Global public health mandates in a diverse world: the polio eradication initiative and the expanded programme on immunization in sub-Saharan Africa and South Asia

Impact of supplemental immunisation activity (SIA) campaigns on health systems: findings from South Africa

“…In this respect, there may be shifting and rescheduling of specific visits from the SIA period to after SIA, potentially bringing greater efficiency. Yet, decrease in routine coverage was observed during immunisation campaign years in a number of countries 18 22 23. Additionally, the decrease in antenatal visits and under utilisation in contraceptive services would have been difficult to compensate for in subsequent months.…”

HIV Donor Funding Has Both Boosted And Curbed The Delivery Of Different Non-HIV Health Services In Sub-Saharan Africa

“…For example, when polio campaigns were introduced in some African and Asian countries, routine immunization rates for other vaccines declined, despite major overall increases to immunization budgets in those countries. 37 A review of the recent human resource policies of major global health donors found that the majority of such donors' efforts has been to provide in-service training and salary support to existing health workers and that these efforts have done little to expand the number or the preservice training of health workers. 38 Donors have increasingly recognized these limitations and have begun to develop policies to address the shortage of health workers.…”

The impact of introducing new vaccines on the health system: Case studies from six low- and middle-income countries

“…Research on the health system impact of other vertical health programmes, including vaccination campaigns, have identified both positive and negative effects [6,[13][14][15][16]. It has also been noted that these impacts varied depending on the strength of the health system [6,15].…”