Child survival project -- Egypt, 1985-96

The report, which documents the project's accomplishments, activities, and lessons learned, is based, in part, on the final project evaluation (PD-ABN-167). The CSP has been a very successful project and has achieved most of its objectives. The Expanded Program of Immunization (EPI) component is the most successful of the three components; it has attained almost all of its objectives, as follows. (1) A total of 79% of health districts are polio free, with only 71 cases found in 1995 (down from 550 in 1988). If current strategies, including National Immunization Days and Polio Mop-up campaigns are sustained and a sensitive surveillance system, capable of detecting all acute flaccid paralysis cases continues to improve, Egypt should attain its "zero confirmed cases of polio" objective by 1997. (2) Vaccination coverage has been maintained at more than 80% since 1988. At least 83% of 231 health districts have achieved 80% coverage. The 1995 Egypt Demographic and Health Survey noted 79% fully immunized coverage (excluding Hepatitis B3). (3) An 89% reduction has been achieved in neonatal tetanus since 1986. A total of 76% of districts have