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WHO Region: European region World Bank Income Group:  Lower-middle-income country Gavi Co-financing Status: Fully self-financing Immunization System Highlights:

  • The National Immunization Program is a strong performing program in the EURO region despite recent challenges linked to declining vaccine coverage and difference in coverage between districts
  • Vaccine hesitancy and anti-vaccine sentiment exists in certain population groups and regions. Several initiatives have been taken to address this, including a mobile application and incentives for health workers
  • Immunization is paid for as part of the capitation paid to providers. The government is piloting a program to combine capitation payments with financial incentives tied to fully immunizing children by year one

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