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  • Title: Global Advisory Group: conclusions and recommendations.
    Author: Pan American Health Organization PAHO. Expanded Program on Immunization EPI. Global Advisory Group.
    Journal: EPI Newsl; 1986 Feb; 13(1):4-6. PubMed ID: 12314333.
    Abstract:
    The conclusions and recommendations formulated for the global program by the 8th meeting of the Expanded Program on Immunization (EPI) Global Advisory Group, which took place during November 1985, are summarized. The Global Advisory Group recommends that, in furtherance of the Five-Point Action Program endorsed by the World Health Assembly in 1983, 3 general and 4 specific actions be taken by national immunization programs with the support of the World Health Organization (WHO) to accelerate EPI progress. These recommendations reflect optimism that the 1990 goal of reducing morbidity and mortality by providing immunization for all children of the world can be realized but also acknowledge that many fundamental problems of national program management remain to be resolved. The general actions are: to promote the achievement of the 1990 immunization goal at national and international levels through collaboration among ministries, organizations, and individuals in both the public and private sectors; to adopt a mix of complementary strategies for program acceleration; and to ensure that rapid increases in coverage can be sustained through mechanisms which strengthen th delivery of other primary health care interventions. The specific actions are as follows: to provide immunization at every contact point; to reduce dropout rates between 1st and last immunizations; to improve immunization services to the disadvantaged in urban areas; and to increase priority for the control of measles, poliomyelitis, and neonatal tetanus. The WHO and the UN International Children's Emergency Fund (UNICEF) have collaborated in support of the EPI since the early days of the program. The acceleration of national efforts heightens the importance of this collaboration, particularly at the national level. It may be further facilitated by the provision of policy guidance from global and regional levels, by WHO and UNICEF collaborative agreements at the regional level, and by country agreements jointly signed by governments, WHO, UNICEF, and other major partners in the immunization effort. Involvement of nongovernmental organizations is of special importance in light of the current accelrated immunization activities. The role of NGSs needs to be clearly defined within each country program. National action plans should be drawn up with agreement between all parties concerned as to their individual responsibilities within the program. Appropriate recognition of the involvement of NGOs is essential to their fund raising and social mobilization efforts. Immunization training in schools for health personnel needs to be improved. Examples of operational problems requiring research are outlined. Research and development effots which facilitate sterile injection practice are an urgent need and deserve strong support.
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