Administratively, the health system is divided into fourlevels: central Ministry of Health (MOH); provincial health departments, district level health offices and communal. The service delivery network is quite well organized and has wide coverage. There are health facilitiesat all four levels.
Public health services in Uganda are delivered through a network of eleven regions in eighty health districts.
In Sri Lanka, both public and private sectors provide health care. The public sector provides free health care for nearly 60% of the population. The Department of Health Services and the Provincial Health Sector, Ministry of Healthcare and Nutrition, encompass the entire range of preventive, curative and rehabilitative health care provision. The Expanded Program on Immunization (EPI) has been in operation since 1978.
Following a 2008 decentralization program, primary health care services in Sierra Leone are the responsibility of 19 local councils (12 district councils, 5 town councils, the Freetown City Council and the Western Area Rural Council).
Nigeria's public health infrastructure consists of a Federal Ministry of Health, six health zones, 37 state health ministries and about 1,300 health centers serving 774 Local Government Areas. The Federal Ministry of Health directs Nigeria's essential public and curative health functions including laboratories, disease surveillance and 53 Federal Tertiary Hospitals. The Ministry generates national health policies, plans and norms and translates national policy to state and local levels.
Immunization is an essential component of Nepal’s Second Long‐Term Health Plan 1997‐2017. The Child Health Division of the Department of Health Services, Ministry of Health and Population, is the home of Nepal’s National Immunization Program (NIP). The federal NIP team provides leadership, normative and managerial support. Implementation is the responsibility of EPI sections in the five regional and 75 district Health Directorates.
Before independence, the Mongolian health care system was entirely financed out of the central budget, and all services were provided free of charge. The system is still primarily owned and funded by the Government, although the latter looks forward to an increasing share and role for the private sector as a strategic objective sector.
Primary health care services, including immunization, are delivered through 59 health districts. There is an EPI Unit in each of the country’s nine health regions.
In 2004 the country began de‐centralizing its health system. Immunizations are delivered through 22 regions, 111 districts and 2,392 public health centers. Vaccination is part of the minimum package of activities in each center.
Liberia’s National Health Policy and Plan 2007‐2011 identifies immunization as one of the key programs in the essential child health package. Liberia launched its Expanded Program on Immunization (EPI) in 1978. The Program is located in the Preventive Services Division, Health Services Department, Ministry of Health & Social Welfare. A National EPI Manager and the network of Country Health Officers oversee and coordinate all EPI‐related activities.
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