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Choosing Vaccination

Negotiating Child Protection and Good Citizenship in Modern India

Bibliographic Data

ID7098264
AuthorsCecilie Nordfeldt (University of Oslo, corresponding author), Sidsel Roalkvam (University of Oslo)
Year2010
Volume37
Issue3
Pages327-347
Publication date2010-11-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueForum for Development Studies (JOURNAL)
Journal identifiersISSN: 0803-9410 • E-ISSN: 1891-1765
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/08039410.2010.513402
OpenAlexW1989183583
LanguageEN
Citations received6
References cited26

A global effort exists today to reach every child worldwide with vaccines. To get there, success in India is deemed cruical by international actors. Despite extensive international resources put into the universal immunization programme in India over the past 25 years, immunization rates remain low. This article explores how socio‐cultural realities in rural North India influence implementation of this effort, and questions the idea that vaccines can provide a quick‐fix road to health improvement. The authors identify three interfaces in rural vaccination programmes: between different knowledge systems; between social classes; and between government and citizens. At these interfaces they explore the role of a new cadre of community health workers (ASHA), deployed as a governmental tool under the National Rural Health Mission (NRHM), a fresh state health initiative. Despite a new language of community participation under the NRHM, reaching top‐down targets remains the main objective set for health workers. Furthermore, information strategies present vaccination as the moral choice according to national needs, catering to discourses in Indian society ultimately legitimizing social inequalities. Choosing to vaccinate becomes a statement of belonging to the modern, implying a high moral status. Marginalized groups, conversely, are blamed for not being part of that moral community. Non‐participation in the programme may represent a wish for dignity and a moral community of one's own. The authors call for a changed focus in preventive health care, in order to reach all parts of the population: quality of delivery, local knowledge and structural constraints must be addressed

Child protection · Citizenship · Negotiation · Political science · Politics · Sociology · Vaccination · Anthropological Studies and Insights · Gender Studies · Law · Medicine · Sex work and related issues · Vaccine Coverage and Hesitancy · Virology

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Unique citing works6
Citations per year0,43
Citation span2012 - 2022 (11)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 6

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