A review of EPI progress in Pakistan towards achieving coverage targets: present situation and the way forward

Quamrul Hasan · Altaf Bosan · Khalif Mohamud Bile

63 citations0/0 files storedEastern Mediterranean Health Journal

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Vaccine Coverage and Hesitancy Global Maternal and Child Health Immune responses and vaccinations

Abstract

Pakistan's Expanded Programme on Immunization (EPI) performance has a significant impact on global and regional immunization indicators such as poliomyelitis eradication, maternal and neonatal tetanus and measles elimination. Despite significant efforts by the Government and partners, Pakistan's immunization indicators have not met the expected benchmarks. Barriers to achieving immunization goals are related to limited access to immunization services, lack of parent awareness and weak management. With sustained Government commitment, predictable partner support and by adopting effective strategies, Pakistan can achieve the immunization targets set at the regional and global level and make strong progress towards achieving Millennium Development Goal 4. This paper reviews EPI coverage targets, constraints, costs and resource allocation, and financial impact of suboptimal performance, and indicates the way forward to overcome these challenges.

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References

2008Is Expanded Programme on Immunization doing enough? Viewpoint of health workers and managers in Sindh, Pakistan.

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2013Hurdles to the global antipolio campaign in Pakistan: an outline of the current status and future prospects to achieve a polio free world 2013Why We Must Provide Better Support for Pakistan's Female Frontline Health Workers 2021Citizen trust, administrative capacity and administrative burden in Pakistan’s immunization program 2014Coverage, timeliness, and determinants of immunization completion in Pakistan 2019System within systems: challenges and opportunities for the Expanded Programme on Immunisation in Pakistan 2016Eradication and Current Status of Poliomyelitis in Pakistan: Ground Realities 2018Health system barriers and levers in implementation of the Expanded Program on Immunization (EPI) in Pakistan: an evidence informed situation analysis 2017Knowledge and perceptions of polio and polio immunization in polio high-risk areas of Pakistan

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