National routine adult immunisation programmes among World Health Organization Member States: an assessment of health systems to deploy COVID-19 vaccines.
AuthorWilliams, Sarah R
Driscoll, Amanda J
LeBuhn, Hanna M
Chen, Wilbur H
Neuzil, Kathleen M
Ortiz, Justin R
JournalEurosurveillance: bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin
PublisherEuropean Centre for Disease Prevention and Control
MetadataShow full item record
AbstractIntroduction As SARS-CoV-2 disproportionately affects adults, the COVID-19 pandemic vaccine response will rely on adult immunisation infrastructures. Aim To assess adult immunisation programmes in World Health Organization (WHO) Member States. Methods We evaluated country reports from 2018 on adult immunisation programmes sent to WHO and UNICEF. We described existing programmes and used multivariable regression to identify independent factors associated with having them. Results Of 194 WHO Member States, 120 (62%) reported having at least one adult immunisation programme. The Americas and Europe had the highest proportions of adult immunisation programmes, most commonly for hepatitis B and influenza vaccines (> 47% and > 91% of countries, respectively), while Africa and South-East Asia had the lowest proportions, with < 11% of countries reporting adult immunisation programmes for hepatitis B or influenza vaccines, and none for pneumococcal vaccines. In bivariate analyses, high or upper-middle country income, introduction of new or underused vaccines, having achieved paediatric immunisation coverage goals and meeting National Immunisation Technical Advisory Groups basic functional indicators were significantly associated (p < 0.001) with having an adult immunisation programme. In multivariable analyses, the most strongly associated factor was country income, with high- or upper-middle-income countries significantly more likely to report having an adult immunisation programme (adjusted odds ratio: 19.3; 95% confidence interval: 6.5-57.7).Discussion Worldwide, 38% of countries lack adult immunisation programmes. COVID-19 vaccine deployment will require national systems for vaccine storage and handling, delivery and waste management to target adult risk groups. There is a need to strengthen immunisation systems to reach adults with COVID-19 vaccines.
Identifier to cite or link to this itemhttp://hdl.handle.net/10713/15563
- A global review of national influenza immunization policies: Analysis of the 2014 WHO/UNICEF Joint Reporting Form on immunization.
- Authors: Ortiz JR, Perut M, Dumolard L, Wijesinghe PR, Jorgensen P, Ropero AM, Danovaro-Holliday MC, Heffelfinger JD, Tevi-Benissan C, Teleb NA, Lambach P, Hombach J
- Issue date: 2016 Oct 26
- Routine childhood immunisation during the COVID-19 pandemic in Africa: a benefit-risk analysis of health benefits versus excess risk of SARS-CoV-2 infection.
- Authors: Abbas K, Procter SR, van Zandvoort K, Clark A, Funk S, Mengistu T, Hogan D, Dansereau E, Jit M, Flasche S, LSHTM CMMID COVID-19 Working Group.
- Issue date: 2020 Oct
- Global, regional, and national estimates of target population sizes for covid-19 vaccination: descriptive study.
- Authors: Wang W, Wu Q, Yang J, Dong K, Chen X, Bai X, Chen X, Chen Z, Viboud C, Ajelli M, Yu H
- Issue date: 2020 Dec 15
- Influenza vaccination strategies for 2020-21 in the context of COVID-19.
- Authors: Wang X, Kulkarni D, Dozier M, Hartnup K, Paget J, Campbell H, Nair H, Usher Network for COVID-19 Evidence Reviews (UNCOVER) group.
- Issue date: 2020 Dec
- Economic and immunisation safety surveillance characteristics of countries implementing no-fault compensation programmes for vaccine injuries.
- Authors: Mungwira RG, Maure CG, Zuber PLF
- Issue date: 2019 Jul 18