In 2008, both the World Health Organization’s (WHO) World Health Assembly and the Strategic Advisory Group of Experts on Immunization noted that little had been documented concerning the obstacles faced by Lower-middle-income countries (LMICs) in adopting new vaccines. LMICs receive little external support for their vaccination programs, despite a birth cohort of nearly 80 million and the burden of disease from vaccine-preventable diseases. The GAVI Alliance (Global Alliance for Vaccines and Immunization) assists 41 low-income countries (LIC), as well as some (31) coun
