World Health Organization, Country Office Islamabad, Pakistan.
East Mediterr Health J. 2010;16 Suppl:S31-8.
Pakistan's Expanded Programme on Immunization (EPI) performance has a significant impact on global and regional immunization indicators such as poliomyelitis eradication, maternal and neonatal tetanus and measles elimination. Despite significant efforts by the Government and partners, Pakistan's immunization indicators have not met the expected benchmarks. Barriers to achieving immunization goals are related to limited access to immunization services, lack of parent awareness and weak management. With sustained Government commitment, predictable partner support and by adopting effective strategies, Pakistan can achieve the immunization targets set at the regional and global level and make strong progress towards achieving Millennium Development Goal 4. This paper reviews EPI coverage targets, constraints, costs and resource allocation, and financial impact of suboptimal performance, and indicates the way forward to overcome these challenges.
巴基斯坦扩大免疫规划（EPI）的表现对全球和区域免疫指标（如脊髓灰质炎根除、孕产妇和新生儿破伤风以及麻疹消除）有重大影响。尽管政府和合作伙伴做出了重大努力，但巴基斯坦的免疫指标仍未达到预期的基准。实现免疫目标的障碍与获得免疫服务的机会有限、父母意识不足和管理薄弱有关。通过持续的政府承诺、可预测的伙伴支持和采取有效的战略，巴基斯坦可以实现区域和全球层面的免疫目标，并在实现千年发展目标 4 方面取得重大进展。本文审查了 EPI 覆盖目标、限制因素、成本和资源分配，以及次优表现的财务影响，并指出了克服这些挑战的前进道路。
