European Vaccine Action Plan (EVAP)

Dr Nedret EmirogluDeputy Director, Division of Communicable Diseases,

Health Security and EnvironmentSpecial Representative of the Regional Director on

the Millennium Development Goals and Governance

Immunization coverage for selected antigens,

WHO European Region, 1990–2013

Source: WHO/United Nations Children’s Fund (UNICEF) adjusted coverage estimates.

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

0

10

20

30

40

50

60

70

80

90

100

dtp3hepb3hib3pol3

Year

Cove

rage

(% )

DTP3HepB3Hib3Pol3

Legend: 3 doses of vaccines for diphtheria, tetanus and pertussis (DTP3), hepatitis B (HepB3), Haemophilus influenzae type B (Hib3) and poliomyelitis (Pol3).

Building on achievements

• Political commitment• Addressing immunity gaps• Vaccine hesitancy and refusal• Integration with other health

interventions • Alignment with changes in

health systems• Sustainable access to vaccines

and predictable funding

Alignment with regional policies

Europe’s response and guiding principles

1st draft 2nd draft

RC64September

2014

RC64 version

RC63September

2013

Outline

Regional consultation (face to face and web based)European Technical Advisory Group of Experts on Immunization (ETAGE)

20142013EVAP timeline

Engagement of the Standing Committee of the Regional Committee (SCRC)

EVAP vision

EVAP goals

EVAP objectives1. All countries commit to immunization as a priority2. Individuals understand the value of immunization services and vaccines and demand vaccination3. The benefits of immunization are equitably extended to all people through tailored, innovative strategies

4. Strong immunization systems are an integral part of a well-functioning health system

5. Immunization programmes have sustainable access to predictable funding and high-quality supply

Operationalization of EVAP From EVAP

goals and objectives to priority action areas and proposed actions

EVAP monitoring and evaluation framework• Aligned with the global

framework• Using existing mechanism

and data (joint reporting form, with no new indicators or variables)

• Secretariat to prepare annual progress reports on implementation

Draft resolution Regional Committee adopts EVAP and

urges Member States: • to commit to immunization as a

priority;• to harmonize their national

immunization plans with EVAP; and

• to provide information on the risks and benefits.

Draft resolution Requests the Regional Director:

• to support the implementation of EVAP;• to provide leadership and call for

resources;• to provide guidance in targeting specific

high-risk groups, including those hesitant about vaccination; and

• to monitor and evaluate progress.

Thank you