Vaccination plans on the ground need to be adapted not just to countries, but to districts and communities,” said Dr Okwo-Belé.“What is required is a truly concerted effort and much stronger accountability so that each one of the key players involved fulfills its mandate and helps close the immunization gap.”
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用来确保扩大现场疫苗接种和服务的重要行动需求有：
Critical operational needs to ensure wider vaccination and delivery on the ground, include:
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找到可以简化现场疫苗接种程序的方式；
finding ways to simplifyvaccination proceduresin the field;
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为覆盖到每位儿童而改进免疫接种服务，尤其是生活在边远和难以抵达地区的儿童；
improving vaccination delivery to reach every last child, especially those living in remote and inaccessible areas;
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确保疫苗可承受性并加强疫苗供应链；
ensuring vaccineaffordability and strengthening vaccine supply chains;
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培训更多卫生工作者和有技能的管理者，并提供支持性监督；
training more health workers, skilled managers and providing supportive supervision;
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改进各国收集的数据质量，并将其用于改善计划免疫行动；
improving the quality of data collected by countries and using this to improve immunization operations;
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应对冲突、自然灾害和其它危机带来的挑战；
overcoming challenges posed by conflict, natural disasters and other crises;
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提高社区对计划免疫的认识和要求；
increasing awareness and demand for immunization by communities; and
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加大履行与免疫接种行动细微计划和明确分工相关的责任。
greater accountability linked to micro-planning of vaccination operations and clear lines of responsibility.