Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2017 Jun 21;27(Suppl 3):12.
doi: 10.11604/pamj.supp.2017.27.3.12127. eCollection 2017.

Challenges of immunization in the African Region

Affiliations

Challenges of immunization in the African Region

Richard Mihigo et al. Pan Afr Med J. .

Abstract

Immunization has made significant contribution to public health in the African Region, including elimination, eradication and control of life threatening diseases. Hospitalization due to vaccine preventable diseases has been drastically reduced due to introduction of new effective vaccines. However, optimizing the benefits of immunization by achieving high universal coverage has met with many challenges. The Regional immunization coverage, though raised from its low 57% in 2000 to 76% in 2015 has remained below expected target. Worse still, it has stagnated around 70% for a prolonged period. Cases of inequity in access to immunization service continue to exist in the region. This paper therefore explored the different challenges to immunization in the African Region. Some of the challenges it identifies and discusses include issues of sustainable funding and resources for immunization, vaccine stock-outs, and logistics. Others include data issues and laboratory infrastructure. The paper also attempted some possible solutions.

Keywords: African region; challenges; coverage; equity; immunization; vaccines.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Evidence of new vaccine introduction impact in the African Region
Figure 2
Figure 2
Routine immunization coverage of selected vaccines in the African Region, WUENIC 1980-2015
Figure 3
Figure 3
Equity gaps in immunization coverage
Figure 4
Figure 4
Polio laboratory and surveillance network (>700 labs)
Figure 5
Figure 5
Government funding of vaccine and immunization costs in the African Region 2015
Figure 6
Figure 6
Comparative analysis of data from WUENIC and Administrative reporting

References

    1. Mihigo R, Anya B, Okeibunor J, Poy A, Nshimirimana D. Routine immunizationinthe WHO African Region: progress, challenges and way forward. African Health Monitor. 2015;19:2–4.
    1. Duclos P, Okwo-Bele JM, Gacic-Dobo M, Cherian T. Global immunization: status, progress, challenges and future. BMC international health and human rights. 2009;9(S1):52. - PMC - PubMed
    1. Global Vaccine Action Plan Decade of vaccine collaboration. Vaccine. 2013;31(Suppl 2):B5–31. - PubMed
    1. WHO . Regional Strategic Plan on Immunization. Brazzaville, Congo: WHO/AFRO; 2014.
    1. Mihigo RM, Okeibunor JC, O'Malley H, Masresha B, Mkanda P, Zawaira F. Investing in life saving vaccines to guarantee life of future generations in Africa. Vaccine. 2016;34(48):5827–5832. - PubMed