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The government reform has led to a more democratic society, facilitating vaccine rejection and hesitancy. The multi-sector partnership played a significant role in maintaining polio immunization coverage. Strong and continuous advocacy and campaign were essential to raising awareness of the community and policymakersto keep polio in the agenda and to maintain the high polio immunization coverage. Competing priority was the major factor affecting high polio immunization coverage during the decentralization transition. Strong advocacy is ne
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