Easing Routine Vaccination during COVID-19 in Madagascar Format 10 May 2021 Young Sylvania Randriambelo breastfeeds her 2-month-old baby, as she pays rapt attention to what the senior nurse is telling her at the newly refurbished “Centre Ami de la Vaccination” of the University Teaching Hospital ( Centre Hospitalier Universitaire, CHU) Tanambao-Diego, in the Diana Region of Madagascar. The centre is the latest addition to five others, bringing the total number of such centres in the country to six. Like the other nursing mothers sitting on the waiting bench at the new centre, the 18-year-old has come to vaccinate her little girl, Cham-leng who is scheduled to receive the POLIO 1, Penta 1, Rota 1 and PCV10-1 vaccines. “