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technet21 postspacerSystems Thinking for Health Systems Strengthening

technet21 postspacerGlobal Immunization News (November 2009)

technet21 postspacerBreaking the Blockade to Access a Cheaper Rabies Vaccine in India
Issue 32, 7 December 2009
 
Editorial Note

Omesh Bharti informs us that WHO has published a new report on Health Systems and also sends in a contribution on how intradermal delivery of the rabies vaccine has reduced costs.

You can also access the latest issue of the Global Immunization Newsletter.


Strong health systems are fundamental if we are to improve health outcomes and accelerate progress towards the Millennium Development Goals of reducing maternal and child mortality, and combating HIV, malaria and other diseases. At a time when economic downturn, a new influenza pandemic, and climate change add to the challenges of meeting those goals, the need for robust health systems is more acute than ever.

Often, however, health system strengthening seems a distant, even abstract aim. This should not and need not be the case.

... this Flagship Report from the Alliance for Health Policy and Systems Research ... offers a fresh and practical approach to strengthening health systems through "systems thinking". This powerful tool first decodes the complexity of a health system, and then applies that understanding to design better interventions to strengthen systems, increase coverage, and improve health.

The report is published by the World Health Organization.

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by Erin Sparrow

This issue covers the eighth EPIVAC Training Programme, the Measles Initiative, new content on the immunization financing website, investigation of AEFI with liquid pentavalent vaccine in Bhutan, the HPV Surveillance and Monitoring Meeting, and Performance, Quality and Safety Consultation with industry among other topics.

The newsletter and previous versions are also available online at the following websites:

www.who.int/immunization/gin
www.gavialliance.org/media_centre/publications/gin.php

Readers who want to send in information to be included in the next issue of the newsletter should do so by noon, Friday 11 December 2009.

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by Omesh Bharti

The mechanism of action of intradermal vaccine is that it is directly presented to the immune system (axillary lymph nodes) and does not undergo dilution in the blood as is the case in an intramuscular dose; therefore a small amount of vaccine given intradermally is enough to produce the desired immunological response. Because the volume of the vaccine used for intradermal delivery is one-fifth of that used in intramuscular delivery, the cost of IDRV also comes down ...

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Front cover of the report published by WHO

 

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