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Adolescent health programme and its contribution to the success of ...

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9) Challenges <strong>of</strong> <strong>the</strong><br />

immunization <strong>programme</strong>s<br />

• Private sec<strong>to</strong>r does not reach adequately <strong>the</strong> population <strong>of</strong><br />

school children <strong>and</strong> even less adolescents.<br />

• School Health Services<br />

– are not well established in many parts <strong>of</strong> <strong>the</strong> country,<br />

– not all <strong>of</strong> <strong>the</strong>m are involved in vaccination.<br />

– Future <strong>of</strong> School Health Services hampered by change <strong>of</strong><br />

legal framework increasingly transferring vaccinations <strong>to</strong><br />

private sec<strong>to</strong>r.<br />

– Sometimes extended time <strong>to</strong> realize new vaccination or <strong>to</strong><br />

react <strong>to</strong> new evidence (e.g. better vaccine with less side<br />

effects) due <strong>to</strong> slow administrative procedures.<br />

– Private sec<strong>to</strong>r arguments: Lack <strong>of</strong> continuity <strong>of</strong> care.

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