The Addis Declaration on Immunization: Assessing the Effectiveness and Efficiency of Immunization Service Delivery Systems in Africa as of the End of 2023
<b>Background/Objectives</b>: The Addis Declaration on Immunization (ADI) is a historic pledge aiming at increasing political will to achieve universal access to immunization services and includes ten commitments to shape the future of immunization in Africa. <b>Methods</b>:...
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MDPI AG
2024-12-01
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| Series: | Vaccines |
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| Online Access: | https://www.mdpi.com/2076-393X/13/1/13 |
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| author | Franck Mboussou Charles Shey Wiysonge Bridget Farham Ado Bwaka Sarah Wanyoike Amos Petu Sidy Ndiaye Andre Bita Fouda Johnson Muluh Ticha Adidja Amani Regis Obiang Magaran Monzon Bagayoko Benido Impouma |
| author_facet | Franck Mboussou Charles Shey Wiysonge Bridget Farham Ado Bwaka Sarah Wanyoike Amos Petu Sidy Ndiaye Andre Bita Fouda Johnson Muluh Ticha Adidja Amani Regis Obiang Magaran Monzon Bagayoko Benido Impouma |
| author_sort | Franck Mboussou |
| collection | DOAJ |
| description | <b>Background/Objectives</b>: The Addis Declaration on Immunization (ADI) is a historic pledge aiming at increasing political will to achieve universal access to immunization services and includes ten commitments to shape the future of immunization in Africa. <b>Methods</b>: To analyze African countries’ performance in achieving the fourth ADI commitment, a cross-sectional retrospective study was conducted including the 54 African Member States of the World Health Organization (WHO) out of 55 African Union (AU) Member States. The fourth ADI commitment aims at increasing the effectiveness and efficiency of immunization delivery systems and has four performance indicators. <b>Results</b>: The median percentage of districts with less than 10% of dropout rate between the first dose of diphtheria–tetanus–pertussis-containing vaccine (DTP1) and the third dose (DTP3) was 86.5%, ranging from 22% to 100%. Thirty-four countries (63%) recorded 80% or above of districts with less than 10% dropout rate between DTP1 and DTP3. Eleven countries (20.3%) and ten countries (18.5%) sustained 90% or above coverage for DTP3 and first dose of measles-containing vaccine (MCV1), respectively, in the past three years (2021–2023). Four countries (7.4%) had 44.5 skilled health workers per 10,000 people. Out of the 54 WHO Member States, 7 achieved at least three of the four indicators of the fourth ADI commitment (13%). <b>Conclusions</b>: It is critical, as a follow up to this study, to document best practices from the seven countries that achieved the fourth ADI commitment. Additionally, a deeper analysis of factors associated with achieving the ADI commitments is required. |
| format | Article |
| id | doaj-art-4bb631746b8a4ac3ba74e8aa0cfbd981 |
| institution | Kabale University |
| issn | 2076-393X |
| language | English |
| publishDate | 2024-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Vaccines |
| spelling | doaj-art-4bb631746b8a4ac3ba74e8aa0cfbd9812025-01-24T13:51:40ZengMDPI AGVaccines2076-393X2024-12-011311310.3390/vaccines13010013The Addis Declaration on Immunization: Assessing the Effectiveness and Efficiency of Immunization Service Delivery Systems in Africa as of the End of 2023Franck Mboussou0Charles Shey Wiysonge1Bridget Farham2Ado Bwaka3Sarah Wanyoike4Amos Petu5Sidy Ndiaye6Andre Bita Fouda7Johnson Muluh Ticha8Adidja Amani9Regis Obiang10Magaran Monzon Bagayoko11Benido Impouma12World Health Organization, Regional Office for Africa, Brazzaville P.O. Box 06, CongoWorld Health Organization, Regional Office for Africa, Brazzaville P.O. Box 06, CongoWorld Health Organization, Regional Office for Africa, Brazzaville P.O. Box 06, CongoWorld Health Organization, Regional Office for Africa, Brazzaville P.O. Box 06, CongoWorld Health Organization, Regional Office for Africa, Brazzaville P.O. Box 06, CongoWorld Health Organization, Regional Office for Africa, Brazzaville P.O. Box 06, CongoWorld Health Organization, Regional Office for Africa, Brazzaville P.O. Box 06, CongoWorld Health Organization, Regional Office for Africa, Brazzaville P.O. Box 06, CongoWorld Health Organization, Regional Office for Africa, Brazzaville P.O. Box 06, CongoWorld Health Organization, Regional Office for Africa, Brazzaville P.O. Box 06, CongoWorld Health Organization, Regional Office for Africa, Brazzaville P.O. Box 06, CongoWorld Health Organization, Regional Office for Africa, Brazzaville P.O. Box 06, CongoWorld Health Organization, Regional Office for Africa, Brazzaville P.O. Box 06, Congo<b>Background/Objectives</b>: The Addis Declaration on Immunization (ADI) is a historic pledge aiming at increasing political will to achieve universal access to immunization services and includes ten commitments to shape the future of immunization in Africa. <b>Methods</b>: To analyze African countries’ performance in achieving the fourth ADI commitment, a cross-sectional retrospective study was conducted including the 54 African Member States of the World Health Organization (WHO) out of 55 African Union (AU) Member States. The fourth ADI commitment aims at increasing the effectiveness and efficiency of immunization delivery systems and has four performance indicators. <b>Results</b>: The median percentage of districts with less than 10% of dropout rate between the first dose of diphtheria–tetanus–pertussis-containing vaccine (DTP1) and the third dose (DTP3) was 86.5%, ranging from 22% to 100%. Thirty-four countries (63%) recorded 80% or above of districts with less than 10% dropout rate between DTP1 and DTP3. Eleven countries (20.3%) and ten countries (18.5%) sustained 90% or above coverage for DTP3 and first dose of measles-containing vaccine (MCV1), respectively, in the past three years (2021–2023). Four countries (7.4%) had 44.5 skilled health workers per 10,000 people. Out of the 54 WHO Member States, 7 achieved at least three of the four indicators of the fourth ADI commitment (13%). <b>Conclusions</b>: It is critical, as a follow up to this study, to document best practices from the seven countries that achieved the fourth ADI commitment. Additionally, a deeper analysis of factors associated with achieving the ADI commitments is required.https://www.mdpi.com/2076-393X/13/1/13Addis Declarationimmunizationuniversal accessAfrica |
| spellingShingle | Franck Mboussou Charles Shey Wiysonge Bridget Farham Ado Bwaka Sarah Wanyoike Amos Petu Sidy Ndiaye Andre Bita Fouda Johnson Muluh Ticha Adidja Amani Regis Obiang Magaran Monzon Bagayoko Benido Impouma The Addis Declaration on Immunization: Assessing the Effectiveness and Efficiency of Immunization Service Delivery Systems in Africa as of the End of 2023 Vaccines Addis Declaration immunization universal access Africa |
| title | The Addis Declaration on Immunization: Assessing the Effectiveness and Efficiency of Immunization Service Delivery Systems in Africa as of the End of 2023 |
| title_full | The Addis Declaration on Immunization: Assessing the Effectiveness and Efficiency of Immunization Service Delivery Systems in Africa as of the End of 2023 |
| title_fullStr | The Addis Declaration on Immunization: Assessing the Effectiveness and Efficiency of Immunization Service Delivery Systems in Africa as of the End of 2023 |
| title_full_unstemmed | The Addis Declaration on Immunization: Assessing the Effectiveness and Efficiency of Immunization Service Delivery Systems in Africa as of the End of 2023 |
| title_short | The Addis Declaration on Immunization: Assessing the Effectiveness and Efficiency of Immunization Service Delivery Systems in Africa as of the End of 2023 |
| title_sort | addis declaration on immunization assessing the effectiveness and efficiency of immunization service delivery systems in africa as of the end of 2023 |
| topic | Addis Declaration immunization universal access Africa |
| url | https://www.mdpi.com/2076-393X/13/1/13 |
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