Skip to main content

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