North Macedonia’s caravan: bringing COVID-19 vaccines and information about influenza and other vaccines to communities

20 December 2022

What does it take to encourage vulnerable communities in North Macedonia to get vaccinated against COVID-19 and seasonal influenza, or to ensure that their children get the routine childhood vaccines they need to be protected from life-threatening diseases?

The answer is many things. But one thing is certain – North Macedonia’s health authorities want to make sure that access to information and vaccination is as easy as possible, so no one is left behind as they prepare for winter and concerns about COVID-19 and influenza surge.

And so, this October, a caravan travelled across the country, reaching 24 communities in cities and villages. These included people living in remote areas and vulnerable groups, such as older people.

Under the slogan “Protected Together – Vaccines Work”, the information and vaccination caravan brought information about seasonal influenza, COVID-19 and all routine childhood vaccines and offered on-the-spot vaccination against COVID-19.

Organizations behind this initiative included North Macedonia’s Ministry of Health, WHO and UNICEF (United Nations Children's Fund) in North Macedonia, with support from the United States Agency for International Development (USAID).

The caravan is a sequel of a similar event that took place in April this year, when a caravan brought COVID-19 vaccines and information related to COVID-19 to 14 communities.

“The first caravan was a success, so we wanted to build on this,” said Dr Anne Johansen, Special Representative to North Macedonia and Head of the WHO Country Office in North Macedonia. “We are not done with COVID-19 yet, and COVID-19 vaccination uptake is still relatively low in North Macedonia. To date, only 40% of the population has completed the primary COVID-19 vaccine series.”

“COVID-19, and influenza on top of that, is worrying,” added Johansen. “We must do everything it takes to protect the most vulnerable and convey, again and again, ‘if you are in a group at risk of COVID-19 and influenza, please get vaccinated’. Obviously, keeping up with measures, like cleaning hands regularly or staying away when unwell with respiratory illness, is also important.”  

 

WHO / Zdravko Mitic
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Maja Hristovska received her third COVID-19 vaccine dose at one of the caravan’s sites

“The caravan was a great opportunity for me to get up-to-date with my COVID-19 vaccines,” said Maja Hristovska from Skopje, North Macedonia’s capital. “I have already received 2 doses, and now that the colder weather is approaching, I’m getting the third dose. I’m getting vaccinated in the interest of my own health and well-being.”

 

WHO / Zdravko Mitic
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Mile Apostolovski was vaccinated against COVID-19 at one of the caravan’s sites

“I’m getting vaccinated to protect my health as I believe that the COVID-19 vaccines are effective,” said Mile Apostolovski from Kumanovo.

“Doctors have way more knowledge about this than I do,” he added. “I trust their recommendations.”

WHO / Zdravko Mitic
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Gavrilo Slavkovski was vaccinated against COVID-19 at one the caravan’s sites

“I'm an old man,” said Gavrilo Slavkovski. “I want to protect myself."

The majority of those interested in COVID-19 vaccination at the caravan’s sites were among groups most at risk, including older people and people with underlying health conditions, such as diabetes or health disease.

 

UNICEF / Tamara Mihajlovska
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People with underlying health conditions are at risk from COVID-19 and influenza

“I’m an older person and also a diabetic,” said Jordan Risteski, who was vaccinated against COVID-19 in Ohrid as part of the caravan’s activities. “I’m part of the most vulnerable groups.”

 

UNICEF / Tomislav Georgiev
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A factsheet on influenza was on display at one of the caravan’s events

Amid concerns about a resurgence of influenza this autumn and winter, alongside COVID-19, the caravan also sought to remind people that influenza vaccination as well as keeping up with personal protective measures remain the best ways to protect themselves against seasonal influenza.

 

UNICEF / Tamara Mihajlovska
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The caravan’s team supported older people in booking their influenza vaccinations

Supporting the caravan, medical staff and volunteers from North Macedonia’s Red Cross helped older visitors to book their influenza vaccination appointments online. 

Some 260 people received their influenza vaccination through bookings, thanks to the caravan’s activities.

 

UNICEF / Tamara Mihajlovska
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Materials about routine childhood immunization were on display at one of the caravan’s events

As the COVID-19 pandemic has put a huge strain on health systems and services, years of hard-won progress on routine immunizations for children has been reversed.

The caravan was an excellent opportunity to promote routine childhood immunization. Visitors had a chance to talk to health workers and get trusted information about the benefits of routine childhood immunization for their children.

 

WHO / Zdravko Mitic
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A man had his blood pressure checked at one of the caravan’s sites

Services for measuring blood pressure were also available at the caravan’s sites. This was possible thanks to the support of the Red Cross in North Macedonia and medical students.

 

WHO / Zdravko Mitic
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An older woman was vaccinated against COVID-19 at one of the caravan’s sites

Influenza and COVID-19 can have serious consequences for older people.

WHO / Zdravko Mitic
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“Protected together – vaccines work” was the slogan of the information and vaccination caravan

Community outreach events, such as the caravan, help bring needed vaccination information to local communities  from people they trust.

For more than 2 centuries, vaccines have helped keep people healthy – from the very first vaccine developed to protect against smallpox to the recent vaccines used to prevent severe cases of COVID-19.

WHO, UNICEF and partners will continue to support the Ministry of Health to increase immunization uptake across North Macedonia because, quite simply, vaccines save lives.

 

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