Table 2.

Action plan in MENA‐ISN countries

Country	Surveillance	Vaccination	Social mobilization	Advocacy and policy
Algeria	Global Influenza Hospital Surveillance Network (GIHSN), the Global Respiratory Hospitalizations Influenza Proportion Positive (GRIPP)/CDC project		Communication of evidence‐based accurate information through media	Increase awareness, engagement and commitment of HCPs Get the MoH and the media involved
Egypt		Include influenza vaccination in a suitable priority Increase vaccine coverage in HCPs	Increase awareness on influenza complications, safety & efficacy of vaccination	Influenza burden studies in high‐risk groups Study on influenza disease outbreaks in pregnant women
Jordan	Strengthen Surveillance and early warning system	Targeted seasonal influenza vaccination programme, strategic stockpiling of antiviral drugs and personal protection equipment Improve vaccine coverage in HCPs and high‐risk groups	Training, health education and communication
Kenya	Improve rapid response during outbreaks Customize and translate WHO recommended tools for surveillance	Improve vaccine uptake and coverage	Health education and promotion Tailored communication messages	Training for HCPs
Lebanon	ILI surveillance in both private and medical centres		Preventive and control actions
Libya	Strengthen ILI surveillance in public centres action plan	Increased vaccination coverage to include children under 5 years old	Increase awareness of influenza vaccine among health workers	Develop research capacity and strengthen multisectoral coordination
Morocco	Influenza and SARI surveillance workshops for Hospital Staff Virological diagnostic capacities Update of virological surveillance guide	Influenza vaccine efficacy study among HCPs Increase the vaccine coverage rate among HCPs, elderly and diabetics	Design educational material with key messages on influenza Produce TV/radio spot during flu vaccination campaign	Produce communication tools and organize seminars for HCPs during immunization campaign
Pakistan	Incorporate SARI surveillance Influenza‐related morbidity and mortality estimates Prospective targeted surveillance at point of entry Include other respiratory pathogens Disease burden studies	Provide/increase official recommendations for influenza vaccination Raise vaccination coverage among high risk Increase funding for vaccination by government	Maternal education for childhood influenza Appropriate media messages	Country‐specific guidelines for preventive interventions in high‐risk groups Inclusion of influenza‐associated SARI in National Priority disease list Education of general practitioners
Tunisia	Thresholds for seasonal influenza surveillance Implementation of electronic information system Improvement of SARI surveillance	Increase number of available doses of vaccine Increase coverage of pregnant woman National survey on vaccine effectiveness		Vaccine acceptance by HCPs
United Arab Emirates	Enhance epidemiological and laboratory surveillance	Incorporate influenza vaccination in clinical management guidelines		Develop research capacity and enhance multisectoral coordination and collaboration

QIV, Quadrivalent influenza vaccine.