COVID-19 Vaccine Delivery Partnership - January 2023 -who（英文）行业资料

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COVID-19VaccineDeliveryPartnership

SituationReportDecember2022|January2023

COVID-19Vaccine

DeliveryPartnership

SituationReport

December2022

January2023

©UNICEF/UN0482656/Sujan

INTHISEDITION

•Overview:GlobalSituation|92AdvanceMarketCommitmentCountries|34countriesforconcertedsupport

•In-depth:DeliveryofCOVID-19vaccinesintheLastMile

•Countrysnapshot:Chad

ThisreportisproducedbytheCOVID-19VaccineDeliveryPartnership(CoVDP).ItcoversthemonthsofDecember2022andJanuary2023.

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COVID-19VaccineDeliveryPartnership

SituationReportDecember2022|January2023

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©UNICEF/UN0628965/RooftopProductions

SPOTLIGHT

•Sincethestartofthevaccineroll-out,13.2billiondoseshavebeenadministeredglobally,ofwhich4.9billiondoseswereadministeredinthe92AdvanceMarketCommitment(AMC92)entities.

ByJanuary2023,thevastmajorityofWHOmemberstates(183outof194)hadintroducedboosteroradditionaldoseprogramsandglobally,31%ofthepopulationhasreceivedatleastoneboosterdose.

Globally,vaccinationcoveragehasincreasedfrom47%inJanuary2022to65%inJanuary2023whilecoverageamongtheAMC92hasdoubledfrom28%to53%.Meanwhile,inthe34countriesthatwereatorbelow10%coverageinJanuary2022,coverageincreasedfrom3%inJanuary2022to25%ayearlater.

Amongthe34countriesforconcertedsupport(CCS),thenumberofcountrieswithcoverageabove10%hasstayedstableat27.CentralAfricanRepublic,SierraLeoneandSomaliahavecrossedthe40%mark;Djibouti,NigeriaandGhanahavecrossedthe30%mark;whileMalawiandSouthSudanhavegonebeyond20%primaryseriescoverage.

Tanzaniaisnowat49%coverageandZambiaat47%.Tangibleresultshavebeenobservedinseveralcountriesfacinghumanitarianemergencies,includingtheCentralAfricanRepublic(41%completeprimaryseries),Somalia(41%),Ethiopia(32%),Nigeria(31%)andAfghanistan(28%).

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SituationReportDecember2022|January2023

COVID-19VaccineDeliveryPartnership

47%

3SituationReportDecember2022|January2023COVID-19VaccineDeliveryPartnership

•Forthefirsttimesincethevaccinerollout,threeCCShavesurpassedtheirnationalcoveragetarget–SierraLeone(46%againstatargetof40%),Somalia(41%againstatargetof40%)andZambia(47%againstatargetof46%).

SincethestartofthePartnership,morethanUS$152millioninquick-impactfundinghasbeendisbursedacross20countries.Two-thirdsofthisfunding(overUS$106million)contributedtomorethan23vaccinationcampaignstargeting140millionpeople.

However,inequalitiesinglobalcoveragepersist,withonly23%ofthepopulationoflow-incomecountries(LICs)havingcompletedtheirprimaryseriesagainst76%inupper-middleincomecountries(UMICs)and75%inhigh-incomecountries(HICs).

Therearesignificantequitygapswithboosterdosecoverageaslowas2%inLICsversus48%inHICs.Disparitiesinboosterdosecoverageareevenmoreglaringamonghealthcareworkers(5.5%inLICsversus15%inHICs)andolderadults(lessthan1%inLICsversus93.5%inHICs).

Meanwhile,despiteglobalprogressonvaccinedelivery,themonthofDecemberhasseenthehighestlevelofCOVID-19casessincethestartofthepandemic,drivenprimarilybythesurgeofcasesinChina.

Inthecomingmonths,CoVDPwillgraduallytransitionsomeofitscorefunctionsbacktopartneragenciesandenhancedpartnerplatforms–several

upcomingevents(ondatasystemsstrengtheningandthecountrystock-take)willprovidevaluableopportunitiestoshowcaselessonslearntthatwillinformthefutureshapeofpandemicpreparednessandresponse(PPR).

Increaseincoverageovertime−Global,AMC92and34CountriesforConcertedSupport

70%

65%

60%

53%

50%

40%

30%28%

25%

20%

10%

3%

0%

JanFeb

2022

Mar

Apr

May

Jun

Jul

Aug

Sep

Oct

Nov

Dec

JanFeb

2023

Shareofglobalpopulation

withcompletedprimaryseries

Shareofpopulationwith

completedprimaryseries

in92AdvanceMarket

Commitment(AMC)entities

Shareofpopulationwith

completedCOVID-19

primaryseriesin34countries

forconcertedsupport

18.7%

Highincome

Upper-middleincome

Lower-middleincome

Lowincome

48.5%

44.8%

2.3%

WesternPacificRegion

RegionoftheAmericas

EuropeanRegion

South-EastAsian

Region

EasternMediterraneanRegion

AfricanRegion

53.7%

41.4%

34.7%

20.2%

17.5%

3.8%

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COVID-19VaccineDeliveryPartnership

SituationReportDecember2022|January2023

GlobalSituation

Overview

December2022sawadramaticriseinCOVID-19cases,drivenbythesignificantspreadofthedisease,followingtheremovalofstrictlockdownrulesinChina.Approximately102millionnewcaseswereregistered–thehighestmonthlyvolumesincethestartofthepandemic.PracticallyallthesewereregisteredintheWesternPacificregionandinChinainparticular.

FIGURE1

CoveragewithcompleteprimaryseriesinAMC

participants

Shareofpopulationhavingreceived

boosterdoses

10%

%

%

%30

80%

20

0

40%50%60%

ThissurgewasfollowedinearlyJanuary2023byanincreaseinrecordeddeaths;approximately127,000inJanuary2023,ofwhichthevastmajoritywereintheWesternPacificregion.

Inotherregions,thesurgethatstartedinmid-NovembercontinuedintoDecember2022,withEuropeandtheAmericasseeingcasespeakbymid-December.Inbothregions,deathsincreasedinDecemberbutdeclinedthroughJanuary.AllotherregionscontinuedtoseeadeclineinCOVID-19cases.

Globally,65%ofthepopulationhavecompletedtheirprimaryseriescoverage–1percentagepointmorethanattheendofNovember2022.MostWHOMemberStateshavestartedtoimplementbooster/additionaldoseprograms.However,10outof27LICshavenotyetimplementedany.Globally,31%ofthepopulationhasreceivedatleastoneboosterdosebuttheproportiondropstojust4%intheWHOAfricanregion,18%intheEasternMediterraneanand20%inSouth-EastAsia.

BylateJanuary,atotalof13.2billionvaccinedoseshadbeenadministeredglobally–anincreaseof200millionsinceendofNovember.Approximately,100millionofthesedoseswereadministeredintheAMC92,including38millionacrossthe34CCS.Nonetheless,ratesofvaccinationhavebeendecliningacrosstheAMC92.

ThesupplyofCOVID-19vaccinescontinuestobesufficientforcountries’needsandinLICsalargeshareofthissupplyissecuredthroughCOVAX.Acumulativetotalof1.9billiondoseshavebeenshippedthroughCOVAXto146participants,includingmorethan280milliondosesforLICs(accountingfor72%oftheirtotalvaccinesupply).However,shipmentshavebeendecreasingsinceAugust2022andintheDecember-Januaryperiod,only29milliondoseswereshippedtoparticipants.

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COVID-19VaccineDeliveryPartnership

SituationReportDecember2022|January2023

COVAX’sportfoliocontinuestoevolveinresponsetomarketshifts,manufacturerproductiondecisions,andcountrydemand.ThelatestavailabilityofvaccineswillcontinuetobesharedintheMonthlySupplySnapshotsharedbyGaviSCM/PMorStrategicLiaison.Ashighlightedforseveralmonths,theremainingsupplyoftwoformulations–PfizeroriginalstrainRTUandPfizeroriginalstrainpediatric–isseverelylimitedduetomanufacturerproductionchanges.COVAXsupplyofthesetwovaccinesisexpectedtobedepleted,butalternativesupplyforprimaryseriesremainsavailable.Futuresupplyofthesetwoformulationscannotbeguaranteed,andwilldependonmanufactureravailability,donorcommitments,andconfirmationoffirmdemandfromcountries.WhenParticipants’first-choiceproductpreferencecannotbemet,weencouragecountriestochecktheavailabilityofsubstitutevaccinesthatcanbe

utilizedfortheirprogrammaticneedsbyreferringtotheSupplySnapshot.

©UNICEF/UN0628965/RooftopProductions

FORMOREONTHE

GLOBALSITUATION:

•WHOCOVID-19WeeklyEpidemiologicalandOperationalUpdates

•WHOCOVID-19Dashboard

•UNICEFCOVID-19VaccineMarketDashboard

•UNDPGlobalDashboardforVaccineEquity

•COVID-19VaccineDeliveryPartnershipInformationHub

High-priority

Groups

Globally,89%ofhealthcareworkershavecompletedtheirprimaryseriescoverage.TheWHOAfricanregionhasseencoverageofhealthcareworkersincrease5percentagepointsinthepasttwomonthstoreach61%(basedon36reportingcountries).Thisregionhasthelowestprimaryseriescoverageamonghealthcareworkersinreportingcountries,followedbytheEasternMediterraneanregion(71%across12reportingcountries)andtheEuropeanregion(75%across39reportingcountries).

Similarly,dataonprimaryseriescoverageofpeopleaged60oraboveshowthat81%ofelderlypeoplegloballyhavebeenvaccinated.However,thatcoverageislagginginsomeoftheregions,includingtheAfrican(56%)andtheEasternMediterranean(57%).

Globally,30%ofhealthcareworkersand56%ofolderadults(60+)havereceivedatleastoneboosterdosebuttherearesignificantregionaldisparitiesinboosteruptake.While99%ofSouth-EastAsianand83%ofAmericanregionhealthcareworkershavereceivedatleastoneboosterdose,theproportionisjust2%intheWHOWesternPacificregion,10%intheAfricanregionand27%intheEuropeanregion.Amongolderadults,coverageisjust4%intheAfricanregion,27%intheEasternMediterraneanand30%intheEuropeanregion.

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COVID-19VaccineDeliveryPartnership

SituationReportDecember2022|January2023

AdvanceMarketCommitment(AMC)

Countries

Acrossthe92AdvanceMarketCommitment(AMC92)countries,primaryseriescoveragehasincreasedfrom28%to53%betweenJanuary2022andJanuary2023.Whilecoverageratescontinuetoincrease,therateofchangehassloweddown.SinceNovember2022,therehasonlybeena1percentagepointincreaseincoverage.ThevaccineequitygapbetweentheglobalpopulationandthatoftheAMC92hasremainedstableat12percentagepoints.

Inthisgroupofcountries,81%ofhealthcareworkersand69%ofolderadults(60+)havecompletedtheirprimaryseries,representingagapof8percentagepointsand12percentagepointsrespectivelyvis-à-visglobalcoveragefigures.Whilethecoveragerateforhealthcareworkershasremainedstable,thatofolderadultshasincreased3percentagepointssincelateNovember2022.

AmongtheAMC92whoreportonboostercoverage,15.5%ofthepopulationhavereceivedatleastoneboosterdose–asignificantgaprelativetotheglobalboostercoverageof31%.

Incontrast,AMC92entitieshavefaredbetterthantheglobalaverageingettingboosterdosestohealthcareworkers,with57%havingreceivedatleastoneboosterdose(against30%ofhealthcareworkersglobally).

OlderadultsintheAMC92entitiesstillfacehurdlestogettingboosterdoses–attheendofJanuaryonly22%oftheelderlypopulationintheAMC92hadreceivedatleastoneboosterdoseversus56%ofelderlyglobally.

•Acumulative4.9billiondoseswereadministeredintheAMC92buttherateofadministrationisslowingdown,withonly48millionadditionaldosesadministeredinDecemberand49millioninJanuary2023(thelowestmonthlyvolumessinceMarch2021).

•Dailyvaccineabsorptionratesremainlow(<0.15%pop/day)for75outofthe92countries,andmostcountrieshavenotreachedtheirnationalvaccinationtargetsorareoff-tracktomeetthem.OnlytheGambia,Laos,Micronesia,Mozambique,Myanmar,SierraLeoneandTuvaluhavehadhigh(>0.65%pop/day)vaccinationratesoverthepast4weeks.

•Nonetheless,threeadditionalcountries–SierraLeone,SomaliaandZambia,allofwhicharecountriesforconcertedsupport-havemettheirnationalvaccinationtargetsincelateNovember.ThisbringsthetotalnumberofAMC92entitiesthathavemettheirtargetto8.

FIGURE2

CoveragewithcompleteprimaryseriesinAMCparticipants

0-1%

1-10%

10-20%

20-40%

40-70%

70%+

7

BurkinaFaso BurundiCameroonCAR

Chad

Côted’Ivoire DjiboutiDRCongo Ethiopia Gabon Gambia GhanaGuinea

Guinea-Bissau

Haiti KenyaMadagascarMalawi

Mali Niger NigeriaPapuaNew Guinea SenegalSierraLeone

Solomon

Islands SomaliaSouthSudanSudan

SyriaTanzaniaUganda YemenZambia

COVID-19VaccineDeliveryPartnership

77

SituationReportDecember2022|January2023

Afghanistan

34CountriesforConcertedSupport

PROGRESSONCOMPLETEDPRIMARYSERIESANDBOOSTERCOVERAGE

•Averagevaccinationcoverageamongthe34countriesforconcertedsupportincreasedfrom3%inJanuary2022to25%bytheendofJanuary2023.SincelateNovember,therehasbeenanincreaseof2percentagepoints.

•TanzaniaandZambiaarebothapproachingthe50%markintermsofcoverage.TheCentralAfricanRepublic,SierraLeoneandSomaliahaveexceeded40%primaryseriescoverage,whileDjibouti,NigeriaandGhanahavemovedbeyond30%coverage.

•Twentycountriesnowhavecoverageratesabove20%.MalawiandSouthSudanarethelatestcountriestohavepassedthisthreshold.

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COVID-19VaccineDeliveryPartnership

SituationReportDecember2022|January2023

VACCINATIONCOVERAGERANGES

51,5%

•Sevencountriesremainbelow10%primaryseriescoverage:Senegal,DemocraticRepublicoftheCongo,Madagascar,PapuaNewGuinea,Yemen,Haiti,andBurundi.Fiveofthesecountriesfaceongoinghumanitarianemergencies.

•Coverageamonghigh-prioritygroupsremainslowrelativetoglobalandAMC92averages:acrossthe34CCS,only51%ofhealthcareworkersand49%ofolderadults(60+)havecompletedtheirprimaryseries.

•Amongreportingcountries,healthcareworkercoverageisparticularlylow(<40%)inAfghanistan,Burundi,Côted’Ivoire,Madagascar,Niger,Syria,andYemen.OlderadultcoverageislowinCameroon,DemocraticRepublicoftheCongo,Ghana,Guinea,

Kenya,Madagascar,Malawi,Mali,Niger,PapuaNewGuinea,SierraLeone,Sudan,Syria,andYemen.

•Althoughmostofthe34CCShaveintroducedboosterpolicies,theuptakeissluggish:only3%ofthepopulationinthe34CCShavereceivedatleastoneboosterdose(basedonreportingcountries).Amonghealthcareworkers,thisfigurestandsat7%andamongtheelderlyat4%,indicatingstrongremainingchallengesinensuringthelong-termprotectionofthesegroups.

TABLE1:

Vaccinationcoveragerangesamongthe34CountriesforConcertedSupport

Countries

CentralAfricanRepublic,Côted’Ivoire,Somalia,SierraLeone,UnitedRepublicofTanzania,

Zambia

30-39%

(n=6)

Chad,Djibouti,Ethiopia,

Ghana,Nigeria,Solomon

Islands

20-29%

(n=8)

Afghanistan,Guinea,Guinea-Bissau,Kenya,Malawi,Niger,SouthSudan,Uganda

10-19%

(n=7)

BurkinaFaso,Cameroon,Gabon,Gambia,Mali,Sudan,SyrianArabRepublic

<10%

(n=7)

Burundi,DemocraticRepublicoftheCongo,Haiti,Madagascar,PapuaNewGuinea,Senegal,Yemen

≥40%(n=6)

FIGURE3

CoveragewithcompleteprimaryseriesinAMCparticipants

Coverageofhealthcareworkers

withcompleteprimaryseries

Coverageofolderadults

withcompleteprimaryseries

82.8%

81.4%

10

0%

80%60%40%20%0%

Global

AMC92

34countriesforconcertedsupport

81.2%

69.3%

48.5%

%

20%

60%

80%

0

40%

100%

Tanzania

Zambia

SierraLeone

Coted'Ivoire

CAR

SomaliaSolomonIslands

Ethiopia

Ghana

Nigeria

Djibouti

Uganda

Afghanistan

Guinea

Chad

Niger

Guinea-Bissau

Kenya

Malawi

SouthSudan

Sudan

Gambia

BurkinaFaso

Mali

Syria

Cameroon

Gabon

SenegalDRCongoMadagascarPapuaNewGuinea

Yemen

Haiti

Burundi

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COVID-19VaccineDeliveryPartnership

SituationReportDecember2022|January2023

FIGURE4

ProportionofcoverageachievedInOctober,sinceJanuary2022,priortoJanuary2022acrossConcertedSupportCountries(34)

PriortoJanuary2022AfterJanuary2022,priortothepastmonthInOctober

8

7.6

7.4

1 11.11.6

.5%

%

%

16.0%

13.4%

2.8%

9%

%

22

22.

21.7

3

3

30.7%

30.5%

30.1%

28.4%

.7%

2.6%

2.4%

41.1%

41.0

46

45.7%

44.7%

%

49.0%.7%

27

25.1%

.1%

0%

%

20.2%

20.1%

19.9%

18.9%

18.8%

3.5%

5%

%

2.

2.1

0.3%

05%10%15%20%25%30%35%40%45%50%55%60%65%

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COVID-19VaccineDeliveryPartnership

SituationReportDecember2022|January2023

©UNICEF/UN0624100/Lerneryd

TheGambia

UpdateOnTheWorkOfTheCOVID-19VaccineDeliveryPartnership

Countryengagement

CountriescontinuetoengagewithCoVDPincludingthroughhigh-levelpoliticalandtechnicalmissions,disbursementofurgentfundingrequestsfornationalcampaignsandtheprovisionofTechnicalAssistance.

ThroughitsDeskOfficers,CoVDPfocusedconsolidationandimplementationofallactionsandrequestsfromhighleveladvocacyandtechnicalmissions,country-specificdeepdives,technicalassistanceandurgentfunding.CoVDPhasalsoworkedwithcountriestodeviseindividualcountryactionplansforthenextsixmonthsinanefforttoensurethatcontinuedconcertedsupportisprecisiontailoredtotheneedsofeachcountryanditscontext.

7-10December2022

TheGambiahostedajointAfricaCDC–CoVDPmissioninearlyDecember2022.BytheendofJanuary,thecountryhadachievedaprimaryseriescoveragerateof19%against10%ayearearlier.Althoughvaccineuptakehasbeenrelativelyslow,themissionnotedseveralaspectsoftheGambia’svaccinedeploymentstrategytodatethatprovideastrongbasisforcontinuedacceleration:

•ThereishighpoliticalcommitmenttoCOVID-19vaccination.Ahigh-levelstrategicgroupofseniorgovernmentofficials,formerlyledbytheVicePresident,leadsthecoordinationofimmunizationactivities;

•ThereissolidcooperationandalignmentbetweenthegovernmentontheonehandandcorepartnerssuchasGavi,UNICEFandWHOontheother;

•MultiplestateagencieshavebeenropedintosupportCOVID-19vaccinationsuchasthepoliceandotherministries;

•Multiplenon-statebodies,suchasnationalCSOshavebeeninvolvedinthesensitizationeffortsofgovernment.

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COVID-19VaccineDeliveryPartnership

SituationReportDecember2022|January2023

Nonetheless,thecurrentabsorptionrateremainslow,despitemultiplemassvaccinationcampaignsinthepastmonthsandconcertedeffortsbygovernmentandpartnerstoimplementthecountry’svaccinationstrategy.

Themissionidentifiedseveralcriticalbottleneckstoresolveasapre-requisitefordrivingupvaccinationrates.Theseinclude:

•AddressingthelowpublicconfidenceandacceptanceofCOVID-19vaccines,whichhasbeenexacerbatedbyanunrelatedincidentofacutekidneyinjuryassociatedwiththeimportationoftaintedcoughsyrupresultinginthedeathofmorethan70childrenandapubliclossoftrustinhealthauthorities;

•RevisingtheNationalDeploymentandVaccinationPlan(NDVP)soitisfit-for-purposerelativetothechangingrealitiesontheground;

•Increasingtheinvolvementofthemostseniorlevelsoftheministryofhealthintheimplementationofthecountry’svaccinationstrategy.

Followingexchangeswiththegovernmentandkeypartnersontheground,themissionrecommendedthefollowingactionstoimprovevaccinedeliveryinthecomingmonths:

•ReinvigoratetheInter-AgencyCoordinatingCommittee(ICC),technicalworkinggroupsandtheNationalImmunizationTechnicalAdvisoryGroup(NITAG)toimprovecoordinationamongpartnersandincreaseownershipofvaccinedelivery;

•ReviewandadapttheNDVPtoinclude:broaderstakeholderinvolvement,integrationandhealthsystemsstrengthening,agreaterfocusoncapacity-buildingforhealthcareworkersandexplorationofnewdeliverymodels;

•HavemorefrequenttouchpointsbetweenseniorlevelsattheMinistryofHealthandtheEPIProgrammeimplementingvaccinedelivery;

•RevamptheRCCEstrategythroughastrongerfocusonmobilizingyouthandseniormembersofgovernmentasrolemodels,andagreaterintegrationoffindingsfromexistinganthropologicalstudies;

•Optimizeplanningandorganizationoffuturecampaignsbyapplyingbestpractices,identifyingpotentialtechnicalassistanceneeds,andconductingthenecessaryinter-actionreviews;

•Improvedatamanagementbyleveragingthesupportfromprevioustechnicalmissionsandfunding.

BurkinaFaso

30January-1February2023

CoVDPandUSAIDconductedajointmissiontoBurkinaFasoattheendofJanuary2023toassesstheprogressmadeinthepast12monthsandformulaterecommendationsfortheupcomingvaccinationcampaigninFebruary2023.

SinceJanuary2022,thecountryhasmanagedtoincreaseitsprimaryseriescoveragefive-fold,reaching16%bytheendofJanuary2023.Despitecompetingpriorities

-notleastduetothedeterioratingsecuritysituationinpartsofthecountry’sNorthandEast-thecountrymadeeffortstoincreasevaccinationcoverage.Undertheleadershipoftheministryofhealth,thecountryhasdeployedseveralstrategiestoincreasevaccinationuptake:

•InAugust2022,thecountrylaunchedthe“1000women/1000youth”campaignduringwhichwomenandyouthindifferentregionsweretrainedtoinform,sensitizeandmobilizelocalcommunitiestogetvaccinated;

•The“NayiriBogbo”campaignconsistedofmobilizingthetraditionalauthoritiesindifferentdistrictstoadvocatewiththeircommunitiesinfavourofvaccinationswhileofferingvaccinationsintheroyalcourts;

•Theelderlyandpeoplewithco-morbiditieswerereachedbyofferingvaccinationsinspecializedcareunitsoraspartofaplannedhealthscreeningforretireesofthecivilservice.Vaccinationswerealsoofferedinplacesofworship.

©UNICEF//Cisse

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COVID-19VaccineDeliveryPartnership

SituationReportDecember2022|January2023

Despitetheseefforts,thepastcampaignshavenotbeenabletoreachasmanypeopleasintended.Sevenmassvaccinationcampaignshavetakenplacetodatewitheachreachingabout650,000people(againstatargetof1million).Thecountryfaceadditionalchallengesinacceleratinguptake,including:

•strongregionaldisparitiesinvaccinationuptakeduetothesecuritysituation,whichhasresultedinhealthfacilityclosureanddifficultiesmobilizinghealthpersonnel,vaccinatorsandvolunteerstobedeployedtotheseregions;

•asignificantdatabacklog–with50%ofdatafromrecentcampaignsnotyetformallyloggedintothesystem–anddatasystemsissuesthathavepreventedthereportingofdataontheelderlyandthatdonotyetadequatelycapturevaccinationlevelsamongIDPs;

•thehighcostofpastvaccinationcampaignsatoverUS$3.50perpersonvaccinated,aresultoftherelativelylowvolumeofpeoplevaccinatedineachcampaign;

•astronggenderimbalanceinvaccinationcoverage,withwomenmuchmorelikelythanmentogetvaccinated.

Themissionappreciatedthestrengthsofthecurrentvaccinationstrategyinacontextofcompetingprioritiesandpoliticalinstability.ThemissionnotedinparticulartheverystrongpoliticalcommitmentbytheMinisterofHealthandlocalauthoritiesatthedecentralizedlevels.

©UNICEF//Cisse

Traditional,religiousandcommunityleadersshowedastronginterestinthetopic,recognizingitsimportanceandplayingaproactiveroleinmobilizingtheircommunitiestogetvaccinated.Thecommunityhealthworkersystemwasalsoactivelymobilizedintheresponse,educatingandsensitizinglocalcommunitiestotheimportanceofCOVID-19vaccinations.

Crucially,fortheremainderofthecampaignsfor2023andforthecountry’spandemicpreparednessandresponsecapacities,therewasstrongalignmentontheneedtoinvestincommunityhealthsystemswithclearcommitments.Thesearedemonstratedbyanexistingcommunityhealthstrategy,aconsistentallocationofbetween11and13%ofthestatebudgetforhealth,andareadinessbytheMinistryofHealthtoprogressivelycontinuetosupportCHWpaymentsfromdomesticsources(currentlyaquarteriscoveredfromtheHealthMinistry’sbudget)andtohaveanincreasingnumberofCHWsformallytrained.

Thedelegationformulatedanumberofrecommendations,including:

•SettingmuchmoreambitioustargetsforupcomingcampaignswhiletakingstepstoreducethecostthroughbettermicroplanningandsynchronizedRCCEactivities;

•AdaptingthecurrentRCCEactivitiestomoredeliberatelytargetpopulationthatarenotyetfullyreached,inparticulartheelderly,peoplewithcomorbiditiesandadultmen;

•Clearingtheexistingbacklogofdatathroughcreativesolutionssuchasthemobilizationofstudents,researchersandvolunteersacrossthecountry;

•Identifyingandmobilizinghumanitarianagencies,includinglocalNGOsandCSOs,withthecapacitiesandskillstosupportthevaccinationroll-outinregionsaffectedbyinsecurity;

•Settingupanintegrationworkinggroup,ledbyMoH,tostartplanningtheupcomingintegrationofCOVID-19vaccineswithroutinehealthservices.

CoVDPwillsupporttheaboveeffortsbycoordinatingwithpartnersandtheMoHtounderstandthefinancialneedsoftheupcomingcampaignsandsupportingtherapiddisbursementsofadditionalfundswhereneeded,aswellasfollowingupwithWHOAfrotoimplementpriorityactivitiesmeanttoaddressthecurrentdatabacklog.

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Politicalengagementandadvocacy

InDecemberandJanuary,CoVDPseniorleadershipfocuseditsadvocacyeffortsontheimmediateprioritiesforthefirsthalfof2023,namelythegradualtransitionofCoVDP’scorefunctionsandresourcesbacktopartneragenciesandtheneedtolinkupthelessonsfromthepastyearofimplementationwiththeemergingglobalarchitectureforpandemicpreparednessandrespo