title: Immunization against Japanese encephalitis in China: a policy analysis.
abstract: This study examined the impact of Japanese encephalitis (JE) immunization policies on disease trends in China. Through a document review and key source interviews in eight provinces, the study found, JE immunizations were provided via a combination of fee-for-service and government funding. Unequal government funding and unbalanced economic development led to variation in JE incidence levels between provinces. Government support of low-fee JE immunization, has led to nationwide decline of JE incidence by >90%; however, greater reliance on user fees and market mechanisms in rural areas has limited the provision of JE and other childhood immunizations to poor rural children.
authors.affiliation: International Vaccine Institute, P.O. Box 14, Kwanak, Seoul 151-600, Republic of Korea.
authors.forename: Wei
authors.initials: W
authors.lastname: Liu
authors.forename: John D
authors.initials: JD
authors.lastname: Clemens
authors.forename: Jin-ye
authors.initials: JY
authors.lastname: Yang
authors.forename: Zhi Yi
authors.initials: ZY
authors.lastname: Xu
mesh_terms: D002681:China; D004672:Encephalitis, Japanese / Q000517:prevention & control*; D006291:Health Policy; D006801:Humans; D017589:Immunization Programs / Q000191:economics; D022321:Japanese Encephalitis Vaccines / Q000191:economics / Q000276:immunology*
chemical_list: D022321:Japanese Encephalitis Vaccines