Reimagining Public Health: Unravelling Challenges to Routine Immunization Access in Urban Communities for Migrants, the Urban Poor, and Underserved Groups
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https://doi.org/10.56450/JEFI.2024.v2i02.003Keywords:
Immunization, Universal Health Coverage, Urban Health, Urban poorIssue
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Copyright (c) 2024 Ankita Tiwari
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Background: In urban settings, ensuring equitable access to routine immunization services presents a complex challenge, particularly for marginalized groups such as migrants, the urban poor, and other underserved populations. The National Urban Health Mission (NUHM) was launched to address the health concerns of the urban poor by facilitating equitable access through rationalizing and strengthening the existing health delivery capacity. Aims and Objectives: This study aims to explore the multifaceted barriers faced by underserved communities in accessing routine immunization services and proposes strategies to promote health equity in urban settings, ultimately bridging these gaps. Methodology: The framework of the NUHM was analysed to understand its impact on providing public health services to the urban population, with a specific focus on the urban poor and slum populations. The study examines the principles underpinning Universal Health Care, such as equity, participatory governance, and intersectoral collaboration, to address the social determinants of health. Results: Findings indicate that despite the NUHM's efforts, significant barriers to routine immunization access persist for marginalized urban communities. These barriers include socio-economic disparities, inadequate healthcare infrastructure, and limited community engagement. Conclusion: To achieve health equity, there is a need for innovative strategies that address these barriers comprehensively. Strengthening intersectoral collaboration, enhancing community participation, and improving healthcare infrastructure are crucial steps toward promoting equitable access to immunization services for all urban residents, particularly the underserved.Abstract
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Author Biographies
Ankita Tiwari, 1UNICEF, Gandhinagar, Gujarat
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Goutam Sadhu, IIHMR University, Jaipur, Rajasthan
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World Health Organization. Immunization coverage and health equity. Geneva: WHO Centres for Disease Control and Prevention. Strategies for improving immunization coverage rates in urban areas. Census 2011. https://censusindia.gov.in/ accessed on 23.04.24 NUHM framework 2023. https://nhsrcindia.org/sites/default/files/2023 accessed on 01.05.23 Immunization Agenda 2030 https://www.who.int/teams/immunization-vaccines-and-biologicals/strategies/ia2030 accessed on 12.12.24 Atkinson SJ, Chenye J. Immunisation in urban areas: issues and strategies. World Health Organ. 1994;72(2):183-94. UNICEF reports United Nations. Sustainable Development Goals: Goal 3 - Ensure healthy lives and promote well-being for all at all ages. New York: UN; 2015. Brown DW, Burton A, Gacic-Dobo M, Karimov RI, Vandelaer J, Okwo-Bele JM. A mid-term assessment of progress towards the immunization coverage goal of the Global Immunization Vision and Strategy (GIVS). BMC Public Health 2011; 11:806. Nitika, Lohiya A, Nongkynrih B, Gupta SK. Migrants to urban India: need for public health action. Indian J Community Med. 2014;39(2):73-5 Belt, R.V.; Abdullah, S.; Mounier-Jack, S.; Sodha, S.V.; Danielson, N.; Dadari, I.; Olayinka, F.; Ray, A.; Crocker-Buque, T. Improving Equity in Urban Immunization in Low- and Middle-Income Countries: A Qualitative Document Review. Vaccines 2023, 11, 1200. https://doi.org/10.3390/vaccines11071200 Urban Immunization: A tool kit for those planning to address inequitable immunization coverage in the urban context. September 2018 Oyo-Ita A, Oduwole O, Arikpo D, Effa EE, Esu EB, Balakrishna Y, et al. Interventions for improving coverage of childhood immunisation in low- and middle-income countries. Cochrane Database Syst Rev. 2023;12(12) Ekezie W, Awwad S, Krauchenberg A, Karara N, Dembiński Ł, Grossman Z, et al. Access to Vaccination among Disadvantaged, Isolated and Difficult-to-Reach Communities in the WHO European Region: A Systematic Review. Vaccines (Basel). 2022;10(7):1038.
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