{"id":"https://openalex.org/W4385434643","doi":"https://doi.org/10.1177/11786329231189407","title":"Enablers and Barriers to the Scaling Up of Pneumococcal Conjugate Vaccine in India During the COVID-19 Pandemic: A Qualitative Study","display_name":"Enablers and Barriers to the Scaling Up of Pneumococcal Conjugate Vaccine in India During the COVID-19 Pandemic: A Qualitative Study","publication_year":2023,"publication_date":"2023-01-01","ids":{"openalex":"https://openalex.org/W4385434643","doi":"https://doi.org/10.1177/11786329231189407","pmid":"https://pubmed.ncbi.nlm.nih.gov/37533503","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/10392212"},"language":"en","primary_location":{"id":"doi:10.1177/11786329231189407","doi":"https://doi.org/10.1177/11786329231189407","is_oa":true,"landing_page_url":"https://doi.org/10.1177/11786329231189407","pdf_url":"https://journals.sagepub.com/doi/pdf/10.1177/11786329231189407","source":{"id":"https://openalex.org/S4210235546","display_name":"Health Services Insights","issn_l":"1178-6329","issn":["1178-6329"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","norway-1","oarl","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Services Insights","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://journals.sagepub.com/doi/pdf/10.1177/11786329231189407","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5071366642","display_name":"Rhythm Hora","orcid":"https://orcid.org/0000-0002-0370-6864","observed_orcids":["https://orcid.org/0000-0002-0370-6864"]},"institutions":[{"id":"https://openalex.org/I4210154532","display_name":"John Snow (United States)","ror":"https://ror.org/05pgv5n44","country_code":"US","type":"company","lineage":["https://openalex.org/I4210154532"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Rhythm Hora","raw_affiliation_strings":["John Snow India, New Delhi, India"],"raw_orcid":"https://orcid.org/0000-0002-0370-6864","affiliations":[{"raw_affiliation_string":"John Snow India, New Delhi, India","institution_ids":["https://openalex.org/I4210154532"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5005253126","display_name":"Arindam Ray","orcid":"https://orcid.org/0000-0002-5955-0352","observed_orcids":["https://orcid.org/0000-0002-5955-0352"]},"institutions":[{"id":"https://openalex.org/I1303444417","display_name":"Gates Foundation","ror":"https://ror.org/0456r8d26","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I1303444417"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Arindam Ray","raw_affiliation_strings":["Bill and Melinda Gates Foundation, New Delhi, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Bill and Melinda Gates Foundation, New Delhi, India","institution_ids":["https://openalex.org/I1303444417"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5026892054","display_name":"Rashmi Mehra","orcid":"https://orcid.org/0000-0002-0483-5609","observed_orcids":["https://orcid.org/0000-0002-0483-5609"]},"institutions":[{"id":"https://openalex.org/I4210154532","display_name":"John Snow (United States)","ror":"https://ror.org/05pgv5n44","country_code":"US","type":"company","lineage":["https://openalex.org/I4210154532"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Rashmi Mehra","raw_affiliation_strings":["John Snow India, New Delhi, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"John Snow India, New Delhi, India","institution_ids":["https://openalex.org/I4210154532"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Tanwi Priya","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4390039362","display_name":"Gurugram University","ror":"https://ror.org/049zqw361","country_code":"IN","type":"education","lineage":["https://openalex.org/I4390039362"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Tanwi Priya","raw_affiliation_strings":["Gurugram University, Gurugram, Haryana, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Gurugram University, Gurugram, Haryana, India","institution_ids":["https://openalex.org/I4390039362"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5049126457","display_name":"Seema Singh Koshal","orcid":"https://orcid.org/0000-0003-3349-9744","observed_orcids":["https://orcid.org/0000-0003-3349-9744"]},"institutions":[{"id":"https://openalex.org/I4210154532","display_name":"John Snow (United States)","ror":"https://ror.org/05pgv5n44","country_code":"US","type":"company","lineage":["https://openalex.org/I4210154532"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Seema Singh Koshal","raw_affiliation_strings":["John Snow India, New Delhi, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"John Snow India, New Delhi, India","institution_ids":["https://openalex.org/I4210154532"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5104111942","display_name":"Pankaj Agrawal","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210154532","display_name":"John Snow (United States)","ror":"https://ror.org/05pgv5n44","country_code":"US","type":"company","lineage":["https://openalex.org/I4210154532"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Pankaj Agrawal","raw_affiliation_strings":["John Snow India, New Delhi, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"John Snow India, New Delhi, India","institution_ids":["https://openalex.org/I4210154532"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5110762795","display_name":"Amanjot Kaur","orcid":"https://orcid.org/0000-0001-5560-0140","observed_orcids":["https://orcid.org/0000-0001-5560-0140"]},"institutions":[{"id":"https://openalex.org/I4210154532","display_name":"John Snow (United States)","ror":"https://ror.org/05pgv5n44","country_code":"US","type":"company","lineage":["https://openalex.org/I4210154532"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Amanjot Kaur","raw_affiliation_strings":["John Snow India, New Delhi, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"John Snow India, New Delhi, India","institution_ids":["https://openalex.org/I4210154532"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5052061831","display_name":"Syed F Quadri","orcid":"https://orcid.org/0000-0001-9639-2499","observed_orcids":["https://orcid.org/0000-0001-9639-2499"]},"institutions":[{"id":"https://openalex.org/I4210154532","display_name":"John Snow (United States)","ror":"https://ror.org/05pgv5n44","country_code":"US","type":"company","lineage":["https://openalex.org/I4210154532"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Syed F Quadri","raw_affiliation_strings":["John Snow India, New Delhi, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"John Snow India, New Delhi, India","institution_ids":["https://openalex.org/I4210154532"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5054300729","display_name":"Arup Deb Roy","orcid":"https://orcid.org/0000-0002-6515-8453","observed_orcids":["https://orcid.org/0000-0002-6515-8453","https://orcid.org/0000-0001-9569-3396"]},"institutions":[{"id":"https://openalex.org/I4210154532","display_name":"John Snow (United States)","ror":"https://ror.org/05pgv5n44","country_code":"US","type":"company","lineage":["https://openalex.org/I4210154532"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Arup Deb Roy","raw_affiliation_strings":["John Snow India, New Delhi, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"John Snow India, New Delhi, India","institution_ids":["https://openalex.org/I4210154532"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5071366642"],"corresponding_institution_ids":["https://openalex.org/I4210154532"],"apc_list":{"value":1500,"currency":"USD","value_usd":1500},"apc_paid":{"value":1500,"currency":"USD","value_usd":1500},"fwci":3.2439,"has_fulltext":true,"cited_by_count":12,"citation_normalized_percentile":{"value":0.92090829,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":93,"max":98},"biblio":{"volume":"16","issue":null,"first_page":"11786329231189407","last_page":"11786329231189407"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10833","display_name":"Vaccine Coverage and Hesitancy","score":0.7860999703407288,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10833","display_name":"Vaccine Coverage and Hesitancy","score":0.7860999703407288,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10654","display_name":"Pneumonia and Respiratory Infections","score":0.19089999794960022,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10209","display_name":"Global Maternal and Child Health","score":0.006000000052154064,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/pneumococcal-conjugate-vaccine","display_name":"pneumococcal conjugate vaccine","score":0.9980000257492065},{"id":"https://openalex.org/keywords/vaccine-introduction","display_name":"vaccine introduction","score":0.7720000147819519},{"id":"https://openalex.org/keywords/covid-19","display_name":"COVID-19 pandemic","score":0.8270000219345093},{"id":"https://openalex.org/keywords/childhood-pneumonia","display_name":"pediatric pneumonia","score":0.5849999785423279},{"id":"https://openalex.org/keywords/immunization-programs","display_name":"immunization programs","score":0.5460000038146973},{"id":"https://openalex.org/keywords/vaccine-supply-chain","display_name":"vaccine supply chain","score":0.7360000014305115},{"id":"https://openalex.org/keywords/cold-chain","display_name":"cold chain","score":0.9309999942779541},{"id":"https://openalex.org/keywords/social-mobilization","display_name":"social mobilization","score":0.8199999928474426},{"id":"https://openalex.org/keywords/healthcare-workers","display_name":"healthcare workers","score":0.5600000023841858},{"id":"https://openalex.org/keywords/political-commitment","display_name":"political commitment","score":0.7829999923706055}],"concepts":[{"id":"https://openalex.org/C74196892","wikidata":"https://www.wikidata.org/wiki/Q7781188","display_name":"Thematic analysis","level":3,"score":0.5128602981567383},{"id":"https://openalex.org/C89623803","wikidata":"https://www.wikidata.org/wiki/Q12184","display_name":"Pandemic","level":5,"score":0.5103465914726257},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.454842209815979},{"id":"https://openalex.org/C2778866548","wikidata":"https://www.wikidata.org/wiki/Q7205991","display_name":"Pneumococcal conjugate vaccine","level":4,"score":0.4419122040271759},{"id":"https://openalex.org/C2778139618","wikidata":"https://www.wikidata.org/wiki/Q13440398","display_name":"Workforce","level":2,"score":0.41788938641548157},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.41631221771240234},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.36651667952537537},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.36598363518714905},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.33860939741134644},{"id":"https://openalex.org/C39549134","wikidata":"https://www.wikidata.org/wiki/Q133080","display_name":"Public relations","level":1,"score":0.3257184624671936},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.19861701130867004},{"id":"https://openalex.org/C3008058167","wikidata":"https://www.wikidata.org/wiki/Q84263196","display_name":"Coronavirus disease 2019 (COVID-19)","level":4,"score":0.19044405221939087},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0886262059211731},{"id":"https://openalex.org/C523546767","wikidata":"https://www.wikidata.org/wiki/Q10876","display_name":"Bacteria","level":2,"score":0.0},{"id":"https://openalex.org/C54355233","wikidata":"https://www.wikidata.org/wiki/Q7162","display_name":"Genetics","level":1,"score":0.0},{"id":"https://openalex.org/C36289849","wikidata":"https://www.wikidata.org/wiki/Q34749","display_name":"Social science","level":1,"score":0.0},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C524204448","wikidata":"https://www.wikidata.org/wiki/Q788926","display_name":"Infectious disease (medical specialty)","level":3,"score":0.0},{"id":"https://openalex.org/C2781253189","wikidata":"https://www.wikidata.org/wiki/Q221179","display_name":"Streptococcus pneumoniae","level":3,"score":0.0}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1177/11786329231189407","doi":"https://doi.org/10.1177/11786329231189407","is_oa":true,"landing_page_url":"https://doi.org/10.1177/11786329231189407","pdf_url":"https://journals.sagepub.com/doi/pdf/10.1177/11786329231189407","source":{"id":"https://openalex.org/S4210235546","display_name":"Health Services Insights","issn_l":"1178-6329","issn":["1178-6329"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","norway-1","oarl","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Services Insights","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:10392212","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/10392212","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10392212/pdf/10.1177_11786329231189407.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Serv Insights","raw_type":"Text"},{"id":"pmid:37533503","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/37533503","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health services insights","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:f2c047681cb0440da8c6e126899ac046","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/f2c047681cb0440da8c6e126899ac046","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Health Services Insights, Vol 16 (2023)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1177/11786329231189407","doi":"https://doi.org/10.1177/11786329231189407","is_oa":true,"landing_page_url":"https://doi.org/10.1177/11786329231189407","pdf_url":"https://journals.sagepub.com/doi/pdf/10.1177/11786329231189407","source":{"id":"https://openalex.org/S4210235546","display_name":"Health Services Insights","issn_l":"1178-6329","issn":["1178-6329"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","norway-1","oarl","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Services Insights","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.98580002784729,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"},{"score":0.4943999946117401,"id":"https://metadata.un.org/sdg/9","display_name":"Industry, innovation and infrastructure"}],"study_designs":[],"awards":[{"id":"https://openalex.org/G3432897498","display_name":"AFEF Inc. - to support GROW Fund which will help strengthen the philanthropic ecosystem in India","funder_award_id":"INV-030655","funder_id":"https://openalex.org/F4320306137","funder_display_name":"Bill and Melinda Gates Foundation"}],"funders":[{"id":"https://openalex.org/F4320306137","display_name":"Bill and Melinda Gates Foundation","ror":"https://ror.org/0456r8d26"}],"has_content":{"grobid_xml":false,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4385434643.pdf"},"referenced_works_count":29,"referenced_works":["https://openalex.org/W2119448190","https://openalex.org/W2203849545","https://openalex.org/W2970311621","https://openalex.org/W2987495985","https://openalex.org/W3017308081","https://openalex.org/W3020893930","https://openalex.org/W3037151288","https://openalex.org/W3037385759","https://openalex.org/W3043483772","https://openalex.org/W3044739349","https://openalex.org/W3047779763","https://openalex.org/W3051487206","https://openalex.org/W3080792653","https://openalex.org/W3087533255","https://openalex.org/W3095302211","https://openalex.org/W3096493086","https://openalex.org/W3122277894","https://openalex.org/W3127065102","https://openalex.org/W3130342286","https://openalex.org/W3131119786","https://openalex.org/W3132664109","https://openalex.org/W3138955900","https://openalex.org/W3139436927","https://openalex.org/W3154203560","https://openalex.org/W3177085171","https://openalex.org/W3193415847","https://openalex.org/W3199204526","https://openalex.org/W4205441445","https://openalex.org/W4240182114"],"related_works":["https://openalex.org/W4379471398","https://openalex.org/W4409637540","https://openalex.org/W4389098167","https://openalex.org/W7151631689","https://openalex.org/W4392470375","https://openalex.org/W4409149630","https://openalex.org/W4410014065","https://openalex.org/W4389629096","https://openalex.org/W7129069325","https://openalex.org/W4399484670"],"abstract_inverted_index":{"Background:":[0],"Pneumonia":[1],"is":[2],"one":[3],"of":[4,8,19,33,42,50,70,109,154,177],"the":[5,17,30,34,40,48,56,68,75,89,97,104,115,126,139,178,207,212,242,245,251,255,272],"leading":[6],"causes":[7],"death":[9],"in":[10,13,25,47,72,96,241,250],"under-5":[11],"children":[12],"India.":[14],"This":[15],"led":[16],"Ministry":[18],"Health":[20,129,142],"&":[21],"Family":[22],"Welfare":[23],"(MoHFW)":[24],"India":[26,73,87],"to":[27,62,67,102,113,238,257,265],"decide":[28],"for":[29,133,189],"nationwide":[31],"roll-out":[32,253],"Pneumococcal":[35],"Conjugate":[36],"Vaccine":[37],"(PCV).":[38],"However,":[39],"introduction":[41,69,136,191],"PCV":[43,71,98,190,240,252],"became":[44],"more":[45],"complex":[46],"face":[49],"unprecedented":[51],"challenges":[52],"set":[53],"forth":[54],"by":[55],"COVID-19":[57],"pandemic.":[58,76,246,273],"The":[59,170,231,247],"study":[60,171,232],"aims":[61],"assess":[63],"enablers":[64,105,188,235],"and":[65,106,141,162,180,202,222,236],"barriers":[66,214,237,249],"during":[74,244,271],"Methodology:":[77],"Qualitative":[78],"research":[79],"approach":[80,122],"involving":[81],"key-informant":[82],"interviews":[83],"from":[84],"John":[85],"Snow":[86],"(JSI),":[88],"lead":[90],"technical":[91,165],"agency":[92],"that":[93],"supported":[94],"MoHFW":[95],"expansion":[99],"was":[100,111,123],"employed":[101,112],"delineate":[103],"barriers.":[107],"Principle":[108],"saturation":[110],"derive":[114],"sample":[116],"size.":[117],"Thematic":[118],"analysis":[119,149],"using":[120,144],"inductive":[121],"based":[124],"on":[125,138],"modified":[127],"World":[128],"Organization":[130],"(WHO)":[131],"framework":[132],"new":[134,268],"vaccine":[135,195,269],"impact":[137],"Immunization":[140],"Systems,":[143],"NVIVO":[145],"12":[146],"qualitative":[147],"data":[148],"software.":[150],"Results:":[151],"A":[152],"total":[153],"11":[155],"key":[156,262],"informants":[157],"(4":[158],"national-level":[159],"program":[160],"managers":[161],"7":[163],"state":[164],"officers)":[166],"were":[167],"telephonically":[168],"interviewed.":[169],"found":[172],"social":[173,220],"acceptance,":[174],"lower":[175],"cost":[176],"vaccine,":[179],"intensive":[181],"communication":[182],"activities":[183],"as":[184],"potential":[185],"enablers.":[186],"Other":[187],"included":[192,215],"a":[193,227],"robust":[194],"supply-chain":[196],"system,":[197],"ample":[198],"cold-chain":[199],"space":[200],"availability,":[201],"strong":[203],"political":[204],"commitment,":[205],"despite":[206],"ongoing":[208],"second":[209],"wave.":[210],"Further,":[211],"identified":[213],"poor":[216],"physical":[217],"access,":[218],"insufficient":[219],"mobilization,":[221],"limited":[223],"advocacy":[224],"along":[225],"with":[226],"stretched":[228],"workforce.":[229],"Conclusion:":[230],"delineated":[233],"several":[234],"introducing":[239],"country":[243],"existing":[248],"prompted":[254],"need":[256],"address":[258],"these":[259],"gaps,":[260],"making":[261],"program-based":[263],"recommendations":[264],"improve":[266],"future":[267],"introductions":[270]},"counts_by_year":[{"year":2025,"cited_by_count":5},{"year":2024,"cited_by_count":5},{"year":2023,"cited_by_count":2}],"updated_date":"2026-10-29T09:56:32.521200","created_date":"2023-08-01T00:00:00"}
