Pan American Health Organization, 525 23rd Street NW, Washington, DC20037, United States of America (USA).
United Nations Medical Directors Group, United Nations, New York, USA.
Bull World Health Organ. 2024 Jan 1;102(1):46-57. doi: 10.2471/BLT.23.289980. Epub 2023 Nov 21.
To describe the United Nations' (UN's) coronavirus disease 2019 (COVID-19) vaccination programme and its efforts to vaccinate frontline humanitarian personnel stationed in locations where access to COVID-19 vaccine was limited or absent.
The vaccination programme was structured as a two-level operation: a global vaccine deployment support team and local vaccine deployment teams in each participating country, territory or administrative area. The central group, led by a global vaccine coordinator, oversaw medical, legal, financial, logistical, data, technological and communication aspects. Local vaccine deployment teams were led by coordinators who managed registration, logistics, communication and vaccine administration. The programme used World Health Organization-approved COVID-19 vaccines and developed prioritization criteria for distributing vaccine supplies. The programme ensured that vaccines for the UN personnel were not diverted from the populations they were intended to serve.
The programme successfully formed 120 deployment teams across 152 eligible countries, territories and administrative areas, targeting approximately 673 000 individuals. By April 2023, 72 countries, territories and administrative areas had received over 470 000 doses, of which 337 072 doses were administered. Almost half of the doses administered (167 616) were to individuals in five UN hardship countries. Ninety-five severe adverse events were reported, but none led to any reported medical evacuation, permanent disability or death.
The programme demonstrated effective global coordination and local implementation, adapting to diverse contexts and operational challenges. The model can serve as a guide for global actors for future health emergencies, or for deploying health aid at a regional or global scale.
描述联合国（UN）针对 2019 冠状病毒病（COVID-19）的疫苗接种计划，以及其努力为在获取 COVID-19 疫苗有限或不存在的地点工作的一线人道主义人员接种疫苗。
疫苗接种计划分为两级操作：一个是全球疫苗部署支持小组，另一个是每个参与的国家、领土或行政区的当地疫苗部署小组。由一名全球疫苗协调员领导的中央小组负责监督医疗、法律、财务、后勤、数据、技术和通信方面的工作。当地疫苗部署小组由协调员领导，负责管理登记、后勤、沟通和疫苗接种管理。该计划使用世界卫生组织（WHO）批准的 COVID-19 疫苗，并制定了分配疫苗供应的优先顺序标准。该计划确保用于联合国人员的疫苗不会从其预期服务的人群中转移。
该计划成功地在 152 个符合条件的国家、领土和行政区组建了 120 个部署小组，目标人群约为 673000 人。截至 2023 年 4 月，72 个国家、领土和行政区已收到超过 47 万剂疫苗，其中 337072 剂已接种。接种的疫苗中近一半（167616 剂）是给五个联合国困难国家的个人接种的。报告了 95 例严重不良事件，但没有一例导致任何报告的医疗后送、永久性残疾或死亡。
该计划展示了有效的全球协调和当地实施，适应了不同的背景和运营挑战。该模式可以为未来的卫生紧急情况或在区域或全球范围内部署卫生援助提供全球行动者的指导。
