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Immunization Case Studies
The Philippines

Addressing the critical gaps to prevent death and disability from measles.

While an effective and safe vaccine is available, measles continues to cause unnecessary deaths.

A five-fold increase of reported measles cases between 2017 and 2018 prompted the Philippine Red Cross (PRC) to implement a comprehensive strategy to address the need for quick response and longer-term change. During the peak of the outbreak, PRC supported measles case management with temporary Measles Care Units; provided vaccines to 260,000 children in vulnerable communities; and reached over one million people with important health promotion messages. After the outbreak, PRC worked with the Department of Health to map the most vulnerable communities to improve measles vaccination coverage and address the root cause of the outbreak.

In 2019, PRC received the Measles & Rubella Initiative Champion Award for their comprehensive outbreak response in 2018.

Central African Republic

Ensuring access to infant vaccines in humanitarian settings and underserved communities.

IFRC employs innovation and technology in humanitarian settings to track and respond to gaps in vaccination access for the most underserved children. In Central African Republic (CAR), IFRC is working with the Ministry of Health (MoH), Central African Red Cross (CRCA), CDC, WHO and UNICEF to develop and manage a national electronic data collection and analysis system.

Data, now gathered at the facility rather than district level, indicates which operational health facilities are offering immunization services. IFRC and CRCA also support the MoH to strengthen and expand immunization services in seven high-risk, low coverage districts in Eastern CAR. Vaccination coverage rates have increased in all the districts, and facilities are now conducting surveillance for vaccine-preventable diseases with the assistance of RC volunteers.


Supporting for vaccination of children living in fragile, conflict, and vulnerable settings.

Children living in conflict-affected areas have limited or no access to life-saving vaccines and are often the last to be reached. Accessing the last mile first in Afghanistan is a testament to the versatility and dedication of National Societies and demonstrates that no child is unreachable.

The Afghanistan Red Crescent Society (ARCS) provides routine immunization in 45 basic health centers and 31 mobile health teams throughout Afghanistan. ARCS is working in particularly insecure areas in the Eastern and Southern parts of the country to reach large pools of children without access to services.

In conflict-affected areas, ARCS staff and volunteers are implementing a mixed approach of service delivery and outreach through community engagement, access negotiations, mobile health teams, and health clinic camps.

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