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Strengthening routine immunization through measles-rubella elimination
Robin J Biellik1, Walter A Orenstein2
1Geneva, Switzerland.
Vaccine
|July 26, 2018
Summary
Routine immunization (RI) strategies for measles-rubella elimination were underutilized. Supplementary immunization activities (SIAs) showed promise in strengthening RI by improving outreach, data collection, and surveillance, though cost and impact data were limited.
Area of Science:
- Public Health
- Immunization Programs
- Vaccine-Preventable Diseases
Background:
- The Global Measles-Rubella Strategic Plan (2012-20) aimed for elimination, but a 2016 review found routine immunization (RI) potential unmet.
- Measles and rubella elimination efforts require robust RI systems for sustained success.
Purpose of the Study:
- To identify and analyze strategies used by countries to strengthen RI in the context of measles-rubella (MR) elimination.
- To understand how supplementary immunization activities (SIAs) contribute to strengthening routine immunization services.
Main Methods:
- Survey of WHO and partner agency immunization staff across six WHO Regions.
- Identification of 23 countries implementing recommended activities to improve RI for MR elimination.
- Analysis of reported examples, focusing on the role of SIAs.
Main Results:
- Supplementary immunization activities (SIAs) were most frequently reported as a means to strengthen RI.
- SIAs facilitated expanded RI service delivery, cold chain improvements, and identification of under-vaccinated children.
- Micro-planning for SIAs improved data for revising RI catchment populations.
- MR elimination efforts also strengthened disease surveillance and preparedness in some countries.
Conclusions:
- SIAs offer significant opportunities to strengthen routine immunization (RI) systems and improve vaccination coverage.
- Further research is needed on the cost, impact, and sustainability of these RI-strengthening activities.
- Countries are encouraged to adapt and implement comprehensive RI-strengthening activities alongside MR elimination goals.
Keywords:
Measles eliminationRoutine immunizationRubella eliminationSupplementary immunization activitiesVaccination coverageVaccine-preventable diseaseMore Related Videos
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