Innovative Use of Surveillance Data to Harness Political Will to Accelerate Measles Elimination: Experience From Guangxi, China
ABSTRACT The major challenge for measles elimination is to harness sufficient political will to provide the necessary financial and human resources. This is particularly relevant for local governments (at county and township levels in China) and communities that generally have not accepted measles as a serious health burden and thus have not made its prevention a high priority. An effort has been made to use surveillance data to harness political will and overcome or mitigate the shortage of resources in the impoverished province of Guangxi, one of China's 31 administrative divisions. A comprehensive information system collecting data pertaining to Expanded Program on Immunization (EPI-info) was refined to align with China's political system and translate international and national commitments into sustainable local actions. The EPI-info has proved an effective tool in identifying high-risk areas, strengthening routine immunization services, conducting mass measles immunization campaigns, and catalyzing capacity building at both county and local community levels. We outline the principles and operational features of the EPI-info and the rationale and steps taken to refine it.
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ABSTRACT: Critical to the advancement of vaccinology is the development of new vaccines available to meet both existing and emerging infectious disease threats. However, while underappreciated, new vaccines are not used in a vacuum. Rather, their use heavily depends on a variety of political, ethical, social, and psychological issues and considerations that at the individual and population level determine whether such vaccines are actually used. In this chapter we explore these aspects and how they mold and impact vaccine policy, uptake, and the success or failure of immunization programs.Vaccinology, 12/2014: pages 335-357; , ISBN: 9780470656167