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Table 1 Demand and supply side barriers in effective implementation of EPI

From: Health system barriers and levers in implementation of the Expanded Program on Immunization (EPI) in Pakistan: an evidence informed situation analysis

Issues Demand/supply side barriers
1. Low awareness level among caregivers and healthcare providers regarding vaccine-preventable diseases and their risks Demand
2. Concerns of caregivers about safety of oral polio vaccine Demand
3. Belief in and use of local remedies for prevention and treatment Demand and supply
4. Low knowledge and awareness of health care workers regarding VPDs and their prevention Supply
5. Distance, time, and cost of travel to health facility and long waiting time there Demand and supply
6. Unavailability of vaccines and vaccinators and dissatisfaction with quality of service Demand and supply
7. Missing vaccination card in the home Demand