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• W152428462 abstract "Communication activities in support of immunization programs have often focused on creating consumer demand. Mass media have helped mobilize populations and rapidly increase coverage. But health communication can also address complex issues of long–term sustainability, hard-toreach groups, and certain negative repercussions of high rates (such as diminishing concerns about the seriousness of disease). Many countries are now reporting data which indicate high access to immunization services (good BCG, DPT1, and 0PV1 rates) but lower complete coverage, due to dropouts. Dropouts reflect a problem in one or both of two areas: service barriers (such as missed opportunities to vaccinate); and consumer barriers (such as lack of correct information, fear of side effects, or competing belief systems). In other countries immunization program mangers are discovering that it is more difficult to achieve and maintain the final ten percent or 20 percent of coverage than it was to achieve the initial 60 percent or even 80 percent. In each of these cases communication has a role to play. Communication offers practical strategies for reducing both service and consumer barriers to complete coverage and for sustaining appropriate immunization behavior among these groups over the long term. Communication’s Role In Immunization Programs It is generally acknowledged in the immunization community that three factors are associated with increases in coverage rates: • Good physical access to services; • appropriate and quality services by health staff; and • acceptance and utilization of services by consumers. What role can health communication play in support of these three elements of an effective Expanded Program on Immunization (EPI)? If limited physical access to services is the principal barrier to higher immunization coverage in a country, then the main EPI strategy should be to expand access through increased services; communication’s role is limited to informing families when and where these expanded services are available. Many countries, however, are now reporting data indicating high access to services (as indicated by BCG, DPT1 and OPVl coverage) but relatively low complete coverage rates due to dropouts. Dropouts reflect a problem in one or both of the other two areas above: service barriers (missed opportunities to vaccinate by health" @default.
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• W152428462 title "Sustaining EPI: What Can Communication Do?" @default.
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