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Vaccinations in the third world: A consideration of community demand

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  • Nichter, Mark

Abstract

Impressive increases in immunization rates have been reported in several less developed countries (LDCs) as a result of intensive EPI programs. An issue arises as to whether existing rates of immunization coverage can be sustained/increased given projected cutbacks in funding. This issue calls into question the assumption that as immunizable disease rates fall, local populations will need less encouragement to secure immunization services. This article considers how immunizations are perceived by lay populations and how perceptions of utility and need effect demand which in turn effects the sustainability of EPI programs. Among issues addressed is the observation that when specific diseases are not linked to specific immunizations, misimpressions related to the number of immunizations needed for "good health" abound. Also considered are metamedical reasons immunizations (and immunization programs) are both resisted and demanded in particular political contexts.

Suggested Citation

  • Nichter, Mark, 1995. "Vaccinations in the third world: A consideration of community demand," Social Science & Medicine, Elsevier, vol. 41(5), pages 617-632, September.
    • Handle: RePEc:eee:socmed:v:41:y:1995:i:5:p:617-632
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    Cited by:

    1. Vanderslott, Samantha & Enria, Luisa & Bowmer, Alex & Kamara, Abass & Lees, Shelley, 2022. "Attributing public ignorance in vaccination narratives," Social Science & Medicine, Elsevier, vol. 307(C).
    2. Closser, Svea & Mendenhall, Emily & Brown, Peter & Neill, Rachel & Justice, Judith, 2022. "The anthropology of health systems: A history and review," Social Science & Medicine, Elsevier, vol. 300(C).
    3. Kaler, Amy, 2009. "Health interventions and the persistence of rumour: The circulation of sterility stories in African public health campaigns," Social Science & Medicine, Elsevier, vol. 68(9), pages 1711-1719, May.
    4. Yaqub, Ohid & Castle-Clarke, Sophie & Sevdalis, Nick & Chataway, Joanna, 2014. "Attitudes to vaccination: A critical review," Social Science & Medicine, Elsevier, vol. 112(C), pages 1-11.
    5. Desmond, Christopher*Greener, Robert, 2003. "The strategic use and potential demand for an HIV vaccine in Southern Africa," Policy Research Working Paper Series 2977, The World Bank.
    6. Jamison, Amelia M. & Quinn, Sandra Crouse & Freimuth, Vicki S., 2019. "“You don't trust a government vaccine”: Narratives of institutional trust and influenza vaccination among African American and white adults," Social Science & Medicine, Elsevier, vol. 221(C), pages 87-94.
    7. Sonja Merten & Adriane Martin Hilber & Christina Biaggi & Florence Secula & Xavier Bosch-Capblanch & Pem Namgyal & Joachim Hombach, 2015. "Gender Determinants of Vaccination Status in Children: Evidence from a Meta-Ethnographic Systematic Review," PLOS ONE, Public Library of Science, vol. 10(8), pages 1-19, August.
    8. Renne, Elisha, 2006. "Perspectives on polio and immunization in Northern Nigeria," Social Science & Medicine, Elsevier, vol. 63(7), pages 1857-1869, October.
    9. Berezin, Mabel & Eads, Alicia, 2016. "Risk is for the rich? Childhood vaccination resistance and a Culture of Health," Social Science & Medicine, Elsevier, vol. 165(C), pages 233-245.
    10. Vanderslott, Samantha, 2019. "Exploring the meaning of pro-vaccine activism across two countries," Social Science & Medicine, Elsevier, vol. 222(C), pages 59-66.
    11. Gracious M. Diiro & Abdoul G. Sam & David Kraybill, 2017. "Heterogeneous Effects of Maternal Labor Market Participation on the Nutritional Status of Children: Empirical Evidence from Rural India," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 10(3), pages 609-632, September.
    12. Casiday, Rachel Elizabeth, 2007. "Children's health and the social theory of risk: Insights from the British measles, mumps and rubella (MMR) controversy," Social Science & Medicine, Elsevier, vol. 65(5), pages 1059-1070, September.
    13. Gauri, Varun & Khaleghian, Peyvand, 2002. "Immunization in Developing Countries: Its Political and Organizational Determinants," World Development, Elsevier, vol. 30(12), pages 2109-2132, December.
    14. Nigenda, Gustavo & Orozco, Emanuel & Guzman, Mauricio & Mora, Gerardo & Lockett, Lejeune & Pacheco, Carlos, 1998. "The role of priority programmes in the provision of health services in the state of Oaxaca, Mexico," Health Policy, Elsevier, vol. 43(2), pages 125-139, February.
    15. Mukherjee, D., 2006. "A Note on Polio Count: Some empirical evidence from India," Applied Econometrics and International Development, Euro-American Association of Economic Development, vol. 6(3).
    16. Bishai, David & Lin, Maria K. & Kiyonga, C.W.B., 2000. "Algorithms for purchasing AIDS vaccines," Policy Research Working Paper Series 2321, The World Bank.
    17. Yaqub, Ohid & Nightingale, Paul, 2012. "Vaccine innovation, translational research and the management of knowledge accumulation," Social Science & Medicine, Elsevier, vol. 75(12), pages 2143-2150.
    18. James, Myfanwy & Kasereka, Joseph Grace & Kasiwa, Benjamin & Kavunga-Membo, Hugo & Kambale, Kasonia & Grais, Rebecca & Muyembe-Tamfum, Jean-Jacques & Bausch, Daniel G. & Watson-Jones, Deborah & Lees, , 2023. "Protection, health seeking, or a laissez-passer: Participants’ decision-making in an EVD vaccine trial in the eastern Democratic Republic of the Congo," Social Science & Medicine, Elsevier, vol. 323(C).
    19. Ohid Yaqub, 2018. "Variation in the dynamics and performance of industrial innovation: what can we learn from vaccines and HIV vaccines?," Industrial and Corporate Change, Oxford University Press and the Associazione ICC, vol. 27(1), pages 173-187.
    20. Kihlström, Laura & Siemes, Lea & Huhtakangas, Moona & Keskimäki, Ilmo & Tynkkynen, Liina-Kaisa, 2023. "Power and politics in a pandemic: Insights from Finnish health system leaders during COVID-19," Social Science & Medicine, Elsevier, vol. 321(C).
    21. Leach, Melissa & MacGregor, Hayley & Akello, Grace & Babawo, Lawrence & Baluku, Moses & Desclaux, Alice & Grant, Catherine & Kamara, Foday & Nyakoi, Marion & Parker, Melissa & Richards, Paul & Mokuwa,, 2022. "Vaccine anxieties, vaccine preparedness: Perspectives from Africa in a Covid-19 era," Social Science & Medicine, Elsevier, vol. 298(C).
    22. Basu, Alaka Malwade & Stephenson, Rob, 2005. "Low levels of maternal education and the proximate determinants of childhood mortality: a little learning is not a dangerous thing," Social Science & Medicine, Elsevier, vol. 60(9), pages 2011-2023, May.
    23. Ojong, Nathanael & Agbe, Eyram, 2023. "“This is most likely not the correct vaccine”: Analyzing COVID-19's viral spread and vaccine anxieties in Ghana, Cameroon, and Malawi," Social Science & Medicine, Elsevier, vol. 329(C).

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