Periodic Intensification of Routine Immunization (PIRI)
Periodic intensification of Routine Immunization (PIRI) programme focuses on improving immunization indicators in three counties in Kenya in order to reduce the morbidity and mortalities related to vaccine preventable diseases.
Periodic intensification of Routine Immunization (PIRI) programme focuses on improving immunization indicators in three counties in Kenya in order to reduce the morbidity and mortalities related to vaccine preventable diseases. The program aims to reach 49,671 Children under the age of 2 years in Nairobi, Meru and Tharaka Nithi Counties.
The main objective of this program is to support the Ministry of Health at National and County levels in carrying out the PIRI exercise. The target is to reduce vaccination dropout rate for Penta1-Penta 3 and MR1-MR2 among children below 24 months
Measles and rubella remain significant contributors to childhood morbidity and mortality in most rural and urban populations in Kenya and a cause of disease out-breaks in Kenya. According to national immunization coverage data in the year 2017 of the children between the ages of 12-23 months only 65 % have been fully immunised while 68% and only 3% have received the first and second doses of Measles-Rubella Containing Vaccine (MR1) and MR2.
This is a clear indicator that Kenya is yet to meet the global goal of over 95% coverage for measles-rubella vaccination to achieve adequate population immunity.
Community health volunteers visit households to educate communities on the importance of vaccinating their children. They also collect information on vaccination status, cell phone contact of caretakers in the households in the whole county.
This information will help develop health facility micro plans and maps which can be used for future mother and child health activities including defaulter tracing. The cell phone contacts will be uploaded on to the KRCS mHealth platform for future reminders and follow up.
Significant barriers to immunization include Knowledge among caretakers, missed opportunities by the health system and other health system challenges.
The programme is spearheaded by County governments through support from Kenya Red Cross, American Red Cross and the National Ministry of health.