Draft global vaccine action plan: 65th World Health Assembly – A65/22

Editor’s Note: The draft of the Global Vaccine Action Plan (GVAP) developed by the Decade of Vaccines Collaboration was posted as part of the 65th World Health Assembly meeting documentation http://apps.who.int/gb/e/e_wha65.html  The 39-page document is available as a pdf here: http://apps.who.int/gb/ebwha/pdf_files/WHA65/A65_22-en.pdf  We extract the “Continuing Momentum…” and “Action by the Health Assembly” sections below.

SIXTY-FIFTH WORLD HEALTH ASSEMBLY A65/22
Provisional agenda item 13.12 11 May 2012
Draft global vaccine action plan

Extract (full text)

…CONTINUING MOMENTUM FOR THE DECADE OF VACCINES (2011–2020)
100. Ensuring success throughout the Decade of Vaccines requires additional focus and action beyond the development of the draft global vaccine action plan. Four critical sets of activities will be required in order to translate the action plan into actions and results: development of tools for translation of the plan; development of a complete accountability framework; securing commitments from the stakeholder community; and communicating Decade of Vaccines opportunities and challenges.

101. Tools are needed that provide the full thinking behind the draft global vaccine action plan, together with details, in order to enable implementation. The production, publication and communication of these tools will help stakeholders better understand how to translate the actions recommended in the action plan into the local context.

102. The draft global vaccine action plan lays the groundwork for an accountability framework, which will be finalized with more detailed roles and responsibilities for stakeholders, a complete set of indicators, the methodology and data sources for each indicator detailed and baselines established where required. Investments are needed to improve data quality and develop more robust in-country monitoring and evaluation systems. Regular audits should be conducted to verify data quality. Progress should be reviewed annually, beginning in 2013, by country, the WHO regional committees and the Health Assembly.

103. Commitments aligned to the draft global vaccine action plan from countries, civil society organizations, multilateral agencies, development partners and vaccine manufacturers can transform the action plan from a document to a movement. Efforts to build these commitments and a strategy for coordinating them will be required at the global, regional and country levels. Appropriate channels must be identified and targeted communications developed to ensure that Decade of Vaccines messages reach and resonate with all stakeholders.

104. The period of time immediately following the Sixty-fifth World Health Assembly will be critical for ensuring that the agenda-setting translates into effective action. Key opportunities to sustain and build on the current momentum during the remainder of 2012 include the WHO regional committee meetings, the meeting of the Board of the GAVI Alliance, the UNICEF Executive Board meeting, the GAVI Alliance Partners’ Forum and the Child Survival: A Call to Action summit.

105. The Decade of Vaccines collaboration is a time-limited effort that ends with the completion of the draft global vaccine action plan and related activities identified above. There will be no new structure to support the implementation phase of the Decade of Vaccines/global vaccine action plan. Lead stakeholders need to assume ownership to support implementation and progress monitoring.

106. WHO will play a leadership role for the action plan as the normative lead agency in global health, including the defining of norms and standards for production and quality control of vaccines, as well for strengthening immunization delivery, programme monitoring and surveillance systems. In collaboration with other stakeholders, the WHO Secretariat will also advocate for and provide technical support to Member States in promoting greater country ownership, creating synergies between immunization and other primary health-care programmes and implementing research, notably to increase programme efficiencies and impact.

ACTION BY THE HEALTH ASSEMBLY

107. The Health Assembly is invited to adopt the resolution on World Immunization Week recommended by the Executive Board in resolution EB130.R12.

108. It is further invited to consider the following draft resolution:
The Sixty-fifth World Health Assembly,
– Having considered the report on the draft global vaccine action plan;1
– Recognizing the importance of immunization as one of the most cost-effective interventions in public health which should be recognized as a core component of the human right to health;
– Acknowledging the remarkable progress made in immunization in several countries to ensure that every eligible individual is immunized with all appropriate vaccines, irrespective of geographic location, age, gender, disability, educational level, socioeconomic level, ethnic group or work condition;
– Applauding the contribution of successful immunization programmes in achieving global health goals, in particular in reducing childhood mortality and morbidity, and their potential for reducing mortality and morbidity across the life-course;
– Noting that the introduction of new vaccines targeted against several important causes of major killer diseases such as pneumonia, diarrhoea and cervical cancer can be used as a catalyst to scale up complementary interventions and create synergies between primary health care programmes; and that beyond the mortality gains, these new vaccines will prevent morbidity with resulting economic returns even in countries that have already succeeded in reducing mortality;
– Concerned that, despite the progress already made, disease eradication and elimination goals such as the eradication of poliomyelitis, the elimination of measles, rubella, and maternal and neonatal tetanus cannot be met without achieving and sustaining high and equitable coverage;
– Concerned that low- and middle-income countries where the adoption of available vaccines has been slower may not have the opportunity to access newer and improved vaccines expected to become available during this decade;
– Alarmed that globally routine immunization services are not reaching one child in five, and that substantial gaps persist in routine immunization coverage within countries;

Recalling resolutions WHA58.15 and WHA61.15 on the global immunization strategy,
1. ENDORSES the Global Vaccine Action Plan;
2. URGES Members States:
(1) to apply the vision and the strategies of the Global Vaccine Action Plan to develop the vaccines and immunization components of their national health strategy and plans, according to the epidemiological situation in their respective countries;
(2) to commit themselves to allocating adequate human and financial resources to achieve the immunization goals and other relevant key milestones;
(3) to report every year to the regional committees during a dedicated Decade of Vaccines session, on lessons learnt, progress made, remaining challenges and updated
actions to reach the national immunization targets;

3. REQUESTS the Director-General:
(1) to foster alignment and coordination of global immunization efforts by all stakeholders in support of the implementation of the Global Vaccine Action Plan;

(2) to identify human and financial resources for the provision of technical support in order to implement the national plans of the Global Vaccine Action Plan and monitor their impact;

(3) to monitor progress and report annually, through the Executive Board, to the Health Assembly, until the Seventy-first World Health Assembly, on progress towards
achievement of global immunization targets, as a substantive agenda item, utilizing the proposed accountability framework to guide discussions and future actions.