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Hepatitis B vaccine introduction : lessons learned in advocacy, communication, and training

WITTLETT, Scott
January 2001

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Hepatitis B is especially dangerous for infants, since they may carry the infection for the rest of their lives without knowing it. Chronic carriers can infect others and are at risk of serious liver disease in later life. However, the hepatitis B vaccine, if provided, helps protect infants against these problems. The vaccine's introduction to developing countries only began in the late 1980s, but many countries still cannot afford to administer the vaccine to all children. This paper summarises the lessons learned about effective advocacy with decision makers, communication with parents and caretakers, and training health staff regarding hepatitis B, gained from over ten years of experience introducing hepatitis B vaccine worldwide. It also includes the WHO 'aide-memoire' on hepatitis B

Anthropological perspectives on injections : a review

REELER, A V
2000

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There is evidence that injections and injection equipment are now often used by lay people in developing countries. Epidemiological evidence links the large number of unsafe injections to serious bloodborne infections such as viral hepatitis b and c, and HIV. This article examines the reasons behind the demand for injections by consumers and the administration of unnecessary or unsafe injections by different types of provider. Interventions aimed at reducing the risk of unsafe injections are discussed in relation to cultural and social factors as well as those factors associated with health systems. Suggestions are made for approaches to the design of such interventions

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