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Published on: February 22, 2019
Life-course vaccination requires life-course performance metrics
Charles S Wiysonge1, Ado M Bwaka2, Aschalew Teka Bekele2
1Cochrane South Africa, South African Medical Research Council, Parrow Valley, 7500 Cape Town, South Africa; Department of Global Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Tygerberg, 7505 Cape Town, South Africa; Centre for Equitable Immunisation and Pandemic Preparedness, Bellville, 7530 Cape Town, South Africa.
Abstract:
Vaccination has expanded from a childhood to a life-course public health intervention. However, the principal indicator used to judge programme performance remains rooted in early childhood. Modern immunisation programmes require monitoring frameworks that combine measures of access, completion, timeliness, and protection across the whole spectrum of vaccines on national vaccination schedules. Life-course vaccination therefore requires performance metrics that extend beyond infant coverage with three doses of diphtheria-tetanus-pertussis containing vaccines (DTP3).
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