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New products into old systems : The Global Alliance for Vaccines and Immunization (GAVI) from a country perspective

STARLING, Mary
BRUGHA, Ruairi
WALT, Gill
January 2002

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Based on research in four countries - Mozambique, Ghana, Lesotho and Tanzania - this report examines the impact of GAVI on national health priorities and public health systems. It focuses on country experiences of applying for support, the capacity of systems to incorporate and utilise new vaccines effectively, and sustainably. The report finds that, while most countries are glad of the political interest immunisation systems are gaining through GAVI, they have concerns about a number of issues: the pressure to make rapid decisions on vaccine selection; the usefulness of reward and evaluation criteria; delays in vaccine availability; and problems related to needle disposal

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