Nawab Mangrio, Babar Tasneem Shaikh, Muhammad Mazhar Alam.
Issues and challenges in Expanded Programme on Immunization in Sindh, Pakistan.
J Coll Physicians Surg Pak Jan ;17(5):308.

A powerful and successful instrument, immunization, is yet to reach its enormous potential as a cost-effective public health intervention. Launched in 1974 by WHO, Expanded Programme on Immunization (EPI) was followed by World Health Assembly’s resolution of global polio eradication by 2000. In Pakistan, progress of EPI is not encouraging. Despite all the donor’s interest and investment, Pakistan could demonstrate only 58% coverage for Polio 3 in year 2000. Today, child mortality from the vaccine preventable diseases is still high. National Immunization days (NIDs) had rather a mixed impact on the programme per se but gained great deal of acceptance in the communities.3 Various reasons are put forward to explain the lacunae in EPI in Pakistan. A debate on this subject would help in devising policy for achieving goals related to the program. This is a review article.

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