Seasonal influenza vaccine provision in 157 countries (2004-2009) and the potential influence of national public health policies

► Examined global influenza vaccine provision and the influence of health policies. ► Provision increased 72% to 449 million doses in the 6 years to 2009. ► However, only 20% of countries met the study's modest provision “hurdle” rate. ► Vaccine provision did not correlate directly with national income. ► Official recommendations were insufficient to drive higher uptake. ► Reimbursement and broad communications correlated most strongly with coverage.