b) Measures taken to ensure universal immunization against major infectious diseases, epidemic and endemic diseases 174. Measures have been taken to ensure that some health services are provided free of charge for all children within the age group earmarked for immunization during the period of major endemic diseases (tuberculosis, leprosy, sleeping sickness, trachoma, Guinea worm, filariasis, lymphatic conditions, onchocerciases) epidemics ( measles, yellow fever, cholera , endemic influenza, etc.). According to the 2013 health sector review, the key actions taken towards the universal immunization coverage in 2012 were the following : - organisation of four immunization campaigns against poliomyelitis (JNV) which enabled the following coverage rates to be attained : 101.34% for the first campaign ; 100.7% for the second campaign and finally 101.68% for the third campaign ; - elimination of maternal and neo-natal tetanus following the validation survey carried out in January 2012 ; - development of a plan for the introduction of vaccines against rotavirus, pneumoccocus and the second dose of anti-measles vaccine ; - review of the immunization guide ; - acquisition of vaccines and consumables estimated at a total cost of one billion seven hundred million CFA francs (CFAF 1 700 000 000). 175. These actions enabled the following performance indicators to be attained as presented in the table below : Table 5: Performance Indicators of the EPI Indicators Promptness of EPI monthly reports Completeness of the monthly reports Non-polio AFP rate per 100.000 inhabitants of less < 15 years of age Percentage of stool collected within 14 days Percentage of Districts which have reported at least one (1) case of suspected measles with sample Percentage of Districts that have reported at least one (1) case of suspected yellow fever with a sample Percentage of suspected cases of yellow fever reported with a blood sample Source: 2013 Health Sector Review Level attained at the end of 2012 100% 100% Standard 100% 100% 3,97 >2 89% > 80% 100% >= 80% 100% 80% 100% 80% 45