Global immunization systems strengthening through pediatric societies: the promise of private–public partnerships in Indonesia

Figures & data

Table 1. Major achievements of AAP partner pediatric societies’ immunization advocacy strengthening

Implementing Pediatric Society	Major achievements
Ethiopian Pediatric Society	Developed culturally appropriate job aids to improve immunization counseling and provider interaction in Afar & Gambella
	Created immunology training course in coordination with MOH
Kenya Paedeatric Association	Developed cross-cadre training curriculum on cadre-specific roles in immunization service delivery that will reach 86% of immunization workforce
	Piloted hospital-based course in 6 County Hospitals with an 80% improvement in immunization knowledge
Nepal Pediatric Society	Trained 100 frontline vaccinators in AEFI detection/reporting, vaccine preventable disease counseling, and referrals in 6 out of 7 provinces
	Published updated immunization guidelines (both publicly and privately available vaccines), including notes on national advocacy for society members
Pediatric Association of Nigeria	Obtained written commitments for sub-national financing by six permanent secretaries and advocated for 1% increase for health care financing to support immunization services at the national level in Nigeria
	Developed web-based advocacy training module to link national and sub-national members and priorities
Pediatric Association of Tanzania	Trained 20 religious leaders, 20 media outlet leaders, and hosted 6 national televised media engagements to promote routine immunization
	Trained 160 child health workers in immunization information and service delivery across 3 districts
Philippine Pediatric Society	100% of chapters provide ongoing immunization advocacy at sub-national level and have engaged more than 2,000 pediatricians
	Developed immunology course to combat vaccine hesitancy and clinical misinformation following Dengvaxia vaccine introduction and crisis
Pediatric Society of the Democratic Republic of Congo	Trained 20 members as immunization champions (recently completed Phase 1).
Uganda Pediatric Association	Trained over 100 private providers to improve quality of immunization service delivery in 2 districts selected by MOH
	Launched national-level media campaign for RI and rota-virus vaccine introduction

Figure 1. General AAP phased approach to pediatric society immunization advocacy strengthening

Figure 2. Phased approach to Indonesian pediatric society immunization advocacy strengthening

Table 2. Major achievements of Indonesian pediatric society immunization advocacy strengthening with primary outcomes and component indicators

Achievement	Outcomes and component indicators
Increased coordination across public and private sectors	Set up immunization program working with local government officials and health department to train around 858 people (nurses, midwives, GPs, and health workers) in WayKanan district
	Developed I-POINTS reporting system and obtained letter of intent to coordinate with public immunization data system in the future.
	Conducted online symposium on the Importance of Measles-Rubella Vaccination, per the national MR Supplementary Immunization Activity (SIA)
	Received award from MOH for expert role in the successful 2018 MR campaigns (also more than 95% of immunization MR coverage) at national and sub-national levels
	Established Memorandum of Understanding (MOU) with the Indonesian Medical Association and the Indonesian Midwives Association to train health care provides on advocacy and data collection
	Served as the major resource for information and education regarding immunization for private sector GPs and midwives in Banten district
	Established an immunization consulting service between private sector GPs, midwives and IPS pediatricians in Banten district
	Gained strong support from district government leaders and Indonesian Ulema Council (Majelis Ulama Indonesia) on immunizations and protection of infants and children in WayKanan district
	Obtained letter of commitment to increase immunization coverage and ending vaccine-preventable disease outbreak signed by public and private stakeholders
Improved service delivery	Set up immunization clinic and recording protocol through I-POINTS at Hermines Kemayoran hospital (private) in central Jakarta
	Established a clinic day focused on EPI vaccines at Tarakan District General Hospital and got hospital administrators buy-in to perform immunizations at the hospital for infants
	Successfully advocated to the MOH to continue national MR vaccine program, requiring MR vaccine in children, after the official campaign ended with the National Commission on Post-Immunization Accidents to sustain immunization coverage of MR
	Achieved 100% immunization rate for basic vaccines (increase from 60%) and 97.1% MR immunization rate (increase from 40%) in Way Kanan district
Strengthened institutional capacity for advocacy and immunization systems support	Developed an internal system to implement immunization advocacy initiatives through advocacy champions and 33 chapters
	71.4% of IPS trained immunization champions who completed the online survey feel very to extremely confident in their skills as an advocate
	71.4% of IPS trained immunization champions who completed the online survey stated that IPS has contacted them regarding the advocacy strategy created during the initial training
	57.1% of IPS trained immunization champions who completed the online survey feel very confident that IPS is addressing the immunization challenges they see in their daily work
	100% of IPS trained immunization champions feel that advocating for immunizations is very to extremely important to them professionally