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Considering the existing situation with extremely weak institutional framework of the country, precarious security, low EPI coverage and significant endemicity of the poliovirus in Afghanistan, breaking the transmission by the end of year 2000 seems ambitious but not impossible.
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Routine EPI alone appeared to be more effective than periodic mass campaigns, unless EPI coverage was low (less than approximately 60%).
EPI coverage in the study area is relatively low: 55% of children receive all three doses of the diphtheria-tetanus toxoid-pertussis-hepatitis B-Haemophilus influenza type b vaccine (PENT) and oral polio vaccine (OPV), 48% receive the measles vaccine and only 38% receive all the essential vaccines in the programme [29].
Nationally, Turkey's EPI vaccination rate has hovered between 70%and80%0% for almost two decades, and the country's target of 90% complete EPI coverage remains unmet.
Global progress has been remarkable in the four decades since WHO launched the Expanded Programme on Immunization (EPI): coverage now exceeds 80percentt among infants in many countries.
Through Ethiopia's Extended Program on Immunization (EPI), coverage across the country is improving, with 82.9% of children under one-year-old who are fully vaccinated.
We assume EPI coverage of 90% in concordance with the guidelines for the EPI initiative [32], and simulate a scenario of intervention at ages 2, 3 and 9 months for 10 years.
For strategy C (routine EPI), as expected, as EPI coverage increased, the incidence of disease decreased (Table 3).
EPI coverage at Arba Minch town and Arba Minch Zuria district is better than the national immunization coverage.
Substantial variation in levels of EPI coverage for boys and girls exists between states in India.
However, in 1999 and 2000 E.C there were sharp increments especially in CPR and EPI coverage.
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