Biography
Biography: Pramod Jog
Abstract
Vaccination remains one of the most cost-effective preventions in the medical field. Even the cost of most expensive vaccines is less than the burden of the morbidity and mortality of the illnesses, and the cost of their treatment thereof. Every child has the right to receive all the approved, age appropriate vaccines in that country. Yet not many would be able to afford them. Therefore, the private practitioner has to prioritize on the offering of as many vaccines as possible to as many children coming to the facility. Designing an immunization schedule of an individual child with resource strains is indeed a daunting task. One has to prioritize various vaccines based on disease epidemiology, risk to that particular child, safety and immunogenicity of the vaccine and also availability of affordable vaccines in the vicinity. Hence, various factors need to be considered while prioritizing the vaccines. These factors can be conveniently placed in the form of a mnemonic NESCAFE which stands for Need, Efficacy, Safety, Cost-effectiveness, Affordability, Flexible situations and Ethical issues.