chapter  12
22 Pages

Improving Vaccination Coverage in Urban Areas Through a Health Communication Campaign: The 1990 Philippines Experience

WithSusan Zimicki, Robert C. Hornik, Cecelia C. Verzosa, José R. Hernandez, Eleanora de Guzman, Manolet Dayrit, Adora Fausto, and Mary Bessie Lee

Since the WHO Expanded Program on Immunization (EPI) was instituted in 1974, there has been a considerable increase in worldwide vaccination. Programmatic factors identified as important in achieving and maintaining high coverage include an adequate supply of vaccine (Cutts, Soares, et al., 1990; Subramanyam, 1989), accessibility of vaccination sites and convenient hours for vaccination (Belcher, Nicholas, Ofosu-Amaah, & Wurapa,


University of Pennsylvania

Cecelia C. Verzosa Academy for Educational Development, Washington, DC

José R. Hernandez Department of Health, San Lazaro Compound, Manila, Philippines

Department of Health, Manila, Philippines

1978; Cutts, Rodrigues, Colombo, & Bennett, 1989; Friede, Waternaux, Guyer, de Jesus, & Filipp, 1985), short waiting times (Cutts, Soares, et al., 1990a; Eng, Naimoli, Naimoli, Parker, & Lowenthal, 1991; Unger, 1991), and low rates of “missed opportunities” for vaccination (Cutts, Glik, et al., 1990; Cutts et al., 1989; Cutts, Soares, et al., 1990; Loevinsohn, 1989; Steinhoff, Cole, Cole, John, & Pereira, 1985).