Abuja, By Winifred Ogbebo and Victor Okeke

The World Health Organisation (WHO) has said that globally, one in five children are still missing out on routine life-saving immunisations that could avert 1.5 million deaths each year from preventable diseases.Polio-Immunisation
In commemoration of the World Immunisation Week 2015 coming up 24-30 April, it called for renewed efforts to get progress back on course, saying that progress towards global vaccination targets for 2015 is far off-track.
The WHO while calling for an end to the unnecessary disability and death caused by failure to vaccinate, said, “In 2013 nearly 22 million infants missed out on the required three doses of diphtheria-tetanus-pertussis-containing vaccines (DTP3), many of them living in the world’s poorest countries.”
WHO Assistant Director-General, Family, Women’s and Children’s Health, Dr Flavia Bustreo, noted, “World Immunization Week creates a focused global platform to reinvigorate our collective efforts to ensure vaccination for every child, whoever they are and wherever they live. It is critical that the global community now makes a collective and cohesive effort to put progress towards our 6 targets back on track.”
In 2012, all 194 WHO Member States at the World Health Assembly endorsed the Global Vaccine Action Plan (GVAP), a commitment to ensure that no one misses out on vital immunization.
However, a recent independent assessment report on GVAP progress rings an alarm bell, warning that vaccines are not being delivered equitably or reliably and that only 1 of the 6 key vaccination targets for 2015 is currently on track – the introduction of under-utilized vaccines.
Many countries worldwide have experienced large measles outbreaks in the past year, threatening efforts to achieve the GVAP target of eliminating measles in 3 WHO Regions by end-2015.
WHO estimates that today immunizations prevent between 2 and 3 million deaths annually and protect many more people from illness and disability.
A global collaborative drive for immunization, begun in the mid-1970s with the establishment of the Expanded Programme on Immunization in all countries, achieved dramatic results, raising vaccination levels from as low as 5% to more than 80% in many countries by 2013.
The GVAP recommends three key steps for closing the immunization gap:

integrating immunization with other health services, such as postnatal care for mothers and babies;
strengthening health systems so that vaccines continue to be given even in times of crisis; and
ensuring that everyone can access vaccines and afford to pay for them.

Director of Immunization, Vaccines and Biologicals, WHO, Dr Jean-Marie Okwo-Belé, said that the organization will work to increase its support to all countries that are lagging behind in meeting immunization targets.
In May this year, WHO will bring together high-level representatives of 34 countries with routine vaccination (three doses of DTP3) coverage of less than 80% to discuss the challenges faced by countries and to explore solutions to overcome them.
Although many countries are already vaccinating four out of five children with DTP3, a full one-third of countries are still struggling to reach the ‘fifth child’, meaning millions of children remain at risk of illness, disability or death because they are not getting the immunizations they need.
“There is no one centralized approach that can ensure vaccines are delivered and administered to each child. Vaccination plans on the ground need to be adapted not just to countries, but to districts and communities,” said Dr Okwo-Belé.“What is required is a truly concerted effort and much stronger accountability so that each one of the key players involved fulfills its mandate and helps close the immunization gap.”

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