Response to A.

Global Level
Goal - Ensure timely and valid epidemiological and programme data for informed decision-making.
Objectives:
 Develop standardized data collection and reporting tools.
 Improve data quality and timeliness.
 Enhance data analysis and interpretation capabilities.
 Promote global data sharing and collaboration.

Regional Level
Goal - Strengthen regional capacity for immunization data collection, analysis, and use.
Objectives:
 Provide technical assistance to countries for implementing GFIMS.
 Facilitate regional data sharing and analysis.
 Support regional advocacy and resource mobilisation for immunisation programmes.

National Level
Goal - Establish robust national immunisation monitoring and surveillance systems.
Objectives:
 Integrate GFIMS indicators into national immunisation programmes.
 Strengthen data collection systems at all health system levels.
 Improve data analysis and use for evidence-based decision-making.
 Enhance capacity for outbreak detection and response.

Service Delivery Level

Goal - Ensure accurate and timely data collection from health facilities for programme monitoring.
Objectives:
 Train health workers on data collection and reporting protocols.
 Implement streamlined data collection tools at health facilities.
 Improve data completeness and accuracy.
 Strengthen linkages between health facilities and national immunisation programmes.
 Use of e-tools for information sharing at all levels.

Response to B.
Damaged healthcare infrastructure, displacement of populations, and a limited healthcare workforce
can hinder data collection and reporting.
Security concerns can restrict access.
As in humanitarian emergencies (protracted), it is difficult to allocate funding and personnel for
robust surveillance systems.
Population mobility makes it challenging to track immunisation coverage and disease outbreaks.
Data quality can be compromised by the humanitarian situation.

Response to C.

a) Collaboration and partnership with local health authorities, NGOs, and UN agencies to
establish a coordinated approach for data collection.
b) Utilise mobile technology and electronic data collection tools to improve efficiency and
accessibility.
c) Train health workers in data collection and reporting tools, (and e-tools) even in challenging
environments.
d) Utilise community leaders and trusted sources to reach displaced populations for
immunisation campaigns and data collection efforts.
e) Implement alternative methods like community-based surveillance or sentinel surveillance
when access to health facilities is limited.

Response to D.

a) Timely identification and response to outbreaks can save lives and prevent their spread.
b) Monitoring data can identify populations with low coverage and inform targeted vaccination
campaigns.
c) Accurate data helps prioritise resource allocation and programme interventions for maximum
impact.
d) Strengthened advocacy for vaccination using evidence-based data for increased funding and
support for immunisation programmes.

Response to E.

a) Missed detection of outbreaks leads to wider transmission and an increased risk of morbidity
and mortality.
b) Suboptimal immunisation coverage can leave populations vulnerable to vaccine-preventable
diseases.
c) Inefficient resource allocation, as without accurate data, resources might be wasted on
interventions not reaching the most vulnerable populations.
d) Lack of data weakens advocacy efforts for improved health services and immunisation
programmes.
e) Failure to protect populations from outbreaks can breach their trust in health authorities and
decrease vaccine acceptance.