ORIGINAL RESEARCH article
Front. Public Health
Sec. Public Health Policy
Volume 13 - 2025 | doi: 10.3389/fpubh.2025.1652977
This article is part of the Research TopicAdvancing Public Health Preparedness and Response in the Eastern Mediterranean Region: Challenges, Opportunities, and Ways Forward – Insights from the 8th EMPHNET Regional ConferenceView all 10 articles
Innovative and Sustainable Solutions for Reducing 'Zero-Dose' Vaccination: How Can the Region Respond?
Provisionally accepted- 1The Eastern Mediterranean Public Health Network (EMPHNET), Amman, Jordan
- 2World Health Organisation Eastern Mediterranean Regional Office Library, Nasr City, Egypt
- 3UNICEF, New York, United States
- 4Centers for Disease Control and Prevention, Atlanta, United States
- 5MINISTRY OF HEALTH SOMALIA, SOMALIA, Somalia
- 6GAVI Alliance, Geneva, Switzerland
- 7RAK Medical & Health Sciences University, Ras Al-Khaimah, United Arab Emirates
- 8Jordan University of Science and Technology, Irbid, Jordan
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Background: This roundtable focused on the challenge of reaching zero-dose children in the Eastern Mediterranean Region (EMR) amid declining immunization rates and increasing health disparities. 'Zero-dose' children are concentrated in high-conflict or underserved areas, such as Pakistan, Afghanistan, Sudan, and Yemen, making them particularly vulnerable to vaccine-preventable diseases. This discussion convened key stakeholders, including public health experts, EPI managers, and representatives from organizations like WHO, Gavi, and CDC, to explore effective, sustainable solutions for reducing 'zero-dose' prevalence in the EMR. Purpose: The roundtable aimed to assess regional barriers to immunization, examine country-specific initiatives to reach 'zero-dose' children, and recommend targeted strategies that align with global immunization goals, such as the Immunization Agenda 2030. Method: Through expert presentations, panel discussions, and participant interaction, attendees analyzed key causes of 'zero-dose' prevalence, focusing on conflict-related disruptions, health system fragility, and socioeconomic challenges. Comparative insights were drawn from other regions, highlighting adaptable solutions from Sub-Saharan Africa and other high-burden areas. Results: Findings indicated that conflicts, infrastructure limitations, and social barriers are major drivers of low vaccination rates. Approximately 2.85 million 'zero-dose' children were identified in the EMR, primarily concentrated in a few high-burden countries. Country-specific efforts, such as the "Big Catch-Up" campaign, were acknowledged for their impact, but gaps in sustainable funding and operational capacity remain. Strategies focusing on community engagement, data-driven microplanning, and integration of immunization with broader health services were recommended to overcome access challenges. Conclusion: To reach 'zero-dose' children, coordinated, tailored approaches are essential. Community-driven microplanning and enhanced political and financial support can bolster immunization efforts in fragile settings. The roundtable underscored the role of primary health systems in addressing vaccination gaps, contributing to universal health coverage, and fostering resilience in conflict-affected areas. Future policies should prioritize collaboration among sectors, sustainable funding, and innovative outreach to achieve immunization equity across the EMR.
Keywords: Zero dose, Immunization, Vaccination, Sustainable, Innovative
Received: 24 Jun 2025; Accepted: 03 Sep 2025.
Copyright: © 2025 Abdel Majeed, Ahmed, Mere, Farrouq, Sodha, Mohsni, Derow, Cuen, Mohamed, Patni, Al Gunaid, Khader, Al Nsour and Bashier. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Zeina Abdel Majeed, The Eastern Mediterranean Public Health Network (EMPHNET), Amman, Jordan
Mohamedanas Patni, RAK Medical & Health Sciences University, Ras Al-Khaimah, United Arab Emirates
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