Health activists say new policy may not address the weaknesses in ongoing routine immunisation programmes and would flood poor countries with new vaccines When the global health leaders meet in Geneva from May 21 to 26 for the World Health Organization's 65th General Assembly, introducing new vaccines in the low- and middle-income countries would be high on their agenda. A “global draft vaccine action plan”, available on WHO's website, details the implementation...

Ignoring widespread concern over the safety, efficacy and cost of pentavalent vaccines, India’s central health ministry has, this month, approved inclusion of the prophylactic cocktail in the universal immunisation programme in seven of its provinces. Pentavalent vaccine doses, a cocktail of five antigens in a single shot, confers immunity against five paediatric diseases - diphtheria, pertussis, tetanus, hepatitis B and haemophilus influenza type b (Hib), with the last one considered particularly...

The accredited social health activists (ASHAs) — the first port of call for health care under the National Rural Health Mission (NRHM) — will be entrusted with additional responsibilities, albeit with better monetary incentives, as the Mission Steering Group – the highest decision making body of the NRHM — has approved the proposal for involving them in activities such as spacing between births, promoting iodised salt and village sanitation. The ASHAs...

India has just been taken off the World Health Organisation (WHO) list of polio-endemic countries. And if the success of not having a single new case over the past year is sustained for another two years, India will finally emerge as a polio-free country. The nation's public health administrators and international agencies deserve praise for this achievement. This is also perhaps just the right moment to recall the hands-on leadership role...

While welcoming the report of the High Level Expert Group on Universal Health Coverage for India for its comprehensive vision and many well-conceived recommendations, this article focuses on the conditions needed for its promise to bear fruit. Towards this, it explores the political dimension, which comprises the forces and interests that come into play to shape and reconfigure administrative policy and its implementation.   We are grateful to Anand Zachariah and Susie...