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Even in a system where immunization is free, the indirect costs such as transport and opportunity costs may be a deterrent for some mothers to get their children immunized, despite general acceptance and robust provision of immunization services (Jamil et al. 1999; Canavati et al. 2011).
This study found that in Dili district, health care workers' attitudes, the way that health care workers behave with clients, and convenient (client-centered) provision of immunization services are extremely important to maintaining caregivers' motivation to fully immunize their children.
In a way, GAVI acts as hypothetical "world government" for overcoming the collective action problem associated with the provision of immunization.
In 1995, the private clinics were involved in the provision of immunization services to increase immunization delivery points.
Our findings raise the possibility that different health worker cadres may be able to act as substitutes in provision of immunization services.
Reducing child mortality globally requires, for example, the integrated provision of immunization, timely treatment for malaria, diarrhoea and acute respiratory infection as well as components of antenatal care (e.g. tetanus toxoid) [ 5].
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To our knowledge no studies have examined the provision of immunization-related education during health care professional training in Canada nor the knowledge, attitudes, beliefs and behaviors of trainees graduating from Canadian health professional programs.
The provision of immunizations is also supported by UNICEF.
This national programme, supported by UNICEF and its partners, accelerates the provision of routine immunization, vitamin A supplementation and de-worming for vulnerable children.
Activities included the provision of free immunization and deworming services for children, as well as information about the importance of exclusive breastfeeding, oral rehydration salts to treat diarrhoeal dehydration, and safe drinking water.
Despite marked improvements in the provision of routine immunization services in recent years, Ethiopia ranks sixth among all countries in the world with the largest number of unvaccinated children.
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