Before the COVID-19 pandemic, Botswana maintained high immunisation rates. However, recent years have seen a troubling drop in coverage. In 2024, only 50% of children under 12 months were fully immunised, with coverage rates for the Oral Polio Vaccine (OPV) falling to 74% and the Measles and Rubella (MR) Vaccine to 77%—critical vaccines that protect children from polio and measles, respectively. This decline is attributed to multiple factors, including disruptions caused by the pandemic, limited access to healthcare services in remote areas, and vaccine hesitancy in certain communities. UNICEF acting Representative, Dr Kimanzi Muthengi, emphasised the urgency of addressing the issue. "Over the years, Botswana has made remarkable progress in expanding vaccine access. However, more must be done to protect one of humanity’s greatest achievements.
We must remain steadfast in reaching every child and individual with vaccines, regardless of age or location. Immunisation for all is within reach, but it requires collective effort." In response to this growing concern, UNICEF and WHO have collaborated with the Botswana government to develop a comprehensive National Immunisation Strategy—a framework designed to improve coverage, ensure equitable vaccine access, and promote long-term sustainability. The strategy provides a clear roadmap for government and partners to mobilise resources, ensuring that every child, no matter where they live, receives life-saving vaccines. This initiative represents a crucial step in strengthening health systems and preventing outbreaks of vaccine-preventable diseases. World Immunisation Week, observed from April 24-30, brings together the global health community to highlight the lifesaving power of vaccines and rally support for universal immunisation. The campaign encourages action at all levels: • Individuals can ensure timely vaccinations for their families and share accurate information to counter misinformation. • Health workers can use routine check-ups as opportunities to remind caregivers about the importance of keeping children up to date with their vaccines.
• Communities can champion the benefits of vaccines while actively dispelling myths that hinder immunization efforts. As Botswana navigates economic challenges, sustained investment in immunisation remains vital for protecting children and preventing disease outbreaks. With a united effort, every child can have access to life-saving vaccines, safeguarding the nation's public health.
