Citizen trust, administrative capacity and administrative burden in Pakistan’s immunization program
نویسندگان
چکیده
Pakistan has the highest infant mortality rate in South Asia, is one of two countries where wild polio still endemic, and ranked third for un- or under-immunized children. Why this case when considerable donor government funds have been spent on Pakistan’s Expanded Program Immunization (EPI)? Based a year mixed methods research district Kasur Punjab, Pakistan, we focus vaccination as site interaction between citizens state apply concept administrative burden to explain vaccine hesitancy Pakistan. As immunization non-means tested program approaches expecting full compliance, argue that learning, psychological, compliance costs are exacerbated by context which parents interact with frontline bureaucrats. Citizens’ distrust an often absent coercive low capacity (specifically overburdened staff, inadequate facilities, rushed digitization) multiplier effect burdens imposed young children accessing programs. Therefore, attempts vaccinate exacerbate distrust, limited hinders state’s ability reduce experienced citizens.
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ژورنال
عنوان ژورنال: Journal of behavioral public administration
سال: 2021
ISSN: ['2576-6465']
DOI: https://doi.org/10.30636/jbpa.41.184