Presented by Nedret Emiroglu, Deputy Director, Division of Communicable Diseases, Health Security and Environment, WHO/Europe, at the 64th session of the WHO Regional Committee for Europe.

1. European Vaccine Action Plan
(EVAP)
Dr Nedret Emiroglu
Deputy Director, Division of Communicable Diseases,
Health Security and Environment
Special Representative of the Regional Director on
the Millennium Development Goals and Governance

2. Immunization coverage for selected antigens,
WHO European Region, 1990–2013
100
90
80
70
60
50
40
30
20
10
0
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
Source: WHO/United Nations Children’s Fund (UNICEF) adjusted coverage estimates.
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
Coverage (% )
Year
DTP3
HepB3
Hib3
Pol3
dtp3
hepb3
hib3
pol3
Legend: 3 doses of vaccines
for diphtheria, tetanus and
pertussis (DTP3), hepatitis
B (HepB3), Haemophilus
influenzae type B (Hib3)
and poliomyelitis (Pol3).

3. Building on achievements
• Political commitment
• Addressing immunity gaps
• Vaccine hesitancy and refusal
• Integration with other health
interventions
• Alignment with changes in
health systems
• Sustainable access to vaccines
and predictable funding

4. Europe’s response and guiding principles
Alignment with
regional policies

5. 2013 2014
EVAP timeline
1st draft 2nd draft
RC64 version
RC64
September
2014
Outline
RC63
September
2013
Regional consultation (face to face and web based)
European Technical Advisory Group of Experts on Immunization (ETAGE)
Engagement of the Standing Committee
of the Regional Committee (SCRC)

6. EVAP vision

7. EVAP goals

8. EVAP objectives
1. All countries commit to immunization
as a priority
2. Individuals understand the value of
immunization services and vaccines and
demand vaccination
3. The benefits of immunization are equitably
extended to all people through tailored,
innovative strategies
4. Strong immunization systems are an integral
part of a well-functioning health system
5. Immunization programmes have sustainable
access to predictable funding and high-quality
supply

9. Operationalization of EVAP
From EVAP goals
and objectives to
priority action
areas and
proposed actions

10. EVAP monitoring and evaluation framework
• Aligned with the global
framework
• Using existing mechanism
and data (joint reporting
form, with no new
indicators or variables)
• Secretariat to prepare
annual progress reports
on implementation

11. Draft resolution
Regional Committee adopts EVAP
and urges Member States:
• to commit to immunization as a
priority;
• to harmonize their national
immunization plans with EVAP;
and
• to provide information on the
risks and benefits.

12. Draft resolution
Requests the Regional Director:
• to support the implementation of
EVAP;
• to provide leadership and call for
resources;
• to provide guidance in targeting
specific high-risk groups, including
those hesitant about vaccination;
and
• to monitor and evaluate progress.

13. Thank you