Médecins Sans Frontières vaccinates millions of children yearly to prevent and respond to deadly outbreaks of measles, diphtheria, cholera and other vaccine-preventable diseases.
Most un- and under-vaccinated children live in fragile, conflict and vulnerable settings, where systemic barriers keep vaccination coverage low and conflicts drive sharp declines.
To leave no one behind in immunisation, governments, donors and health actors must improve access to immunisation in these settings and ensure funding gaps do not compromise equity. Political commitments must include sustained global health funding, meaningful government-humanitarian actor partnerships, country-level dedicated funding, investments in innovations for last-mile delivery, and rapid access to vaccines and essential medical tools, especially during emergencies. Health facilities and staff must be safeguarded, and non-state actors allowed to provide emergency healthcare and immunisation activities where needed.
