Immunization, Vaccines and Biologicals


Immunization and health reforms: making reforms work for immunization. A reference guide. Prepared for WHO/GPV/EPI by Rachel Feilden and Ole Frank Nielsen

Concerns have been raised over the effects of health reforms upon immunization. This document has been prepared to provide some insights into how quality immunization services can be sustained in a reformed and decentralized health system, especially if integration involves disbanding the vertical EPI programme. There is no single model that encapsulates “health reform”, which sometimes involves radical constitutional and structural changes not only to health services but also in other sectors. This document presents two case studies of countries, which have approached reforms in very different ways, and highlights the lessons learned.

Size: 798 KB