- Allocation of permanent and necessary resources for the implementation of actions. 304.Des efforts ont été fournis pour l’augmentation du Taux de Couverture Vaccinale (TCV) à travers : - The biennial organisation of the SSME campaign institutionalized since 2006, consolidated in April 2011 with the African Vaccination Week (SAV);; - The implementation of the "Reaching Every District" approach or ACD in high-risk districts, in Communities or even in remote and / or land-locked Fokontany, - The strengthening of the monitoring of target diseases for the eradication of polio, measles control and neonatal tetanus;; - The effective participation of the State in the co-funding of vaccines. 305.In 2012, Madagascar was awarded the regional vaccination coverage Trophy for 2011. 306.For children under 5, prevention of common diseases has been strengthened through the introduction of new vaccines in: - 2006 against Hepatitis B, - 2008 against meningitis and pneumonia influenzae; - 2012 the pneumococcal vaccine to fight pneumonia, meningitis and ear infections; - 2013 introduction of the vaccine against the Human Virus Pappilloma for girls aged 9-10 to prevent cervical cancer; - 2014 introduction of rotavirus vaccine to combat diarrheal diseases. 307.From 2007 to 2012, a slight decrease in immunisation coverage OPV 3 DPT3 and measles was recorded, while the dropout rate increased slightly. Moreover, monitoring of non-polio AFP rate showed a steady increase. 48

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