Skip directly to site content Skip directly to page options Skip directly to A-Z link Skip directly to A-Z link Skip directly to A-Z link
Volume 28, Supplement—December 2022
SUPPLEMENT ISSUE
Clinical

Leveraging Lessons Learned from Yellow Fever and Polio Immunization Campaigns during COVID-19 Pandemic, Ghana, 2021

Kwame Amponsa-Achiano, Joseph Asamoah FrimpongComments to Author , Danielle Barradas, Delia Akosua Bandoh, and Ernest Kenu
Author affiliations: Expanded Program on Immunization, Ghana Health Service, Accra, Ghana (K. Amponsa-Achiano); Ghana Field Epidemiology and Laboratory Training Programme, University of Ghana, Accra (J.A. Frimpong, D.A. Bandoh, E. Kenu); US Centers for Disease Control and Prevention, Accra (D. Barradas)

Main Article

Table 1

Lessons learned during yellow fever and polio immunization campaign that informed the COVID-19 National Vaccine Deployment Plan, Ghana, September 4, 2019–November 18, 2020*

NVDP component Lessons learned during yellow fever and polio immunization campaigns
Planning and coordination
Activate or establish an Incident Management System for coordinating the vaccination response
Regulatory preparedness and safety monitoring
Liaise early with the Ghana (or any country) FDA to ensure the evaluation and approval of vaccines before deployment and the monitoring of adverse events following immunization
Vaccination strategies
Develop detailed and accurate microplans inclusive of strategies for hard-to-reach areas.
Deployment systems and modalities
Identify resources early for surge deployment of human resources and logistics for vaccination activities and campaigns; deploy Field Epidemiology and Laboratory Training Program alumni and residents as surge staff
Immunization monitoring system
Establish sites and deploy field officers for safety monitoring and reporting
Operational research and surveillance
Conduct surveys to assess the knowledge, attitudes, practices, and behaviors of the target population toward vaccine acceptance at predefined time points
Communication and information
Use media scanning to understand the drivers of vaccine hesitancy and acceptance among various subpopulations. Use mass media, celebrities as ambassadors, and communication centers to increase vaccine demand and reduce hesitancy. For hard-to-reach areas, community leaders and opinion leaders were used to lead communications to address vaccine hesitancy
Supply chain processes
Improve cold chain capacity (a system to maintain a desired temperature for viability of vaccines in the supply chain) before there is an outbreak or epidemic; adopt and use a standardized process for vaccine accountability and retrieval
Waste management
Use incinerators to destroy waste generated by vaccination under supervision.
Monitoring and evaluation Deploy field monitors at regional, district, and subdistrict level to provide real-time feedback, using the Open Data Kit for immediate action. Ensure that every vial is accounted for daily. After every campaign, a monitoring team consisting of Ghana FDA, Environmental Protection Agency, WHO, and UNICEF officials should oversee 
the incineration of empty vials by region and certify that all vials have been 
accounted for. The Vaccine Accountability Monitoring officers should undergo 
formal training to ensure accuracy

*FDA, Food and Drug Authority; NVDP, National Vaccine Deployment Plan; WHO, World Health Organization.

Main Article

Page created: October 05, 2022
Page updated: December 11, 2022
Page reviewed: December 11, 2022
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
file_external