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Regional Strategic Plan for Immunization 2014–2020 EXECUTIVE SUMMARY

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Regional Strategic Plan for Immunization 2014–2020 EXECUTIVE SUMMARY Regional Strategic Plan for Immunization 2014 - 2020 AFRO Library Cataloguing-in-Publication Data Regional Strategic Plan for Immunization 2014-2020 1. Vaccination – trends 2. Immunization Programs – organization and administration 3. Child Mortality – prevention and control 4. Communicable Diseases – prevention and control 5. Healthcare Disparities 6. Regional Health Planning 7. Strategic planning I. World Health Organization. Regional Office for Africa ISBN: 978 929 023 2780 (NLM Classification: WA 115) © WHO Regional Office for Africa, 2015 Publications of the World Health Organization enjoy copyright protection in accordance with the provisions of Protocol 2 of the Universal Copyright Convention. All rights reserved. Copies of this publication may be obtained from the Library, WHO Regional Office for Africa, P.O. Box 6, Brazzaville, Republic of Congo (Tel: +47 241 39100; Fax: +47 241 39507; E-mail: [email protected]). Requests for permission to reproduce or translate this publication, whether for sale or for non-commercial distribution, should be sent to the same address. The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters. All reasonable precautions have been taken by the World Health Organization to verify the information contained in this publication. However, the published material is being distributed without warranty of any kind, either express or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall the World Health Organization or its Regional Office for Africa be liable for damages arising from its use. Design by Paprika-annecy.com 2014 - 2020 Regional Strategic Plan for Immunization 2014 - 2020 TABLE OF CONTENTS Acronyms ..........................................................................................................................................................................................................................................IV Executive summary ............................................................................................................................................................................................................V 1. Introduction ............................................................................................................................................................................................................................8 2. Situation analysis and justification ...............................................................................................................................................14 3. Formulation of the strategy ......................................................................................................................................................................20 3.1 Priority setting ....................................................................................................................................................................................................................22 3.2 Aim ......................................................................................................................................................................................................................................................25 3.3 Objectives ..................................................................................................................................................................................................................................25 3.4 Targets ...........................................................................................................................................................................................................................................26 3.5 Guiding principles ..........................................................................................................................................................................................................27 3.6 Strategic directions ....................................................................................................................................................................................................32 3.7 Key approaches ..................................................................................................................................................................................................................45 4. Implementation of the strategy ..........................................................................................................................................................48 4.1 Key approaches for implementation...................................................................................................................................................51 4.2 Roles and responsibilities of stakeholders ................................................................................................................................52 5. Resource implications .......................................................................................................................................................................................60 6. Monitoring and evaluation framework .....................................................................................................................................66 7. Conclusions .........................................................................................................................................................................................................................70 8. Annexes .....................................................................................................................................................................................................................................76 Annex 1: Transitioning from GIVS to GVAP ...............................................................................................................................................78 Annex 2: Immunization as a component of the human right of health..........................................................79 Annex 3: Costing and financing estimates..............................................................................................................................................81 Annex 4: Milestones and the monitoring and evaluation framework.................................................................89 III ACRONYMS AEFI Adverse events following immunization AFP Acute flaccid paralysis CCS Country Cooperation Strategy cMYPs comprehensive multiyear plans cVDPV circulating vaccine-derived poliovirus DTP Diphtheria-tetanus-pertussis vaccine EPI Expanded Programme on Immunization FBO Faiths-based organizations GVAP Global Vaccine Action Plan GIVS Global Immunization, Vision and Strategy HIV Human immunodeficiency virus HMIS Health management information system HPV Human papillomavirus Vaccin HSS Health systems strengthening ICC interagency coordinating committee IDSR integrated disease surveillance and response IHR International Health Regulations (2005) IPV inactivated polio vaccine JRF joint reporting form MCV measles-containing vaccine Men A meningitis type A MenAfriVac© meningococcal meningitis A conjugate vaccine NGO nongovernmental organization NITAG national immunization technical advisory group NRA national regulatory authority OPV oral polio vaccine PCV pneumococcal conjugate vaccine PEI Polio Eradication Initiative REC Reaching every child RED Reaching every district SIA supplementary immunization activity TB tuberculosis bacilli TT tetanus toxoid vaccine UNICEF United Nations Children’s Fund USAID United States Agency for International Development VDPV Vaccine-derived polioviruses WHA World Health Assembly WHO World Health Organization WPV wild poliovirus IV Regional Strategic Plan for Immunization 2014–2020 EXECUTIVE SUMMARY Immunization has been the mainstay of national and consultative process in which African countries and many regional public health strategies in the African Region for partners and relevant institutions played an active role. the past four decades. By overcoming many structural, financial, geographical and managerial obstacles to This strategic document addresses the challenges countries providing universal access to immunization, the Region in the WHO African Region and their partners need to has achieved coverage levels of about 70% for three doses overcome to provide universal access to immunization of the diphtheria-tetanus-pertussis (DTP3) vaccine and for all eligible populations by 2020. It builds on lessons the first dose of the measles vaccine. Measles mortality learned during 2009–2013 when the Global Immunization has declined by 88% since 2000, and only one country Vision
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