Abstract
Immunization is one of the most cost-effective interventions of Public Health in reducing global child morbidity, mortality and lifetime disabilities. Despite immunization programme being in place for decades and significant improvement in immunization services and administrative coverage,cases of communicable diseases are still occurring and epidemics of Vaccine Preventable Disease (VPDs)continue to take place. This is a clear indication that certain factors are being overlooked in implementation.This is descriptive study in whichcausal design has been used to assess relationship between Human Resource (HR) Factorsincluding workload, employee motivation and supportive supervision. It also looks into factors related to infrastructure; vaccine availability, vaccine storage, vaccine transportation andadministration factorssuch as public awareness, policy and trainings byExpanded Programme on Immunization (EPI) implementation in District Okara of Punjab Province.The data was collected from 271 employees of Department of Primary & Secondary Healthcare, Punjab involved in EPI Okara.Likert scale five-point option questionnaire was employed for data collection of targeted individuals. Responses of all respondents have been entered in SPSS and analyzed statistically.Results revealed that HR, Infrastructure and Administration factors have significant association with EPI implementation. Infrastructure can bringabout a major change in EPI implementation with beta value of 0.438 comparatively with significance level of 0.000.Thus, with effective tacklingof these factorswe can have motivated employees, better immunization planning and a sense of enhanced ownership among community members whichcan help us achieve the goals of EPI Programme - to immunize every child to reduce morbidity, mortality and disability.

Shahzad Amir , Ain ul Momina Sonia Omer, Sulsabeel Iftikhar , Rizwan Ullah Siddiqui , Sadia Jamal. (2020) Analysis of Potential Factors Influencing EPI Implementation in Punjab, Pakistan, Journal of Pakistan Vision, Volume 21, Issue 1.
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