Update on who gavi european Regional Working Group and hepatitis b immunization

Update on WHO GAVI European Regional Working Group and hepatitis B Immunization

• Update on WHO GAVI European Regional Working Group and hepatitis B Immunization

Reported immunization coverage rate WHO/EURO, 1990-2001

Introduction of new/under-utilized vaccines

• Substantial progress in introducing HepB

• 41 countries already included into routine immunization programme

• 37 infant & routine
• 4 adolescent

• Hib; widely used in W. Europe, limited in other areas

• Need for burden assessment

• Improvement in implementation

Reported DTP3 and HepB3 coverage WHO/EURO, 2001

Objectives of GAVI

• Immunization is the right of every child to be protected against VPDs

• Improve access to sustainable immunization services

• Expand use of all existing vaccines

• Accelerate research and development of vaccines, with special focus to developing country needs

• Immunization an integral part of health systems and international development

GAVI Vaccine Fund support

• * new and under-used vaccines

• Hep B
• Hib
• Yellow fever; bundled with safety equipment

• * immunization services support

• * injection safety support

Countries eligible for support from the GAVI Vaccine Fund Eleven out of 51 countries:

• Albania

• Armenia

• Azerbaijan

• Bosnia & Herzegovina

• Georgia

• Kyrgyzstan

Status of country applications for GAVI / VF support, October 2002

Status of HepB introduction in GAVI / VF eligible countries (# 1)

Status of HepB introduction in GAVI / VF eligible countries (# 2)

GAVI related activities WHO/EURO

• Immunization and cold chain reviews

• Disease burden assessments

• Planning

• Multi-year national immunization plans including new vaccine introduction
• Safety of immunization
• Financial sustainability

• Implementation

• Training at national and subnational levels
• Supervision

• Coordination

• National ICCs

GAVI related activities WHO/EURO

• Monitor progress

• Annual progress reports and joint reporting from
• Data quality audits

• Subregional immunization programme managers meetings

• St Petersburg 2001
• Vienna 2002
• Kyiv 2003 (planned)

• Expansion to other countries

• policies and strategies
• training programmes and material
• support for vaccine procurement

Technical support to GAVI countries, 2000-2002

European GAVI Regional Working Group

• Established and regularly met since 2001

• Members: WHO, UNICEF, World Bank, CVP/PATH, Vaccine Fund, VHPB and CDC/Atlanta

• Coordinate GAVI partners’ support and activities

• Ensure timely and appropriate technical and financial support to countries

• Identify needs for strengthening immunization services and capacities for introduction of new vaccines

• Strengthen National ICCs

• Provide input to the Regional ICC

GAVI initiative and lessons learned WHO European Region

• Opportunity for accelerating new vaccine introduction

• Impact on strengthening immunization services

• programme assessments
• multi-year immunization plans
• resource mobilization, coordination (national ICCs)
• emphasis on injection safety

• Expand infrastructure, build capacity

• Access (80/80 district goal)

• Apply lessons learned to other countries

Areas for future action

• Strengthen immunization service delivery

• Provide policy guidelines

• Use national multi-year plans as a managerial tool

• Monitor implementation/exchange information

• Support mid-term reviews and development of FSP

• Technical support for Hib burden assessments

• Support training, also for introduction of new vaccines

• Apply lessons learned/experience gained to “non-GAVI” countries