Number of Downlaods: 23
Published Date: Jun 19, 2014
The Expanded Program on Immunization (EPI) has been the exclusive provider of public immunization services in Pakistan for the last three decades. However, the country still has a long way to go before it achieves the EPI’s objectives. By adopting a Poverty and Social Impact Analysis (PSIA) methodology, this paper carries out for the first time, an impact assessment analysis of the national EPI by focusing on its contributions towards Pakistan’s social economy. Under the PSIA methodology, it has carried out an institutional analysis, a health and social service delivery analysis of the EPI by carrying out a survey of 2000 households across Pakistan, and an empirical analysis using micro-simulation techniques, which quantifies the EPI impact in terms of lives saved and workers added to the labour force since 1978. The overall finding is that a total of 0.15 million incremental workers have been able to join the labour force due to EPI activities post-1978. Based on the findings from its focus group discussions, household survey and micro-simulation analysis, the paper puts forward policy recommendations that are meant to guide the government as to how the cost-effectiveness of EPI can be increased in Pakistan.
Keywords: Health, Poverty, Expanded Program on Immunization, Social policy