This presentation illustrates the importance of routine immunization in its role of saving more lives than any other health service and reducing rates of preventable deaths. In order for this to continue, the foundation must be solid and stable for the structure of routine immunization system to endure all types of disease eliminations, interventions, and vaccination cycles. Countries are now making the transition from RED to REC to improve equity, access and complete immunization. Age groups targeted to receive vaccines include infants, young children, pre-adolescents, Women of child bearing age and expanded age groups during campaigns. Over the last 20+ years there has been a substantial increase in NVI.

1. CAPTURING LESSONS TO
STRENGTHEN ROUTINE
IMMUNIZATION &
INTRODUCE NEW VACCINES
Lora Shimp
Senior Immunization Technical Officer
John Snow,Inc.
14th February 2015
Presented at: 14th World Congress on Public Health
Introduction to topic,Panel of Experts & country experiences

2. In the last century, vaccines have
saved more lives than any other
health intervention.
The World Health Organization
(WHO) estimates that every year,
more than two million deaths
are prevented worldwide due to
immunization.

3. Routine Immunization System
Support other
health
interventions
The foundation must be solid & stable for
the structure to endure...

4. “Every immunizationprogram should
strive to provide quality services that
are accessible,convenient, reliable,
friendly, affordable and acceptable,
and should solicit feedback from families
and communityleaders.”
ROUTINE IMMUNIZATION –
the foundation Planningand
management
of resources
Reaching
the target
populations
Linking services
with
communities
Supportive
supervision
Monitoring for
action
Reaching
Every
District
Countries are now moving from a district
focus to“reaching every community or
child” in an effort to improve equity,
access,and complete immunization (linked
with GlobalVaccineAction Plan)

5. Infants
Young
children
(e.g.,
measles 2nd
dose)
Pre-
adolescents
(HPV)
Women of
child-bearing
age (tetanus
toxoid)
Expanded age
groups during
campaigns
(e.g. polio,
measles,
meningitis A)
Age groups targeted to receive vaccines
Age groups (GVAP)

6. Global DPT3
coverage, by
region and year
Progress has been made, but needs to be
sustained;and equity challenges remain
(between regions and within countries)

7. New vaccine introductions
Overview of introduction status (1991-2013) and
projections for 2014 - 2016
Source: WHO/IVB Database as of 18 October2013
Date of slide: 18 October2013

8. The “what and how” –
Session Panelists:
• What does it take to smoothly introduce new vaccines at country level?
Dr.Michel Othepa,Maternal and Child Health Integrated Program/USAID, John
Snow,Inc. (JSI)
• What does it take to strengthen routine immunization?: experience
fromTimor-Leste
Dr.RuhulAmin, Independent Consultant (formerly Chief of Party, Timor-Leste)
• A new approach to make supervision work: RAPID experience from
Jharkhand,India
Dr.Manish Jain,Team Leader Strategic Planning,Manitoba UPTA Project, JSI India
• Transitioning from “Reaching Every District” to “Reaching Every
Community” in Uganda and Ethiopia with a focus on quality
Samrawit Ashenafi, TechnicalAdvisor,UIFHS Project, JSI Ethiopia
Gerald Ssekitto, Maternal and Child Survival Program/USAID,JSI Uganda