A missed opportunity for vaccination (MOV) refers to any contact with health services by a child or adult who is eligible for vaccination, which does not result in the person receiving one or more of the vaccine doses for which he or she is eligible. When countries observe that their vaccination coverage is decreasing or stagnating, they seek alternative strategies to explore the reasons and design tailored strategies to address them. The MOV strategy, which includes the 1) Planning Guide to Reduce Missed Opportunities for Vaccination, 2) Methodology for the Assessment of Missed Opportunities for Vaccination and 3) Intervention guidebook for implementing and monitoring activities to reduce Missed Opportunities for Vaccination, was designed to help decision-makers and national or subnational programme managers reduce MOV. The MOV strategy aims to increase immunization coverage by simply making better use of existing vaccination sites and promoting synergy between different maternal and child health programmes. The MOV strategy answers three important questions:
- How many opportunities were missed?
- Why are these opportunities being missed?
- What can be adjusted or done differently?
Once these questions have been addressed, the MOV strategy aims to link and translate the MOV findings into actionable solutions and interventions to reduce MOV, especially at the facility level where vaccination services are provided.
This page was created and is maintained by the WHO Expanded Programme on Immunization (EPI) and provides a list of resources related to MOV.
- MOV publications
- MOV training material
- Interventions to reduce MOV by addressing health worker knowledge, attitudes and practice
- Interventions to reduce MOV by addressing health systems issues
- Interventions to reduce MOV by addressing the demand-side (caregiver behaviours)
This collection contains technical and methodological publications on MOV
|Can vaccination coverage be improved by reducing missed opportunities for vaccination? Findings from assessments in Chad and Malawi using the new WHO methodology||Ikechukwu Udo Ogbuanu, Anyie J. Li, Blanche-philomene Melanga Anya, Mbaihol Tamadji, Geoffrey Chirwa, Kwame W. Chiwaya, Mohamed El-Hafiz Djalal, Dah Cheikh, Zorodzai Machekanyanga, Joseph Okeibunor, Colin Sanderson, Richard Mihigo||2019||Journal article||English|
|Increasing routine immunization coverage by reducing missed opportunities for vaccination||World Health Organization||2017||Document||English, French|
This collection contains tools and resources for training on MOV.
|Training slides and sample agenda||World Health Organization||2017||Website||English|
Country examples and/or resources to address health worker knowledge, attitudes and practice.
|Flow chart for integrated maternal and child health from Kenya||UNICEF||Tool||English|
|Ministry of Health and Child Care Vaccination Calendar||Zimbabwe Ministry of Health and Child Care and partners||2017||Tool||English|
|Tool for catch-up vaccination from Malawi||Malawi Ministry of Health||Tool||English|
|Vaccination calendar from Thailand||Thailand Ministry of Health||Tool||Thai|
Country examples and/or resources to address health systems issues.
|Immunization flip-chart from Ghana||Ghana Health Service and partners||Document||English|
Country examples and/or resources to address demand-side (caregiver behaviours).
|A picture speaks a thousand words: evaluation of a pictorial post-vaccination care resource in Australia||Hammad Ali, Holly Seale, Kirsten Ward and Nicholas Zwar||2010||Document||English|
|Lao PDR vaccination sticker||Lao PDR Ministry of Health and partners||Tool||Lao|