News In this issue

News

Suriname Celebrates Vaccina-

tion Week in the Americas with the switch

Education of medical doctors on vaccine safety and contra-

indications against vaccination

in WHO European Region

Universal Immunization Cov-erage: Further, Faster, Fairer

Pfizer Pilots 2D Barcode System in Nicaragua to Auto-mate the Country’s Vaccine

Inventory Management

2

2

3

3

Past meetings / workshops

Regional hands-on training

course to implement real-time Polymerase Chain Reac-tion (PCR) technique for rapid detection and character-

ization of polioviruses

Strengthening the Adverse Events Following Immuniza-tion (AEFI) surveillance sys-

tem in Viet Nam: root cause analysis technique

Workshop on high quality Measles/Rubella follow-up vaccination campaigns held in

Peru

4

5

6

Resources 78

Calendar 9

Links 20

Global Immunization News (GIN) June 2016

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Iraq – World Immunization Week 2016 - Close the immunization gap Rosane Lopes, WHO Country Office Iraq

BAGHDAD. World Immunization Week was celebrated

from 24-29 April 2016. This week aims to promote the

use of vaccines to protect people of all ages against vac-

cine preventable diseases (VPD). Immunization saves

millions of lives and is widely recognized as one of the world’s most successful and cost-effective public health

interventions.

This year’s slogan for the week was “Close the immunization gap and immunization for ALL throughout life”.

Through outreach programmes, the Ministry of Health with support from partners such as WHO and

UNICEF strive to reach all children who have been missed by the routine immunization system. It is estimated

that one out of every five children under five years of age is not immunized against VPD.

The 2015 data analysis by the Expanded Programme on Immunization

(EPI) in Iraq shows that more than 340,000 children did not receive their

third dose of oral polio vaccine (OPV) through routine services due to

the crisis affecting the country.

WHO is subsequently supporting the Minister of Heath in Iraq, in close

coordination with UNICEF, to have uniformly high immunization coverage

among all children, with a special focus on refugees and internally dis-

placed persons (IDPs).

“Due to the continued efforts of the Ministry of Health staff in Iraq at grass-

roots levels, along with highly dedicated EPI Managers, it is important to high-

light that there have been no polio cases in the county since 7 April 2014. Un-

fortunately, the first half of last year witnessed an outbreak of measles, and in the second half of the year an outbreak of mumps. These outbreaks occurred

in the central governorates of Baghdad and Resafa. Outbreaks of vaccine pre-

ventable disease are stark reminders that uniformly high routine vaccination

coverage at sub-governorate levels is vital to achieve the next most important

goal of the immunization programme in Iraq—interrupting endemic measles

transmission,” said Altaf Musani WHO Representative in Iraq. WHO assures

that, in coordination with UNICEF, it will continue to provide the maximum

possible support to vaccination program activities, and surveillance and moni-

toring of vaccine preventable diseases.

“True equity in Iraq can only be achieved when all children have access to

high quality health care services. Routine immunization is at the core of com-

munity level health care, and along with WHO and the Ministry of Health,

UNICEF will work to ensure that routine immunization in Iraq is rolled out

and can serve as the backbone of community-focused health care delivery,”

remarked Peter Hawkins, UNICEF Iraq Country Representative.

The 2016 immunization week campaign additionally stresses the need for

immunization among adolescents and adults throughout life. This campaign

draws the world’s attention to the critical importance of reaching vulnerable

populations living in conflict situations or in the wake of emergencies.

WHO and UNICEF encourage governments and health partners to implement the Immunization Week cam-

paign and help raise awareness about the importance of immunization, increase demand by communities, and

improve vaccination delivery services so that the benefits of immunization are available equitably to all people.

For more information, please contact Ms Rosane Lopes, Communications Officer| World Health Organi-

zation, Iraq Country Office | +964 7809 288 614

Ms Ajyal Sultany, Communications Officer | World Health Organization, Iraq Country Office| +964 7510 101

469

Mr Jeffrey Bates, Chief of Communications| UNICEF Iraq | +964 780 196 4524

More Information about World Immunization Week.

One of many examples The

Kurdistan Health Ministry,

promoted in BAHERKA

Camp - Erbil and in Arbat

IDPs – Sulaymania - activi-

ties to raise awareness

about the importance of

immunization, increase de-

mand for it by communities

and improve vaccination

delivery services so the

benefits of immunization are

available equitably to all

people.

Page 2

Global Immunization News (GIN) June 2016

Suriname Celebrates Vaccination Week in the Americas with the switch Shivanny Narain, Bureau of Public Health/National Immunization Program, Suriname

This year the launch of Vaccination Week in the Americas (VWA) was held in the Brokop-

ondo District in rural Suriname, at the Medical Mission clinic. A programme was set out for

the morning, which opened with the national an-

them and a song performance from school chil-

dren. The PAHO/WHO Representative, Dr.

Yitades Gebre, and other officials made remarks

on the importance of 2016’s #GofortheGold

VWA theme highlighting the Rio Olympics and

vaccination goals.

There were officials from UNICEF, the Minis-

try of Health and representatives from the

health care clinics from the coastal area and

the interior of Suriname. The event also in-

cluded vaccination activities where children

(newborns to 5 years of age) were vaccinat-

ed. During VWA, a measles campaign was also set up to increase vaccina-

tion coverage with the second dose of the measles-mumps-rubella vaccine

(MMR2). In this regard, the decision to move the age for the second MMR dose from 4 years to 18 months was

made this year.

During VWA, Suriname’s national Expanded Program on Immunization (EPI) also completed its national oral polio

vaccine (OPV) switch on the 26th of April. For this activity, all immunization clinics in Suriname handed in their triva-

lent oral polio vaccine (tOPV) and received the bivalent oral polio vaccine (bOPV) in return. All collected tOPV was

subsequently incinerated. After these ceremonies, supervisory visits were also conducted. Yes, Suriname switched!

Education of medical doctors on vaccine safety and contraindications against

vaccination in WHO European Region Liudmila Mosina, WHO Regional Office for Europe

Following the introduction of new vaccines in many countries of the WHO European Region, evaluations conducted

have revealed that missed opportunities to vaccinate infants due to false contraindications are an important reason

for delayed vaccination or non-vaccination of infants.

To address this challenge, the WHO Regional Office for Europe, in collaboration with the University of Santiago de

Compostela, led by Prof. Federico Martinon-Torres, developed training materials on vaccine safety and contraindica-

tions against vaccination to educate medical doctors who influence the decisions of parents decision to vaccinate

their children. The training materials consist of a series of interactive presentations, case studies and videos. The

slides are supplied with a training manual to help participants to conduct follow-up trainings. The purpose is to pro-

vide information and evidence to increase medical doctors’ confidence in vaccines and improve their understanding

the of benefits and the risks of vaccination.

In 2014-2015, the training materials were used to conduct trainings for leading clinicians and medical academia in

Armenia, Azerbaijan, and the Republic of Moldova. Following other countries’ requests, the Regional Office conduct-

ed a training of trainers in Vienna, Austria on 24-26 May 2016, involving national immunization programme managers

and leading clinicians from Albania, Bosnia & Herzegovina, Croatia, Estonia, Georgia, Latvia, and The Former Yugo-

slav Republic of Macedonia. It aimed to prepare confident key trainers to educate frontline medical workers on vac-

cine safety and contraindications, in order to reduce failures to comply with childhood immunization schedules due

to false contraindications.

The WHO Regional Office for Europe will publish the training materials in coming months to make them available

for other countries of the WHO European Region as well as other WHO Regions and partners.

Girl gets vaccinated during VWA in

Suriname, April 2016. Credit: PAHO-

Suriname.

Schoolchildren in Brokop-

ondo, Suriname sing for the

VWA launch, April 2016.

Photo credit: PAHO-

Suriname.

Global Immunization News (GIN) June 2016

Page 3

Universal Immunization Coverage: Further, Faster, Fairer Kirsten Mathieson, Save the Children

Immunization saves lives and offers children a better chance of a healthier and more economically productive future.

It is one of the most successful and cost-effective health interventions and can help give each child a chance of survival

beyond their fifth birthday.

However 18.7 million children around the world are still missing out on basic immunization. Eighteen countries have a

coverage of 70% or less and eight countries do not exceed 50%. Huge inequalities in coverage within countries mean

that children from the poorest families, remote areas and marginalized groups are excluded from accessing services.

They are the same children who are missing out on other essential health services.

Save the Children and RESULTS UK have published a new immunization equity scorecard. The scorecard explores

progress on national immunization coverage and equitable access in 75 countries identified as having the highest num-

bers of child and maternal deaths. National coverage has worsened in 22 of these countries. Twenty of the forty

countries with available data have not made any progress in closing the coverage gap between the richest and poorest

households. Twenty-two countries have not published disaggregated data to be able to identify which children are

being left behind.

We must ensure that all children, regardless of where they are born, their level of poverty or social exclusion, have

access to immunization and other essential health services, aiming towards Universal Health Coverage (UHC) of all

essential health services. We must reach every last child!

Pfizer Pilots 2D Barcode System in Nicaragua to Automate the Country’s Vaccine

Inventory Management Rehana Wolfe, Pfizer Vaccines, Pfizer Inc.

“Advances in supply chain management rarely receive widespread recognition, but technological breakthroughs can

translate to significant improvements in the way vaccines are stored, shipped and administered.” - Rehana Wolfe,

Director, Global Developing World, Pfizer Vaccines.

As developing countries now manage six or more vaccines in their supply chain, the complexities and inefficiencies of

traditional paper-based inventory management have become increasingly burdensome. Paper-based records, which

have been the standard for vaccine inventory management in developing countries for decades, are time consuming,

prone to human errors and unsecure. In addition, paper-based records do not allow for traceability as vaccines are

moved through the distribution chain.

Recognizing the need for more robust inventory management systems, Pfizer recently entered into a novel collabora-

tion with the Ministry of Health of Nicaragua to operationalize the 2D barcode and open-source supply chain solu-

tions. The result: more efficient and automated inventory management processes across the country’s vaccine distri-

bution network.

Per recommendation of WHO for all prequalified medicines to carry a 2D barcode on their packaging, Pfizer became

the second company to print barcodes on its pneumococcal vaccine packaging. And, in doing so, demonstrated the

many benefits of 2D technology in vaccine inventory management.

Pfizer worked closely with PATH to build an integrated software and barcoding scanning system that was piloted in

seven sites over a six-month period. The pilot demonstrated a 68% reduction per transaction, total visibility of vac-

cine distribution throughout the distribution chain and increased data security, with all data housed on a central serv-

er managed by the Ministry of Health. The new system also provides the capability to create real-time reports on

usage and distribution, permitting better decision-making for forecasting and cost. The system is now scalable for

Nicaragua’s entire distribution system and ready to accommodate all other medicinal products with GS1 standard 2D

barcodes.

“We are excited by the results of the pilot phase and look forward to working with our partners in Nicaragua for

phased scale-up. It is our hope that many other Gavi countries can also leverage this great open source system,” said

Susan Silbermann, President and General Manager, Pfizer Vaccines.

For more information on the 2D barcode programme in Nicaragua, please contact Rehana Wolfe, or Ray Lizardi.

Global Immunization News (GIN) June 2016

Page 4

Past Meetings/Workshops Regional hands-on training course to implement real-time Polymerase Chain

Reaction (PCR) technique for rapid detection and characterization of polioviruses

Grabovac Varja and Yan Zhang, WHO Western Pacific Regional Office (WPRO)

Location: Beijing, China and Alabang, Philippines

Date: 18-22 April, 25-29 April, 16-20 May, 2016

Participants: WHO/WPRO, US CDC; China CDC and 31 Pro-

vincial CDC; National Institute for Infectious Dis-

eases (NIID) Japan; Victorian Infectious Diseases

Reference Laboratory (VIDRL) Australia; Hong

Kong SAR China, Malaysia, Mongolia, New Zea-

land, Philippines, Singapore, Vietnam.

Purpose: This training is in line with the Global Polio Labor-

atory Network recommendation after the switch

from trivalent oral polio vaccine (tOPV) to bivalent

OPV (bOPV). The objectives of the training were:

(1) to enable the participants to learn and update

their knowledge of the new real-time PCR assay

version 4.0, 4.1 and 5.0 for rapid detection and

characterization of polioviruses; (2) to familiarize

the participants with hands-on practice on real-

time PCR techniques for intratypic differentiation

(ITD) of polioviruses and vaccine-derived po-

lioviruses (VDPV) screening using the real-time

PCR platform; and (3) to discuss problems of data

analysis, interpretation, troubleshooting, reporting

and quality control.

Participants during the regional hands-on training course to implement real-time PCR technique for rapid detection and characterization of Polioviruses

Details: The training aimed to update the participants on the new real-time PCR assays for rapid detection and

characterization of polioviruses, intratypic differentiation (ITD) of polioviruses and screening for vac-

cine-derived polioviruses (VDPV). Data analysis, interpretation, troubleshooting, reporting and quality

control were also discussed and practiced during the training. Three rounds of hands-on training were conducted: i) two rounds for 35 participants from all 31 pro-

vincial laboratories were conducted in China CDC (China Labs training); and ii) one round for 11 par-

ticipants from nine national laboratories in the Western Pacific Region (non-China Labs training) was

conducted in the Research Institute for Tropical Medicine (RITM), Philippines. Seven experts from

global specialized laboratories (GSLs) in US CDC and NIID, Regional reference laboratory (RRL) in

VIDRL Australia and National reference laboratory (NRL) in RITM, Philippines facilitated the trainings.

Each round of training included five days of intensive hands-on practical sessions, lectures and group

work. Participants confirmed that the training was very informative and useful and they have gained

knowledge and skills for detection and screening of polioviruses. These trainings helped to accelerate type 2 poliovirus surveillance after the switch, especially rapid

confirmation and reporting of type 2 VDPVs, a critical measure in maintaining a polio-free community.

Global Immunization News (GIN) June 2016

Page 5

Strengthening the Adverse Events Following Immunization (AEFI) surveillance

system in Viet Nam: root cause analysis technique

Ananda Amarasinghe, Sergey Diorditsa, Shin Jinho and Shah Syed, WHO WPRO; Makiko Iijima, WHO Country

Office Viet Nam

Location: Ha Noi, Viet Nam

Date: 25-26 May 2016

Participants: There were 20 participants including clinicians,

preventive health specialists, members of the

national AEFI review committees, national and

regional immunization staff, staff from General

Department of Preventive Medicine (GDPM)

and National Regulatory Authority (NRA).

Purpose: 1. To conduct a workshop to give updates on

AEFI surveillance practices in Viet Nam with

emphasis on serious AEFI investigation and

causality assessments, focusing on root cause

analysis; and 2. To update the AEFI surveillance and com-

munication guidelines published by the West-

ern Pacific Regional Office.

Participants at the workshop for Strengthening Adverse Events Following Immunization (AEFI) surveillance system in Viet Nam

Details: The World Health Organization (WHO) standard training modules modified for local requirements

and case studies from Viet Nam were used for group work. The workshop focused on the following

areas: consistent case investigation and causality assessment practices, analysis and best use of AEFI

data for improving vaccine safety. It is the first time the root cause analysis technique was introduced for use in AEFI case investigations.

It brings systematic and logical thinking to the investigation of WHO recommended AEFI investigation

practices.

All participants felt that this approach will enhance the quality of AEFI case investigation and thereby

provide a comprehensive investigation report which is the source document for AEFI causality assess-

ment. One third of the workshop time was spent on in-depth discussions pertaining to vaccine safety issues

in Viet Nam. Participants were very interested to learn lessons from other countries. At the end of the workshop, the Director General of GDPM and Immunization Team Leader (Acting)

at the WHO Country office were briefed about the workshop outcomes. All agreed on the need of

cascading training to subnational levels towards strengthening AEFI surveillance in the country, partic-

ularly case reporting, investigation and causality assessment.

Page 6

Global Immunization News (GIN) June 2016

Workshop on high quality Measles/Rubella follow-up vaccination campaigns held in

Peru

Pamela Bravo and Desiree Pastor, PAHO-Washington, DC

Location: Lima, Peru

Date: 30 May - 3 June 2016

Participants: The workshop was launched by Peru’s Vice

Minister of Health, Dr Percy Mina and Peru’s

PAHO/WHO Representative, Dr Raul Gonza-

lez. Participants included managers of the Ex-

panded Programme on Immunization (EPI)

from three countries: Honduras, Mexico and

Peru; expert officials from Peru’s sub-national

level, who provided an important perspective.

Also in attendance were nine experts on vac-

cination campaigns, including PAHO immuniza-

tion focal points from Mexico, Nicaragua, Peru

and Washington, DC.

Purpose: To identify the key factors in conducting high

quality measles/rubella follow-up vaccination

campaigns, as well as the challenges involved,

in order to maintain high immunity levels

among the population.

Participants at the Measles/Rubella Vaccination Campaign

Workshop in Lima, Peru, June 2016. Photo credit: PAHO-Peru.

Details: The workshop was planned with specific objectives, including: • Conducting an analysis of the strengths, opportunities, weaknesses and threats of the success

factors and challenges that the countries must complete in order to achieve the implementation of

high quality follow-up campaigns. • Identifying the necessary steps for countries to fulfill the basic requirements of a high quality cam-

paign: opportunity, efficiency, homogeneity and efficacy. • Reviewing and discussing the WHO document: “Planning and Implementing High Quality Supple-

mentary Immunization Activities for Measles and Rubella and other Injectable Vaccines.” • Reviewing and discussing the Rapid Coverage Monitoring (RCM) Manual for follow-up measles/

rubella campaigns. The planned objectives for the workshop were fully completed and the next steps are to consoli-

date the edits made to the RCM Manual and the campaign planning guide, develop a final version of

each guide, promote the collection of campaign operational cost data from two to three municipali-

ties in three countries of the Region that will be conducting campaigns in 2016, and promote the

use of the RCM Manual in 2016 campaigns, to validate this tool in the field prior to publication.

Global Immunization News (GIN) June 2016

Page 7

Resources NEW Hepatitis B Birth Dose Introduction Guide Karen Hennessey and Stephanie Shendale, WHO Headquarters

WHO has published global guidance for immunization managers and maternal child health

professionals seeking to introduce hepatitis B birth dose into national immunization pro-

grammes or to strengthen existing birth dose programmes. The guide places particular em-

phasis on the unique programmatic features administering hepatitis B vaccine as a birth dose

and the necessary integration with maternal, obstetric and post-natal care.

Specifically, this guide aims to:

Provide an overview of WHO recommendations, best practices, technical justification and

strategic approaches relating to hepatitis B birth dose to newborns

Highlight the unique operational requirements for introducing a vaccination that should be delivered as soon after

birth as possible, preferably within 24 hours.

Inform the policy discussions and operational strategies for the introduction of hepatitis B birth dose vaccination

into a national immunization programme.

“Preventing Perinatal Hepatitis B Virus Transmission: A Guide for Introducing and Strengthening Hepati-

tis B Birth Dose Vaccination” is available online.

French version coming soon!

Vaccine Delivery Research Digest

In 2014 The START (Strategic Analysis, Research & Training) Center at the University of Washing-

ton, Seattle, launched the Vaccine Delivery Research newsletter to support the Vaccine Access

and Delivery team at the Bill & Melinda Gates Foundation. This monthly literature review summa-

rizes new publications in peer-reviewed literature that inform the field of vaccine access and deliv-

ery in low-resource settings. Approximately 250-300 publications are scanned each month, from

which 10 of the most high-impact articles are chosen for focus. The digest highlights key take-away

points and lessons learned from the studies, and includes brief methodological critiques of study

design or analysis features which may be important for stakeholders to consider when using the

results to inform real-world decision making and application.

The latest issue of the Vaccine delivery Digest is available at this link.

Delivering the Monday: the importance of efficient financial flows for vaccine distribu-

tion VillageReach and the William Davidson Institute

A new policy paper from VillageReach and the William Davidson Institute (WDI) explores

the impact of adequate and reliable flow of funding all the way to the point of care as a

critical component of effective immunization supply chains (iSC). Vaccine programmes

face both inadequate funding and bottlenecks in accessing funding, both of which contrib-

ute significantly to iSC underperformance and programme delays. This paper illuminates

the root causes of funding flow challenges and highlights case studies that offer promising

tools and approaches for improvement.

This sixth policy paper in the series was produced in partnership with WDI's Healthcare

Initiative to develop intellectual capital for increased access to essential medicines, vac-

cines and other health technologies in developing countries. Additional papers in this se-

ries consider the different components of the supply chain, the challenges faced at the last

mile for distribution, and examples of innovative approaches to address those challenges.

VIEW PREVIOUS EDITIONS

For previous editions of the GIN,

visit the GIN archive on the WHO website:

www.who.int/immunization/gin Page 8

Global Immunization News (GIN) June 2016

WHO and UNICEF eLearning courses available now!

As part of the Immunization eLearning Initiative, WHO and UNICEF are collaborat-

ing to offer online learning opportunities for staff, consultants and external part-

ners. New courses are regularly being added to the catalogue and offer a flexible

and engaging learning experience.

The immunization community can already access courses on Immunization Staff

Orientation, Immunization Coverage Data and the Multi-Dose Vial Policy. Courses

on Immunization Supply Chain Management, Communications for Immunization,

Vaccine Vial Monitor, Micro-planning and Temperature Monitoring will be launched soon. These online trainings

are designed to achieve knowledge alignment within the immunization

community and provide up-to-date information on the latest immunization

systems and protocols.

The eLearning courses offer an excellent professional development opportunity and individuals can pace their

learning to suit their schedules. Courses can be taken in any order with the possibility to complete some mini-

courses in less than one hour. A course certificate is available following course completion and the passing of as-

sociated assessments.

WHO staff can access the courses on ilearn.

Consultants and External Partners can access the courses via this link. (Register as “guest”).

SUBSCRIBE NOW

Send an email to listserv@who.int

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Global Immunization News (GIN) June 2016

Calendar 2016

July

4-8 EURO Intercountry Joint Appraisal Regional Working Group TBD

25-29 Twenty-Fifth Meeting of the Technical Advisory Group on Immunization

and Vaccine-Preventable Diseases in the Western Pacific Region (TAG)

Manila, Philippines

August

19-23 Regional Committee for Africa Addis Ababa, Ethiopia

23-24 Eighth WHO meeting on development of influenza vaccines that induce

broadly protective and long-lasting immune responses

Chicago, USA

30Aug-

1Sep

7th Biregional Meeting on the Prevention and Control of Japanese En-

cephalitis

Manila, Philippines

September

4-7 10th Vaccine Congress Amsterdam, the Netherlands

5-9 Regional Committee for SEARO Colombo, Sri Lanka

7-9 Twelfth International Rotavirus Symposium Melbourne, Australia

12-14 AFRO IST Central - EPI Managers meeting Cameroon

12-15 Regional Committee for EURO Copenhagen, Denmark

19-21 AFRO IST West - EPI Managers meeting TBD

19-23 Fifth Annual Meeting of the Regional Verification Commission for Mea-

sles Elimination in the Western Pacific

Japan

26-28 AFRO IST East & South - EPI Managers meeting Harare, Zimbabwe

26-30 Regional Committee for the Americas Washington DC, USA

October

3-6 Regional Committee for EMRO Cairo, Egypt

10-14 16th European Technical Advisory Group of Experts (ETAGE) TBD

12-14 Regional Committee for WPRO Manila, Philippines

18-20 Meeting of the Strategic Advisory Group of Experts (SAGE) on Immun-

ization

Geneva, Switzerland

24-26 5th Meeting of the European Regional Verification Commission (RVC)

for Measles and Rubella Elimination

TBD

November

2-3 EURO Regional NITAG meeting TBD

17-18 TAG meeting WHO/PATH Maternal Influenza Immunization Project Geneva, Switzerland

21-24 9th Meeting of the South-East Asia Regional Commission for the Certifi-

cation of Polio Eradication (SEA-RCCPE)

New Delhi, India

December

7-8 Gavi Board Meeting TBD

8-9 AFRO Technical Advisory Group Brazzaville, DRC

Page 10

WHO Regional Websites Routine Immunization and New Vaccines (AFRO)

Immunization (PAHO)

Vaccine-preventable diseases and immunization (EMRO)

Vaccines and immunization (EURO)

Immunization (SEARO)

Immunization (WPRO)

Newsletters Immunization Monthly update in the African Region (AFRO) Immunization Newsletter (PAHO) The Civil Society Dose (GAVI CSO Constituency) TechNet Digest RotaFlash (PATH) Vaccine Delivery Research Digest (Uni of Washington) Gavi Programme Bulletin (Gavi)

Organizations and Initiatives American Red Cross Child Survival Agence de Médecine Préventive Africhol EpiVacPlus LOGIVAC Project National Immunization Technical Advisory Groups Resource Center SIVAC Centers for Disease Control and Prevention Polio Global Vaccines and Immunization Johns Hopkins International Vaccine Access Center Vaccine Information Management System JSI Africa Routine Immunization Systems Essentials Project IMMUNIZATIONbasics Immunization Center Maternal and Child Health Integrated Program (MCHIP) PAHO ProVac Initiative PATH Vaccine Resource Library Rotavirus Vaccine Access and Delivery Malaria Vaccine Initiative Meningitis Vaccine Project RHO Cervical Cancer

Sabin Vaccine Institute Sustainable Immunization Financing UNICEF Immunization Supplies and Logistics USAID Maternal and Child Health Integrated Program WHO Department of Immunization, Vaccines & Biologicals New and Under-utilized Vaccines Implementation ICO Information Centre on HPV and Cancer Immunization financing Immunization service delivery Immunization surveillance, assessment and monitoring SIGN Alliance Other Coalition Against Typhoid Dengue Vaccine Initiative European Vaccine Initiative Gardasil Access Program Gavi the Vaccine Alliance International Association of Public Health Logisticians International Vaccine Institute Measles & Rubella Initiative Multinational Influenza Seasonal Mortality Study Network for Education and Support in Immunisation (NESI) TechNet-21 Vaccines Today

UNICEF Regional Websites Immunization (Central and Eastern Europe)

Immunization (Eastern and Southern Africa)

Immunization (South Asia)

Immunization (West and Central Africa)

Child survival (Middle East and Northern Africa)

Health and nutrition (East Asia and Pacific)

Health and nutrition (Americas)

Links

Global Immunization News (GIN) June 2016