Vaccine
Volume 32, Issue 48, Pages 6325-6590 (12 November 2014)
http://www.sciencedirect.com/science/journal/0264410X/32/48

Seasonal influenza vaccine dose distribution in 157 countries (2004–2011)
Review Article
Pages 6369-6376
Abraham Palache, Valerie Oriol-Mathieu, Atika Abelin, Tamara Music, on behalf of the Influenza Vaccine Supply task force (IFPMA IVS)
Abstract
Highlights
:: Survey methodology assesses global influenza vaccine dose distribution which can provide a reasonable proxy of vaccine utilization.
:: Global distribution increased approximately 86.9% between 2004 and 2011, but only approximately 12.1% between 2008 and 2011.
:: Based on dose distribution, it appears that seasonal influenza VCR in many countries remains well below the World Health Assembly (WHA) VCR targets and below the recommendations of the Council of the European Union in EURO.
:: Inter- and intra-regional disparities in dose distribution trends call into question the impact of current vaccine recommendations at achieving coverage targets.
:: Additional policy measures, such as reimbursement, health care provider knowledge, attitudes, practices, and communications, are required for VCR targets to be met and for more populations to benefit from available safe and effective influenza vaccines.