Building Better Systems: Improving Delivery of Immunisation Services in the Context of Universal Health Coverage


Developing strong immunisation systems

All countries should develop appropriate strategies and activities to deliver high quality routine immunization services and systems. As a guide, the Global Vaccine Action Plan (GVAP), and Global Routine Immunization Strategies and Practices (GRISP) have identified the following key components of strong immunization systems:

Strategic and operational plans

National immunisation programmes should articulate their overall programme direction and needs through the development of a comprehensive, funded multi-year plan in line with the national health strategy. Plans should be comprehensive and contain all immunization-related activities, including increasing equity and coverage of Expanded Programme on Immunization (EPI) vaccines, elimination/eradication programmes of vaccine preventable diseases, new vaccine introductions, mass vaccination campaigns and vaccine preventable disease surveillance over the five-year planning period. Multi-year plans allow for ongoing long-term programme directions to be translated into implementable activities and annual planning. They align with other health sector planning cycles and processes and should be informed by all relevant assessments and reviews. When funded appropriately, the multi-year plans are a powerful tool for advocacy and resource mobilization.