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Pakistan has the highest infant mortality rate in South Asia, is one of two countries where wild polio is still endemic, and is ranked third for un- or under-immunized children. Why is this the case when considerable donor and government funds have been spent on Pakistan's Expanded Program for Immunization (EPI)? Based on a year of mixed methods research in district Kasur in Punjab, Pakistan, we focus on vaccination as a site of interaction between citizens and the state and apply the conceptdoi:10.30636/jbpa.41.184 fatcat:cmedazyysfajlc5m4udxdnpsam