National Immunization Program Decision Making Using the CAPACITI Decision-Support Tool: User Feedback from Indonesia and Ethiopia

Maarten Jansen, Dijana Spasenoska, Mardiati Nadjib, Desalegn Ararso, Raymond Hutubessy, Anna Lea Kahn, Philipp Lambach

Research output: Contribution to journalArticlepeer-review

Abstract

To ensure that limited domestic resources are invested in the most effective interventions, immunization programs in low- and middle-income countries (LMICs) must prioritize a growing number of new vaccines while considering opportunities to optimize the vaccine portfolio, as well as other components of the health system. There is a strong impetus for immunization decision-making to engage and coordinate various stakeholders across the health system in prioritization. To address this, national immunization program decision-makers in LMICs collaborated with WHO to structure deliberation among stakeholders and document an evidence-based, context-specific, and transparent process for prioritization or selection among multiple vaccination products, services, or strategies. The output of this effort is the Country-led Assessment for Prioritization on Immunization (CAPACITI) decision-support tool, which supports using multiple criteria and stakeholder perspectives to evaluate trade-offs affecting health interventions, taking into account variable data quality. Here, we describe the user feedback from Indonesia and Ethiopia, two initial countries that piloted the CAPACITI decision-support tool, highlighting enabling and constraining factors. Potential immunization program benefits and lessons learned are also summarized for consideration in other settings.

Original languageEnglish
Article number337
JournalVaccines
Volume12
Issue number3
DOIs
Publication statusPublished - Mar 2024

Keywords

  • decision-support
  • HTA
  • immunization
  • LMICs
  • MCDA
  • new vaccine introduction
  • priority setting
  • vaccine

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