The collaborative efforts of healthcare providers, governmental policy
and law makers and the public are often needed to provide the pressur
e necessary to establish a national universal sal vaccination programm
e. Key initiatives for those beginning to establish such a programme a
re the following: secure a scientific consensus or base of support; cl
arify relevance of the subject to all concerned; increase awareness of
everyone (providers and consumers); recruit and involve influential p
eople (angels) for support; seek out agendas within which to review, t
he topic; generate cost-benefit data; encourage a consensus to be reac
hed; identify legislative pathways to be used; convince politicians of
the value of such a programme; request budgeting and funding; and, fi
nally, follow up with surveillance studies to demonstrate the benefits
of the programme.