Impfprogrammförderung in der Ostafrikanischen Gemeinschaft (EAC) in Zusammenarbeit mit GAVI Alliance,Phase III Support of the immunization programs in the East African Community (EAC) in cooperation with Gavi V (bilateral support) Bei dem Vorhaben handelt es sich um ein Regionalvorhaben. Das bewährte Projektkonzept zur Förderung des tansanischen Impfprogramms in Kooperation mit der globalen Impfallianz Gavi wird hierbei auf die Ostafrikanische Gemeinschaft (EAC) ausgeweitet. Das Vorhaben stellt somit eine Fortsetzung der bilateralen Beistellung zur multilateralen Organisation Gavi (Global Alliance for Vaccines and Immunization) dar. Ziel des Vorhabens ist es, zur Reduzierung der Kindersterblichkeit in der EAC beizutragen und damit die Erreichung des MDG 4 in der Region zu beschleunigen. Konkret sollen durch Impfungen schwere Atemwegs- und Durchfallerkrankungen vermieden werden, die noch immer zu den Haupttodesursachen von Kindern in der EAC zählen. Da die Krankheitslast in armen Bevölkerungsgruppen besonders hoch ist, profitieren insbesondere arme Familien von der Maßnahme. Die Reduzierung der Krankheitsfälle führt zur Entlastung der Haushalte (insbesondere der Mütter) und der Gesundheitssysteme. Das Vorhaben wird in Kooperation mit Gavi durchgeführt und unterstützt die nationalen Impfprogramme (Expanded Programmes of Immunization, EPI). Die Impfstoffe werden demnach im Rahmen der lang etablierten, nationalen Routineimpfprogramme in öffentlichen und privaten Gesundheitseinrichtungen an Neugeborene (bis zu einem Lebensjahr) verimpft. Die Umsetzung des Vorhabens über die EAC bietet den entscheidenden Vorteil einer regionalen Plattform mit großem politischem Engagement zur Koordinierung und gegenseitigen Stärkung der Impfprogramme der EAC Staaten. Ein besonderer Fokus liegt hierbei auf der Verbesserung der Versorgungskette von der Bestellung des Impfstoffs bis zur Verimpfung. Die Projektkonzeption der Vorgängervorhaben bleibt im Kern fortbestehen (Impfstoffbeschaffung über Gavi/UNICEF und Verimpfung über nationale Gesundheitssysteme) und wird regional auf die EAC ausgeweitet. Für das vorgeschlagene FZ-Vorhaben zur Unterstützung der Impfprogramme der EAC sind FZ-Haushaltsmitteln in Höhe von 20 Mio. EUR (aus Vorratsprüfung) vorgesehen. The project supports the national immunization programmes in all five Member States of the East African Community (EAC). The project is a continuation of the bilateral support for Gavi, The Vaccine Alliance. The aim of this project is to contribute to the reduction of child mortality and to accelerate the MDG 4 achievement in the region. Diarrhea and respiratory diseases shall be prevented through immunization because they are still among the main reasons for childhood mortality in the EAC. The burden of these diseases is highest among poor population groups, which is why poor families benefit the most from the intervention..The fewer the cases of diseases the smaller is the burden on households (in particular the mothers) and health systems. The project is implemented in cooperation with Gavi, The Vaccine Alliance and supports the national immunization programs in Tanzania, Kenya, Uganda, Rwanda and Burundi (Expanded Programmes of Immunization, EPI). The vaccines are given to newborns (until their first year of life) in the framework of the established national routine immunization programs in public and private health centers. The implementation of the project at the EAC level has the advantage that it creates a regional platform with great political engagement to better coordinate and strengthen the immunization programs of the EAC member states.There is special focus on the improvement of the supply chain management from ordering vaccines all the way to carrying out the vaccination. The principles of the concept of previous project phases persists (procurement of vaccines through Gavi/UNICEF and implementation of the immunization program through the national health system), it will however be expanded to the EAC. The Financial Contribution of 20 million EUR is designated for the procurement of rotavirus, pneumoccocal and pentavalent vaccines to support the immunization programs of the EAC. Verminderung der Kindersterblichkeit und Krankheitslast durch Reduzierung der durch Impfungen verhinderbaren Erkrankungen The project supports the national immunization programmes in all five Member States of the East African Community (EAC). The project is a continuation of the bilateral support for Gavi, The Vaccine Alliance. The aim of this project is to contribute to the reduction of child mortality and to accelerate the MDG 4 achievement in the region. Diarrhea and respiratory diseases shall be prevented through immunization because they are still among the main reasons for childhood mortality in the EAC. The burden of these diseases is highest among poor population groups, which is why poor families benefit the most from the intervention..The fewer the cases of diseases the smaller is the burden on households (in particular the mothers) and health systems. The project is implemented in cooperation with Gavi, The Vaccine Alliance and supports the national immunization programs in Tanzania, Kenya, Uganda, Rwanda and Burundi (Expanded Programmes of Immunization, EPI). The vaccines are given to newborns (until their first year of life) in the framework of the established national routine immunization programs in public and private health centers. The implementation of the project at the EAC level has the advantage that it creates a regional platform with great political engagement to better coordinate and strengthen the immunization programs of the EAC member states.There is special focus on the improvement of the supply chain management from ordering vaccines all the way to carrying out the vaccination. The principles of the concept of previous project phases persists (procurement of vaccines through Gavi/UNICEF and implementation of the immunization program through the national health system), it will however be expanded to the EAC. The Financial Contribution of 20 million EUR is designated for the procurement of rotavirus, pneumoccocal and pentavalent vaccines to support the immunization programs of the EAC.