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Malnutrition and limited public health services, especially poor implementation of immunization programs, have led to thousands of preventable deaths, particularly in rural areas, where the health of residents is generally worse than that of their urban counterparts.
The rationale for using a dynamic epidemiologic model in these analyses is to be able to capture both the direct and indirect benefits of vaccination, as well as changes over time in the epidemiology of pertussis expected following the implementation of immunization programs.
Currently available rotavirus vaccines protected against severe RVGE and were well tolerated; the implementation of immunization programs would be expected to reduce disease burden [ 3].
In contrast to other health programmes, successful implementation of immunization programmes in Africa has resulted in high rates of vaccination coverage in most countries.
Early implementation of immunization campaigns probably has a protective effect, and vaccination is recommended each time nonimmunized populations are moved to camps.
Less is known about the benefit of the implementation of immunization programs with Rotateq® to avoid situations of seasonal hospital overcrowding.
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In each district CPH, approximately one immunization manager is responsible for supervising the implementation of the immunization program, which includes vaccine procurement and distribution; maintenance of the cold chain; implementing the immunization management information system (MIS); and monitoring and supervision of primary health care providers for immunization-related issues.
The data reported here highlight the need to seek additional means to reinforce routine immunization as well as ensure the timely implementation of Supplementary Immunization Activities to prevent large and repeated measles epidemics in DRC.
Overall, there are approximately 100 immunization managers and 2500 primary health care providers involved in the implementation of the immunization program in Georgia.
Most current graduating countries are expected to experience strong and sustained economic growth, which should provide relatively favourable conditions for financial self-sufficiency in vaccines and immunization services as long as there is adequate political commitment and technical capacity to plan and manage implementation of their immunization programmes.
However, it necessitates the implementation of specific immunization strategies to improve their efficacy.
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