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Comparing 3 Approaches for Making Vaccine Adoption Decisions in Thailand.


ABSTRACT: Background: The World Health Organization (WHO) has developed the Total System Effectiveness (TSE) framework to assist national policy-makers in prioritizing vaccines. The pilot was launched in Thailand to explore the potential use of TSE in a country with established governance structures and accountable decision-making processes for immunization policy. While the existing literature informs vaccine adoption decisions in GAVI-eligible countries, this study attempts to address a gap in the literature by examining the policy process of a non-GAVI eligible country.

Methods: A rotavirus vaccine (RVV) test case was used to compare the decision criteria made by the existing processes (Expanded Program on Immunization [EPI], and National List of Essential Medicines [NLEM]) for vaccine prioritization and the TSE-pilot model, using Thailand specific data.

Results: The existing decision-making processes in Thailand and TSE were found to offer similar recommendations on the selection of a RVV product.

Conclusion: The authors believe that TSE can provide a well-reasoned and step by step approach for countries, especially low- and middle-income countries (LMICs), to develop a systematic and transparent decision-making process for immunization policy.

SUBMITTER: Rattanavipapong W 

PROVIDER: S-EPMC7719214 | biostudies-literature | 2020 Jan

REPOSITORIES: biostudies-literature

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Comparing 3 Approaches for Making Vaccine Adoption Decisions in Thailand.

Rattanavipapong Waranya W   Kapoor Ritika R   Teerawattananon Yot Y   Luttjeboer Jos J   Botwright Siobhan S   Archer Rachel A RA   Giersing Birgitte B   Hutubessy Raymond C W RCW  

International journal of health policy and management 20201001 10


<h4>Background</h4>The World Health Organization (WHO) has developed the Total System Effectiveness (TSE) framework to assist national policy-makers in prioritizing vaccines. The pilot was launched in Thailand to explore the potential use of TSE in a country with established governance structures and accountable decision-making processes for immunization policy. While the existing literature informs vaccine adoption decisions in GAVI-eligible countries, this study attempts to address a gap in th  ...[more]

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