rotavirus and HPV vaccines. A challenge is to train healthcare workers quickly and efficiently before the vaccines are in common use. To help achieve this, NESI, in collaboration with WHO, GAVI Alliance and ITEM Interactive developed an interactive video-based resource. The Ministry of Community Development, Mother and Child Health of Zambia kindly agreed for the filming to take place in Zambia, and recommended Chongwe District for all shootings.

The content of the resource was developed from existing WHO and local training materials to ensure consistency with the current training curriculum. Twenty to thirty minutes of video for each vaccine explain the need for the new vaccine and demonstrate how to store the vials, prepare for an immunisation session, administer the vaccines safely, communicate with the caregivers and safely dispose of used syringes, needles and vials.

Shootings were done in Chongwe, Zambia. Scenes in controlled environments as the district hospital and rural health clinics include infants suffering from diarrheal disease and pneumonia and demonstrate the best technique for administering the vaccines. Scenes in villages of Chongwe show how to improve hygiene, how breastfeeding builds a baby's immunity and how to care for sick children at home. For HPV vaccine, the filming was done in the Chongwe basic school. During the filming, the team was supported by staff of the Ministry of Community Development, Mother and Child Health of Zambia.

Comprehensive questions and answers at the end of each chapter of video reinforce the information presented and ensure it has been understood by the student or the healthcare worker. Additional references, posters, manuals and a glossary of terms have also been included on the resource. The interactive resource can be used for both face-to-face training and self-paced learning; is developed in English and French, and will be distributed on USB flash drives or memory sticks throughout sub-Saharan Africa.

The interactive resource on new vaccines is ready for field testing in selected countries in the WHO African Region. The field testing will take place during the first 6 months of 2014, during the same time period and in the same countries as the testing of the EPI/IMCI interactive resource. Both tools are complementary and should be tested and distributed simultaneously.

Eventually, when proven to be appropriate, both resources will be passed on to health departments and training colleges in the African Region. The resources are not intended to take over the role of face-to-face teaching or to replace other training resources but to complement them. The great number of healthcare workers and the fast turnover of staff in the African Region make this type of resources a valuable addition to healthcare worker training methodology.

STAKEHOLDER CONSULTATION WORKSHOP: Developing Training Materials for In-Service Health Care Workers to Strengthen Delivery of Immunisation Services within the South African Expanded Programme on Immunisation

Johannesburg, South Africa 15 July, 2013 to 16 July, 2013

A two day national stakeholders meeting was organized by the South African Vaccination and Immunisation Centre (SAVIC)/University of Limpopo and the National Department of Health in Johannesburg, South Africa, on 15 and 16 July 2013.

The workshop aimed to reach consensus on the development of immunisation training materials to improve and strengthen knowledge of current immunisation practices of in-service health care workers (doctors, nurses and other health professionals) working within the South African Expanded Programme on Immunisation.

The rapid development of innovations and new technologies in immunisation programmes requires that in-service health care workers are updated regularly if they are to cope with strategic changes and technical advancements they encounter in the workplace.

Specific objectives

To reach consensus on:

  • EPI training priority areas for which training materials should be developed;
  • practical strategies to implement the training;
  • training model to be adopted;
  • a management model suitable for training in-service health care workers;
  • and impact assessment tools.

The workshop was attended by more than 60 participants from the following organisations: National Department of Health, Provincial Departments of Health, WHO, UNICEF, academics of tertiary training institutions (EPI focal coordinators, teachers or tutors), statutory and regulatory bodies (South African Nursing Council, South African Pharmacy Council and the Health Professions Council of South Africa), the vaccine Industry, the Belgian and Flemish Development Cooperation, NESI and other interested parties.

NESI shared its experience on training material development for the African Region, especially the development of audio-visual training materials for new vaccine introduction. 

5th Regional Vaccinology Course for Anglophone countries

Pretoria, South Africa 27 May, 2013 to 1 June, 2013

The 5th Regional Vaccinology Course for Anglophone countries was organized by WHO/AFRO in collaboration with the National Department of Health of South Africa, SAVIC/University of Limpopo, UNICEF, GAVI Alliance, USAID and NESI/UA, from May 27th to June 1st 2013 in Pretoria, South Africa.

Fifteen national and international experts in vaccinology from universities (Ghana, Senegal, South Africa), Ministries of Health, WHO and NESI guided a group of 46 participants from 20 African countries to achieve the general objective of the course: "to master the basic principles and specificities of a vaccine, how it is developed, produced and utilized, including its use with the EPI programme".

During this in-service vaccinology course interactive academic sessions and group work sessions covered the following topics: (1) scientific basis of vaccinology, (2) vaccine development, (3) routine EPI vaccines and strategies, (4) norms, registration and prequalification, production and control, (5) new vaccines, (6) vaccine safety and cost effectiveness, (7) future vaccines, (8) managing new vaccine introduction, (9) EPI pre-service training and vaccine research.

Participating countries were: Botswana, Eritrea, Ethiopia, Ghana, Kenya, Lesotho, Liberia, Malawi, Namibia, Nigeria, Rwanda, Senegal, Seychelles, Sierra Leone, South-Africa, Swaziland, Tanzania, Uganda, Zambia, Zimbabwe. Among the participants 22 EPI managers and 4 vaccine regulators were present.

NESI staff lectured on the following topics: Hepatitis B vaccines; Haemophilus influenzae type b vaccines; HPV vaccines; Adolescent vaccination; Basic epidemiological concepts; Cost-effectiveness of vaccines; Managing new vaccine introduction; and Innovative capacity building efforts for enhancing immunization systems. NESI also co- facilitated the group work and chaired two sessions.

The course was well appreciated by participants and created lively discussions. The overall evaluation score was above the threshold level of 70%: content (91%); facilitation (84%) and participation (73%). 

The 13th International Advanced Course on Vaccinology in Asia-Pacific Region

Seoul, Korea 13 May, 2013 to 18 May, 2013

The 13th International Advanced Course on Vaccinology in the Asia-Pacific Region, organised by the International Vaccine Institute (IVI), was held from 13 to 18 May 2013, in Seoul, Korea.

The course aimed to strengthen the capacity of participants in vaccinology by providing a comprehensive overview of the vaccine continuum, from vaccine development, evaluation and regulatory principles, to production, post-licensure, introduction and policy issues.

This course is intended for scientists and decision-makers involved in vaccine development, in the elaboration of new vaccination strategies or in policy decisions related to the introduction of new vaccines in public health programmes, at national or international levels. It is relevant for both the public and private sectors.

A total of 67 participants from 22 countries attended the course: Bangladesh, China, DRC, Ethiopia, India, Indonesia, Japan, Kenya, Korea, Madagascar, Mali, Nepal, Nigeria, Pakistan, Saudi Arabia, Sri Lanka, Sudan, Taiwan, Thailand, The Gambia, Turkey, and Vietnam. The participants were a diverse mix, consisting of scientists, public health officials and policy makers from private and public sectors.

Workshop Vaccinology Modules

Pretoria, South Africa 21 January, 2013 to 24 January, 2013

Standard training materials for vaccinology courses are currently being developed. These training materials will facilitate the learning process during vaccinology courses. In addition it will enable participants of these courses to use the modules in their lectures at health training institutions or to organise national in-service vaccinology courses.

The modules are developed according to the following reference format:

  • Objectives (general, intermediate and specific objectives)
  • PowerPoint presentations with explanatory notes
  • Exercises
  • List of key references

A workshop was organised by SAVIC/University of Limpopo in Pretoria, Johannesburg, from 21 to 24 January 2013, with participation from NESI/UAntwerp, WHO/AFRO and SAVIC/University of Limpopo. During this workshop, the modules have been advanced to the final drafts and are ready for revision.

TropEd Advanced Vaccinology course

Berlin, Germany 7 January, 2013 to 11 January, 2013

The TropEd Advanced Vaccinology Course was organised by the Institute of Tropical Medicine and International Health, Berlin, and NESI/UA, from 7 to 11 January 2013 in Berlin, Germany. The course is an accredited module (2 ECTS credit points) in the TropEd Masters Programme in International Health. TropEd is a network of institutions for higher education in International Health, including European and non-European institutions.

Sixteen students from both industrialised and developing countries attended the course.

Lecturers came from the Universities of Cape Town and Limpopo (South Africa), GAVI Alliance (Switzerland), Ministry of Health of Ghana, Robert Koch Institute (Berlin, Germany), Institute of Tropical Medicine and International Health (Berlin, Germany), London School of Hygiene and Tropical Medicine (UK); World Health Organization (Switzerland); GlaxoSmithKline (Belgium) and NESI/UA (Belgium).

NESI staff gave lectures on the following topics: Global Immunization Vision and Strategy (GIVS); Immunisation and Millennium Development Goals (MDGs); Decade of Vaccines (DoV); The decision-making process for new vaccine introduction; HPV vaccines; Adolescent vaccination; and Immunisation Training and Education: partnership and activities. NESI also co-facilitated the group work and chaired several sessions.

Teaching methods included seminar-style and interactive lectures, and group work on specific target diseases. Students had to write a 5-page assignment on a self-defined topic relevant to vaccines and immunisation, which was evaluated by the course organisers. 

Development of EPI/IMCI interactive resource for African healthcare workers

Burkina Faso and Ghana 1 January, 2013 to 31 December, 2013

While significant progress has been made, communicable diseases are still responsible for millions of deaths in children in the WHO African Region each year. Therefore, it is vital that all healthcare workers in the Region have the knowledge and skills to prevent and treat the most common childhood illnesses. To achieve MDG4 of reducing child mortality by two third by 2015, compared to 1990, considerable efforts need to be made to improve the performance of healthcare workers, particularly through cost-effective training methods on the prevention and treatment of childhood illnesses. Therefore, as recommended in the WHO/AFRO regional child survival strategy, the integration of immunisation and the management of childhood illnesses is of the highest importance.

At present, train-the-trainer methodology is the primary way of conveying knowledge to healthcare workers and nurses. This methodology comes with certain challenges. Firstly, there is inherent inconsistency in the output by the trainers. Therefore, the knowledge gained by students is also varied. Secondly, the great number of healthcare workers in the region make it difficult to keep them up-to-date with changes in immunisation and IMCI protocols through workshop and training sessions. And thirdly, a rapid staff turnover means there are always new staff needing to be trained in EPI and IMCI.

Against this background, WHO/AFRO, in collaboration with NESI and ITEM Interactive, has developed an interactive resource on Immunisation and the Integrated Management of Childhood Illnesses (IMCI), designed for the training of healthcare workers.

The primary objective of the development of the EPI/IMCI interactive resource is to produce an efficient, cost-effective training tool that can be used throughout the Region. This will improve knowledge-retention, develop the skills of both experienced and trainee healthcare workers/nurses, increase their performance when delivering healthcare services and lead to a more satisfactory outcome for patients/clients.

This interactive resource is mainly targeting healthcare workers at the peripheral level, but can also be used for training at medical and nursing schools. The EPI/IMCI resource is ideal as a classroom aid, but can also be used as a self-learning tool. Video demonstrations are the next best thing to real-life demonstrations. The resource is always available on the computer for reference to check procedures.

The tool is available in French, English and Portuguese, and will be distributed on USB flash drives or memory sticks, supported by a reference handbook. The content of the resource was drawn from existing WHO and local training materials to ensure consistency with the current training curriculum. This resource builds on the experience of ICATT (IMCI Computerised Adaptation and Training Tool) developed by WHO in 2008 with the aim of increasing the coverage of IMCI-trained healthcare workers. The WHO guide "Immunisation in Practice" was used as key reference document to develop the EPI component of this resource.

The EPI-IMCI interactive resource is a comprehensive training package including:

  • Over two hours of video shot in Burkina Faso and Ghana;
  • Seventeen video chapters with narrations in three languages;
  • Questions and Answers section before and after each chapter to reinforce the key messages;
  • References and posters;
  • Glossary;
  • Transcript of the video chapters;
  • ICATT programme; and,
  • Certificate after completion of the programme.

The interactive resource is ready for field testing in selected countries in the WHO African Region, which will take place during the first 6 months of 2014.

2012

Development of Vaccinology Modules

Johannesburg, South Africa 26 November, 2012 to 27 November, 2012

Standard training materials for vaccinology courses are currently being developed. These training materials will facilitate the learning process during vaccinology courses. In addition it will enable participants of these courses to use the modules in their lectures at health training institutions or to organise national in-service vaccinology courses.

In November 2012, a workshop was organised on the finalisation of the Vaccinology Training Materials and Handouts, in Johannesburg, South Africa. The workshop was organised by NESI/UA and SAVIC, in collaboration with WHO/AFRO. The workshop was a follow-up of the 2009 and 2010 workshops, which were organised to develop generic training materials and handouts for the vaccinology courses. The workshop was attended by 10 participants from WHO/AFRO, Ghana Ministry of Health and academia; University of Limpopo (Medunsa/SAVIC), University of Antwerp (NESI) and Kwame Nkrumah University of Science and Technology, School of Medical Sciences, Ghana.

The reference format of the modules was revised, and it was decided at the workshop that the focus of the modules will be on PowerPoint presentations with explanatory notes. 

Introduction of New Vaccines

Nairobi, Kenya 22 November, 2012 to 23 November, 2012

NESI co-organises with its local partners interactive workshops, with the purpose to create a forum for discussion and exchange of experiences related to immunisation practices and new initiatives. It is the aim to bring together EPI managers and other stakeholders from different countries to share their respective experiences. 

The Experience Exchange Meeting on Introduction of New Vaccines was organised by the Kenya Paediatric Association (KPA) and the Division of Vaccines and Immunisation of the Ministry of Public Health and Sanitation, in collaboration with NESI/UA, on 22-23 November 2012 in Nairobi, Kenya.

The meeting was convened at a time when countries augment their strategies to reach the Millennium Development Goals (MDG). Introduction and widespread use of new or improved vaccines (such as rotavirus and pneumococcal conjugate vaccines) can contribute greatly to achieving MDG 4 of reducing global childhood mortality by two-thirds by 2015. However, as more new vaccines become available, countries face several challenges in introducing these vaccines in the existing immunisation programme. These include decision-making and prioritisation of which vaccines to be introduced, addressing strengths and weaknesses in the immunisation programme, managing more complicated vaccination schedules, developing multi-year plans to ensure sustainable use of the new vaccines, and integrating vaccines in the broader context of health systems.

New vaccines continue to roll out in Eastern Africa: PCV in Kenya, Uganda, Ethiopia and Sudan; rotavirus vaccines in Sudan; HPV vaccine in Uganda. These new vaccines come with some unique challenges. Therefore, an Experience Exchange Meeting was organised to share experiences between these countries and others in the region. Lessons learned, best practices of new vaccine introduction and integrated management of immunisation services were shared between the countries.

The specific objectives of the meeting included: (1) update participants on GIVS and mortality reduction goals in the framework of the MDGs; (2) discuss recent advances in new vaccines and their use; (3) exchange lessons learned and best practices regarding new vaccine introduction; (4) discuss cold chain and logistics for preparation of new vaccines introduction; and (5) discuss integrated management of immunisation services.

The meeting was attended by 55 participants from the following countries: Belgium (3), Ethiopia (1), Kenya (38), Nigeria (2), Rwanda (3), Sudan (1), Tanzania (2), Uganda (4) and Zambia (1). Participants included EPI managers and staff, members of Paediatric Associations, academics, NGOs and industry.

The meeting was of great value to the participants and the lessons learnt will benefit more African countries as they embark on introducing new vaccines to ensure that every child is protected from vaccine preventable diseases.

8th Annual African Vaccinology Course

Cape Town-South Africa 5 November, 2012 to 7 November, 2012

NESI has been active in building capacity in immunisation for the Southern African sub-region since 2005 through annual vaccinology courses with the University of Cape Town (UCT), South Africa, as local organiser. The 8th African vaccinology course was organised in Cape Town, South Africa, from 5 to 7 November 2012, and was hosted by the Vaccine for Africa Initiative (VACFA), based at UCT's Institute for Infectious Diseases and Molecular Medicine.

The main objective of the course was to build sustainable research capacity to develop vaccines and/or conduct quality standard phase 1 to phase 4 vaccine clinical trials. The course also aimed to provide participants with the necessary expertise to support public vaccination programmes.

The course was attended by 45 participants with the following profile: EPI managers and staff, medical doctors, nurses, public health specialists, academics and scientists working in the field of vaccinology.

NESI gave lectures on the following topics: Vaccination schedules; Hepatitis vaccines; GIVS and the Decade of Vaccines. NESI was also part of the "meet the experts" session, a session that allowed for questions and discussions. 

EPI Mid-level Management (MLM) inter-country course for francophone countries

Abidjan, Ivory Coast 20 August, 2012 to 1 September, 2012

Continuous capacity building of EPI managers is key in achieving the goals of the immunisation programme and implementation of EPI disease control, elimination and eradication services in line with current global and regional immunisation policies and strategies, e.g. AFRO Regional Strategy for 2009-2013, GIVS (2005-2015) and Decade of Vaccines (2011-2020).

In this context, WHO/AFRO organised an EPI Mid-Level Management (MLM) inter-country course for francophone countries in Ivory Coast, in collaboration/partnership with the Ministry of Health of Ivory Coast, UNICEF, NESI, and other partners e.g. USAID, AMP, MCHIP, CDC and GAVI.

EPI managers and other EPI staff, teachers from health training institutions and immunisation focal staff from WHO/UNICEF country and regional offices participated. A total of 57 participants and 18 facilitators attended the course. Participants came from the following countries: Benin, Burkina Faso, Burundi, Cameroun, Comoros, Congo (Brazzaville), Ivory Coast, Gabon, Guinea Conakry, Equatorial Guinea, Madagascar, Mali, Mauritania, Niger, Central African Republic, Democratic Republic of the Congo, Senegal, Chad and Togo.

The objectives of the 2012 EPI MLM course were:

- To ensure participants are aware of their roles and responsibilities as EPI managers and staff in line with the current global and regional immunisation policies  and strategies, within the context of health system strengthening.

- To update and strengthen managerial knowledge and skills of all participants, notably those related to problem solving, decision making/leadership exercise, effective communication, strategic or operational planning, immunization programme costing, budgeting and resource mobilization, cold chain and vaccine management, immunization safety management, human and financial resources management, new vaccine introduction management, conducting quality supplemental immunization activities, integrated disease surveillance management, EPI monitoring and data management, supervision, EPI coverage survey and evaluation.

NESI contributed to the following modules: Cold Chain management, Disease Surveillance, Immunization Safety, New Vaccine Introduction and Vaccine Management. Thanks to the presence of many countries, lively discussions were held and a lot of experiences exchanged.

In general, the modules were evaluated well by the participants: the satisfactory threshold of 70% was reached for most modules. 

12th International Advanced Course on Vaccinology in Asia-Pacific Region

Seoul-South Korea 14 May, 2012 to 19 May, 2012

The 12th International Advanced Course on Vaccinology in the Asia-Pacific Region, organised by the International Vaccine Institute (IVI), was held from 14 to 19 May 2012, in Seoul, South-Korea.

The course aimed to strengthen the capacity of countries in vaccinology by providing participants with a comprehensive overview of the vaccine continuum, from vaccine development, evaluation and regulatory principles, to production, post-licensure, introduction and policy issues.

This course is for scientists and decision-makers involved in vaccine development, in the elaboration of new vaccination strategies or in policy decisions related to the introduction of new vaccines in public health programmes, at national or international levels. It is relevant for both the public and private sectors.

A total of 93 participants from 25 countries attended the course: Burkina Faso, China, Denmark, Ethiopia, Hong Kong, India, Indonesia, Ghana, Kazakhstan, Korea, Kyrgyzstan, Madagascar, Mongolia, Myanmar, Nepal, Pakistan, Senegal, Singapore, Sri Lanka, Sudan, Taiwan, Thailand, The Gambia, Turkey, and Vietnam. The participants were a diverse mix, consisting of scientists, public health officials and policy makers from private and public sectors.

NESI was invited by IVI to give a lecture on "Vaccination schedules: history and rationale". 

Adaptation of training DVD in French for Introduction of Pneumococcal Conjugate Vaccine

Madagascar 1 May, 2012 to 30 June, 2012

The Ministry of Health of Madagascar planned to introduce pneumococcal conjugate vaccine (PCV10) in the national routine immunisation programme. Due to time and financial constraints, it was decided not to develop a new PCV10 training DVD, but to translate the existing Kenyan DVD in French. The script developed for Kenya was translated into French. The voice-over was recorded in Madagascar by a local filming company. Adaptation of the visual text and quiz was done by the Audio-visual Department of the University of Antwerp, Belgium. 

Development of training DVD for Rotavirus Vaccine

Addis Ababa, Ethiopia 23 April, 2012 to 30 April, 2012

Introducing a new vaccine always implicates new information and handlings. Many healthcare workers have to be trained when a country decides to introduce a new vaccine in the routine immunisation programme.

Ethiopia introduced pneumococcal vaccine in 2011. At that time a training DVD was developed as part of the training materials. A DVD can visualize many concepts in addition to classroom training and help to spread undiluted standardized messages. The pneumococcal training DVD was well received by trainers and healthcare workers. The country is currently preparing for rotavirus introduction. Consequently, Ethiopia decided likewise to produce a DVD to assist in the training on rotavirus vaccine. This vaccine will protect against severe diarrhoea caused by rotavirus which causes 28000 deaths a year in Ethiopia.

Filming and editing is done again by the Ethiopian production company Halleta, with support of WHO, NESI and the Federal Ministry of Health. The DVD will be in Amharic, the main local language and will include five chapters:
(1) Rotavirus disease;
(2) Vaccine characteristics, storage and vaccination schedule;
(3) Vaccine safety and adverse events following immunization;
(4) Vaccine administration and recording; and
(5) Communication (role play).
 
Filming took place from 23 until 30 April 2012 on the following locations in Addis Ababa: WHO Ethiopia Office; Addis Ababa University - College of Health Sciences; Black Lion Hospital; Bole Health centre; and Addis Salem Health centre. 

4th Regional Vaccinology Course for Anglophone Countries

Nairobi, Kenya 19 March, 2012 to 24 March, 2012

The 4th Regional Vaccinology Course for Anglophone countries was organized by WHO/AFRO, in collaboration with the Ministry of Public Health and Sanitation (MoPHS) of Kenya, UNICEF, USAID and NESI, from 19 to 24 March 2012 in Nairobi, Kenya.

The course was attended by 27 participants from 13 countries: Ethiopia, Gambia, Ghana, Kenya, Liberia, Malawi, Nigeria, Rwanda, South Africa, Tanzania, Uganda, Zambia and Zimbabwe; and included EPI managers and other EPI staff, academics, WHO/UNICEF focal points and NGOs.

Speakers included national and international vaccinology experts from universities (Ghana, Senegal, South Africa), Ministries of Health, WHO, UNICEF and NESI/UA. Teaching methods included seminar-style and interactive lectures, and group work on specific target diseases.

NESI staff lectured on the following topics: Hepatitis B vaccines; Haemophilus influenzae type b vaccines; HPV vaccines; Adolescent vaccination; Basic epidemiological concepts; Ethical considerations in vaccine clinical trials; Cost-effectiveness of vaccines; Managing new vaccine introduction.
NESI also co-facilitated the group work and chaired several sessions. 

TropEd Advanced Vaccinology Course

Berlin, Germany 9 January, 2012 to 13 January, 2012

The TropEd Advanced Vaccinology Course was organised by the Institute of Tropical Medicine and International Health, Berlin, and NESI/UA, from 9 to 13 January 2012 in Berlin, Germany. The course is an accredited module (2 ECTS credit points) in the TropEd Masters Programme in International Health. TropEd is a network of institutions for higher education in International Health, including European and non-European institutions.

Sixteen students from both industrialised and developing countries attended the course.

Lecturers came from the Universities of Cape Town and Limpopo (South Africa), GAVI Alliance (Switzerland), Ministry of Health of Ghana, Robert Koch Institute (Berlin, Germany), Institute of Tropical Medicine and International Health (Berlin, Germany), Novartis (USA), GlaxoSmithKline (Belgium) and NESI/UA (Belgium).

Teaching methods included seminar-style and interactive lectures, and group work on specific target diseases. Students had to write a 5-page assignment on a self-defined topic relevant to vaccines and immunisation, which was evaluated by the course organisers. 

2011

Regional EPI Mid-Level Management (MLM) Course for Anglophone countries

Nairobi, Kenya 3 October, 2011 to 12 October, 2011

The MLM course for Anglophone countries was organised by WHO AFRO in collaboration/partnership with the Ministry of Health of Kenya, UNICEF, USAID, AMP and NESI. A total of 62 participants and facilitators attended the course. The participants were from health training institutions and public health EPI programmes out of the following countries: Ethiopia, Eritrea, Ghana, Kenya, Liberia, Malawi, Namibia, Nigeria, Rwanda, Sierra Leone, Tanzania, Uganda and Zimbabwe.

The objectives of the 2011 EPI MLM course were

(1) To get participants aware of their new roles and responsibilities as EPI managers in line with the current global and regional immunisation policies and strategies within the context of health system strengthening;

(2) To update and strengthen managerial knowledge and skills of all participants, notable those related to problem solving, decision making/leadership exercise, effective communication, strategic or operational planning, immunization programme costing, budgeting and resource mobilization, cold chain and vaccine management, immunization safety management, human and financial resources management, new vaccine introduction management, conducting quality supplemental immunization activities, integrated disease surveillance management, EPI monitoring and data management, supervision, EPI coverage survey and evaluation.

The modules, updated or developed during the workshop to revise the AFR EPI MLM modules in Accra (13-17 June 2011) were tested during this course.

The following pedagogical methods /techniques were used: individual pre-reading, short presentations using active media, plenary and group discussions, case studies, application and practical exercises, role playing, simulations and project methods.

NESI contributed to the following modules:

(1) Cold chain management

(2) Disease surveillance

(3) Immunization safety

(4) New vaccine introduction

(5) Vaccine management 

Evaluation of training DVD on Pneumococcal Conjugate Vaccine

Kenya 1 September, 2011 to 31 October, 2011

The DVD was shown during face-to-face training which was conducted at all levels (national, provincial, district and health facility level) in December 2010 and January 2011. The trainers/facilitators were available during the training sessions to respond to any questions that the trainees raised regarding the content of the DVD.

It was the first time that a DVD was used during the training programme on new vaccine introduction inKenya. Therefore, it was important to receive feedback on the use and usefulness of the DVD, from both the facilitators and the trainees, and whether the content of the DVD was appropriate, well packaged, and relevant in order to make recommendations on areas for improvement.

The evaluation included both quantitative (structured questionnaire) and qualitative (key informant interviews and focus group discussions) methods. The target group for the evaluation were healthcare workers who had previously attended training on the introduction of PCV10 vaccine including the training DVD. Key informant interviews were held with the Director of Public Health and with health management teams at different levels of healthcare (national, provincial and district levels). The evaluation was conducted in 8 counties across Kenya. 

Participants suggested to distribute the DVD to every health facility, so that every healthcare worker can benefit of the training. This, however, requires that reliable power supply and a functional DVD player and TV are available in all health facilities. Participants also recommended to use both English and Kiswahili in the narrations.

In conclusion, the healthcare workers found the DVD very useful and recommended that the DVD be used as part of the face-to-face training.

National Mid-Level Management Training Course

Mombasa, Kenya 11 August, 2011 to 20 August, 2011

The Ministry of Public Health and Sanitation through the Division of Vaccines and Immunisation, in collaboration with WHO, Moi University and other partners organised a national Mid-Level Management training course from 11 to 20 August 2011, in Mombasa, Kenya. NESI gave technical assistance and supported the in-country MLM training, in the framework of national capacity building on immunisation.

The MLM training course targeted the District Health Managers from Central and Nairobi Provinces to update their knowledge and skills as part of capacity strengthening for optimal vaccination service delivery. A total of 66 participants attended the course, including 46 District Health Managers.

The facilitators were drawn from WHO, Moi University, Indiana University, Wisconsin University, Ministry of Public Health and Sanitation, and Kenya medical training colleges.

Organising national MLM courses are important as the regional/inter-country MLM courses can only accommodate a limited number of participants per country. Therefore, to create national capacity in efficient management of immunisation services, it is important to organise national MLM courses. 

Workshop to revise the African EPI Mid-Level management (AFR EPI MLM) Modules and Handouts

Accra, Ghana 13 June, 2011 to 17 June, 2011

In 2004, 14 AFR MLM modules were developed. These standardised training materials have facilitated the learning process during various inter-country and in-country MLM courses conducted as from May 2004 to March 2011. In addition, these AFR MLM modules have been regularly used by health professors/teachers in their lectures at health professional training institutions. As new policies and technologies become available, there is need for updating these modules in order to incorporate some policy and strategic orientations (GIVS, Revised RED guidelines, etc.) as well as new technologies and scientific content that have come in after the 2004 edition.
The general objective of this workshop was to update the AFR EPI MLM modules and more specific to discuss the processes of validation, testing and distribution of the revised AFR EPI MLM modules. NESI contributed to the modules about New Vaccine Introduction, Cold Chain Management and Vaccine Management.

A total of 26 participants attended the workshop. Participants included technical and communication officers from WHO/AFRO (2), WHO/IST (4), WHO/HQ (1), WHO/Ghana (1), WHO/Nigeria (1), WHO/Ethiopia (1), UNICEF HQ (1), UNICEF/ESARO (1), UNICEF/WCARO (3), UNICEF/Nigeria (2), UNICEF/Gambia (1), UNICEF/Ghana (1), NESI (2), AMP (3), USAID/MCHIP (1) and CDC (1). 

Development of training DVD for Introduction of Pneumococcal Vaccine

Addis Ababa, Ethiopia 16 May, 2011 to 25 May, 2011

The Federal Ministry of Health of Ethiopia in collaboration with partners plans to introduce pneumococcal vaccine in the Ethiopia routine immunization program in 2011. New vaccine introduction demands intensive and high quality training for health workers at different levels of profession and health facilities to avoid any mishandling of the vaccine that could potentially lead to adverse events following immunization.
In order to achieve high quality training, the national coordination committee for new vaccine introduction welcomed the idea to use a DVD as part of the training materials to enhance the quality of training activities planned. The DVD will cover all aspects necessary for the introduction in order to increase the knowledge and skills of health workers in handling and administration of the vaccine, as well as communication to caretakers, within the local context of Ethiopia.
To facilitate production of the DVD, a local DVD producer/editing agency (Halleta) was identified with a good previous record of high quality filming, editing and production to undertake the task. Technical Support was provided by the National Communications Working Group for PCV introduction and the Network for Education and Support for Immunisation (NESI)/University of Antwerp.
Filming took place from 16 to 25 May 2011 in Addis Ababa, at the following locations: WHO Ethiopia Office; Federal Ministry of Health; Addis Ababa University - College of Health Sciences; Black Lion Hospital; Pharmaceutical Fund and Supply Agency (PFSA); and Lideta Health Center.
The DVD will be produced in the main local language, Amharic, and will include five chapters: (1) Pneumococcal disease; (2) Pneumococcal vaccine; (3) Storage and handling; (4) Immunization session; and (5) Communication (role play). 

Watch the DVD.

 

TropEd Advanced Vaccinology Course

Berlin, Germany 10 January, 2011 to 14 January, 2011

The TropEd Advanced Vaccinology Course was organised by the Institute of Tropical Medicine and International Health of Berlin, Germany, and the Network for Education and Support in Immunisation/University of Antwerp, Belgium, from 10 to 14 January 2011 in Berlin, Germany.
The course is an accredited module (2 ECTS credit points) in the TropEd Masters Programme in International Health. TropEd is a network of institutions for higher education in International Health (including 33 European institutions and 7 non-European institutions).
Lecturers came from the International Vaccine Institute (Seoul, South Korea), the University of Cape Town, Pretoria and Limpopo (South Africa), the Global Alliance for Vaccines and Immunisation, Ministry of Health of Ghana, London School of Hygiene and Tropical Medicine (United Kingdom), Terumo (Belgium), Max Planck Institute for Infection Biology (Berlin, Germany), Robert Koch Institute (Berlin, Germany), Institute of Tropical Medicine and International Health (Berlin, Germany) and NESI/University of Antwerp (Belgium).
Teaching methods include seminar-style and interactive lectures and group work on specific diseases. Students had to write a 5-page assignment on a self-defined topic relevant to vaccines and immunisation, which was evaluated by the course organisers.
Twenty three students from 19 different countries attended the course: Nigeria (1), Pakistan (1), Indonesia (4), The Netherlands (1), Burkina Faso (1), Rwanda (1), Russia (1), Uganda (1), Germany (1), Argentina (1), Myanmar (1), Spain (1), Bosnia-Herzegovina (1), Thailand (1), Ghana (1), India (1), Mexico (2), Austria (1), United Kingdom (1).
NESI staff gave lectures on the following topics: Global Immunization Vision and Strategy (GIVS); Immunization and Millennium Development Goals (MDG's); The decision-making process for new vaccine introduction; HPV vaccines; Adolescent vaccination; Cold Chain; WHO prequalification. 

2010

Development of training DVD for Introduction of Pneumococcal Vaccine

Nairobi-Kenya 31 December, 2010

Kenya is the first African country to introduce the new pneumococcal vaccine, PCV10, into their national immunisation programme. The recommended schedule to administer the vaccine is at 6, 10 and 14 weeks, at the same time as the pentavalent vaccine (DTP-HepB/Hib). This pneumococcal vaccine is presented in a liquid form in a two-dose vial without preservative. This implies that an opened vial must be discarded at the end of each immunisation session or after 6 hours from first opening, whichever comes first. An opened vial of PCV10 cannot be stored in the refrigerator for use in subsequent immunisation sessions. This is not in line with the WHO policy on the use of opened multi-dose vials of vaccine in subsequent immunisation sessions. Therefore, specific training on the use and storage of this new two-dose pneumococcal vaccine was felt needed.

As part of the training materials for the introduction of this new pneumococcal vaccine, a training DVD was developed intended for health care workers. A training DVD will ensure that the same training messages are received by all, minimizing the risk of the messages being diluted. The DVD will be a tool to deliver and reinforce standard training messages related to new vaccines’ delivery. It will provide a medium to deliver standard training to a large number of people. The target audience for this DVD are the vaccinators, i.e. health care workers giving the vaccines, as well as the immunisation staff at district and national level (i.e. supervisors of the health care workers). The DVD will also be used in pre-service training for nurses.

Watch the DVD.

Southern Africa Vaccinology Course

Cape Town-South Africa 8 November, 2010 to 12 November, 2010

NESI has been active in building capacity in immunisation for the Southern African sub-region since 2005 through annual vaccinology courses with the University of Cape Town (UCT), South Africa, as local organiser. The sixth Southern African vaccinology course was organised in Cape Town, South Africa, from 8 to 12 November 2010, and was hosted by the Vaccine for Africa Initiative (VACFA), based at UCT’s Institute for Infectious Diseases and Molecular Medicine.

The main objective of the course was to build sustainable research capacity to develop vaccines and/or conduct quality standard phase 1 to phase 4 vaccine clinical trials. The course also aimed to provide participants with the necessary expertise to support public vaccination programmes.

Participants ranged from EPI managers, medical doctors, nurses, public health specialists, academics and scientists working in the field of vaccinology.

NESI gave three lectures: Hepatitis A & B vaccines; HPV vaccines; and Immunisation schedules.

Workshop to develop Vaccinology Modules

Pretoria-South Africa 13 September, 2010 to 16 September, 2010

In April 2009, a first workshop was organized to develop generic training materials and handouts for vaccinology courses. During this meeting, a list of 40 vaccinology modules was developed and two key facilitators for each module were identified. In September 2010, a follow up workshop to further develop and harmonise the vaccinology modules was organised in Pretoria, South Africa, by the South African Vaccines and Immunisation Centre (SAVIC)/University of Limpopo and the Network for Education and Support in Immunisation (NESI)/University of Antwerp, in collaboration with WHO/AFRO and the University of Pretoria. The workshop was attended by 14 participants from WHO/AFRO (3); SAVIC/University of Limpopo (4); University of Pretoria (1); University Cheikh Anta Diop in Dakar, Senegal (1); School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana (1); and NESI/University of Antwerp (4).

Specific objectives of the workshop included:

  • Further develop/harmonise the vaccinology modules using the reference format
  • Discussion of process of review and validation of the vaccinology modules
  • Discussion on distribution of the vaccinology modules

At the end of the workshop, a revised/updated list of the modules was developed, as well as stock taking of the status of each module. The list of facilitators and reviewers was updated and a timeline was set for completion of the modules. The overall coordination of the modules will be handled by NESI. Modules should be finalised by mid 2011, followed by a peer technical review meeting.

Francophone Regional Vaccinology Course

Cotonou-Benin 23 August, 2010 to 28 August, 2010

The second regional vaccinology course for francophone countries was organised by WHO/AFRO in collaboration with the Ministry of Health of Benin, UNICEF, USAID and NESI, from 23 to 28 august in Cotonou, Benin.

The course was attended by 52 participants from 18 countries: Benin (3), Burundi (1), Cameroun (3), Comoros (3), Congo (3), Cote d’Ivoire (4), DRC (4), Gabon (2), Guinea (3), Equatorial Guinea (2), Mali (2), Madagascar (3), Mauritania (3), Niger (4), RCA (3),  Senegal (3), Chad (3), and Togo (3). Twenty-seven participants were from the respective Ministries of Health, 13 participants were academics and 12 were WHO/UNICEF focal points and related staff.

Facilitators of the course included: international vaccinology experts (2); WHO (7); University Cheikh Anta Diop, Dakar, Senegal (1); NESI (2). NESI gave lectures on the following topics: Epidemiology; HPV vaccines; Adolescent vaccination; Introduction of new vaccines; Hepatitis B and Hib vaccines; Clinical trials. NESI also co-facilitated the group work and chaired several sessions.

The course was highly appreciated as shown by the daily and summative evaluations. The overall evaluation related to the content of the course was 93%.

Introduction of New Vaccines-Experience Exchange Meeting

Pretoria-South Africa 28 July, 2010 to 30 July, 2010

The Experience Exchange Meeting on the introduction of new vaccines took place in Pretoria, South Africa, from 28 to 30 July 2010, and was organised by SAVIC/University of Limpopo Medunsa Campus in collaboration with the University of Pretoria and the Network for Education and Support in Immunisation (NESI)/University of Antwerpen. This meeting was convened at a time when countries are augmenting their strategies to reach UN Millennium Development Goals. Introduction and widespread use of new or improved vaccines (such as rotavirus and pneumococcal vaccines) can contribute greatly to achieving the UN MDG Target 4 of reducing global childhood mortality by two-thirds by 2015.

The primary objectives included:

  1. An update on GIVS and mortality reduction goals in the framework of the UN MDGs;
  2. Discussing recent advances in new vaccines and their use;
  3. Exchanging lessons learned and best practices regarding new vaccines introduction;
  4. Discussing cold chain and logistics for preparation of new vaccines introduction;
  5. Discussing integrated management of immunization.

The secondary objectives were to

  1. Promote discussion on opportunities and challenges faced by the African continent in introducing new vaccines;
  2. Continue strengthening immunization programs through partnerships between various stakeholders: international health agencies, public, private, academic and NGO’s.

The meeting was attended by 59 participants from eleven countries being health officials from the South African Department of Health, EPI managers from 7 sub-saharan African countries, WHO, vaccination experts and academics from Africa and Europe.

The meeting was of great value to the delegates and the lessons learnt would be useful in the future as more African countries embark of the journey of introducing new vaccines and ensuring that every child in every city and village on the continent is protected from vaccine preventable diseases.The key advocacy message from South Africa is that EPI-SA is committing to reaching every child with quality modern vaccines, ensuring protection from vaccine-preventable diseases.

Advanced Course on Vaccinology in Asia-Pacific Region

Seoul-South Korea 10 May, 2010 to 15 May, 2010

This annual vaccinology course was organised for the 10th time by the International Vaccine Institute (IVI), in collaboration with the London School of Hygiene and Tropical Medicine, from 10 to 15 May in Seoul, South Korea. The course is intended for scientists and decision-makers involved in vaccine development, in the implementation of new vaccination strategies or in policy decisions related to the introduction of new vaccines in public health programmes. It is relevant for both the public and private sectors. The course was attended by 82 participants from 22 countries: Bangladesh (1), Korea (16), China (7), India (8), Indonesia (14), Turkey (5), Thailand (2), Taiwan (2), Philippines (4), USA (2), Gabon (1), Bhutan (4), Singapore (1), Sudan (1), Sri Lanka (1), Pakistan (2), Myanmar (2), Niger (4), Vietnam (1), Ghana (1), Nepal (2), Netherlands (1).

NESI was invited to be part of the faculty and lecture on ‘Integration of immunisation and other health interventions in the health service context’.

Troped Advanced Vaccinology Course

Rixensart-Belgium 10 January, 2010 to 15 January, 2010

The TropEd advanced vaccinology course was organised by the Institute of Tropical Medicine and International Health, Berlin, GSK Biologicals and NESI/UA, from 10 to 15 January 2010 in Rixensart, Belgium. There was a collaboration with 3 Universities of South Africa (Cape Town,  Pretoria and Limpopo) and the University Cheikh Anta Diop (Senegal). The course is an accredited module (2 ECTS credit points) in the TropEd Masters Programme in International Health. TropEd is a network of institutions for higher education in International Health (including 33 European institutions and 7 non-European institutions). Forty participants from developing and industrialised countries attended the course: Ethiopia (2), Eritrea (1), Columbia (1), Sudan (3), Nigeria (3), Nepal (1), Kenya (3), India (1), Taiwan (1), Indonesia (1), Belarus (1), Belgium (2), Germany (13), the Netherlands (3), Canada (1), Panama (1), Spain (1), Switzerland (1).

Teaching methods include seminar-style and interactive lectures, group work on specific diseases, and a visit to a vaccine production site. Students had to write a 5-page assignment on a self-defined topic relevant to vaccines and immunisation, which was evaluated by the course organisers.

NESI staff gave lectures on the following topics: mission and achievements of NESI (presented during the opening session); HPV vaccines; adolescent vaccination; decision-making process for new vaccine introduction; malaria global burden and interventions. NESI also co-facilitated the group work and chaired several sessions.

Last updated: 29 March, 2018