Ontology highlight
ABSTRACT: Objectives
Immunization programs in low-income and middle-income countries (LMICs) are faced with an ever-growing number of vaccines of public health importance recommended by the World Health Organization, while also financing a greater proportion of the program through domestic resources. More than ever, national immunization programs must be equipped to contextualize global guidance and make choices that are best suited to their setting. The CAPACITI decision-support tool has been developed in collaboration with national immunization program decision makers in LMICs to structure and document an evidence-based, context-specific process for prioritizing or selecting among multiple vaccination products, services, or strategies.Methods
The CAPACITI decision-support tool is based on multi-criteria decision analysis, as a structured way to incorporate multiple sources of evidence and stakeholder perspectives. The tool has been developed iteratively in consultation with 12 countries across Africa, Asia, and the Americas.Results
The tool is flexible to existing country processes and can follow any type of multi-criteria decision analysis or a hybrid approach. It is structured into 5 sections: decision question, criteria for decision making, evidence assessment, appraisal, and recommendation. The Excel-based tool guides the user through the steps and document discussions in a transparent manner, with an emphasis on stakeholder engagement and country ownership.Conclusions
Pilot countries valued the CAPACITI decision-support tool as a means to consider multiple criteria and stakeholder perspectives and to evaluate trade-offs and the impact of data quality. With use, it is expected that LMICs will tailor steps to their context and streamline the tool for decision making.
SUBMITTER: Botwright S
PROVIDER: S-EPMC10563585 | biostudies-literature | 2021 Aug
REPOSITORIES: biostudies-literature
Botwright Siobhan S Giersing Birgitte K BK Meltzer Martin I MI Kahn Anna-Lea AL Jit Mark M Baltussen Rob R El Omeiri Nathalie N Biey Joseph N-M JN Moore Kelly L KL Thokala Praveen P Mwenda Jason M JM Bertram Melanie M Hutubessy Raymond C W RCW
Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research 20210618 8
<h4>Objectives</h4>Immunization programs in low-income and middle-income countries (LMICs) are faced with an ever-growing number of vaccines of public health importance recommended by the World Health Organization, while also financing a greater proportion of the program through domestic resources. More than ever, national immunization programs must be equipped to contextualize global guidance and make choices that are best suited to their setting. The CAPACITI decision-support tool has been dev ...[more]