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The Contribution of Immunization to Economic Development

Published online by Cambridge University Press:  14 October 2009

David Parker
Affiliation:
United Nations Children's Fund
Terrel Hill
Affiliation:
United Nations Children's Fund

Abstract

Immunization received intensive support during the 1980s in light of its demonstrable value, relatively low cost, and established infrastructure. The goal of universal childhood immunization was achieved in 1990 on the basis of a strategy of expanding coverage, technological improvements, and social mobilization. Although its impact is difficult to quantify precisely, the Expanded Programme on Immunization (EPI) has had significant positive effects on national and household economies as a result of the reduction of morbidity and mortality. It also has contributed to the development of the managerial and operational capacity of health systems and to the generation of widespread social and political support for health actions through a variety of different mechanisms. Priorities for the next decade include attention to policies to ensure the maintenance of high levels of coverage, continued technical development, and further strengthening of EPI planning and management.

Type
Special Section: Vaccines and Public Health: Assessing Technologies and Public Policies
Copyright
Copyright © Cambridge University Press 1994

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References

REFERENCES

1.Andersson, N., Paredes, S., et al. Who pays for measles? The economic arguments for sustained immunization. Health Policy and Planning, 1992, 7, 352–63.CrossRefGoogle Scholar
2. Center for Population and Development Studies. Resource flows to the health sector in developing countries. Report prepared for the World Bank. Harvard University, 1993.Google Scholar
3.Commission on Health Research for Development. Health research: Essential link to equity in development. New York: Oxford University Press, 1990.Google Scholar
4.Foege, W. H. Progress and expectations for the child survival movement. In Task Force for Child Survival. Protecting the world's children: A call for action. Proceedings of the Fourth International Child Survival Conference. Bangkok, Thailand, March 1–3, 1990, 544.Google Scholar
5.Goodfield, J.The planned miracle. London: Cardinal Press, 1991.Google Scholar
6.Jamison, D. T. Disease control priorities in developing countries: An overview. In Jamison, D. T., Mosley, W. H., Measham, A. R., et al. (eds.), Disease control priorities in developing countries. New York: Oxford University Press (for the World Bank), 1993.Google Scholar
7.Kim-Farley, R., and the Expanded Programme on Immunization Team. Global immunization. Annual Review of Public Health, 1992, 13, 223–37.CrossRefGoogle ScholarPubMed
8.Koenig, M. Mortality reductions from measles and tetanus immunization: A review of the evidence. Population and Human Resources Department working paper no. 868. Washington, DC: World Bank, 1992.Google Scholar
9.Koenig, M. A., Khan, M. A., Wojtyniak, B. et al. Impact of measles vaccination on childhood mortality in rural Bangladesh. Bulletin of the World Health Organization, 1990, 68, 441–47.Google Scholar
10.Noto, A., Mahmood, R. A., et al. Cost effectiveness and sustainability of immunization. In Huq, M. (ed.), Near miracle in Bangladesh. Dhaka, Bangladesh: University Press Limited, 1991, 7584.Google Scholar
11.Pelletier, D. L.Relationships between child anthropometry and mortality in developing countries: Implications for policy, programs and future research. Monograph no. 12. Ithaca, NY: Cornell Food and Nutrition Policy Program, 1991.Google Scholar
12.United Nations Development Program. Human development report. New York: Oxford University Press, 1991.Google Scholar
13.United Nations Children's Fund. Universal child immunization, 1990. Report prepared for the UNICEF executive board. Document no. E/ICEF/1991/L.8 and Add. 1. New York, 1991.Google Scholar
14.World Health Organization. Strengthening logistic support to primary health care: A programme for action. Document no. WHO/SHS/NHP/92.1. Geneva, Switzerland, 1992.Google Scholar