Table 1.

Demand and supply side barriers in effective implementation of EPI

Issues	Demand/supply side barriers
1. Low awareness level among caregivers and healthcare providers regarding vaccine-preventable diseases and their risks	Demand
2. Concerns of caregivers about safety of oral polio vaccine	Demand
3. Belief in and use of local remedies for prevention and treatment	Demand and supply
4. Low knowledge and awareness of health care workers regarding VPDs and their prevention	Supply
5. Distance, time, and cost of travel to health facility and long waiting time there	Demand and supply
6. Unavailability of vaccines and vaccinators and dissatisfaction with quality of service	Demand and supply
7. Missing vaccination card in the home	Demand