• Measles Supplemental Immunization Activities (SIAs) are resource intensive. • SIAs importantly reach some previously unvaccinated (so-called measles zero-dose) children. • We highlight difficulties in measuring how many measles zero-dose children the SIA reaches. • We also suggest some other methods to improve estimation of SIA impact.
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http://dx.doi.org/10.1016/j.vaccine.2020.11.050 | DOI Listing |
Vaccines (Basel)
November 2024
WorldPop, School of Geography and Environmental Science, University of Southampton, Southampton SO17 1BJ, UK.
Many measles endemic countries with suboptimal coverage levels still rely on vaccination campaigns to fill immunity gaps and boost control efforts. Depending on local epidemiological patterns, national or targeted campaigns are implemented, following which post-campaign coverage surveys (PCCSs) are conducted to evaluate their performance, particularly in terms of reaching previously unvaccinated children. Due to limited resources, PCCS surveys are designed to be representative at coarse spatial scales, often masking important heterogeneities in coverage that could enhance the identification of areas of poor performance for follow-up via routine immunization strategies.
View Article and Find Full Text PDFVaccines (Basel)
November 2024
World Health Organization, 1211 Geneva, Switzerland.
: The Measles-Rubella Microarray Patch (MR-MAP) is an important technology that is expected to reduce coverage and equity gaps for measles-containing vaccines (MCVs), reach zero-dose children, and contribute to elimination of measles and rubella. MR-MAPs are anticipated to be easier to deploy programmatically and could be delivered by lesser-trained health workers, thereby increasing immunization coverage. The most advanced MR-MAP has reached clinical proof-of-concept through a Phase I/II trial in the target population of infants and young children.
View Article and Find Full Text PDFVaccines (Basel)
November 2024
Biostat Global Consulting, Worthington, OH 43085, USA.
Lancet Reg Health Southeast Asia
January 2025
Harvard Center for Population & Development Studies, Cambridge, MA, USA.
Background: India has made exceptional advances in child immunisation, but subnational inequities in vaccination coverage impede attainment of key programmatic goals. Our study provides an up-to-date national portrait of local variations in child vaccination using a comprehensive set of indicators relevant to routine immunisation.
Methods: Indicators representing unvaccinated (zero-dose) children, incomplete basic immunisation, and vulnerability to measles and polio, were constructed from India's 2019-2021 National Family Health Survey.
In 2020, the World Health Assembly endorsed the Immunization Agenda 2030 (IA2030), a 10-year strategy to reduce vaccine-preventable disease (VPD)-associated morbidity and mortality. IA2030 goals include improving equitable vaccination coverage, halving the number of unimmunized (zero-dose) children, and increasing the introduction of new and underutilized vaccines. The COVID-19 pandemic disrupted health systems worldwide, hindering years of childhood vaccination achievements and putting global public health goals at risk.
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