Vaccination rates are falling in Africa, but a new strategy aims to turn things around. Five things it needs to get right

By Charles Shey Wiysonge, Extraordinary Professor, Global Health, Stellenbosch University; South African Medical Research Council

Africa has reached an important moment in its immunisation journey. Coverage is not rising fast enough to keep pace with population growth, persistent inequities and a growing number of vaccines. At the same time, outbreaks and financing pressures are intensifying.

Vaccination has transformed child survival. A landmark analysis found that global immunisation efforts have saved at least 154 million lives over the past 50 years, 52 million in Africa. Vaccines have virtually…

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