P. HanvoravongchaiS. Mounier-JackV. Oliveira CruzD. BalabanovaR. BiellikY. KitawT. KoehlmoosS. LoureiroM. MollaH. NguyenP. Ongolo-ZogoU. SadykovaH. SarmaM. TeixeiraJ. UddinA. DabbaghU. K. GriffithsMahidol UniversityLondon School of Hygiene & Tropical MedicineIndependent DepartmentIndependent DepartmentICDDRB, Division of Health Systems and Infectious DiseasesUniversidade Federal da BahiaAddis Ababa UniversityHanoi School of Public HealthCentral Hospital of Yaounde FMBSOrganisation Mondiale de la Sante2018-05-032018-05-032011-07-01Journal of Infectious Diseases. Vol.204, No.SUPPL. 1 (2011)002218992-s2.0-79960851883https://repository.li.mahidol.ac.th/handle/20.500.14594/12464Background. One of the key concerns in determining the appropriateness of establishing a measles eradication goal is its potential impact on routine immunization services and the overall health system. The objective of this study was to evaluate the impact of accelerated measles elimination activities (AMEAs) on immunization services and health systems in 6 countries: Bangladesh, Brazil, Cameroon, Ethiopia, Tajikistan, and Vietnam. Methods. Primary data were collected from key informant interviews and staff profiling surveys. Secondary data were collected from policy documents, studies, and reports. Data analysis used qualitative approaches. Results. This study found that the impact of AMEAs varied, with positive and negative implications in specific immunization and health system functions. On balance, the impacts on immunization services were largely positive in Bangladesh, Brazil, Tajikistan, and Vietnam, while negative impacts were more significant in Cameroon and Ethiopia. Conclusions. We conclude that while weaker health systems may not be able to benefit sufficiently from AMEAs, in more developed health systems, disruptions to health service delivery are unlikely to occur. Opportunities to strengthen the routine immunization service and health system should be actively sought to address system bottlenecks in order to incur benefits to eradication program itself as well as other health priorities. © The Author 2011. Published by Oxford University Press on behalf of the Infectious Diseases Society of America. All rights reserved.Mahidol UniversityMedicineArticleSCOPUS10.1093/infdis/jir091