Global vaccination coverage has stagnated at about 80% since 2006. This means that one-fifth of the global annual birth cohort remains unvaccinated with DTP3. Recent calls to ��reach the 5th child�� through outreach services are based on the assumption that the 5th child has no access to health services. However, previous desk reviews and analysis by the World Health Organization (WHO) suggest that a proportion of these missed children may already be accessing treatment and vaccination services. The MOV strategy proposes concerted ��in-reach�� efforts, in addition to outreach, to identify and reduce the opportunities that are missed at the health facility level on a day-to-day basis.
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