[Development of an operational immunization programme (author's transl)]

Following the severe 1974 W. H. O. warning, many countries want to develop an expanded programme of immunization during the period extending till 1990, to control 6 major diseases: diphtheria, tetanus, poliomyelitis, pertussis, measles and TB. No single programme can be proposed as the economic, epidemiological and structural problems differ according to countries and regions. C. Fillastre suggests a methodology to be used in the assessment of the initial situation with regard to existing epidemiological data, immunizations against the afore mentioned diseases, vaccines health structures (cold chain) and staff. The implementation of the supervision of material and staff and of an assessment system, allowing programme changes at any time on the basis of improvements achieved is mandatory.