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Shifts in global immunisation goals (1984-2004): unfinished agendas and mixed results

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  • Hardon, Anita
  • Blume, Stuart

Abstract

The turn of the millennium has been marked by a large-scale mobilisation of resources for immunisation programmes in developing countries. The resources have been generated by public and private sector parties collaborating in the Global Alliance for Vaccines and Immunization (GAVI). GAVI was formed in response to deteriorating immunisation coverage rates occurring in the late 1990s. GAVI is the latest in a line of vaccine initiatives, which have operated over the past 20 years. This article reviews the five most important global immunisation initiatives that have taken place over those past 20 years. It analyses their origins, shifts in global immunisation goals, identifies key actors, assesses the initiatives' capacity to mobilise resources and increase immunisation coverage, and points to possible unintended effects of the initiatives. The study argues that shifts in global immunisation goals lead to fragmentation in the implementation of vaccine programmes at the local level in developing countries. It also suggests that global actors involved in the formulation of these initiatives appear to miss opportunities to build on past experiences and fail to learn from previous mistakes. This raises questions about the initiatives' sustainability and relevance to the overall objective of preventing vaccine-preventable deaths.

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  • Hardon, Anita & Blume, Stuart, 2005. "Shifts in global immunisation goals (1984-2004): unfinished agendas and mixed results," Social Science & Medicine, Elsevier, vol. 60(2), pages 345-356, January.
    • Handle: RePEc:eee:socmed:v:60:y:2005:i:2:p:345-356
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    References listed on IDEAS

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    2. Taylor, C.E. & Cutts, F. & Taylor, M.E., 1997. "Ethical dilemmas in current planning for polio eradication," American Journal of Public Health, American Public Health Association, vol. 87(6), pages 922-925.
    3. Lee, J.W. & Melgaard, B. & Hull, H.F. & Barakamfitiye, D. & Okwo-Bele, J.M. & Hyder, A.A., 1998. "Ethical dilemmas in polio eradication," American Journal of Public Health, American Public Health Association, vol. 88(1), pages 130-132.
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    Cited by:

    1. Sandberg, Kristin Ingstad & Andresen, Steinar & Bjune, Gunnar, 2010. "A new approach to global health institutions? A case study of new vaccine introduction and the formation of the GAVI Alliance," Social Science & Medicine, Elsevier, vol. 71(7), pages 1349-1356, October.
    2. Renne, Elisha, 2006. "Perspectives on polio and immunization in Northern Nigeria," Social Science & Medicine, Elsevier, vol. 63(7), pages 1857-1869, October.
    3. de Timoteo Mavimbe, Joao Carlos & Muquingue, Humberto Nelson & Braa, Jorn & Bjune, Gunnar, 2006. "Immunization coverage in Mozambique: From concepts to decision-making," Health Policy, Elsevier, vol. 79(1), pages 92-100, November.
    4. Sandberg, Kristin Ingstad & Bjune, Gunnar, 2007. "The politics of global immunization initiatives: Can we learn from research on global environmental issues?," Health Policy, Elsevier, vol. 84(1), pages 89-100, November.
    5. Paul, Katharina T., 2016. "“Saving lives”: Adapting and adopting Human Papilloma Virus (HPV) vaccination in Austria," Social Science & Medicine, Elsevier, vol. 153(C), pages 193-200.
    6. Munira, Syarifah Liza & Fritzen, Scott A., 2007. "What influences government adoption of vaccines in developing countries? A policy process analysis," Social Science & Medicine, Elsevier, vol. 65(8), pages 1751-1764, October.
    7. Hani Kim & Uros Novakovic, 2021. "Towards Solving Health Inequities: A Method to Identify Ideological Operation in Global Health Programs," IJERPH, MDPI, vol. 18(9), pages 1-13, April.
    8. Blume, Stuart & Zanders, Mariska, 2006. "Vaccine independence, local competences and globalisation: Lessons from the history of pertussis vaccines," Social Science & Medicine, Elsevier, vol. 63(7), pages 1825-1835, October.

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