Table 2.

Action plan for the upcoming three years in MENA-ISN countries.

Country	Surveillance	Vaccination	Social mobilization	Advocacy and policy
Egypt	Improve surveillance and disease burden data	Improve coverage rates particularly in high-risk groups & HCPs	Influenza Advisory Board to include Medical Societies dealing with high risk groups, EMRO and MoH	Inclusion of vaccination in National guidelines and vaccination programs
Iran	Reestablishment of sentinel sites Communication with WHO country office for nomination of a focal point in IPWI meetings Developing ILI reporting guideline and involvement of physicians in private sector Expansion of private sector and involvement of medical association in reporting ILI Data Sharing with private sector, enhancement informatic system to increase awareness	Encourage insurance coverage and reimbursement for flu vaccine Increase vaccine availability in public and private sectors Increase awareness on vaccination and right timing for high risk groups through related medical associations	Periodic messages on flu and flu vaccinating by social media and SMS Promotion of vaccination on Flu vaccination day Awareness campaign for pharmacist on right timing of flu vaccination	Developing promotional material on flu and vaccination Annual international paediatric congress in May Pamphlet and brochures on flu vaccination Annual National Influenza symposium
Lebanon	Continue SARI & sentinel surveillance Analyse data and report on B strain Continuous communication through online bulletin	Increase vaccine coverage in general population and children QIV introduction and expansion in children and elderly New target group Extended flu vaccination season	Initiate action plan with flu vaccine companies Workshop on target groups Focus on pharmacies to increase ease of access to vaccine Communication on recommendations for specific high-risk groups	Partnership with societies Initiate and implement tailored action plan per target group Advisory board for local insight & recommendation from HCPs Communication about B strain and need for QIV
Libya	Improve influenza surveillance (sentinel and lab-based)	Increase coverage	Public health, HCPs and media campaigns	Guideline for HCPs Posters and pamphlets Fight misconception
Morocco	Strength surveillance of influenza and SARI Strength Virological diagnostic Capacities	Produce evidence-based studies Increase coverage among pregnant, HCPs and those with chronic diseases	Improve communication for general public (TV spots, flayers, media) Educational efforts among HCPs	Conferences, press release Involve scientific societies (Paediatrics, obstetrics, Cardiology) and NGOs
Oman	MOH national newsletter to be used to widely circulate the surveillance data Maintain surveillance	National advisory committees on immunization to approve vaccine introduction	Involve the private sector as it is used by 40% of the population Increase community demand	Involve National Immunization Technical Advisory Groups Meeting with the national medical societies
Pakistan	Investigate usefulness of current surveillance data & how to use it for identifying high risk groups Continue Sentinel lab-based Surveillance for seasonal Influenza viruses Maintain molecular capacity for detection & diagnosis of seasonal and potential novel strains Prospective targeted surveillance at point of entry Include other respiratory pathogens in ILI/SARI surveillance	Provide/increase official recommendations for influenza vaccination Set-up campaigns during flu season through materials provided by regional team	Use available data to support maternal education for childhood vaccination Identify key social factors to be targeted for effective messages	Include of Influenza Associated SARI in National Priority disease list Support post vaccination impact evaluation for other key pathogens Perform influenzas burden studies Increase awareness among physicians and HCPs about the influenza
Saudi Arabia	Enhance lab performance and WHO certified lab for strain recommendation Set-up tool to monitor vaccine coverage among target groups	Link Hajj permission to vaccination certificate Track vaccine coverage digitally Reach 30% coverage in 3 years	Raise educational level of HCPs to reach more than 85% coverage among HCPs	Launch a mega public awareness campaign Conduct a series of educational meetings for HCPs Launch vaccination in Pharmacies

QIV: Quadrivalent Influenza Vaccine.