Have you ever considered mandatory immunization?

7 Septiembre 2018

This article analyses countries that implemented mandatory infant and childhood immunization, sharing the best practices and lessons learnt.

IMG_6903-Edit.jpg

Globally, infant and childhood vaccine uptake rates are not high enough to control vaccine preventable diseases, with outbreaks occurring even in high-income countries. This has led a number of high-, middle-and low income countries to enact, strengthen or contemplate mandatory infant and/or childhood immunization to try to address the gap. Mandatory immunization that reduces or eliminates individual choice is often controversial. There is no standard approach to mandatory immunization. What vaccines are included, age groups covered, program flexibility and rigidity e.g. opportunities for opting out, penalties or incentives, degree of enforcement, and whether a compensation program for causally associated serious adverse events following immunization exists vary widely. We present an overview of mandatory immunization with examples in two high- and one low-income countries to illustrate variations, summarize limited outcome data related to mandatory immunization, and suggest key elements to consider when contemplating mandatory infant and/or child immunization. Before moving forward with mandatory immunization, governments need to assure financial sustainability, uninterrupted supply and equitable access to all the population. Other interventions may be more effective and less intrusive than mandatory. If mandatory is implemented, this needs to be tailored to fit the context and the country’s culture.

Documentos para descargar

Noticias y eventos relacionados

  • Centros de Control y Prevención de Enfermedades
    1600 Clifton Road, Tom Harkin Global Communications Center, Kent "Oz" Nelson Auditorium, Atlanta
  • Third Global NITAG Network (GNN) meeting

    16.01.2019

    The Global NITAG Network (GNN) meeting was organized this year by the Public Health Agency of Canada with the strong support of WHO HQ. This annual meeting brought National Immunization Technical Advisory Group (NITAG) members from across the globe to Ottawa to discuss the network’s activities, the barriers to reach the GVAP target and the lessons learnt in building NITAG structure and evaluating NITAGs.

    Leer más
  • 2 -4
    Abril
    Suiza
    SAGE

    Reunión del SAGE

    OMS
    Geneva