In the first nationwide campaign of its kind, Togo’s children will receive four life-saving interventions at once. The landmark campaign, intends to reach one million children under-five with vaccines to prevent measles and polio, mosquito nets to prevent malaria and deworming tablets.
“Measles and malaria are the two biggest child killers in Africa,” said UNICEF Executive Director, Carol Bellamy. “If widely implemented, these nation-wide integrated campaigns may become the single most important step towards reducing child deaths in Africa. Creative new approaches like this are the key to ensuring the survival of thousands.”
Togo’s integrated campaign, which runs through to the 19th of December, aims to reach almost one million children around the country, many of whom live in rural areas - some completely inaccessible by road.
“Immunization campaigns can reach almost every child in poor countries,” said Dr LEE Jong-wook, Director-General of the World Health Organization (WHO). “Using them to deliver other life-saving interventions would be a major contribution towards achieving the Millennium Development Goal for reducing child mortality.”
More than US$ 5.4 million has been spent on the campaign of which almost US$ 790 000 has been raised by UNICEF and WHO, through the support of partners such as the UN Foundation, the US Centers for Disease Control and Prevention, the American Red Cross and the Canadian International Development Agency.
In addition, 2680 volunteers and 1910 vaccinators have been recruited to protect all children under five with the four life-saving interventions.
Since 1990, Togo has made substantial efforts in measles mortality reduction. A catch-up campaign carried out in 2001 reached over 95% of children under fifteen years of age. Togo has reduced measles deaths by 99% as compared to the 1996-2001 period. Much of this success is owed to countrywide immunization days mobilizing neighbourhood health committees and religious and traditional leaders to encourage mothers to bring their children for vaccination.
Despite improvements in routine immunization coverage almost half of Togo’s children born since 2001 are still at risk from measles – a completely preventable disease that affects over 30 million children each year and kills over 540 000 worldwide. It is hoped that by combining measles vaccination with the offer of a free mosquito net and other health interventions, many more children will be reached.
In Togo, malaria is a year-round problem that threatens the entire population. It is responsible for thousands of deaths each year and 40% of public health expenditure. Many of these deaths could have been prevented through the use of a long-lasting insecticide-treated net (LLIN).
Yet in 2003, only 15% of Togolese children under-five slept under a mosquito net and barely 2% slept under a LLIN. To date, poverty has been the major barrier to net ownership. Even though the average price of a net is only about two to five US dollars, it is still beyond the reach of poor households.