Expanding and improving urban outreach immunization in Patna, India
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Expanding and improving urban outreach immunization in Patna, India

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      Immunization is one of the most cost‐effective public health interventions available (Hadler et al. 2008; Clements et al. 2008). Beginning with the Expanded Program of Immunization (EPI) (Sokhey et al. 1989) in 1978 and strengthened further by several national programmes, including the comprehensive National Rural Health Mission (NRHM) (National Rural Health Mission, 2005–2012) launched in 2005, the states of India have endeavoured to vaccinate and protect children from tuberculosis, poliomyelitis, diphtheria, pertussis, tetanus and measles. Newer and underutilized vaccines, such as those against Hepatitis B, Japanese encephalitis, rubella, typhoid and mumps, have been introduced in certain states and districts, and Haemophilus influenzae , pneumococcal and rotavirus vaccines are also being considered for inclusion in the Indian national immunization schedule (National Technical Advisory Group on Immunization, 2008).
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