How can measles eradication strengthen health care systems?

J Infect Dis. 2011 Jul;204 Suppl 1:S78-81. doi: 10.1093/infdis/jir090.


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.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Delivery of Health Care / standards*
  • Disease Outbreaks / prevention & control
  • Financial Management
  • Global Health
  • Government Agencies
  • Humans
  • International Cooperation
  • Measles / economics
  • Measles / prevention & control*
  • Measles Vaccine / administration & dosage*
  • Measles Vaccine / economics*
  • National Health Programs / economics*
  • Population Surveillance / methods
  • Vaccination / economics
  • Vaccination / standards*


  • Measles Vaccine