While overall progress on improving immunisation coverage has been positive, figures often mask underlying inequities between and within countries. Entire populations may be isolated by conflict, geography or simply extreme poverty, and therefore remain beyond the reach of adequate immunisation services.

At the same time, even within richer and more stable countries, where access to immunisation is broadly available, there are communities who are not being reached.

Developing and improving policies that are specific to neglected populations – such as refugees, the urban or rural poor, communities living in remote areas, and others – is key to ensuring all people benefit from vaccination.

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