What other challenges are there besides disease control and immunization coverage levels?
The World Health Assembly noted a number of challenges in the 1990s. They included: improving disease surveillance to monitor progress and to help direct program resources to the areas of greatest need; introducing new and improved vaccines; using the EPI delivery system to promote other primary health care practices, such as oral rehydration therapy to reduce deaths from diarrhea; and research and development activities. According to the WHO’s 2004 State of the World’s Vaccines and Immunization the following critical areas still need to be addressed: • Immunization coverage: coverage of over 70% was sustained throughout the 1990s, but with wide variations between and within countries. By 2000, approximately 33 million children worldwide still did not receive routine immunization during their first year of life. • Poorly functioning health services and systems means governments are unable to meet the basic health needs of the population including immunization. • Inequity in access to n
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