A road map to guide Member States’ implementation of the Addis Declaration on Immunization (ADI) has been officially launched at the first World Health Organization (WHO) Africa Health Forum in Kigali, Rwanda. The roadmap was developed in close collaboration between Member States, the African Union (AU) Commission and the WHO Offices in the African Region (AFRO) and Eastern Mediterranean Region (EMRO), as well as immunization partners.
Titled “Roadmap for Implementing the Addis Declaration on Immunization: Advocacy, Action, and Accountability,” the new document provides Member States with three specific strategies to accelerate progress toward universal access to immunization in Africa. The strategies include: generating and sustaining political commitment and funding; strengthening technical capacity and overcoming barriers to access; and closely monitoring progress.
Routine immunization coverage has increased considerably across Africa during the last two decades. The percentage of children in Africa receiving the third dose of the diphtheria-tetanus-pertussis vaccine (DTP3) – a measure commonly used to evaluate the strength of routine immunization programs – has increased from approximately 57% in 2000 to 77% in 2015. Yet one in five children across the continent still lack access to all available vaccines, leaving them vulnerable to vaccine-preventable diseases.
There are several significant barriers to vaccine access, including weak supply chains and insufficient data to identify coverage gaps at the local level. The continent will also soon face a historic financing transition. As Africa nears polio eradication, critical funding for immunization through the polio eradication program is expected to decrease. Additionally, more countries in Africa are approaching middle-income status, which means that they will begin transitioning away from the funding of Gavi, the Vaccine Alliance. The ADI roadmap identifies strategies for confronting these challenges early to ensure immunization efforts are uninterrupted.
The ADI provides concrete commitments – from increasing domestic vaccine financing to addressing supply chain challenges – through which nations can increase access to immunization and strengthen health systems in line with other existing efforts, particularly the Global Vaccine Action Plan. The ADI was initially drafted and signed by ministers and other high-level representatives at the Ministerial Conference on Immunization in Africa in February 2016. Heads of State from across Africa endorsed the ADI at the 28th AU Summit in January 2017.