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Global Immunization Vision and Strategy (GIVS): a mid-term analysis of progress in 50 countries
Lidija Kamara1, Patrick Lydon, Julian Bilous
1Immunization Vaccines and Biologicals Department (IVB), Expanded Program on Immunization (EPI), World Health Organization, Geneva, Switzerland. kamaral@who.int
Health Policy and Planning
|March 14, 2012
Summary
Many countries developed multi-year immunization plans to increase vaccination coverage and reduce measles deaths. However, challenges remain in vaccine introduction, cold chain, and funding to meet global immunization goals.
Area of Science:
- Public Health
- Global Health
- Vaccinology
Background:
- The Global Immunization Vision and Strategy (GIVS) aimed to increase vaccination coverage and reduce mortality between 2006-2015.
- Over 70 countries developed comprehensive Multi-Year Plans (cMYPs) to align with GIVS goals.
Purpose of the Study:
- To analyze country-level immunization plans (cMYPs) within the GIVS framework.
- To assess progress towards GIVS goals and identify challenges in implementation.
Main Methods:
- Analysis of 50 comprehensive Multi-Year Plans (cMYPs).
- Evaluation based on four strategic areas of the GIVS: expanding reach, new vaccines, integration, and global interdependence.
Main Results:
- Most countries planned hepatitis B and Haemophilus influenzae type B vaccine introductions, with fewer plans for pneumococcal or rotavirus vaccines.
- Inadequate cold chain capacity and surveillance systems were identified as key challenges for new vaccine introductions.
- Immunization contacts are leveraged for delivering other health interventions, particularly in the WHO Africa Region.
- Planned immunization costs are projected to double, with a significant funding shortfall, increasingly reliant on GAVI funding.
Conclusions:
- While cMYPs show commitment to GIVS goals, significant gaps exist in preparedness for new vaccine introductions and infrastructure.
- Addressing cold chain, surveillance, and funding is critical for successful immunization program strengthening and achieving global targets.
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