title: How can measles eradication strengthen health care systems?
abstract: Elimination and eradication initiatives are generally delivered through a vertical approach, which can potentially hamper health systems. We propose 3 approaches by which a measles eradication initiative can ensure that health systems are left strengthened when the eradication goal has been accomplished. First, focus should be placed on strengthening routine vaccination, which could generate positive trickle-up effects on other primary health care services. Second, increased integration with multifunctional health services should be emphasized. Third, efforts should be made to change traditional donor behavior that prioritizes vaccination campaigns and uses uncoordinated staff incentives.
authors.affiliation: Department of Global Health and Development, London School of Hygiene and Tropical Medicine, 5–17 Tavistock Place, London WC1H 9SH, UK. ulla.griffiths@Ishtm.ac.uk
authors.forename: Ulla K
authors.initials: UK
authors.lastname: Griffiths
authors.forename: Sandra
authors.initials: S
authors.lastname: Mounier-Jack
authors.forename: Valeria
authors.initials: V
authors.lastname: Oliveira-Cruz
authors.forename: Dina
authors.initials: D
authors.lastname: Balabanova
authors.forename: Piya
authors.initials: P
authors.lastname: Hanvoravongchai
authors.forename: Pierre
authors.initials: P
authors.lastname: Ongolo
mesh_terms: D003695:Delivery of Health Care / Q000592:standards*; D004196:Disease Outbreaks / Q000517:prevention & control; D005376:Financial Management; D014943:Global Health; D006077:Government Agencies; D006801:Humans; D007391:International Cooperation; D008457:Measles / Q000191:economics / Q000517:prevention & control*; D008458:Measles Vaccine / Q000008:administration & dosage* / Q000191:economics*; D009313:National Health Programs / Q000191:economics*; D011159:Population Surveillance / Q000379:methods; D014611:Vaccination / Q000191:economics / Q000592:standards*
chemical_list: D008458:Measles Vaccine