Mobile Vaccination Teams for Improving Vaccination Coverage in the Kyrgyz Republic: Results of a National Health System-Strengthening Project during the First Two Years of the COVID-19 Pandemic

Author:

Monolbaev Kubanychbek12,Kosbayeva Alyia3,Lazzerini Marzia45ORCID

Affiliation:

1. WHO Country Office, Bishkek 720040, Kyrgyzstan

2. United Nations Children’s Fund (UNICEF), 160 Chui Avenue, Bishkek 720040, Kyrgyzstan

3. WHO Regional Office for Europe, DK-2100 Copenhagen, Denmark

4. WHO Collaborating Centre for Maternal and Child Health, Institute for Maternal and Child Health, IRCCS “Burlo Garofolo”, 34137 Trieste, Italy

5. London School of Hygiene & Tropical Medicine, London WC1E 7HT, UK

Abstract

(1) Background: This implementation study reports on the results of the mobile vaccination teams’ (MVTs) activities during the first two years of the COVID-19 pandemic in Kyrgyzstan, when other vaccination services were disrupted. (2) Methods: Through a national health system-strengthening project under an order of the Ministry of Health, in 2020, the number of MVTs was increased, focusing on internal immigrant settlements around the cities of Bishkek and Osh and geographically remote areas. MVTs provided free vaccination services. (3) Results: MVTs vaccinated a total of 125,289 and 158,047 children in 2020 and 2021, respectively. The higher contribution of MVTs to vaccination coverage was in children under 5 years of age, with the three top vaccines being IPV (8.9%), MMR (7%), and PCV (6.6%). In 2021, 13,000 children who had not received an IPV vaccination and 8692 children who had not received the Pentavalent vaccine (DPT-HBV-Hib) were reached. The number of cases of vaccine-preventable disease reported in official statistics has reduced over time. (4) Conclusions: MVTs increased vaccination coverage in Kyrgyzstan, in particular in remote regions and migrant settlements, where it accounted for a considerable proportion of the vaccinated. This study adds to previous evidence in the literature of the role of MVTs as a strategy to improve immunization in hard-to-reach populations, particularly children.

Funder

GAVI

Publisher

MDPI AG

Subject

Pediatrics, Perinatology and Child Health

Reference30 articles.

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4. Rodrigues, C.M.C., and Plotkin, S.A. (2020). Impact of Vaccines; Health, Economic and Social Perspectives. Front. Microbiol., 11.

5. GBD 2020, Release 1, Vaccine Coverage Collaborators (2021). Measuring routine childhood vaccination coverage in 204 countries and territories, 1980–2019: A systematic analysis for the Global Burden of Disease Study 2020, Release 1. Lancet, 398, 503–521.

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