Introducing new vaccines into national routine immunization programmes

The decision of whether to add a new vaccine into a national immunization schedule is influenced by multiple factors, including affordability and relative cost-effectiveness, disease burden, availability and price of vaccines, and safety and suitability of available vaccine products for national programmes. Once the decision is made to add a new vaccine, several steps are needed to ensure its successful introduction and sustainable use.

WHO/Europe supports Member States through the entire process of decision-making, introduction and management of new and underutilized vaccines and post-introduction monitoring. It facilitates the sharing of knowledge and good practice through meetings and workshops held across the Region, and provides guidance and technical support to countries in collecting evidence and making informed decisions about whether, when and how to introduce new antigens. It helps educate medical professionals and academics about the new vaccine to ensure their support and acceptance, and with training of vaccinators. Post-introduction evaluations are also supported to assess the impact of new vaccines on disease burden and develop lessons learnt for future vaccine introductions.

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Questions and answers about human papillomavirus, second edition

This document provides evidence-based answers to frequently asked questions related to human papillomavirus (‎HPV)‎, HPV vaccines, and prevention...

European Immunization Agenda 2030

The European Immunization Agenda 2030 (‎EIA2030)‎ is a vision and strategy, designed and crafted by the Member States, for achieving the full...

European Immunization Agenda 2030: draft for the Seventy-first Regional Committee for Europe

This Draft document is prepared for the Seventy-first Regional Committee for Europe. The European Immunization Agenda 2030 (EIA2030), a vision and strategy...

Questions and answers about human papillomavirus (‎HPV)‎

Human papillomavirus (‎HPV)‎ is a virus that infects the skin or various mucous membranes. There are over 200 types of HPV. Some HPV types, known...

A field guide to qualitative research for new vaccine introduction: step-by-step instructions to help immunization programmes understand their target audiences before communicating about the introduction of a new vaccine (who.int)

Expanding a national routine immunization schedule to include a new vaccine is a positive step forward in reducing a country’s burden of disease....

New vaccine introduction: checklist for planning communication and advocacy: World Health Organization vaccine safety supporting document

Vaccine-safety-related events, and how we respond to them, can affect public trust in vaccines and health authorities. These events may or may not...

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FieldGuide_VaccineIntro

Expanding a national routine immunization schedule to include a new vaccine is a positive step forward in reducing a country’s burden of disease....

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Advancing immunization equity

Advancing immunization equity

WHO
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Overview

WHO works with countries to resolve immunization inequities by embedding equity into the heart of immunization programmes. Immunization inequities are avoidable differences in immunization coverage between individuals and groups within a population.

Simply making vaccines available to everyone is not sufficient to achieve equitable uptake; tailored services may be needed to reach some communities or individuals, often including those at higher risk of infections and severe outcomes. Despite overall high coverage at the level of the WHO European Region, over 500 000 children in the Region still miss one or more recommended vaccinations each year.

Embedding equity into immunization programmes means developing processes to continuously:

  • identify who has not been vaccinated according to the national routine immunization schedule;
  • understand why they were left behind by identifying the barriers they face in accessing immunization programmes;
  • decide how to intervene to resolve or avoid this; and
  • determine if these interventions make a difference (and are sustainable).

This requires that all levels of the immunization programme understand the importance of equity and take action – from immunizers and other health-care providers on the ground to those developing policy at the national level. Addressing immunization inequities may also involve adapting policy and procedures at national, regional or local levels and allocating additional resources to support interventions.

WHO supports its Member States in all phases of strengthening equity in immunization, including:

  • detecting and tracking inequities through surveillance;
  • conducting research to understand the reasons individuals and populations are under-vaccinated;
  • developing and monitoring the effectiveness of tailored, multi-component interventions to resolve immunization inequities; and
  • providing recommendations and guidelines, such as a practical guide to identifying, addressing and tracking inequities in immunization.