Why Immunisation Is One Of The Most Powerful Tools for Protecting Children In Timor-Leste

Each year, World Immunisation Week is an opportunity for all of us to remember one of the most powerful tools modern healthcare has to protect communities: vaccines. Immunisation programs have saved millions of lives by preventing diseases that once resulted in major illness outbreaks and, all too often, a fatal outcome. In Timor-Leste, where many communities still face barriers to accessing healthcare services, immunisation continues to play a critical role in protecting the health and future of Timorese children and communities.

With more work to be done in developing the nation’s healthcare system across the long-term, immunisation is one of the most effective ways to give these children a stronger start in life. Here’s why it’s still one of the most powerful tools in our healthcare arsenal.

The life-saving impact of immunisation

Vaccines carry out their life-saving work by helping the body build immunity against specific diseases before it’s exposed to them. After a vaccine has been administered, the immune system is then better equipped to not only recognise infections, but to fight them off, leading to significant reductions in the risk of severe illness or death.

Childhood immunisation programs are crucial in providing protection against a number of serious diseases, including:

  • Measles
  • Tuberculosis (which is one of Timor-Leste’s largest diseases)
  • Polio
  • Diphtheria
  • Tetanus
  • Whooping cough

Each of these illnesses can have devastating consequences for young children, with those consequences even more serious in Timor-Leste, where access to ongoing healthcare is limited for many rural communities. By working to prevent these diseases before they occur, immunisation programs help to reduce these life-long risks, setting Timorese children up to learn, grow, and thrive without long-term health complications.

Delivering immunisations to remote communities

At Maluk Timor, we’re working to ensure that Timorese children who live in rural or regional areas have the same support as children born in areas with ongoing access to regular healthcare. With many communities located far from healthcare centres, and trips often requiring hours of travel across challenging terrain, we work to bring vaccines to these communities through strategic planning, dedicated healthcare workers, and strong community engagement. 

One example of this is our 2024 work implementing the Vaccine Access and Health Security Initiative (VAHSI), which was delivered on behalf of the Australian Government’s Partnership for Human Development program. We were able to distribute over 500 pieces of medical equipment that helped to improve access to vaccine services for residents across multiple Timorese municipalities. 

With a current coverage goal of 95% for vaccinating Timorese children (aged 0-5 years old) against measles, rubella and polio, we’re also continuing to work alongside our Ministry of Health partners to achieve these crucial outcomes.

Building immunisation trust through education

Access to the vaccines themselves is one thing, but another key component of successful immunisation programs is community education.

In order for vaccines to have the greatest impact, Timorese families need access to clear, reliable information about how immunisation works and why it’s so important for their children. We continue to see the value of local community healthcare workers throughout Timor-Leste. They play a critical role in building awareness through education about the power of vaccines, helping parents and communities to build confidence in protecting their children through vaccination.

In Timor-Leste, these community health workers are called Promotor Saúde Familiars (PSFs). They’re elected from within their community to become local health promoters, creating links between their communities and national healthcare facilities.

Maluk Timor’s team works directly with the nation’s PSFs, building relevant skills in areas including infectious diseases and helping to expand immunisation trust through targeted community education. 

Each year, we continue to grow our network of PSFs, with 19 more of these invaluable community healthcare workers engaging with Maluk Timor across 2024/2025 alone. 

Conclusion

This World Immunisation Week, we’re reminded afresh of the reality that immunisation remains one of the most effective and impactful tools we have to protect children’s health in Timor-Leste. By intercepting and preventing serious infectious diseases before they have a chance to occur, vaccination programs build a future where Timorese children have the opportunity to grow up healthy, get an education, and contribute to their communities and country across many years to come.

Significant progress has been made, but there’s more work to be done. Continued collaboration between healthcare organisations, government partners, and community healthcare workers is essential to create a future where every Timorese child, no matter where they’re born or where they live, has access to life-saving vaccines. 

Maluk Timor is committed to seeing this become a reality through healthcare training, community outreach, and partnerships that strengthen immunisation across the country. You can join this vision by becoming a part of our global family of supporters, contributing to see every Timorese child equipped for a better future. We couldn’t do this life-changing, life-saving work without you.

Help us do even more

Even though healthcare in Timor-Leste has improved, there is still so much more to do.  

A small amount of money goes a long way with the per person health budget less than US$100 per year. 

$24

Covers the cost of petrol for a month so a healthcare worker can provide home visits around Dili.

$58 p/month

in 12 months

Covers the cost of running a nutrition referral project in one community healthcare centre.

$650 p/month

Covers the full cost to employ a nurse who can help deliver our programs.