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Int Health. 2021 Dec 01;13(6):653-657. doi: 10.1093/inthealth/ihz120.

Taking stock of global immunisation coverage progress: the gains, the losses and the journey ahead.

International health

C A Nnaji, A J Owoyemi, U A Amaechi, A B Wiyeh, D E Ndwandwe, C S Wiysonge

Affiliations

  1. School of Public Health and Family Medicine, University of Cape Town, Cape Town, South Africa.
  2. Cochrane South Africa, South African Medical Research Council, Cape Town, South Africa.
  3. Department of Biomedical and Health Information Sciences, University of Illinois at Chicago, Chicago, United States of America.
  4. Strategy, Investment and Impact Division, Global Fund to Fight AIDS, Tuberculosis and Malaria, Geneva, Switzerland.

PMID: 31927563 PMCID: PMC8643426 DOI: 10.1093/inthealth/ihz120

Abstract

Despite the enormous benefits of vaccination, global immunisation coverage progress has stalled and remains suboptimal in many countries. In this commentary, we review the recently published update of the World Health Organization and United Nations Children's Fund Estimates of National Immunization Coverage. We highlight trends in which, despite substantial gains made in improving immunisation coverage at the global level, there remain numerous challenges with reaching and sustaining optimal coverage. We contextualise the trends by exploring plausible supply- and demand-side root causes. Based on these, we stress the need for targeted, context-appropriate strategies for reaching and maintaining optimal immunisation coverage.

© The Author(s) 2019. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene.

References

  1. MMWR Morb Mortal Wkly Rep. 2018 Nov 16;67(45):1261-1264 - PubMed
  2. Pan Afr Med J. 2017 Dec 05;28:290 - PubMed
  3. J Biosoc Sci. 1992 Oct;24(4):447-62 - PubMed
  4. Hum Vaccin Immunother. 2019;15(11):2508-2526 - PubMed
  5. Vaccine. 2015 Aug 14;33(34):4191-203 - PubMed
  6. Expert Rev Vaccines. 2018 Dec;17(12):1063-1070 - PubMed
  7. Bull World Health Organ. 2004 Apr;82(4):265-73 - PubMed
  8. Vaccine. 2017 Jun 16;35(28):3515-3519 - PubMed
  9. Vaccine. 2016 Nov 4;34(46):5495-5503 - PubMed
  10. Hum Vaccin Immunother. 2018 Jul 3;14(7):1580-1590 - PubMed
  11. Glob Health Sci Pract. 2014 Dec 10;2(4):381-94 - PubMed
  12. BMJ. 2019 Apr 16;365:l1810 - PubMed
  13. Vaccine. 2015 Aug 14;33(34):4180-90 - PubMed
  14. Hum Vaccin Immunother. 2018;14(10):2355-2357 - PubMed
  15. Hum Vaccin Immunother. 2017 May 4;13(5):998-1004 - PubMed
  16. Syst Rev. 2019 Jan 8;8(1):14 - PubMed
  17. Lancet. 2018 Sep 1;392(10149):724 - PubMed
  18. Lancet Infect Dis. 2013 Jul;13(7):606-13 - PubMed
  19. EBioMedicine. 2016 Oct;12:295-301 - PubMed
  20. Expert Rev Vaccines. 2019 Jul;18(7):693-701 - PubMed
  21. Hum Vaccin Immunother. 2013 Aug;9(8):1763-73 - PubMed
  22. Pan Afr Med J. 2019 Jan 09;32:14 - PubMed

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