Introduction of vaccines into the third worldIntroduction des vaccins dans le tiers monde

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  • Immunization in developing countries: Its political and organizational determinants

    2002, World Development
    Citation Excerpt :

    One study in Gujarat state in India argues that the agents who perform vaccines for the Indian public sector, the so-called multipurpose workers who live in and work from their home villages, were excessively focused on numerical targets, so much so that they did not explain the purposes, benefits, and potential side effects of vaccines to patients, nor did they convey potentially useful information up to their superiors regarding the obstacles to immunization, such as geographic challenges, caste and gender discrimination, and the influence of mothers-in-law (Streefland, 1995). Several accounts of immunization policy use the concepts of “political will” or “political commitment” to explain the success of moves to improve coverage (Justice, 2000b, c; Madrid, 1998a; UNICEF, 1996, pp. 65–66; Widdus, 1999a), conduct polio eradication activities (Hull & Aylward, 2001), or introduce new vaccines (Huang & Lin, 2000; Madrid, 1998b; Miller & Flanders, 2000; Wenger, 2001). Put simply, the implication is that if political leaders were to make immunization a priority, coverage rates (as well as polio eradication and the introduction of new vaccines) would improve as a result.

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