5 research outputs found

    ‘Vaccinate my village’ strategy in Malawi: an effort to boost COVID-19 vaccination

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    Objectives To boost COVID-19 vaccine uptake, an innovative ‘vaccinate my village’ (VMV) strategy using door-to-door vaccination by Health Surveillance Assistants (HSA) was adopted. In this study, we assessed the impact of the ‘vaccinate my village’ strategy on COVID-19 vaccine uptake. Methods This was a cross-sectional review of the data on COVID-19 vaccination obtained from the Ministry of Health, Malawi, from 11 March 2021 to September 2022. Results From March 2021–4 September 2022,091,551 COVID-19 vaccine doses were administered, out of which 2,253,546 were administered over just six months as a part of VMV as compared to 1,838,005 doses were administered over 13 months as a part of other strategies. The proportion of Malawi’s population receiving at least one dose of the COVID-19 vaccine increased substantially from 4.66 to 15.4 with the implementation of the VMV strategy (p = 0.0001). District-wise coverage of the COVID-19 vaccine also increased significantly after its implementation (p = 0.0001). Conclusions Door-to-door vaccination involving HSAs benefitted the COVID-19 vaccination program in Malawi by ensuring accessibility, availability, and acceptability

    Volume 177: Defense, Deficits, and Deployments: The Future of U.S. Military Policy

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    Created as part of the 2012 Jackson School for International Studies SIS 495: Task force. Adam Smith Task Force Advisor; Erin C. Conaton Evaluator.America’s economic strength and military might go hand in hand. Each is indispensable to the other. Thus, in times such as the present when America’s deteriorating fiscal position requires swift and reasoned attention, it becomes incumbent on the Department of Defense to evaluate how its own operations help or hinder the situation. Deliberate decisions by Congress have further entrenched this relationship vis-à-vis the Budget Control Act of 2011 which directly imposes cuts to DoD spending as part of a larger effort to bring the federal budget toward balance. Even if not for the fiscal circumstances, the present moment is a good one for reevaluating the trajectory of US military strategy. Now that Operation Iraqi Freedom has ended and activities in Afghanistan are waning, DoD will face very different demands on its resources than it has over the past ten years. Asymmetric threats to national security such as terror cells and cyber warfare also continue to pose novel challenges, requiring adaptation by the department
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