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Breaking the inertia in coverage: Mainstreaming under-utilized immunization strategies in the Middle East and North Africa region
- Source :
- Vaccine. 36(30)
- Publication Year :
- 2018
-
Abstract
- Vaccination coverage rates have stagnated in the past several years in many middle-income countries (MICs), especially in the UNICEF Middle East and North Africa region, with political and economic turmoil as contributing factors. This paper reviews country experiences with three under-utilized strategies aimed at increasing vaccination coverage and reducing disparities between socio-economic and geographic groups in MICs. These strategies include: (1) identifying and accounting for displaced, mobile and neglected populations; (2) assessing and addressing missed opportunities for vaccination, including by expanding immunization into the second year of life and beyond; and (3) engaging effectively with the private/nongovernmental health providers in the coordination, provision and reporting of immunization services. The examples focus primarily on quality data collection, analysis, use and reporting aspects of the strategies. While data are limited, there is evidence from MICs that each of these strategies can have a positive impact on vaccination coverage, especially among marginalized populations.
- Subjects :
- Economic growth
Vaccination Coverage
030231 tropical medicine
North africa
Mainstreaming
03 medical and health sciences
Politics
Middle East
0302 clinical medicine
Africa, Northern
Humans
030212 general & internal medicine
General Veterinary
General Immunology and Microbiology
Immunization Programs
Vaccination
Public Health, Environmental and Occupational Health
Immunization (finance)
Private sector
Infectious Diseases
Geography
Data quality
Molecular Medicine
Immunization
Subjects
Details
- ISSN :
- 18732518
- Volume :
- 36
- Issue :
- 30
- Database :
- OpenAIRE
- Journal :
- Vaccine
- Accession number :
- edsair.doi.dedup.....5bec21ad3d5fd9c7e439991829aae67f