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A Snapshot of Influenza Surveillance, Vaccine Recommendations, and Vaccine Access, Drivers, and Barriers in Selected Middle Eastern and North African Countries Publisher



Al Awaidy S1 ; Althaqafi A2 ; Dbaibo G3 ; Abuglia M4 ; Abusrewil S5 ; Aksakal FNB6 ; Barakat A7 ; Dahbi Z8 ; Derrar MF9 ; Elhefnawy MH10 ; Esteghamati A11 ; Ghasemi M12 ; Hadeed I13 ; Hassan MB14 Show All Authors
Authors
  1. Al Awaidy S1
  2. Althaqafi A2
  3. Dbaibo G3
  4. Abuglia M4
  5. Abusrewil S5
  6. Aksakal FNB6
  7. Barakat A7
  8. Dahbi Z8
  9. Derrar MF9
  10. Elhefnawy MH10
  11. Esteghamati A11
  12. Ghasemi M12
  13. Hadeed I13
  14. Hassan MB14
  15. Idris O15
  16. Kara A16
  17. Mardani M17
  18. Nourlil J18
  19. Tarraf H19
  20. Slim A20
  21. Unal S21
  22. Hasan MYA22
Show Affiliations
Authors Affiliations
  1. 1. Office of HE Undersecretary of Health Affairs, Ministry of Health, Muscat, Oman
  2. 2. Department of Medicine, College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia
  3. 3. Department of Pediatrics and Adolescent Medicine, American University of Beirut Medical Center, Beirut, Lebanon
  4. 4. Department of Microbiology and Infectious Disease, National Center for Disease Control and Preventioni, Libya
  5. 5. Department of Pediatrics, Faculty of Medicine, Tripoli Universityi, Libya
  6. 6. Department of Public Health, Gazi University, Turkey
  7. 7. National Hygen Institute, Morocco
  8. 8. Department of Epidemic Diseases, Department of Epidemiology and Disease Control, MOH, United Arab Emirates
  9. 9. Institute Pasteur, NIC, Algeria
  10. 10. National Diabetes Institute, Egypt
  11. 11. Department of Pediartics, Iran University of Medical Sciences, Tehran, Iran
  12. 12. Department of Cardiology, Tahran University of Medical Sciences, Tehran, Iran
  13. 13. Department of Pediatrics, Faculty of Medicine, Tripoli University, Libya
  14. 14. Central Preventive Medicine Department, Ministry of Health, Dubai, United Arab Emirates
  15. 15. Cairo University, Egypt
  16. 16. Department of Pediatric Infection, Hacettepe University, Turkey
  17. 17. Department of Infectious Diseases, Shaheed Behesti University of medical Sciences, Tehran, Iran
  18. 18. Pasteur Institute, Morocco
  19. 19. Internal Medicine Department, Cairo University, Egypt
  20. 20. Faculty of Medicine, University ELManar, Tunisia
  21. 21. Department of Internal Medicine, Faculty of Medicine, Hacettepe University, Turkey
  22. 22. Ministry of Health, Saudi Arabia

Source: Oman Medical Journal Published:2018


Abstract

Objectives: Influenza is a vaccine-preventable acute respiratory viral infection that causes epidemics annually around the globe. A regional influenza stakeholder network (MENA-ISN) comprised of experts assessed the status of influenza prevention and control using a structured survey. Methods: A survey questionnaire was used to obtain information from each participating country on surveillance system, the burden of disease, influenza vaccination programs, recommendations, funding and access for vaccine and vaccination, target rate, coverage rate monitoring, and drivers and barriers to influenza vaccination. Results: Out of the 10 countries that participated, nine had an influenza surveillance system and vaccination policy, and seven had World Health Organization (WHO) accredited reference laboratory. Three countries had burden of disease data available and eight had a reimbursement vaccine policy. Influenza vaccine was available in five countries through the Ministry of Health whereas in others, pharmacies also dispensed for the private sector. In all countries, prescribers were physicians, and vaccinators, which could be physicians, nurses, and pharmacists. Eight countries had a set vaccination target rate and only three monitored the influenza coverage rates. Drivers and barriers of vaccination were similar in all countries. Conclusions: Despite existing policies, influenza vaccination coverage remains far below the WHO recommendations. Increased awareness and effective implementation of policies with collaboration of stakeholders can help increase the rates to reach WHO targets. © 2018, Oman Medical Specialty Board. All rights reserved.
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