Addressing the persistent inequities in immunization coverage

Mickey Chopra, Zulfiqar Bhutta, Diana Chang Blanc, Francesco Checchi, Anuradha Gupta, Ephrem T. Lemango, Orin S. Levine, Dafrossa Lyimo, Robin Nandy, Katherine L. O'brien, Jean Marie Okwo-Bele, Helen Rees, Jane Soepardi, Rachel Tolhurst, Cesar G. Victora

Research output: Contribution to journalComment/debate

66 Citations (Scopus)

Abstract

A key focus of the health-related sustainable development goal (SDG) 3 is universal health coverage (UHC), including access to safe, effective, quality, and affordable essential medicines and

vaccines. However, the challenges to achieving UHC are substantial, especially with increased demands on the health sector and with most budgets being static or shrinking.

Immunization programmes have been successful in reaching children

worldwide. For example, 86% of the world’s infants had received three doses of diphtheria-tetanus-pertussis (DTP3)

vaccine in 2018. The experiences from such programmes can contribute to UHC, and as these programmes strive to adapt to new global strategic frameworks, such as Gavi, the Vaccine Alliance’s

strategy Gavi and the World Health Organization’s (WHO) Immunization Agenda 2030, these efforts can inform

the progressive realization of UHC. Immunization programmes that can sustain regular levels of contact between health providers and beneficiaries at the community level have enabled new vaccines to be added to routine immunization schedules and other interventions to be delivered to children and their families. In addition, experiences from both polio campaigns and the child health days strategy show that incorporating additional interventions into campaigns can

increase coverage of these interventions as well as of vaccinations.

Original languageEnglish
Pages (from-to)146-148
Number of pages3
JournalBulletin of the World Health Organization
Volume98
Issue number2
Early online date10 Jan 2020
DOIs
Publication statusE-pub ahead of print - 10 Jan 2020

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