The Addis Declaration on Immunization: Analyzing the performance of African countries in optimizing immunization service delivery systems

The Addis Declaration on Immunization (ADI) is a significant pledge aimed at boosting political commitment to achieve universal immunization access in Africa, and comprises ten key commitments. The fourth ADI commitment aims at enhancing immunization delivery systems’ effectiveness and efficiency. A cross-sectional retrospective study published in Vaccines analyzed the performance of African countries in achieving the fourth commitment. The study findings include the following:

• 34 countries had 80% or more districts with less than 10% DTP1-DTP3 dropout rate.
• Only 4 countries had 44.5 skilled health workers per 10,000 people.
• Overall, 7 of the 54 WHO Member States achieved at least three of the four indicators for the fourth ADI commitment.

The study recommends documenting the best practices from the 7 countries and conducting further analysis on the enabling factors for achieving ADI commitments.