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Table 9 Selected WHO policy guidance recommendationsa for immunization compared to country policy guidance

From: Keeping essential reproductive, maternal and child health services available during COVID-19 in Kenya, Mozambique, Uganda and Zimbabwe: analysis of early-pandemic policy guidelines

WHO recommendation

Related Guidance in Country Policies

Kenya

Mozambique

Uganda

Zimbabwe

Train staff on IPC and delivery protocols

Not mentioned

Not mentioned

Health workers to follow IPC procedures during service provision

Health workers to follow IPC procedures during service provision

Provide facilities with adequate IPC equipment, including for waste management

Not mentioned

Personal protective equipment (PPE) provided, no mention of waste management

Use PPE, waste management procedures enforced

IPC equipment provided and waste management to be followed

Plan several small sessions per day at different times to limit contact

Not mentioned

Not mentioned

Immunize in groups no larger than five mother–child pairs

Schedule smaller, more frequent sessions; bundle immunization into other essential preventative health services

Limit the duration of stay in the health facility

Not mentioned

Not mentioned

Not mentioned

Not mentioned

Modify session locations to ensure separation of immunization services from treatment areas

Not mentioned

Outdoor or open spaces must be used for congregation, designated waiting areas

Use dedicated immunization clinics or separate spaces in health care facility

Use outdoor spaces and separate spaces in facility

Establish a screening process before allowing entry to the vaccination area

Not mentioned

Not mentioned

Triage clients and caregivers for symptoms and risk factors

Triage all clients entering health facility (not specific to vaccination area)

For outreach and mobile services, proactively engage with communities to identify open sites that allow physical distancing

Not mentioned

Not mentioned

Not mentioned

Not mentioned

Specific adaptations for birth doses and school-based vaccinationa [27]

Not mentioned

Not mentioned

School-based campaigns temporarily suspended

Not mentioned

  1. aMaintaining essential health services: operational guidance for the COVID-19 context (WHO, June 2020) and Frequently Asked Questions (FAQ) about Immunization in the Context of COVID-19 Pandemic (UNICEF, 2020)