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Title: Routine immunization services in Pakistan:seeing beyond the numbers
Authors: Husain, S.
Omer, S.B.
Issue Date: 2016
Publisher: World Health Organization, Regional Office for the Eastern Mediterranean
Journal: EMHJ-Eastern Mediterranean Health Journal, 22 (3): 201-211
Place of publication: Cairo
Language: English
Abstract: Vaccine-preventable diseases continue to be a major cause of morbidity and mortality among children under 5 years of age in Pakistan,and the country remains one of the last reservoirs of polio,posing a threat of viral spread within the region and globally.This structured review describes challenges in the achievement of vaccination targets and identifies arenas for policy and programmatic interventions and future research.Burdened with limited demand and inefficient vaccination services,the recently devolved Expanded Programme on Immunization (EPI)faces multiple hurdles in increasing immunization volumes,improving the quality of services and ensuring timely vaccination.The EPI requires multi-pronged,multi-level,coordinated interventions to improve programme functioning and to enhance vaccination uptake at community level.Additionally,a lack of rigorous scientific enquiry on vaccination services limits the introduction of well-developed,responsive interventions.The paper describes systemic bottlenecks,proposes potential solutions and suggests lines of further enquiry to understand and reduce the languishing immunization rates in Pakistan
Les maladies a prevention vaccinate demeurent Tune des causes principales de morbidite et de mortalite parmi les enfants de moins de 5 ans au Pakistan,et le pays constitue Tun des derniers reservoirs de poliomyelite,representant ainsi une menace de propagation des virus a Techelle regionale et mondiale.Get examen structure decrit les defis inherents a la realisation des objectifs de la couverture vaccinale,et identifie les domaines qui requierent des interventions politiques et programmatiques ainsi que de plus amples travaux de recherche.Du fait d'une faible demande et de I'inefficacite des services de vaccination,le Programme elargi de vaccination [PEV], recemment decentralise,est confronte a de multiples obstacles dans sa demarche d'augmentation des vaccinations,d'amelioration de la qualite des services et d'administration de vaccins en temps voulu.Le PEV requiert des interventions coordonnees surplusieurs fronts etatous les niveaux pour ameliorer son fonctionnementetaugmenter Tacceptation des vaccins au niveau communautaire.De plus,un manque d'investigations scientifiques rigoureuses sur les services de vaccination empeche la mise en place d'interventions bien congues et adaptees.La presente etude recense les obstacles systemiques,propose des solutions potentielles et suggere des axes de recherche a approfondir afin de comprendre les elements qui entrament la stagnation des taux de vaccination au Pakistan et d'inverser la tendance
Subject: Immunization
ISSN: 1020-3397
1687-1634 (Online ISSN)
Appears in Collections:EMRO Journal Articles (EMHJ)

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