To improve vaccination coverage, WHO is calling on countries to reach more children missed by routine delivery systems, especially those living in countries, districts or areas where less than 80% of them are receiving vaccines or those living in countries affected by conflicts or emergencies.
More than 60% of children who are unvaccinated live in 10 countries: the Democratic Republic of the Congo, Ethiopia, India, Indonesia, Iraq, Nigeria, Pakistan, the Philippines, Uganda and South Africa.
Equally, when a child or adult who is unvaccinated or not fully vaccinated visits a health facility for any reason, their vaccination record should be checked by healthcare workers and they should be given all vaccines they are missing.
However, recent field assessments in American and African Regions have shown that between 23-96% of eligible children who visited a health facility for vaccination or for medical care, left the health facility without receiving the vaccine doses they needed.
“These children are not what we would consider ‘hard-to-reach’ or underserved populations,” says Dr Jean-Marie Okwo-Bele, Director of Immunization, Vaccines and Biologicals at WHO.
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“已经前往卫生机构的儿童很容易在改善疫苗接种覆盖率方面获益。”
“Children who are already present in health facilities are easy wins in improving vaccination coverage.”
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回到正确轨道
Getting backon track
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去年取得的许多成功缘于各级（国家、区域和全球级）领导力和问责制的加强。
Many of the successes achieved last year resulted from strengthened leadership and accountability at all levels—national, regional and global.
“When countries and partners establish and enforce clear accountability systems, measure results and take corrective action when results are not achieved, gaps in immunization can be closed,” adds Dr Okwo-Bele.