School of Population Health, University of New South Wales Sydney Australia.
WHO Health Emergencies Programme, WHO Regional Office for the Eastern Mediterranean, Cairo, Egypt.
Vaccine. 2022 Oct 26;40(45):6558-6565. doi: 10.1016/j.vaccine.2022.09.051. Epub 2022 Oct 5.
The aim of this project was to develop a road map to support countries in Eastern Mediterranean Region in developing and implementing evidence-based seasonal influenza vaccination policy, strengthen influenza vaccination delivery program and address vaccine misperceptions and hesitancy.
The road map was developed through consultative meetings with countries' focal points, review of relevant literature and policy documents and analysis of WHO/UNICEF Joint Reporting Form on immunization ((JRF 2015-2020) data. Countries were categorised into three groups, based on the existence of influenza vaccination policy and national regulatory authority, availability of influenza vaccine in the country and number of influenza vaccine doses distributed/ 1000 population. The final road map was shared with representatives of all countries in Eastern Mediterranean Region and other stakeholders during a meeting in September 2021.
The goal for next 5 years is to increase access to and use of utilization of seasonal influenza vaccine in Eastern Mediterranean Region to reduce influenza-associated morbidity and mortality among priority groups for vaccination. Countries in the Eastern Mediterranean Region are at different stages of implementation of the influenza vaccination program, so activities are planned under four strategic priority areas based on current situations in countries. The consultative body recommended that some countries should establish a new seasonal influenza vaccination programme and ensure the availability of vaccines, while other countries need to reduce vaccine hesitancy and enhance current seasonal influenza vaccination coverage, particularly in all high-risk groups. Countries are also encouraged to leverage COVID-19 adult vaccination programs to improve seasonal influenza vaccine uptake.
This road map was developed through a consultative process to scale up the uptake and utilization of influenza vaccine in all countries of Eastern Mediterranean Region. The road map proposes activities that should be adopted in the local context to develop/ update national policies and programs.
本项目旨在为东地中海区域国家制定路线图，以支持其制定和实施基于证据的季节性流感疫苗接种政策，加强流感疫苗接种实施计划，并解决疫苗错误认知和犹豫问题。
通过与各国协调人举行磋商会议、审查相关文献和政策文件以及分析世界卫生组织/联合国儿童基金会免疫联合报告表（2015-2020 年）数据，制定了路线图。根据流感疫苗接种政策和国家管理机构的存在情况、国家流感疫苗的供应情况以及每 1000 人口分发的流感疫苗剂量，将各国分为三组。在 2021 年 9 月举行的一次会议上，与东地中海区域所有国家的代表和其他利益攸关方分享了最终路线图。
未来 5 年的目标是增加东地中海区域季节性流感疫苗的可及性和使用率，以降低优先接种人群的流感相关发病率和死亡率。东地中海区域各国在实施流感疫苗接种计划方面处于不同阶段，因此，根据各国的现状，计划在四个战略优先领域开展活动。协商机构建议，一些国家应建立新的季节性流感疫苗接种计划，确保疫苗供应，而其他国家则需要减少疫苗犹豫并提高当前季节性流感疫苗接种覆盖率，特别是在所有高风险群体中。还鼓励各国利用 COVID-19 成人疫苗接种计划提高季节性流感疫苗的接种率。
本路线图是通过协商进程制定的，旨在提高东地中海区域所有国家对流感疫苗的接种率和使用率。路线图提出了应在当地背景下采取的活动，以制定/更新国家政策和计划。
