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

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

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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)

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

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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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Supporting vaccine safety

Supporting vaccine safety

WHO / Task Force for Global
© Credits

Overview

In a number of countries in the WHO European Region, immunization injection safety, including sharps waste disposal, is a new initiative that still needs strengthening. WHO/Europe supports endeavours in this area with guidance on the development of policies, strategies and action plans, including reinforcement and capacity building through training and supervision.

Health-care-waste management, particularly the disposal of sharps, is a sensitive issue and often difficult to tackle. Consultations, workshops and pilot projects on appropriate technology for waste disposal are under way in several countries.

Supporting the joint statement of WHO, the United Nations Children’s Fund (UNICEF) and the United Nations Population Fund (UNFPA) that only auto-disable syringes should be used in immunization activities, and that safety boxes for sharps disposal should be provided, WHO/Europe assisted the 11 countries eligible for support from the GAVI Alliance in obtaining funds for this purpose. Several countries have now adopted the use of auto-disable syringes and safety boxes in their routine programmes.

In collaboration with WHO/Europe, the governments of 15 countries in the Region have undertaken injection safety assessments. Multisectoral working groups have been established, and training materials developed and used to address the recommendations made.

Background

Injections are one of the most common health-care procedures: 5–10% of some 16 billion injections administered worldwide each year are given for immunization.

Remarkable progress has been made in the field of injection safety in the last few years, but much remains to be done to ensure 100% safe injections in immunization programmes, including the safe disposal of sharps.