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Despite these limitations, this study provides valuable insights on declining immunization coverage rates in Colombia.
We also describe how the authorities have responded to declining immunization coverage and its impact on vaccine acceptability in the context of certain highly connected actors playing disproportionate influence over household vaccination decisions.
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Key Issues that need to be addressed Decline in immunization coverage: DPT 3 coverage has declined from 97% in 1998 to 74% in 2000 and full immunization has declined from 80% to 69% over the same period.
c) House-to-house national campaigns remain the most effective strategy for addressing the decline in immunization coverage under emergency situations.
The decline in immunization coverage in Kozhikode is, in fact, a reversal of the trend from the earlier period between the first (1998 1999) and the second survey (2002 2004), which showed improvement in vaccination coverage.
The sudden decline in immunization coverage, in a state where vaccines were uncritically accepted as a social good in the past, has puzzled public health officials and experts [ 10].
Next, we show how the authorities have responded to this problem of decline in immunization coverage and discuss the impact of their response in the presence of certain highly connected actors playing a disproportionate influence over a household's vaccination decision.
"The country may face serious risks if the decline in routine immunization coverage continues" said Dr Ponmek.
- Although immunization coverage is declining, coverage is still relatively high.
Due to these shortfalls, routine immunization coverage has declined and in some districts it was not possible to reach all children.
Specifically, this study seeks to use a complex adaptive system (CAS) lens to understand the features of a complex system that governs childhood immunization in parts of the Indian state of Kerala, where immunization coverage drastically declined after a period of high coverage.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com