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The majority of the 16 Western European countries included in this article implement immunization programs with both age-based and risk-based elements.
Some countries may implement immunization programme activities (e.g., child health days [ 15] or campaigns) outside of the routine immunization system that target children missed by routine immunization systems.
Sufficient numbers of competent health workers, equitably deployed and supported by strong health systems, are required to manage and implement immunization programs.
A lack of health personnel to implement immunization activities at district and peripheral levels is another major cause of low performance, especially in countries covering large geographic areas and in which there are difficulties in reaching remote areas.
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Nurses and midwives were found to play significant roles in implementing immunization programme activities.
When implemented, immunization strategies only apply to risk groups under certain conditions, with no harmonized recommendations available to date across the region.
This study shows that nurses and midwives play an important role in implementing immunization activities at the district level and that their roles can be maximized by creating opportunities that lead to their having more responsibilities in their work and in particular, their involvement in early phases of planning of priority health activities.
The interplay between health rights and equity was also discussed by one interviewee, who stated "When implementing immunization programs it is very important to reach the lower socio-economic classes as the largest health gains can be obtained in this group".
The immunity front (IF) performance flag was given to districts bordering an area that had used PsA-TT, while the campaign (ACC) performance flag was given to districts that would not require additional logistical support and planning to implement the immunization campaigns and had successfully mounted preventive mass immunization campaigns conducted over the 3 previous years.
Underlying this work on technologies and equipment was a major effort to develop the human resources required to manage and implement the immunization supply chain.
The purpose of this report is to provide investigators interested in vaccine research in pregnancy with a basic set of tools to design and implement maternal immunization studies which may be conducted more efficiently using consistent definitions and grading of adverse events to allow the comparison of safety reports from different trials.
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CEO of Professional Science Editing for Scientists @ prosciediting.com