2.H. Workshop: Vaccination challenges in developed & developing countries: where does the responsibility lie?

The world is facing multiple health challenges, among those the outbreaks of vaccine-preventable diseases and the rise of anti-vaccination groups. Vaccination is one of the most cost-effective ways of avoiding disease; it currently prevents 2-3 million deaths a year and a further 1.5 million could be avoided if global coverage is improved. Moreover, global immunization will contribute towards achieving broader global health goals under the UHC and SDG initiatives. Barriers to immunization may vary according to the country and specific context ranging from hesitancy, inappropriate communication, lack of resources, access, individual belief, management of adverse events following immunization etc. Vaccine hesitancy threatens to reverse progress made in tackling vaccine-preventable diseases and is listed by WHO in the 10 threats to global health in 2019. Access to vaccinations is sometimes difficult especially in rural areas affecting most vulnerable populations. Immunization history is not always well managed thus affecting the proper vaccination for all ages. Immunization is one of the best uses of limited public funds for health; however, financing for immunizations are often not covering in a sustainable matter the needs. The World Federation of Public Health Associations has developed a high-level “International Immunization Policy Taskforce” on vaccination policies to engage with public health associations, international organizations and like-minded partners to sustain the development, adoption and implementations of key vaccination policies at country level. The taskforce has developed a position paper that will be launched during the workshop to debate about role and responsibilities as well effective approaches to be applied both in developed and developing. The position paper has its roots in vaccination as human right and as a key component of UHC and SGD initiatives. Global immunization is crucial for every individual and the broader community to prevent diseases, promote health and wellbeing and protect the global population as highlighted in WFPHA Global Charter for the Public's Health. Key experts from different parts of the world will discuss strategies and synergies to create a global coordinated advocacy movement to foster engagement for equitable and effective global immunisation by governments and society at large. Key messages Vaccination challenges may vary from developed & developing countries. Responsibility for immunization uptake lies at different levels. Analyses, advocacy, action are key to prevent & face epidemics. Vaccination is not a personal choice rather a political choice. A strong advocacy movement by PHW is key to guarantee the best equitable and sustainable immunization worldwide.