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Immunization in Bosnia and Herzegovina (2015)


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Immunization is a core component of the human right to
health and an individual, community and government responsibility. Protected from the threat of vaccine –preventable diseases, immunized children have the opportunity to thrive and a better chance of realizing their full potential.

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Immunization in Bosnia and Herzegovina (2015)

  1. 1. immunizationin Bosnia and Herzegovina The Global Vaccine Action Plan (GVAP) is a framework approved by the World Health Assembly in May 2012 to achieve the Decade of Vaccines vision by delivering universal access to immunization. One of the GVAP targets is to reach 90% national coverage and 80% in every administrative unit with all vaccines in national programmes. ! FACTORS LIMITINGACCESSTO CONTINUED IMMUNIZATION Global changes in vaccine production and availability of vaccines Limited targeted interventions for unimmunized children such as Roma Lack of trust in benefit of immunization among parents Weak planning for vaccines procurement at the country level Ineffective mechanism for local licensing including utilizing expedited procedures for vaccines procurement Lack of confidence in benefit of immunization among health professionals Frequent stock out vaccines Different vaccination schedule, types of vaccines and mechanisms for vaccines procurement in 3 Administrative Units of BiH (FBiH, RS and Brcko District) Middle and high income countries in the European region have a strong tradition of immunization for more than a century, and have successfully introduced some of the new vaccines. Today the national immunization programs face numerous challenges, including growing costs of existing vaccines and high costs of newer vaccines, supply unavailability and new market demands as more countries move towards EU integration. Immunizationis a core component of the human right to health and an individual, community and government responsibility. Protected from the threat of vaccine –preventable diseases, immunized children have the opportunity to thrive and a better chance of realizing their full potential. Bosnia and Herzegovina (BiH) is an immunization self-sufficient country facing increasing challenges: FACT SHEET March 2015
  2. 2. 68% 4% immunizationin Bosnia and Herzegovina IMPACT ON CHILDREN full immunization coverage for all children full immunization coverage for Roma children Full immunization Polio 3 coverage Source: UNICEF MICS Polio Full immunization refer to children that have received a BCG vaccine and three doses of DPT and the polio vaccine by 12 months of age and the MMR vaccines by 18 months. World Health Organization declared European region polio-free in 2002 Polio continues to be a threat, particularly due to outbreaks in neighboring countries BiH is one of four European countries (with Romania, Ukraine and Georgia) under high risk of poliovirus importation, since only 87% of children are fully protected against poliomyelitis Herzegovina France Italy Croatia Bosnia and 80 82 84 86 88 90 92 94 96 98 100 Source: World Health Organization FACT SHEET March 2015 9590858075706560 Palestine Ghana Serbia Zimbabve Bosnia and Herzegovina
  3. 3. immunizationin Bosnia and Herzegovina FACT SHEET March 2015 Measles outbreak 2012 2013 2014 22 10 5048 Source: Official statistic of Public Health Institute of Federation BiH and Republic of Srpska cases of measles cases of measles cases of measles The outbreak started in 2014 in Middle-Bosnia Canton where immunization coverage was only 33%in 2013 and spreaded to 40% of total BiH territory Measles can lead to serious disease and death FOČA BILEĆA TREBINJE BANJA LUKA Areas affected by the measles outbreak ZVORNIK SREBRENICA VIŠEGRAD BRATUNAC LOPARE UGLJEVIK MIDDLE BOSNIA CANTON CANTON ZENICA-DOBOJ CANTON TUZLA UNA-SANA CANTON DOBOJ PETROVO MODRIČA BIJELJINA CANTON SARAJEVO ISTOČNO SARAJEVO PALE
  4. 4. STRATEGYANDACTION NEEDED One of UNICEF Country Programme Goals for period 2015-19 aims at achieving equitable access to and use of quality integrated early childhood development (IECD) services, particularly for vulnerable and excluded families with young children, such as Roma, and families with children with developmental difficulties. Immunization will be supported, particularly to reduce the risk of wild polio virus, by closing equity gaps and addressing remaining bottlenecks. For more information, please contact UNICEF Bosnia and Herzegovina; Tel: +387 33 293600; E-mail: Policy dialogue and capacity building for sustainable immunization financing, budgeting and vaccine procurement Assess the vaccine management practices in the country; develop Multi- Year Immunization Plan; Support government to strengthen the cold chain, temperature monitoring, logistics, sharps disposals and vaccine management practices Development and implementation of the best model for outreach vaccination for hard to reach unimmunized children such as Roma Awareness raising with policy makers, service providers, parents, media, CSOs on importance and values of immunization and IECD. UNICEF activities for 2015-16 will include: UNICEF will support the Government addressing the below priority interventions to ensure sustainable and cost effective immunization programme: Timely plan and secure funding for vaccine procurement Continue supply of safe and effective vaccines Improve quality of service delivery and cold chain Regain trust in immunization among parents and health professionals Target interventions for all unimmunized children TOTAL budget for two years period: US$ 500,000