Intended for healthcare professionals

Letters Trust in family doctors

Primary healthcare for a long term and sustainable vaccination strategy

BMJ 2021; 372 doi: https://doi.org/10.1136/bmj.n650 (Published 08 March 2021) Cite this as: BMJ 2021;372:n650
  1. Arnaud Chiolero, epidemiologist and professor of public health1,
  2. Stéphane Cullati, senior lecturer in epidemiology1,
  3. Valérie Santschi, professor of health services research2
  1. 1Population Health Laboratory, University of Fribourg, 1700 Fribourg, Switzerland
  2. 2La Source School of Nursing Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland, Lausanne, Switzerland
  1. achiolero{at}gmail.com

Organising the covid-19 vaccination programme puts enormous pressure on healthcare systems. Two major challenges must be tackled for a long term, sustainable strategy.

Firstly, we need to account for vaccination hesitancy. In 2019 it was listed by the World Health Organization among the top 10 threats to global health1 and hesitancy towards covid-19 vaccines is common in some countries.2

Secondly, the strategy must be tailored to the capacity of healthcare systems. …

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