Synergized immunization programming: Pakistan’s road to polio eradication

In countries like Pakistan, where the Polio Eradication Initiative (PEI) and Expanded Program on Immunization (EPI) exist in parallel, an intriguing relationship is observed between the two workstreams. Population clusters with polio cases mostly have a large number of unimmunized or under-immunized children, and consequently, the risk is high for continued circulation and outbreaks. According to PEI’s National Emergency Action Plan (NEAP), out of the 147 WPV1 cases reported in 2019 from Pakistan, 93 (63%) were zero-dose, ie, they had received no vaccination; a proof of the weak routine immunization.

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ul Haq, Z., M. S. Rana (2021) Synergized immunization programming: Pakistan’s road to polio eradication. Journal of Global Health 11. doi: 10.7189/jogh.11.03103