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Introduction of pentavalent vaccine in Indonesia: a policy analysis

Working through offices in more than countries, WHO staff work side by side with governments and other partners to ensure the highest attainable level of health for all people. Further, even though available evidence supported jadwak use of rotavirus vaccine in Indonesia, there was no plan to immunisasi the rotavirus vaccine into the NIP by using an imported vaccine and instead a technology transfer program was initiated to prepare for the introduction.

Financing process, on the other hand, was not initiated or was terminated very early as a result of the political decision not to introduce the vaccine.

The two cases of the JE vaccine and pandemic flu vaccine, however, demonstrate that political motives such as economic sovereignty and nationalism can influence the decision to introduce a new vaccine. Further, using information from other vaccine introduction attempts, we postulate that these processes are associated with four necessary conditions for introduction, namely, an evidence-based recommendation for new vaccine use, sufficient national financing capacity, sufficient domestic vaccine production and political support for introduction.

In the meantime, the Ministry of Health maintained political support from within its own organization and with outside political bodies, and secured funding from both the jadwa and donor.


Interviewees and institutions represented. Case studies and theory development in the social sciencesCambridge, MA: Penyakit ini merupakan penyebab penyakit radang otak tersering di sebagian besar Asia dan sebagian Pasifik Barat, termasuk di Indonesia.

User Username Password Remember me. World Health Organization b. We would like to thank to dr.

Demonstrating national production capacity for a new vaccine is a necessary condition for introduction For Indonesia, the ability of PT Bio Farma to produce the vaccine of interest is necessary for introduction.

A policy process analysis.

Jadwal Imunisasi Orang Dewasa – Versi US CDC

Wherever they need us. This is especially true for the importance of domestic vaccine production capacity, which is non-existent in most countries, especially in low to middle income countries.

From unicefindia – Vaccines save up to 3 million lives a year.

Ayo lindungi imnuisasi pekerja indonesia dari kanker serviks. The trained health workers are also providing vaccines to children in communities that were being missed.

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Political process The fourth process involved political discussion and actions within government bodies. Context, process and actors. The second process involved assured financing for the new vaccine. Pentavalent vaccine introduction in Indonesia was supported imunissasi Gavi. Please review our privacy policy. Procuring vaccines from PT Bio Farma provided economic advantages compared to importing vaccines Isuch that purchasing vaccines from PT Bio Farma was considered as a good investment and would prevent national reserves from going abroad I-8, I Together we strive to combat diseases — infectious diseases like influenza and HIV and noncommunicable ones like cancer and heart disease.

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Analysis Interview transcripts were used as our main data source to identify the intervening processes that resulted in the introduction of the pentavalent vaccine Tansey Previous studies have demonstrated the complexity of the process leading to successful new vaccine introduction, with similarities and differences between countries Burchett et al. While decision to introduce and accelerate the use of a new vaccine in the past could be made by an authoritative figure such as former President Soeharto, such a figure may not exist in a democratized, decentralized and multi-party system, as in Indonesia today Aspinall and Fealy Processes observed with other vaccines We briefly looked at four cases of unsuccessful vaccine introduction in Indonesia, to see the role of the four processes described above.


We supplemented the pentavalent vaccine introduction case with other cases where new vaccines were proposed to be introduced to postulate hypotheses of necessary and sufficient conditions for successful vaccine introduction. This is an old military barracks, where kids come to play.

Interview transcripts were used as our main data source to identify the intervening processes that resulted in the introduction of the pentavalent vaccine Tansey Wabah difteri di beberapa propinsi tahun – telah berhasil dihentikan dengan imunisasi DPT rutin dan tambahan pada semua bayi balita di beberapa provinsi. Berikan vaksin sebagai perlindungan terbaik untuk tubuh.

The third process addressed the existence of a domestic producer for the new vaccine.

Hence, the vaccine need was much smaller than for those vaccines rolled out at full scale, and the pilot was considered necessary for establishing evidence to support future use of IPV in the NIP.