Social Mobilization for EPI in Banglandesh

In 1985, the government of Banglandesh realized an Expanded Programme On Immunization (EPI) was needed to increase immunization coverage levels which had only reached two percent. It is decided that a revitalized plan of action was needed if UCI was to be achieved. New, service delivery was put onto place in a stage-by-stage manner over four years, beginning with eigth sundistricts and eventually all 460.
In may 1986, an EPI communication plan was finalized to support this expansion. This plan set out the major steps to be taken in accelerating demand for immunization by bringing together various social allies in a procces of social mobilization, a procces which facilitated one of the most successful social programmes in the history of Banglandesh.
In February 1991 and February 1992, two independent coverage evaluation surveys were carried out to determine the success of the programme. The result demonstrated that 62 and 65 percent of children of the target age group were fully immunized in 1990 and 1991, respectively as the demonstrated in the graph below. In addition. It was found that two out of four divisions of the country achieved Universal Child Immunization in 1991.
Achieving UCI in half the population of one of the most densely populated countries on earth represented a remarkable achievement for Banglandesh, a coutry which had never before broken the barrier of 33 percent coverage in social programmes. Achieving UCI is a starting point for the eradication or elimination of major diseases and for an overall improvement in material and child health and it is worthwhile reviewing what went into the social mobilization procces for EPI to determine what made the difference, how the programme can be sustained and what element can be applied to other programmes.
One of the first elements of the communication programme was the search for a symbol which people would recognize easlly. Since moni is aterm of endearment for children of both sexes, a character was drawn to suit the term. Six arrows, symbolizing the six immunizable diseases, and a ring symbolizing protection were added.
Moni became one of the most successful elements of EPI communication. In marketing terms it is a simple appealing and easily identifiable trade mark. Moni was placed just about every where to raise awareness and support demand creation.
The multiple uses of the moni logo were paralleled only by the multiple partners who came on-board to help create demand and implement the programme. Media in Banglandesh rapidly became an instrument for development during the period 1985-1990. Much of that development was a direct result of the activities involved in the EPI programme. Lets tis take a close look at how this happened.

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