vaccinations

Infant immunisation is currently a focus of national and global policy attention in relation to Africa as a key means to address ill-health and contribute to the Millennium Development Goals. Yet vaccination coverage is stagnant or falling in many African countries. Redressing such declines, and ensuring the effectiveness and sustainability of proposed expansion of immunisation programmes, requires a sound understanding of the factors shaping vaccine delivery and acceptance in contemporary African health systems. This paper explores these issues through an anthropological approach.