Comparing 3 Approaches for Making Vaccine Adoption Decisions in Thailand
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 accoun...
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| Main Authors: | , , , , , , , |
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| Format: | Book |
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Kerman University of Medical Sciences,
2020-10-01T00:00:00Z.
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| Summary: | 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. |
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| Item Description: | 2322-5939 2322-5939 10.15171/ijhpm.2020.01 |