**3. Conclusions and Future Directions**

Attaining and maintaining high and equitable immunization coverage in every subnational administrative unit in the Region will contribute to better population health by expanding protection to those who are currently at most risk of acquiring vaccine-preventable diseases. Such an approach will reduce the risk of outbreaks of vaccine-preventable diseases and help address wider inequities in health. Achieving the health-related SDGs requires urgent attention to close the health inequity gap through collection and use of data and information at the local health facility level. Reducing inequity should be embedded as a core aim of national immunization programmes; accordingly, reducing local level inequalities in immunization service delivery and utilization must be a critical cornerstone of every national immunization strategy. Identifying, addressing and monitoring inequity within immunization programmes should become a systematic and ongoing process, with solutions tailored to the context of each country and population. A simple, effective, action-oriented and pragmatic operational guide designed especially for subnational immunization programme managers with appropriate linkages to all levels of health systems is critical in achieving the strategic immunization priorities outlined in EIA2030. This will ensure everyone everywhere in the Region reaps the benefits of the vaccines in national immunization schedules.

**Author Contributions:** S.S.D. designed the draft outline of the manuscript. F.M.-T., N.B., N.C., M.E., S.C. and M.M. provided their critical reviews to the intellectual content of the paper. All authors have read and agreed to the published version of the manuscript.

**Funding:** This research received no external funding.

**Institutional Review Board Statement:** Not applicable.

**Informed Consent Statement:** Not applicable.

**Data Availability Statement:** Data sharing not applicable.

**Acknowledgments:** The authors extend their gratitude to Catharina de Kat for her suggestions in the preparation of this manuscript.

**Conflicts of Interest:** The authors declare no conflict of interest.

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