ANALYSIS

The New Decade of Vaccines

By Ane Fisker and Amabelia Rodrigues, Bandim Health Project

In Guinea-Bissau, the implementation of the vaccination programme may be associated with increased mortality. The immunisation coverage for measles vaccine has decreased within the last four years. Failed donor focus and inappropriate monitoring parameters of both new and expensive vaccines and cheaper old vaccines will have implications for child mortality.

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Systems do not have brains

Systems do not have brains: the hidden long term costs of user fees

In 1980s, user fees for health care were introduced without supporting scientific evidence. Thirty years later universal health care is advocated without scientific research of the situation. As a result, unofficial user fees are today worsening gender and health inequality.

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