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WHO Region: Eastern Mediterranean region
World Bank Income Group:  Lower-middle-income country
Gavi Co-financing Status: Preparatory transition

Immunization System Highlights:

  • A recent EPI evaluation noted the existence of a well-trained communications team at the national level and the development of national approaches to communication and social mobilization that takes into consideration vulnerable groups.
  • Under Gavi policy, two additional years in the preparatory transition phase (anticipated until 2020) were allowed due to an exceptionally high change in GNI (54%) between 2013 and 2014.
  • The brain drain of the trained EPI staff from all levels federal, state and locality levels is a key implementation bottleneck for routine immunization.
  • Delayed and partial disbursements of funds, due in part to lengthy and detailed processes, present challenges for health budget execution.

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