IN MEMORY OF HANAE MORI | The "Madame Butterfly" of Haute couture - who captivated Princess Grace of Monaco -died on August 11.
She was the first designer from Japan to be accepted by the world of French haute couture, having her first fashion show in Paris in 1977, where Princess Grace attended in the company of her niece, Grace Levine (see pictures below).
Mori was the first designer from Asia to have her house granted haute couture status by the Fédération Française de la Couture and the first Japanese woman - one of two, the other being Rei Kawakubo of Comme des Garçons - to present her collections in Paris and New York. Hanae Mori, the "grande dame" of Japanese fashion, died at the age of 96 at her home in Tokyo on August 11, Japanese media reported.
Hanae Mori had acquired the nickname "Madame Butterfly" thanks to the signature butterfly motifs she repeated in her designs and had dressed famous women such as Princess Grace of Monaco and Nancy Reagan, while she also designed the wedding dress in 1993 of the current empress of Japan, Mashako.
Princess Grace wore one of her iconic butterflies design in public during the evening of the jeweller Gérard at the Hôtel de Paris in Monaco on August 8, 1977 and at another party that same year (see the pictures below).
More info at https://en.wikipedia.org/wiki/Hanae_Mori
***This post part of INSIDE GRACE'S WARDROBE SERIES at @gracie-bird follow #InsideGracesWardrobe for more!
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MINISTRY OF HEALTH DRC - VACCINATION Evaluation report of the Mashako Plan in April 2019
Democratic Republic of Congo
Ministry of Health
Expanded Program on Immunization
Note: French to English translations provided as needed below linked images
THE VACCINARY CHALLENGE
Routine immunization is the most cost-effective and effective public health intervention to protect the population against many preventable diseases such as measles, tetanus and polio.
Mashako Plan in April 2019 - The Vaccinary Challenge
Préliminaire = Preliminary
Moyenne 45% = Average 45%
% de couverture complete = % of complete coverage
However, in the Democratic Republic of Congo, less than half of all children are fully immunized and the country still has one of the highest infant mortality rates in the world.
THE MASHAKO PLAN
The Mashako Plan is the emergency plan for the revival of routine immunization in the Democratic Republic of Congo.
Validated in October 2018, the Mashako Plan covers nine priority provinces : Ituri, Kasai, Upper Katanga, Mongala, Kwilu, Tanganyika, Kinshasa, Tshuapa and Haut-Lomami.
The Mashako Plan targets the ambitious goal of increasing immunization coverage by 15 points by vaccinating 200,000 additional children in 18 months (October 2018 - April 2020)
In order to achieve this objective, the activities of the plan are grouped around 5 thematic axes.
Mashako Plan in April 2019
Themes Objectives Innovations Coordination and steering Put in place committees to ensure speedy implementation at all levels Weekly meetings of the steering committee at the levels national and provincial level to ensure rapid implementation. Half-yearly report with the Minister of Health. Provision of services and communication Increase the number of immunization sessions by at least 20% Reduce abduction rate to less than 10% Simple Vaccination Planning Tool Setting Targets for Each Health Zone, Health Zone, and Province. Creation of CACs and support of the community dynamic Vaccine availability Reduce local stock-outs by 80% Planning in advance of deliveries to provinces. Delivery system adapted to the country's logistics challenges. Systematic inventory tracking at all levels Monitoring and evaluation Monitor monthly progress in each health zone, province and at the national level Dashboard providing real-time data to act quickly. Monthly reports sent to health zones and provinces Inspection and control Inspect immunization activities each month in each health zone Systematic control of immunization activities to verify and validate performance
NATIONAL DASHBOARD
In order to improve the real-time monitoring of vaccination results, a mobile application has been created for the supervisors of immunization activities in all the health zones concerned.
The data for each health zone is automatically recorded and available on an online dashboard that can be consulted by the Expanded Program on Immunization Program for planning and evaluating immunization activities.
The indicators evaluated monthly are:
The availability of vaccines
Health areas respecting the number of immunization sessions required
Health Zone Supervision Activities by Provincial Health Division Supervisors
Supervision activities of health areas by health zone supervisors
The functionality of the cold chain
REPORT APRIL 2019
Report April 2019
Total score Supervision Score Vaccination Session Score Function score of the cold chain Health Zone Vaccine Availability Score
Scores by province
Scores by province
Total Score Vaccination Session Score Vaccine Availability Score
Supervisory scores
Supervisory scores
Province Number of health zones Number of health areas Supervision of health zones carried out Supervision of health areas % of supervisions of health areas carried out % of supervisions of health areas carried out
Functionality scores of the cold chain
Functionality scores of the cold chain
Province Number of health zones Number of health areas Number of supervised BCZS refrigerators Number of supervised functional BCZS refrigerators Number of supervised health refrigerators Number of refrigerators in supervised health areas
Scores of immunization sessions
Scores of immunization sessions
Province Number of health zones Number of health areas Number of health areas completed Number of health areas respecting the minimum number of sessions to be organized % of areas respecting the minimum of sessions to organize
Vaccine availability scores
Vaccine availability scores
Province Number of health zones Number of health areas Number of supervised BCZSrefrigerators Number of BCZS refrigerators with availability of vaccines Number of supervised health refrigerators
QUARTERLY EVALUATION
(December 2018 - March 2019)
The results of the Mashako Plan for the first quarter are encouraging and several successes have been recorded.
The launch and rapid deployment of the mobile monitoring application in the 9 targeted provinces allows to see, for the first time, realities of the field in real time.
The provincial ranking system by performance score works as an incentive for health zone and area supervisors. During the first quarter, more than 6,000 health facility supervision reports were sent, half of them in March alone.
In addition, the mobile application enabled the GPS location of 1,100 health facilities providing immunization services, 100 Central Health Zone Offices (BCZS), and 500 refrigerators.
The national score for immunization activities exceeded 50% for the first time in March 2019, thanks to the performance of the provinces of Kinshasa, Ituri and Mongala.
Score by province - Quarterly Evaluation - December 2018 - March 2019
Total Score - Quarterly Evaluation - December 2018 - March 2019
1. SUPERVISION
At the level of supervision, the total number of reports sent by the supervisors of the zones and health areas almost doubled each month to reach 2,900 in March 2019.
Supervision
Number of reports per user
Number of unique users
Supervision (map)
Supervised health training in ituri and supervision score
More than half of Plan's health areas were supervised in March 2019, spurred by the provinces of Ituri, Kinshasa and Mongala.
2. VACCINATION SESSIONS
The percentage of health areas covered by the Mashako Plan that organize the minimum number of immunization sessions increases every month and reached 38% in March. The three provinces that stand out are still Ituri, Kinshasa and Mongala.
% of areas respecting the minimum of sessions to be organized
% of areas respecting the minimum of sessions to be organized by province
3. FUNCTIONALITY OF THE COLD CHAIN
The functionality of the cold chains is increasing and reaches 85% in March 2019. The provinces with the best scores are Mongala, Haut-Katanga and Kwilu.
% functionality of the cold chain
% functionality of the cold chain by province
4. AVAILABILITY OF VACCINES
The main challenge in the first quarter was the availability of vaccines due to stockouts at the central level. In March, vaccine availability remained low with 46% of refrigerators having one week of vaccines and inputs at the national level.
Vaccine availability score at the health center level by proivince
In March, 70% of the refrigerators in health centers visited lacked at least one vaccine.
Number of health centers out of stock for a vaccine (Mar 2019)
Availability of all antigens and children
Rupture of at least one antigen out input
Due to these stockouts, more than 4,200 children out of the 30,000 present (ie 14%) were not vaccinated during the 1,223 supervised sessions.
Non-vaccinated children during vaccination
Non-vaccinated children during vaccination sessions
1223 supervised immunization sessions in March
Break of at least one vaccine during half of these sessions <621>
4221 Break of at least one vaccine during half of these sessions <14%>
PRIORITIES FOR SECOND QUARTER 2019
Restore vaccine stockpiles for all antigens and inputs at the central level to facilitate distribution to the provinces;
Improve the delivery of immunization antennas to ensure that all antennas in the country have at least one month of stock for at least 10 antigens and inputs;
Start inspection activities to continue to see the reality of the field;
Repair cold rooms and non-functional refrigerators .
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