children that varied from 35% in Birjand District to 94% in Qaen District. In Kabul city, it is estimated that 75% of children aged 1-12 months and 35% of women are fully immunized. The estimated average in other urban areas in Afghanistan is 20% and 10% respectively. Immunization programmes are also being carried out in the rural areas of Afghanistan by 22 mobile units operating in 13 or 14 provinces mainly in the northern, north-eastern and western parts of the country. Because the programmes are carried out by local organizations and health care programmes without central planning or organization, it is not easy to assess the coverage. Some evaluations have indicated less than 30% coverage. 2. Recommendations The programmes for immunization inside and outside Afghanistan should be strengthened and expanded. The programmes should be supported by the education programmes referred to above. Immediate Action -Increase the training and support of the workers in the BHUs Pakistan to make them more effective in the immunization programme. -Train and deploy female vaccinators who can work on a mobile basis to provide out-reach immunizations at the village level. This should be done in the refugee setting and inside Afghanistan. -Increase and organize the participation of religious and political leaders in the immunization campaign. 11 -Insure that all health care programmes in rural Afghanistan include an immunization programme. This should include the training of female vaccinators and the provision of the necessary medical equipment for immunization in established and future health posts. -Coordinate all immunization services within Afghanistan to insure maximum coverage throughout the country. Medium-Term Action -Continue to strengthen immunization services within all health care services. -Continue to expand immunization services and to link new services to those already existing. -Strengthen the system of monitoring and evaluating programmes. UN Agencies: UNICEF, WHO, UNHCR C. EARLY INTERVENTION 1. Present Programme 
**Analysis**
The text appears to be discussing public health initiatives and programs focused on immunization, particularly in Afghanistan. It mentions specific percentages of children and women who are fully immunized, and recommends increasing training, support, and coverage of immunization programs. The text also mentions health care services, health posts, and the involvement of UN agencies. These factors suggest that the text is primarily focused on health-related issues.

**Category**
Health, Humanitarian aid and relief