Abstract
Impact of COVID-19 lockdown on routine immunisation in Karachi, Pakistan
Highlights
The swift spread of COVID-19 has upended health systems and affected all health services
Immunisation services in Karachi are provided through the Expanded Programme on Immunization (EPI) and are mainly based in clinics, with the private sector having a broader role in vaccination delivery in the urban areas of Karachi than in the rural areas of the province
The first case of COVID-19 in Pakistan was reported from Karachi on Feb 26, 2020,6 and, to contain and curb further spread of the disease, a provincial lockdown was instituted on March 23, 2020
Summary
The swift spread of COVID-19 has upended health systems and affected all health services. Karachi has the highest number of under vaccinated children when compared with other megacities in Pakistan and globally (where subnational data are available) and is one of the last reservoirs of wild-type poliovirus.[5] Immunisation services in Karachi are provided through the Expanded Programme on Immunization (EPI) and are mainly based in clinics (ie, fixed-centre), with the private sector having a broader role in vaccination delivery in the urban areas of Karachi than in the rural areas of the province.
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