Strategies to increase influenza vaccination coverage in the Italian pediatric population: a literature review and expert opinion

IntroductionVaccination rates in Italian children must be substantially increased to control the transmission of seasonal influenza and mitigate the associated socio-economic burden. This work aimed to describe strategies to improve the effectiveness and reach of pediatric influenza vaccination campaigns in Italy.Areas coveredBased on a literature review, influencing factors and potential strategies to enhance vaccination coverage were explored, focusing on settings, logistics, and communication aspects.Expert opinionSchool-based interventions should be deeply implemented in Italy by offering a cost-effective and safe approach to vaccination and successfully overcoming socio-economic and cultural challenges. Scheduled educational programs and institution-supported childhood influenza vaccination awareness campaigns that thoroughly inform about the risk of influenza and its socio-economic consequences, counter vaccine hesitancy, and discuss the benefits of vaccination are desirable, thus concretely prompting all children, families, and healthcare professionals to get vaccinated. Digitalizing procedures could lead to improved adherence by healthcare professionals to immunization programs. Nationwide implementation of these strategies would establish a robust, sustainable system for pediatric influenza vaccination. This would significantly increase childhood vaccination rates, leading to improved disease control and substantially reducing the overall national burden of influenza.