A recent quantitative study carried out in South Africa found a similar association between measles campaigns and decreased routine immunization coverage.
However in the recent years, there has been a significant decrease in immunization coverage rate.
The latest DHS (2000) has reported a substantial decrease in immunization coverage rates, a 10% drop to 70%.
Despite immunization service in BIH being free of charge, with no child being excluded in recent years, there has been a significant decrease in immunization coverage rate.
This finding is inconsistent with that of Philippines in which, as distance from health facility get more than 0.5 km, the immunization coverage decreased.
Loevinsohn et al. (2002) reviewed several studies and found no association globally between polio eradication efforts and a decrease in funding for routine immunization or a decrease in routine immunization coverage [ 4], but raised concerns about shifting the time of primary health workers from duties such as routine immunization to support polio eradication campaigns.
Multivalent vaccines have been shown to minimize the number of injection, increase compliance with the immunization schedule, increase immunization coverage, decrease exposure to vaccine excipients [ 16], and reduce logistic costs of vaccine delivery including number of visits to health centers, number of syringes and needles required, and necessary storage space [ 17, 18].
This latter observation can be attributed to the intervention package that independently contributed to improved service outcomes, namely, decreasing vaccine wastage and increasing immunization coverage.
IIS ability to identify persons needing vaccine reminder/recall notifications decreased the CPR by $0.16, and the ability to automatically produce immunization coverage reports and official immunization records decreased average costs by $0.11 and $0.17 respectively.
For example, in Ethiopia, although the influx of funding for HIV/AIDS might have encouraged physician migration from the public to the non-governmental organization sectors, there is no evidence of adverse effects for the health system overall: mortality decreased, coverage of immunization increased, and antenatal care coverage increased over the four-year period of HIV expansion (2003 2007).
MCH services are delivered via both static and mobile health clinics with the core objectives to maintain high immunization coverage levels, decrease maternal deaths and improve child nutrition.
