Journal Article

Immunization programs to support primary health care and achieve universal health coverage

von Mühlenbrock, Hernan Julio Montenegro, Nandy, Robin, Bar-Zeev, Naor, Ryman, Tove, Grevendonk, Jan, Brooks, Alan, Grundy, John, Patel, Minal, Sodha, Samir V., O'Connell, Thomas S., Olayinka, Folake, Wahl, Brian, Blanc, Diana Chang, Lindstrand, Ann

2024

Overview

Gains in immunization coverage and delivery of primary health care service have stagnated in recent years. Remaining gaps in service coverage reflect multiple underlying reasons that may be amenable to improved health system design. Immunization systems and other primary health care services can be mutually supportive, for improved service delivery and for strengthening of Universal Health Coverage. Improvements require that dynamic and multi-faceted barriers and risks be addressed. These include workforce availability, quality data systems and use, leadership and management that is innovative, flexible, data driven and responsive to local needs. Concurrently, improvements in procurement, supply chain, logistics and delivery systems, and integrated monitoring of vaccine coverage and epidemiological disease surveillance with laboratory systems, and vaccine safety will be needed to support community engagement and drive prioritized actions and communication. Finally, political will and sustained resource commitment with transparent accountability mechanisms are required. The experience of the impact of COVID-19 pandemic on essential PHC services and the challenges of vaccine roll-out affords an opportunity to apply lessons learned in order to enhance vaccine services integrated with strong primary health care services and universal health coverage across the life course.

• Publisher: Elsevier Ltd,Elsevier Limited
• Subject: Accountability / Allergy and Immunology / Career development planning / Chain drives / Community involvement / Community participation / COVID-19 / COVID-19 - epidemiology / COVID-19 - prevention & control / COVID-19 infection / COVID-19 vaccines / Data systems / Disease control / disease surveillance / Disease transmission / EPI / Epidemics / Epidemiology / Health care / Health services / Health surveillance / Humans / Immunization / Immunization Programs - organization & administration / Information systems / labor force / Leadership / Measles / Medical personnel / Pandemics / Pandemics - prevention & control / Performance management / PHC / Poliomyelitis / politics / Primary care / Primary Health Care / SARS-CoV-2 / supply chain / Supply chains / Systems design / systems engineering / Universal health coverage / Universal Health Insurance / Vaccination Coverage - statistics & numerical data / Vaccines / Workers / Workforce