The Effectiveness and Rightfulness of Tax on Sugary Beverages in Thailand

Total Page:16

File Type:pdf, Size:1020Kb

The Effectiveness and Rightfulness of Tax on Sugary Beverages in Thailand The Effectiveness and Rightfulness of Tax on Sugary Beverages in Thailand Master Thesis International Business Law Author: Panuwud Wongcheen SNR: U736075 Master: International Business Law (LLM) Year: 2018-2019 Supervisor: Paul Obmina Abstract In 2017, Thailand started to imposed tax on sugary beverages from the concerns of the rise of obesity among adults, children, and monks. While other jurisdictions usually set the tax by volume-based, Thailand sets the tax based on sugar content in each beverage ranging approximately from 1-10percent of the price of the product. The tax is only imposed on the natural sugar-sweetened products; thus, artificial sweeteners can be used without any tax imposing on. Dairy products such as fresh milk, flavored milk, and yogurt drinks are exempted. The sweeter the product is, the more tax it has to pay. However, the weaknesses in achieving the obesity reduction goal still exist. It is true that when the consumer would avoid sweeter beverages and swap to the less sweet product. However, when the consumer drinks two bottles of less sweet products, the sugar which he receives could be more than one bottle sweet product. The consumer should consume less sugary beverages due to the higher price regarding the rational choice theory and other economic theories. However, there has been no evidence reporting the successfulness in any jurisdictions in the long term. This thesis will analyze what are the commonalities between each jurisdiction, the mutual overlook aspects and suggest the improvements that it should take into consideration. The rightfulness of tax is likely to be not. When the government enacts regulations, which impact rights and liberties of the people with the police power, it needs to comply with provisions under the constitution. However, sugar tax was made by the taxation power, which was delegated to the excise department and did not need to follow the provisions of police power under the constitution. It has complied with all provisions and is considered legal under Thai law. However, according to the tax principle, this tax seems to discriminating categories of products arbitrarily while neglecting the fact that other products besides sugary beverages can also cause obesity and require tax imposition. It is also made in the ineffective level and show fewer effects on some parties who have close relationships with the political party. Lastly, it respects freedom of choice and is set at a low rate for not causing the loss of purchase power and oppressing the poor. The rate is too low for efficient performance; thus, might not show make it reach the expected public interest goal. When it cannot satisfy all of the tax principle pillars while meets all legal provisions, it might be considered legal but not rightful under the tax principle. Keywords: Obesity, Tax, Pigouvian tax, effectiveness, Sugary beverages, Externalities 2 Table of Contents Abstract ................................................................................................................................................................ 2 Chapter 1: Introduction........................................................................................................................................ 5 1.1 Background and problems .................................................................................................................. 5 1.2 Research Question ............................................................................................................................... 7 1.3 Objective of the Study ......................................................................................................................... 8 1.4 Methodology .............................................................................................................................................. 8 1.5 Major findings ............................................................................................................................................ 8 Chapter 2: OBESITY AND ITS PROBLEMS ........................................................................................................... 10 2.1. Obesity .................................................................................................................................................... 10 2.2.1 Obesity definition and health impacts ............................................................................................. 10 2.2.2 Causes of obesity .............................................................................................................................. 13 2.2.3 Current situation of obesity in Thailand and worldwide................................................................. 18 2.2. Obesity and economic impacts............................................................................................................... 19 CHAPTER 3: TAX FOR BEHAVIORS CONTROL IN THEORIES ............................................................................... 21 3.1 Freedom of choice and Rationale of choice theory ................................................................................ 21 3.2 Market failure and intervention for public interest ............................................................................... 23 3.3 Pigouvian tax, solution of market failure ................................................................................................ 25 3.4 Optimally effective regulation and policy in theory ............................................................................... 29 3.5 Excise tax Approach ................................................................................................................................. 31 3.6 Price Elasticity of Demand (PED) ............................................................................................................. 32 3.6 Previous failure of Interventions ............................................................................................................. 36 3.6.1 Alcohol .............................................................................................................................................. 36 3.6.2 Tobacco ............................................................................................................................................. 37 CHAPTER 4: ANALYSIS OF THE REGULATION AND THEIR EFFECTIVENESS ....................................................... 39 4.1 REGULATORY FRAMEWORKS WORLDWIDE ............................................................................................ 39 4.2.1 Mexico ............................................................................................................................................... 43 4.2.2 Norway .............................................................................................................................................. 46 4.2.3 Hungary ............................................................................................................................................. 49 4.3 Thailand in comparison with other jurisdictions .................................................................................... 52 4.4 SUMMARY ................................................................................................................................................ 59 CHAPTER 5: Challenges in the Implementation of the Sugar tax ..................................................................... 65 5.1 Inaccurate and unfair focusing .......................................................................................................... 65 5.2 Practicality ......................................................................................................................................... 67 3 5.3 Cost for substitutes ........................................................................................................................... 69 5.4 Regressivity ........................................................................................................................................ 71 5.5 Political lobbying ............................................................................................................................... 72 5.6 Uncontrolled pass-through tax and cartels ...................................................................................... 74 Chapter 6 Rightfulness of the sugar tax ............................................................................................................ 75 6.1 Police power and Taxation ...................................................................................................................... 75 6.1.1 Police power ..................................................................................................................................... 75 6.1.2 Exercises of police power ................................................................................................................. 81 6.2 Taxation and its limitation ....................................................................................................................... 88 6.2.1 Taxation power and its limitation .................................................................................................... 88 6.2.2 Legality of Sugar Tax ......................................................................................................................... 89 6.3 Paternalism and taxation........................................................................................................................
Recommended publications
  • Economic Impact of Obesity: the Thai Case
    Economic Impact of Obesity: the Thai Case Alia Luz, HITAP International Unit (HIU) 1 Outline • Health system context • Epidemiology of Obesity • Etiology and Risk Factors • Economic Impact • Methodology • Economic cost by gender, disease category, cost component • Discussion and Limitations • Recommendations 2 Health System Context • Population: 68 million (2016) • In 2013, Health expenditure: 3.9% of GDP (Public 80%) • Universal health insurance coverage (UHC) established in 2002 • Ministry of Public Health (MOPH) and National Health Security Office (NHSO) principal agencies • Increased demand for covering high-cost health interventions 3 Thailand’s three public health insurance schemes Civil Servants Social Security Scheme Universal Coverage Medical Benefit (SSS) Scheme (UC) Scheme (CSMBS) Start 1963 1990 2002 Eligible Government Formal-sector private The rest of population employees, employees who are not covered by pensioners and SSS and CSMBS their dependents Coverage 7% 13% 80% Source of General tax Tripartite from -General tax finance employer, - Managed by National employee, government Health Security Office (NHSO) 4 Epidemiology of Obesity • Obesity measures based on BMI cut-off 25 kg/m2 for Asian populations • 41% of females, 28% of males, and almost 10% of Thai children are obese (2009) • Obesity prevalence for females was 2x higher than their male counterparts (1991, 1996); but ratio of obese females to males has gone down 5 Epidemiology of Obesity Rural and Urban areas • Childhood obesity prevalence increased at a higher rate in rural areas, though total prevalence is higher in urban (13%) compared to rural (8%) areas • Males (36.1% vs. 25.1%) and females (44.9% vs. 38.8%) obesity prevalence in urban and rural areas, respectively (Aekplakorn et al) 6 Obesity prevalence, Gross Domestic Product (GDP) per capita and percentage of urban population in Thailand between 1991 and 2014.
    [Show full text]
  • A Pigovian Approach to Liquidity Regulation
    “IJCB-Article-1-KGL-ID-110007” — 2011/10/18 — page3—#1 ∗ A Pigovian Approach to Liquidity Regulation Enrico Perottia and Javier Suarezb aUniversity of Amsterdam, De Nederlandsche Bank, and Duisenberg School of Finance bCEMFI and CEPR This paper discusses liquidity regulation when short-term funding enables credit growth but generates negative systemic risk externalities. It focuses on the relative merit of price ver- sus quantity rules, showing how they target different incentives for risk creation. When banks differ in credit opportunities, a Pigovian tax on short-term funding is efficient in containing risk and pre- serving credit quality, while quantity-based funding ratios are distortionary. Liquidity buffers are either fully ineffective or similar to a Pigovian tax with deadweight costs. Critically, they may be least binding when excess credit incentives are strongest. When banks differ instead mostly in gambling incentives (due to low charter value or overconfidence), excess credit and liquidity risk are best controlled with net funding ratios. Taxes on short-term funding emerge again as efficient when capital or liquidity ratios keep risk-shifting incentives under control. In general, an optimal policy should involve both types of tools. JEL Codes: G21, G28. 1. Introduction The recent crisis has provided a clear rationale for the regulation of banks’ refinancing risk, a critical gap in the Basel II framework. This ∗We have greatly benefited from numerous discussions with academics and pol- icymakers on our policy writings on the regulation of liquidity and on this paper. Our special thanks to Viral Acharya, Max Bruche, Willem Buiter, Oliver Burkart, Douglas Gale, Charles Goodhart, Nigel Jenkinson, Laura Kodres, Arvind Krish- namurthy, David Martinez-Miera, Rafael Repullo, Jeremy Stein, and Ernst- Ludwig von Thadden for insightful suggestions and comments.
    [Show full text]
  • Level of Implementation of Best Practice Policies for Creating Healthy Food Environments: Assessment by State and Non-State Actors in Thailand
    Public Health Nutrition: 20(3), 381–390 doi:10.1017/S1368980016002391 Level of implementation of best practice policies for creating healthy food environments: assessment by state and non-state actors in Thailand Sirinya Phulkerd1,2,*, Stefanie Vandevijvere3, Mark Lawrence4, Viroj Tangcharoensathien2 and Gary Sacks5 1School of Exercise and Nutrition Sciences, Deakin University, 221 Burwood Highway, Burwood, VIC 3125, Australia: 2International Health Policy Program, Ministry of Public Health, Nonthaburi, Thailand: 3Department of Epidemiology and Biostatistics, School of Population Health, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand: 4Institute for Physical Activity and Nutrition, Deakin University, Burwood, Victoria, Australia: 5WHO Collaborating Centre for Obesity Prevention, Deakin University, Burwood, Victoria, Australia Submitted 29 April 2016: Final revision received 26 July 2016: Accepted 1 August 2016: First published online 13 September 2016 Abstract Objective: To determine and compare the level of implementation of policies for healthy food environments in Thailand with reference to international best practice by state and non-state actors. Design: Data on the current level of implementation of food environment policies were assessed independently using the adapted Healthy Food Environment Policy Index (Food-EPI) by two groups of actors. Concrete actions were proposed for Thai Government. A joint meeting between both groups was subsequently held to reach consensus on priority actions. Setting: Thailand. Subjects: Thirty state actors and twenty-seven non-state actors. Results: Level of policy implementation varied across different domains and actor groups. State actors rated implementation levels higher than non-state actors. Both state and non-state actors rated level of implementation of monitoring of BMI highest.
    [Show full text]
  • Internalizing Externalities in Second-Best Tax Systems*
    Published in: Public Finance 51.1996, pp. 242-257 Internalizing Externalities in Second-Best Tax Systems* Gerhard O. Orosel University of Vienna and Ronnie Schöb University of Munich JEL classification: H21, Q28 ABSTRACT We examine the analytical structure of optimal taxation of polluting and non-polluting goods in a second-best world where lump-sum taxes are infeasible. After deriving a second-best internalization tax rate which exactly internalizes the external effect, we show how to separate the analysis of second-best optimal environmental taxes from the analysis of the tax structure which minimizes the excess burden. This separation reveals that standard results of optimal taxation essentially carry over to economies with externalities. Our approach clarifies the controversy regarding the relation between the first-best Pigovian tax rate on polluting goods and the optimal tax rate in a second-best world. Addresses: Gerhard O. Orosel Ronnie Schöb Department of Economics Department of Economics University of Vienna University of Munich Bruenner Strasse 72 Schackstrasse 4 A-1210 Vienna D-80539 Munich Austria Germany tel. ++431/29128-781 tel. ++49/89/2180-6261 fax ++431/29128-569 fax ++49/89/397303 [email protected] [email protected] * Helpful comments by Clemens Fuest, Clemens Puppe, and Marcel Thum are gratefully acknowledged. The usual disclaimer applies. 1 I. Introduction We examine the problem of the optimal taxation of polluting and non-polluting goods in a second-best world where lump-sum taxes are infeasible. The analysis is based on the derivation of the "second-best internalization tax" which in a second-best environment of distortionary taxes exactly internalizes the external effect associated with a particular good.
    [Show full text]
  • Prevalence of Obesity and Its Associated Risk of Diabetes in a Rural Bangladeshi Population
    Prevalence of obesity and its associated risk of diabetes in a rural Bangladeshi Population Dr. Tasnima Siddiquee Supervisor: Professor Akhtar Hussain Co-supervisor: Prof A K Azad Khan University of Oslo Faculty of Medicine Institute of Health and Society Department of Community Medicine Section of International Health Thesis submitted as a part of the Master of Philosophy Degree in International Community Health May 2014 1 Table of Contents Acknowledgements…………………………………………………………………………………………………………………………….5 Abstract……………………………………………………………………………………………………………………………………………….6 List of Figures ………………………………………………………………………………………………………………………………………8 List of Tables………………………………………………………………………………………………………………………………………..9 Abbreviation……………………………………………………………………………………………………………………………………….10 Chapter 1: Introduction………………………………………………………………………………………………………………………13 1.1 Overview of Bangladesh…………………………………………………………………………………………………………….....13 1.1.1 Geography..............................................................................................................................13 1.1.2 Land and Climate…………………………………………………………………………………………………………………14 1.1.3 History………………………………………………………………………………………………………………………………..14 1.1.4 People...………………………………………………………………………………………………………………………………15 1.1.5 Economy……………………………………………………………………………………………………………………………..17 1.1.6 Life style and physical activity……………………………………………………………………………………………..18 1.1.7 Food habit…………………………………………………………………………………………………………………….......19 1.1.8 Healthcare Service……………………………………………………………………………………………………………….19 1.1.9
    [Show full text]
  • Obesity in Thailand and Its Economic Cost Estimation
    ADBI Working Paper Series OBESITY IN THAILAND AND ITS ECONOMIC COST ESTIMATION Yot Teerawattananon and Alia Luz No. 703 March 2017 Asian Development Bank Institute Yot Teerawattananon is the program leader of the Health Intervention and Technology Assessment Program (HITAP) under the Ministry of Public Health, Thailand. Alia Luz is a Project Associate under the HITAP International Unit. The views expressed in this paper are the views of the author and do not necessarily reflect the views or policies of ADBI, ADB, its Board of Directors, or the governments they represent. ADBI does not guarantee the accuracy of the data included in this paper and accepts no responsibility for any consequences of their use. Terminology used may not necessarily be consistent with ADB official terms. Working papers are subject to formal revision and correction before they are finalized and considered published. The Working Paper series is a continuation of the formerly named Discussion Paper series; the numbering of the papers continued without interruption or change. ADBI’s working papers reflect initial ideas on a topic and are posted online for discussion. ADBI encourages readers to post their comments on the main page for each working paper (given in the citation below). Some working papers may develop into other forms of publication. Suggested citation: Teerawattananon, Y. and A. Luz. 2017. Obesity in Thailand. ADBI Working Paper 703. Tokyo: Asian Development Bank Institute. Available: https://www.adb.org/publications/obesity-thailand-and-its-economic-cost-estimation Please contact the authors for information about this paper. Email: [email protected]; [email protected] Asian Development Bank Institute Kasumigaseki Building, 8th Floor 3-2-5 Kasumigaseki, Chiyoda-ku Tokyo 100-6008, Japan Tel: +81-3-3593-5500 Fax: +81-3-3593-5571 URL: www.adbi.org E-mail: [email protected] © 2017 Asian Development Bank Institute ADBI Working Paper 703 Teerawattananon and Luz Abstract Obesity is becoming a global concern because many non-communicable diseases are attributable to obesity.
    [Show full text]
  • Bargaining Solutions to Externalities. Michael Thomas Maloney Louisiana State University and Agricultural & Mechanical College
    Louisiana State University LSU Digital Commons LSU Historical Dissertations and Theses Graduate School 1978 Bargaining Solutions to Externalities. Michael Thomas Maloney Louisiana State University and Agricultural & Mechanical College Follow this and additional works at: https://digitalcommons.lsu.edu/gradschool_disstheses Recommended Citation Maloney, Michael Thomas, "Bargaining Solutions to Externalities." (1978). LSU Historical Dissertations and Theses. 3288. https://digitalcommons.lsu.edu/gradschool_disstheses/3288 This Dissertation is brought to you for free and open access by the Graduate School at LSU Digital Commons. It has been accepted for inclusion in LSU Historical Dissertations and Theses by an authorized administrator of LSU Digital Commons. For more information, please contact [email protected]. INFORMATION TO USERS This was produced from a copy of a document sent to us for microfilming. While the most advanced technological means to photograph and reproduce this document have been used, the quality is heavily dependent upon the quality of the material submitted. The following explanation of techniques is provided to help you understand markings or notations which may appear on this reproduction. 1.The sign or “target” for pages apparently lacking from the document photographed is “Missing Page(s)” . If it was possible to obtain the missing page(s) or section, they are spliced into the film along with adjacent pages. This may have necessitated cutting through an image and duplicating adjacent pages to assure you of complete continuity. 2. When an image on the film is obliterated with a round black mark it is an indication that the film inspector noticed either blurred copy because of movement during exposure, or duplicate copy.
    [Show full text]
  • Parental Obesity Compared with Serum Leptin and Serum Leptin Receptor
    Turk J Med Sci ORIGINAL ARTICLE 2009; 39 (4): 557-562 © TÜBİTAK E-mail: [email protected] doi:10.3906/sag-0706-6 Baker M. ZABUT1 Parental obesity compared with serum leptin Naji H. HOLI2 Yousef I. ALJEESH3 and serum leptin receptor levels among abese adults in the Gaza Strip Aims: To investigate whether parental obesity influences serum leptin hormone and soluble leptin receptor (Ob-Re) concentrations among obese adults in the Gaza Strip. Materials and methods: A case-control design was used. Sample used was convenient and obtained from 2 largest obesity clinics in the Gaza Strip. It consisted of 83 overweight and obese adults without history of other diseases (case group). Control group consisted of 83 ideal weight adults who were selectively chosen from the same clinics. Self reported structured interviews and serum blood samples were obtained from both groups. Human leptin competitive ELISA kits were used for determination of leptin and Ob-Re concentrations in the blood serum. SPSS system was used to analyze the data. 1 Department of Biochemistry/ Results: About 69% of the case group was found to have paternal and/or maternal obesity. Moreover, Chemistry, Faculty of Science, IUG, Gaza - PALESTINE the mean of serum leptin hormone levels for the obese adults with history of obese parents was 2 significantly higher than obese adults without history of obese parents (P = 0.02). No significant Department of Medical Technology, Faculty of Science, correlation was observed between parental obesity and Ob-Re levels among the case group (P = 0.88). IUG, Gaza - PALESTINE Conclusions: Parental obesity plays an important role in obesity and serum leptin level during 3 Faculty of Nursing , adulthood.
    [Show full text]
  • Published Researches in the Year 2010 1
    PUBLISHED RESEARCHES IN THE YEAR 2010 VOLUME 4 No.1 Title: An application of Decision Tree Algorithms with Diagnosis of the Diseases of the Respiratory System ∗ Researchers: Ditapol , † Mantuam Lily Ingsrisawang† ∗ Corresponding author, e-mail: [email protected] † Department of Statistics, Faculty of Science, Kasetsart University Abstract: The Knowledge Discovery in Database (KDD) has been extensively used through “data mining”, a statistics and computer sciences, to organize the crucial useful data into knowledge base form for further research purpose. The data classification is a techniques applied by the KDD to various fields and medical research. The primary purpose of this study was aimed to applications and compare the performance of the 3 decision-tree algorithms, including ID3, C4.5, and CART, which have currently become famous in sorting data. The results would be expected to support the screening process and to be used as guidelines for primary diagnosis. The medical record of 7,327 out-patients at the Pranakorn Sri Ayutthaya Hospital during 2004-2006 was examined. The results have demonstrated that algorithm C4.5 which percentage split method was used to divide the data into 70:30 was 99.41% accurate in respect of no selection of variables. The Kappa was 0.9881. Sensitivity was 99.31% while specificity 99.50%. Positive predictive value (PPV) was 99.40% while negative predictive value (NPV) was 99.41, ROC area was 99.70%, regarded as the most effective classifier. On the other hand, it found that algorithm ID3 which percentage split method was used to divide the data into 70:30 was 95.85% accurate in case of selection for variables.
    [Show full text]
  • Issn 2697-522X
    Vol. 14 No. 4 July - August 2019 ISSN 2697-522X Interdisciplinary Research Review Editorial Board of International Editorial Board of Interdisciplinary Research Review Interdisciplinary Research Review Yongyudh Vajaradul (Editor) Muhammad Yunus (Editorial Board) Pranom Othaganont (Deputy Editor) Manfred Koch (Editorial Board) Sommay Peathanom (Deputy Editor) Jun Yu (Editorial Board) Prabhas Chongstitvatana (Editorial Board) Tou Teck Yong (Editorial Board) Orawon Chailapakul (Editorial Board) Lance Chun Che Fung (Editorial Board) Tuantan Kitpaisalsakul (Editorial Board) Warren Y. Brockelman (Editorial Board) Kanchana Boonsong (Editorial Board) Manfred Hartard (Editorial Board) Sayam Aroonsrimorakot (Editorial Board) Administrative Committees of Journal Wilairat Kirin (Editorial Board) Virat Pingkeaw (President) Wanida Treesawat (Editorial Board) Sommay Peathanom (Vice President) Surapong Charasrosjanakul (Editorial Board) Yongyudh Vajaradul (Committee) Sumnieng Ongsupankul (Editorial Board) Pranom Othaganon (Committee) Porntip Andhivarothai (Editorial Board) Phatcharasak Arlai (Committee and Secretary) Orapun Metadilogkul (Editorial Board) Management and Distribution Section Prasutr Thavornchaisit (Editorial Board) Ladda Khemnark Artcha Boongrapu (Editorial Board) Phatcharasak Arlai (Editorial Board and Secretary) Santi Koonkarnkhai (Manager) Publisher : Research and Development Institute, Nakhon Pathom Rajabhat University, 85 Malaiman road, Amphur Muang, Nakhon Pathom 73000, Thailand Origin : The Interdisciplinary Research Review was
    [Show full text]
  • Physical Activity and Sedentary Behaviour Research in Thailand: a Systematic Scoping Review Nucharapon Liangruenrom1,2, Kanyapat Suttikasem2, Melinda Craike1, Jason A
    Liangruenrom et al. BMC Public Health (2018) 18:733 https://doi.org/10.1186/s12889-018-5643-y RESEARCH ARTICLE Open Access Physical activity and sedentary behaviour research in Thailand: a systematic scoping review Nucharapon Liangruenrom1,2, Kanyapat Suttikasem2, Melinda Craike1, Jason A. Bennie3, Stuart J. H. Biddle3 and Zeljko Pedisic1* Abstract Background: The number of deaths per year attributed to non-communicable diseases is increasing in low- and middle-income countries, including Thailand. To facilitate the development of evidence-based public health programs and policies in Thailand, research on physical activity (PA) and sedentary behaviour (SB) is needed. The aims of this scoping review were to: (i) map all available evidence on PA and SB in Thailand; (ii) identify research gaps; and (iii) suggest directions for future research. Methods: A systematic literature search was conducted through 10 bibliographic databases. Additional articles were identified through secondary searches of reference lists, websites of relevant Thai health organisations, Google, and Google Scholar. Studies written in Thai or English were screened independently by two authors and included if they presented quantitative or qualitative data relevant to public health research on PA and/or SB. Results: Out of 25,007 screened articles, a total of 564 studies were included in the review. Most studies included PA only (80%), 6.7% included SB only, and 13.3% included both PA and SB. The most common research focus was correlates (58.9%), followed by outcomes of PA/SB (22.2%), prevalence of PA/SB (12.4%), and instrument validation (3.2%). Most PA/SB research was cross-sectional (69.3%), while interventions (19.7%) and longitudinal studies (2.8%) were less represented.
    [Show full text]
  • Thailand Case Study: School Vaccination Checks
    Case Study: Checking vaccination status at entry to, or during, school THAILAND Law or policy What is the law or Vaccination history check at school entry is a “recommended” policy, i.e. policy? it is not a mandatory policy. Year first established? 2013 Who issued the law or The policy was supported by the Ministry of Public Health (MoPH) and the policy? Ministry of Education (MoE) as part of Component 5 of the Health Promoting Schools Initiative (HPS). Scope? All schools under the MoE, Office of Basic Education Commission. Implementation Funding Although all hospitals and health centres provide immunization services free of charge, no additional funding is provided to schools to support school-based immunization activities nor for the checking of vaccination status. Resources are generated by a network of leaders, parents and students when needed. Who checks? The teachers of the children entering Grade 1 and Grade 7 collect the immunization history record from parents, and make a photocopy. The responsible health officer then checks the immunization histories for completeness. Information used to The immunization history of the child is contained in the Mother and Child check vaccination status Health Handbook or other vaccination card. What is done if children If a child is identified as un- or incompletely vaccinated, they are either are missing doses? referred to the local hospital or health centre to receive catch-up vaccines, or in some schools, health care staff may come to the school to deliver catch-up vaccines. An accelerated vaccination schedule is included in the national immunization programme schedule to provide guidance on how to vaccinate older children up to 7 years of age who have missed vaccines.
    [Show full text]