Equity in immunization
WHO/Dejan Kalezic
Equity is the guiding principle in all of the priority areas identified in WHO’s 13th General Programme of Work, 2019–2023, which aims to ensure healthy lives and well-being for all, leaving no one behind. Reducing inequity in immunization is an important part of the holistic effort to help communities achieve their full health potential regardless of demographic, social, economic or geographic strata.
Despite overall success in achieving high vaccination uptake in the WHO European Region, research studies across the Region have found examples of inequity related to immunization.
The reasons for inequity in immunization uptake and utilization are multifactorial, but they can be addressed by first systematically identifying and understanding the root causes. An equitable immunization programme seeks to reduce differences in immunization coverage by tailoring services to meet the needs of those who are un- and undervaccinated.
Equity in immunization reduces the risk of vaccine-preventable diseases among vulnerable communities and individuals who are at highest risk of suffering from the diseases. It also contributes to health equity in general and is a powerful tool to reduce poverty and improve school results, future employment and health. Equity in immunization thus benefits both the individual and society at large.
