Armed conflict, a neglected determinant of childhood vaccination: some children are left behind

Hum Vaccin Immunother. 2020 Jun 2;16(6):1454-1463. doi: 10.1080/21645515.2019.1688043. Epub 2019 Dec 6.

Abstract

Vaccination is an indisputable intervention that has tremendously mitigated the global burden of vaccine-preventable diseases (VPDs). The number of armed conflicts globally seems to be at an all-time high, with devastating effects on vaccination coverage. This paper will examine how armed conflicts affect childhood vaccination and lead to the reemergence and spread of VPDs. Unarguably, socioeconomic factors, population demographics, the apparent long vaccination timetable, multiple vaccine doses, lack of trust in vaccination processes and the rumor of the adverse effects of some vaccines unnerve some parents and create a puzzle. By bringing under the global floodlight, the impact of armed conflicts which contextually affect vaccination coverage, this article will help strengthen the advocacy for vaccination, and call for the fortification of existing treaties on the rule of engagement during conflicts. In order to eliminate or eradicate VPDs, strategies to reach children that are left behind during conflicts is paramount.

Keywords: Global Alliance for Vaccination and Immunization (GAVI); Vaccination; benefits; conflicts; determinants; immunization; leave no child behind; vaccine prventable diseases (VPDs).

MeSH terms

  • Armed Conflicts
  • Child
  • Humans
  • Immunization Programs*
  • Vaccination
  • Vaccination Coverage
  • Vaccines* / adverse effects

Substances

  • Vaccines

Grants and funding

This research received no specific grant from any funding agency, commercial or not for profit sectors.