There is a need to prioritize fully or partially integrated campaigns in the most affected areas of the country, even during epidemics of other diseases. Decentralization of decision-making to regional and district levels would enable high-risk areas to implement integrated campaigns more efficiently, even when national priorities shift.

Vaccinators and communities must be engaged to build buy-in and achieve high coverage. The opportunity to express concerns and ideas should be given to these groups during the pre-planning process. Vaccinators should be guaranteed timely remuneration, sufficient training, and manageable workloads. Community sensitization should take place to mitigate fears of and manage potential adverse events.