The Pakistan Expanded Program on Immunization and the National Immunization Support Project : An Economic Analysis

Pakistan faces a formidable challenge in eliminating the polio virus from the country. With transmission of the polio virus substantially slowing in the Africa region, the only two countries worldwide with ongoing endemic polio transmission may soo...

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Main Authors:	Haque, Minhaj Ul, Waheed, Muhammad, Masud, Tayyeb, Malick, Wasim Shahid, Yunus, Hammad, Rekhi, Rahul, Oelrichs, Robert, Kucheryavenko, Oleg
Format:	Working Paper
Language:	English en_US
Published:	Washington, DC: World Bank 2017
Subjects:	immunization vaccines polio
Online Access:	http://documents.worldbank.org/curated/en/264971484109785001/The-Pakistan-Expanded-Program-on-Immunization-and-the-National-Immunization-Support-Project-an-economic-analysis http://hdl.handle.net/10986/25864

id	okr-10986-25864
recordtype	oai_dc
spelling	okr-10986-258642021-05-26T09:05:19Z The Pakistan Expanded Program on Immunization and the National Immunization Support Project : An Economic Analysis Haque, Minhaj Ul Waheed, Muhammad Masud, Tayyeb Malick, Wasim Shahid Yunus, Hammad Rekhi, Rahul Oelrichs, Robert Kucheryavenko, Oleg immunization vaccines polio Pakistan faces a formidable challenge in eliminating the polio virus from the country. With transmission of the polio virus substantially slowing in the Africa region, the only two countries worldwide with ongoing endemic polio transmission may soon be Pakistan and Afghanistan. A substantial number of the polio cases or infant paralysis occurring in Afghanistan is linked to cross-border transmission from Pakistan. The ongoing cycle of polio infection is not just a tragedy for the children of Pakistan, it is a global public health emergency constituting one of the final barriers to permanently eradicating polio. This paper demonstrates clear economic benefits and efficacy of the National Immunization Support Project (NISP), which is financing interventions in terms of DALYs saved, and establishes that this approach is affordable and economically effective with a high rate of return. In addition to increased investment, the effectiveness of the Expanded Program on Immunization can be enhanced by improving the capacity building of health professionals, as well as by improving logistics of program interventions to reach marginalized populations, remote areas, and pockets of resistance. An increased financial investment alone will be insufficient to address the root causes of persistent under-coverage of immunization in Pakistan. It is imperative that ample attention and resources be diverted to strengthen the procurement systems, local and provincial management capacity, and reporting mechanisms, among other capacity improvements. 2017-01-17T20:06:40Z 2017-01-17T20:06:40Z 2016-11 Working Paper http://documents.worldbank.org/curated/en/264971484109785001/The-Pakistan-Expanded-Program-on-Immunization-and-the-National-Immunization-Support-Project-an-economic-analysis http://hdl.handle.net/10986/25864 English en_US Health, Nutrition and Population Discussion Paper; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank Washington, DC: World Bank Publications & Research Publications & Research :: Working Paper South Asia Pakistan
repository_type	Digital Repository
institution_category	Foreign Institution
institution	Digital Repositories
building	World Bank Open Knowledge Repository
collection	World Bank
language	English en_US
topic	immunization vaccines polio
spellingShingle	immunization vaccines polio Haque, Minhaj Ul Waheed, Muhammad Masud, Tayyeb Malick, Wasim Shahid Yunus, Hammad Rekhi, Rahul Oelrichs, Robert Kucheryavenko, Oleg The Pakistan Expanded Program on Immunization and the National Immunization Support Project : An Economic Analysis
geographic_facet	South Asia Pakistan
relation	Health, Nutrition and Population Discussion Paper;
description	Pakistan faces a formidable challenge in eliminating the polio virus from the country. With transmission of the polio virus substantially slowing in the Africa region, the only two countries worldwide with ongoing endemic polio transmission may soon be Pakistan and Afghanistan. A substantial number of the polio cases or infant paralysis occurring in Afghanistan is linked to cross-border transmission from Pakistan. The ongoing cycle of polio infection is not just a tragedy for the children of Pakistan, it is a global public health emergency constituting one of the final barriers to permanently eradicating polio. This paper demonstrates clear economic benefits and efficacy of the National Immunization Support Project (NISP), which is financing interventions in terms of DALYs saved, and establishes that this approach is affordable and economically effective with a high rate of return. In addition to increased investment, the effectiveness of the Expanded Program on Immunization can be enhanced by improving the capacity building of health professionals, as well as by improving logistics of program interventions to reach marginalized populations, remote areas, and pockets of resistance. An increased financial investment alone will be insufficient to address the root causes of persistent under-coverage of immunization in Pakistan. It is imperative that ample attention and resources be diverted to strengthen the procurement systems, local and provincial management capacity, and reporting mechanisms, among other capacity improvements.
format	Working Paper
author	Haque, Minhaj Ul Waheed, Muhammad Masud, Tayyeb Malick, Wasim Shahid Yunus, Hammad Rekhi, Rahul Oelrichs, Robert Kucheryavenko, Oleg
author_facet	Haque, Minhaj Ul Waheed, Muhammad Masud, Tayyeb Malick, Wasim Shahid Yunus, Hammad Rekhi, Rahul Oelrichs, Robert Kucheryavenko, Oleg
author_sort	Haque, Minhaj Ul
title	The Pakistan Expanded Program on Immunization and the National Immunization Support Project : An Economic Analysis
title_short	The Pakistan Expanded Program on Immunization and the National Immunization Support Project : An Economic Analysis
title_full	The Pakistan Expanded Program on Immunization and the National Immunization Support Project : An Economic Analysis
title_fullStr	The Pakistan Expanded Program on Immunization and the National Immunization Support Project : An Economic Analysis
title_full_unstemmed	The Pakistan Expanded Program on Immunization and the National Immunization Support Project : An Economic Analysis
title_sort	pakistan expanded program on immunization and the national immunization support project : an economic analysis
publisher	Washington, DC: World Bank
publishDate	2017
url	http://documents.worldbank.org/curated/en/264971484109785001/The-Pakistan-Expanded-Program-on-Immunization-and-the-National-Immunization-Support-Project-an-economic-analysis http://hdl.handle.net/10986/25864
_version_	1764460507873411072

The Pakistan Expanded Program on Immunization and the National Immunization Support Project : An Economic Analysis

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