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Global Immunization News (GIN) October 2016 Global Immunization News (GIN) October 2016 In this issue News You can click on the article you are interested in and ac- Where are we with the implementation of the Global Vaccine Action Plan (GVAP) at cess it directly! mid-term of the Decade of Vaccines? News Every year, the Decade of Vaccines Updated resources for moni- 2 secretariat (see details below) pre- toring home-based records Further, Faster, Fairer: Reach- 2 pares a report which summarizes ing every last child with im- the progress against each of the munization GVAP goals (coverage, disease elim- New work with countries to 3 ination, vaccine prices, NITAGs…). generate and use evidence on This report is the best source of vaccine delivery cost for information available for a clear planning and budgeting picture of the situation in all areas Launch of Stop Pneumonia 3 website, a great resource of work in the immunization world ahead of World Pneumonia (research, procurement, logistic, Day 2016 delivery, demand…). MSF rejects Pfizer PCV Dona- 4 tion offer This year, the GVAP Secretariat report 2016 is composed of several Past meetings / workshops 5-13 pieces: 1. The usual GVAP secretariat re- Resources 14 port (all goals and strategic goal indicators) Calendar 15 2. Six regional progress reports 3. Seven priority countries pro- Links 16 gress reports 4. The Score Cards for immuniza- tion summarizing the immuniza- tion coverage for all antigens and for all countries from 2000 to GVAP and National Immunization coverage scorecards estimates for 2015 2015 All those documents serve as the basis for the independent review conducted by the Strategic Ad- visory Group of Experts on immunization (SAGE). The SAGE GVAP Assessment Report will be published soon and will then be discussed at the World Health Assembly. The SAGE Decade of Vaccines (DoV) Secretariat Report 2016 and the National Immunization Coverage Scorecards for 2016 are now available and can be accessed via the WHO GVAP web page. To facilitate an exploration of the data, a number of data visualizations that measure progress against the goals and strategic objectives of the GVAP have been made available on the TechNet- 21.org website. We encourage you to share your opinions or ask questions about these visualiza- tions on the TechNet-21.org forum. For further information on the Decade of Vaccines and the Global Vaccine Action Plan please see the GVAP webpage or email the DoV Secretariat. SUBSCRIBE NOW Send an email to [email protected] with the following text in the body of the email: The Decade of Vaccines secretariat comprises the Bill & Melinda Gates Foundation, Gavi the Vaccine Alliance, subscribe GLOBALIMMUN- UNICEF, the US National Institute of Allergy and Infectious Diseases and the World Health Organization IZATIONNEWS (WHO). Global Immunization News (GIN) October 2016 Updated resources for monitoring home-based records Marta Gacic-Dobo, WHO and David Brown, Brown Consulting Group International, LLC Within primary healthcare service delivery, home-based records (HBRs) serve as an important recording tool and information resource (i) to enhance health professionals’ ability to make ap- propriate clinical decisions (e.g., which vaccinations have been received already and which vaccinations remain outstanding) and improve continuity of care across providers in the absence of other health records, (ii) to empower individuals or their care- givers as a vehicle for health education about which primary healthcare services have been received and those which remain outstanding as well as (iii) to support public health monitoring efforts. Map showing where HBRs are available as of 6 WHO continues to work with immunization programmes and its October 2016. Examples of HBRs for Madagascar, partners to increase awareness of the importance of HBRs for Australia and Bangladesh. immunization programmes. Current challenges exist in many countries where the HBR is not made available, not adopted and/or not appropriately utilized by caregivers and/or health workers, all of which prohibit the HBR from being able to fulfil its intended purpose. Currently, the updated electronic repository contains HBRs from 164 countries, and the website of all and current HBR ownership preva- lences has been updated. In addition, an online wiki has been developed. Efforts are on-going to improve the usability and functionality of these online resources. The WHO continues to encourage countries to consider including monitoring of HBR availability and adoption or ownership among other programme performance indicators. Further, Faster, Fairer: Reaching every last child with immunization Kirsten Mathieson, Save the Children 19.4 million children under one year old globally are still missing out on immunization – that is one in seven children excluded from this critical health intervention. Save the Children’s new report, Further, Faster, Fairer: Reaching every last child with immunization, calls for accelerated action to achieve universal immunization coverage. While progress over the past decade has been impressive – with 86% of children globally now receiving basic vac- cinations – progress has recently slowed and the 2011–2020 Global Vaccine Action Plan (GVAP) is off-track. To fo- cus on the seventh child exposes systematic exclusion within countries. ‘Further, Faster, Fairer’ shows that these ex- cluded children are from the poorest households, certain ethnic groups, living in neglected areas, and affected by conflict and emergencies. The report argues that domestic policy and resource choices must ensure that immunization and other essential health services reach every last child, working towards Universal Health Coverage. It also explores other important issues that must be addressed for countries to make progress, including making sure every child is counted, tackling household and community barriers, as well as global factors (such as vaccine affordability) that affect countries’ ability to reach every last child. Every child has the right to immunization as part of their right to health. But unless we do things differently, we will continue to fail every seventh child and further entrench systematic inequalities that leave him or her behind. Break- ing down the barriers that drive exclusion is possible – but requires renewed political commitment and investment. At the midpoint of the GVAP, more must be done to accelerate action. We must go further, we must act faster and we must be fairer to ensure that every last child is reached. Our new report puts forward recommendations to help drive this agenda forward. Find our new report here. Page 2 Global Immunization News (GIN) October 2016 New work with countries to generate and use evidence on vaccine delivery cost for planning and budgeting Annette Ozaltin, ThinkWell Great strides have been made in expanding the coverage of vaccines, in part through better understanding the cost of delivering immunization services. However, gaps in cost evidence remain and many countries still budget their nation- al immunization programmes using historical funding levels rather than cost evidence. To achieve equitable, high- quality coverage and ensure efficient resource use, immunization delivery cost (IDC) evidence must not only be avail- able, but also used in planning and budgeting processes. As more countries transition to self-financed immunization delivery programmes, the use of cost evidence will become essential to ensuring those programmes mobilize ade- quate resources to meet coverage goals and manage introduction of new vaccines. ThinkWell and John Snow, Inc. kicked off a 3-year project focused on increasing the visibility, availability, understand- ing, and use of IDC evidence. Funded by The Bill & Melinda Gates Foundation, the project aims to build country ca- pacity around use of cost evidence to work towards sustainable and predictable financing for vaccine delivery. The project complements the EPIC costing studies, focusing on generating costs to address challenges that are at the top of the domestic health and immunization financing agenda to ensure programme and policy relevance. We are currently exploring opportunities with countries to undertake this type of analysis. The project will work with countries to improve the use of IDC evidence in planning and budgeting processes. We will facilitate an immunization costing network, linked to the existing EPIC community of practice, to encourage knowledge sharing and co-production of effective strategies for IDC evidence generation and use. Finally, we will con- solidate and analyze IDC evidence and develop a user-friendly interface for countries. We welcome hearing from others regarding experience and best practice in integrating cost evidence into country policy, planning, and budgeting dialogues. Please email us to share your lessons. Launch of Stop Pneumonia website, a great resource ahead of World Pneumonia Day 2016 International Vaccine Access Center World Pneumonia Day is right around the corner on November 12, 2016. The International Vaccine Access Center (IVAC) is excited to share some resources to help mark this important event. This year's theme is Keep the Promise. Stop Pneumonia Now, focusing on the intersection of pneumonia and the Sustainable Development Goals (SDGs). The world has an oppor- tunity to keep the promise of the SDGs by stopping pneumonia and saving thousands of young lives. IVAC has launched a new website, StopPneumonia.org, that provides tools for pneumonia advocacy. Content includes a Social Media Toolkit
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