Pro-equity immunization and health systems strengthening strategies in select Gavi-supported countries

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Date

2021

Journal Title

Journal ISSN

Volume Title

Publisher

Elsevier

Abstract

: Achieving universal immunization coverage and reaching every child with life-saving vaccines will require the implementation of pro-equity immunization strategies, especially in poorer countries. Gavi-supported countries continue to implement and report strategies that aim to address implementation challenges and improve equity. This paper summarizes the first mapping of these strategies from country reports.Thirteen Gavi-supported countries were purposively selected with emphasis on Gavi’s priority countries. Following a scoping of different documents submitted to Gavi by countries, 47 Gavi Joint Appraisals (JAs) for the period 2016–2019 from the 13 selected countries were included in the mapping. We used a consolidated framework synthesized from 16 different equity and health systems frameworks, which incorporated UNICEF’s coverage and equity assessment approach – an adaptation of the Tanahashi model. Using search terms, the mapping was conducted using a combination of manual search and the MAXQDA qualitative analysis tool. Pro-equity strategies meeting the inclusion criteria were identified and compiled in an Excel database, and then populated on a tableau visualization dashboard.

Description

Keywords

Pro-equity strategies, Immunization coverage, Bottlenecks, Health system strengthening, Vaccination

Citation

Dadar, I et al. (2021). Pro-equity immunization and health systems strengthening strategies in select Gavi-supported countries. Vaccine, 39(17), 2434-2444. https://doi.org/10.1016/j.vaccine.2021.03.044