Despite the limitations mentioned above, the ACCD has risen to these challenges by broadening its representation to include a range of stakeholders, and by being more transparent in its decision-making. This process will further evolve, and the adaptability of the CH5424802 concentration Committee to changing situations will determine the future success of
the NPI and its contribution to the national development of Sri Lanka. The authors state that they have no conflict of interest. Authors wish to thank all Epidemiologists, Regional Epidemiologists and other staff of the Epidemiology Unit and members of the ACCD for their help in various stages of preparing this manuscript. The authors also acknowledge the contribution of Denise
DeRoeck. “
“Thailand is a middle-income country in Southeast Asia with a GDP per capita of US$ 4115 [1], a population of about 65 million and a birth cohort of around 800,000. The public health infrastructure in Thailand is designed to cover the entire population, both in rural and urban areas, with at least one community hospital in each of the country’s 926 districts, and one health care center in each sub-district. Secondary and tertiary care include general or provincial hospitals and Buparlisib mw regional or university hospitals, respectively. The expanded program on immunization (EPI) is fully integrated into these basic health services. Thailand officially launched its nation-wide and immunization program (EPI) in 1977 by expanding and strengthening the existing immunization service infrastructure [2]. Currently, the Thai EPI includes vaccines that cover the following 10 antigens: tuberculosis (BCG), hepatitis B, diphtheria, tetanus (TT), pertussis, poliomyelitis (OPV), measles, mumps, rubella, and Japanese encephalitis (JE) (Table 1) [3]. Apart from the infant EPI vaccines, flu vaccine has been given to health care workers since 2004 and to people with certain chronic diseases since 2008. There also have
been a number of changes in vaccines and schedules over the years (Table 2). Vaccine procurement, technical support, and evaluation are carried out by the EPI at national level, while responsibility for implementing the program is inhibitors decentralized to the country’s 76 provincial health offices. The Thai Ministry of Public Health has established a number of principles and policies concerning immunization. These include: the right of all people to be protected from vaccine-preventable diseases; the inclusion of immunization in the basic health services package; and the provision of safe, high-quality immunizations to all people free of charge. According to national policy, all public sector hospitals and health care centers must provide all immunizations included in the EPI schedule for free in well-baby clinics, and only private hospitals and clinics may charge for these services.