Franchising Rabies Vaccine Delivery The Case of Indian Immunologicals 英文参考文献.docVIP

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Franchising Rabies Vaccine Delivery The Case of Indian Immunologicals 英文参考文献.doc

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Franchising Rabies Vaccine Delivery The Case of Indian Immunologicals 英文参考文献

Symposium FranchisingRabiesVaccineDelivery:TheCaseofIndian Immunologicals HassanMasum1*,HimaBatavia1,NatashaBhogal1,KimLe2,PeterA.Singer1 1McLaughlin-RotmanCentreforGlobalHealth,Toronto,Ontario,Canada,2FacultyofMedicine,UniversityofToronto,Toronto,Ontario,Canada K. V. Balasubramaniam of Indian Im- munologicals Ltd. describes their motiva- tion to developone ofthelargest vaccine deliveryfranchisesintheworld,withover 3,000locationsacrossIndia: butionoftreatmentsforneglectedtropical diseases (NTDs). While numerous health delivery franchises have been established in thedeveloping world[5],IIL is toour able option for many developing world populations [6]. The safer and more effective alternative was tissue culture vaccine, endorsed by WHO in the early 2000s as the preferred option [7]. The Indiangovernmentdiscontinuedtheuseof nerve tissue rabies vaccine in 2005 [2,3], though its occasional availability has still beenobserved[8]. knowledge one of the largest health delivery franchisesfor vaccination against anNTDintheworld. There’saninadequateorpoorsupplyoffree vaccinesinthepublichealthsystem,andwe don’t have universal credibility of the cold chain…sothepoorerclassnearthepoverty linehastogoandstandinaqueuetoget thevaccine,toimmunizetheirchildren.We wantedtobridgethatgap.Givethequality, maintain cold chain, affordability, and proper availability throughout the country withanetworkofqualifiedpeople. OuranalysisofIIL’sapproachdrawsona detailedcasestudyconductedbetween2005 and 2009, which included semi-structured interviewswithkeyinformants,sitevisitsin India,andliteratureanalysis.Weconducted interviews with written informed consent with approximately two dozen physicians, franchisors, and IIL personnel. Interviews rangedfrom20minutestooveranhourin length, and all interviews were transcribed and subsequently analyzed. We also ana- lyzed annual reports, background docu- ments from the peer-reviewed literature, newsreports,books,governmentandnon- governmental organizati