National immunization program decision making using the CAPACITI decision-support tool: user feedback from Indonesia and Ethiopia

Jansen, Maarten, Spasenoska, Dijana, Nadjib, Mardiati, Ararso, Desalegn, Hutubessy, Raymond, Kahn, Anna Lea and Lambach, Philipp (2024) National immunization program decision making using the CAPACITI decision-support tool: user feedback from Indonesia and Ethiopia. Vaccines, 12 (3). ISSN 2076-393X

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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.

Item Type:	Article
Official URL:	https://www.mdpi.com/journal/vaccines
Additional Information:	© 2024 The Authors
Divisions:	LSE
Subjects:	R Medicine > RA Public aspects of medicine
Date Deposited:	12 Apr 2024 09:18
Last Modified:	28 Oct 2025 02:00
URI:	http://eprints.lse.ac.uk/id/eprint/122624

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