Decision-maker led implementation research on immunization: learning from low- and middle-income countries

Shroff, Zubin Cyrus; Mancuso, Arielle; Sharkey, Alyssa; Shahabuddin, Asm; Kumar, Binay; Johnson, Hope L.; Ghaffar, Abdul

doi:10.1186/s12961-021-00720-2

Cited by 6 publications

(6 citation statements)

References 6 publications

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“…In 2015, Alliance for Health Policy and Systems Research (AHPSR) began to support embedded implementation research in immunization programmes in several low- and middle-income countries, some of which are in the WHO African region. 32 Embedded implementation research focuses on enhancing implementation in real world settings through collaborative partnership and involvement of decision makers. 33 AHPSR uses an agile model where the decision-makers themselves lead the research process from research question formulation to analysis and interpretation, as this can fast track translation of findings into policies.…”

Section: Leveraging Implementation Science To Improve Immunization Sy...mentioning

confidence: 99%

“… 33 AHPSR uses an agile model where the decision-makers themselves lead the research process from research question formulation to analysis and interpretation, as this can fast track translation of findings into policies. 32 Some of the research questions in past projects have focused on pertinent issues such as data quality, defaulter tracking, vaccine hesitancy, service utilization among others. 32 …”

Section: Leveraging Implementation Science To Improve Immunization Sy...mentioning

confidence: 99%

“… 32 Some of the research questions in past projects have focused on pertinent issues such as data quality, defaulter tracking, vaccine hesitancy, service utilization among others. 32 …”

Section: Leveraging Implementation Science To Improve Immunization Sy...mentioning

confidence: 99%

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Positioning implementation science in national immunization programmes to improve coverage equity and advance progress toward Immunization Agenda 2030: An urgent global health imperative

Adamu,

Ndwandwe,

Jalo

et al. 2024

Human Vaccines & Immunotherapeutics

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Despite the availability of effective vaccines for preventing common childhood infectious diseases, there is still significant disparities in access and utilization across many low- and middle-income countries (LMIC). The factors that drive these disparities are often multilevel, originating from individuals, health facilities, health systems and communities, and also multifaceted. Implementation science has emerged as a field to help address “know-do” gaps in health systems, and can play a significant role in strengthening immunization systems to understand and solve implementation barriers that limit access and uptake within their contexts. This article presents a reflexive perspective on how to position implementation research in immunization programmes to improve coverage equity. Furthermore, key points of synergy between implementation research and vaccination are highlighted, and some potential practice changes that can be applied within specific contexts were proposed. Using a human rights lens, it was concluded that the cost that is associated with implementation failure in immunization programmes is significant and unjust, and future directions for implementation research to optimize its application in practice settings have been recommended.

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Section: Leveraging Implementation Science To Improve Immunization Sy...mentioning

confidence: 99%

Section: Leveraging Implementation Science To Improve Immunization Sy...mentioning

confidence: 99%

See 1 more Smart Citation

Positioning implementation science in national immunization programmes to improve coverage equity and advance progress toward Immunization Agenda 2030: An urgent global health imperative

Adamu,

Ndwandwe,

Jalo

et al. 2024

Human Vaccines & Immunotherapeutics

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show abstract

“…Programmatic approaches to embedding implementation research entail local researchers working closely with decision makers and implementers to embed research, evidence, and evaluation into routine implementation cycles of programmes or projects, rather than changing organisational cultures 17. Such initiatives have been supported by a range of donors and global health actors, but few have described their impact during the covid-19 pandemic 12213031. In several countries, programmatic implementation research was embedded into existing newborn health programmes to improve the diagnosis and treatment of possible serious bacterial infection (PSBI) in children during the covid-19 pandemic.…”

Section: Programmatic Approaches For Embedding Implementation Researc...mentioning

confidence: 99%

“…17 Such initiatives have been supported by a range of donors and global health actors, but few have described their impact during the covid-19 pandemic. 12 21 30 31 In several countries, programmatic implementation research was embedded into existing newborn health programmes to improve the diagnosis and treatment of possible serious bacterial infection (PSBI) in children during the covid-19 pandemic.…”

Section: Programmatic Approaches For Embedding Implementation Researc...mentioning

confidence: 99%

Embedding implementation research to cross the quality of care chasm during the covid-19 pandemic and beyond

Peters,

Cloete,

Odwe

et al. 2023

BMJ

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Measuring behavioral and social drivers of COVID-19 vaccination in health workers in Eastern and Southern Africa

Bon,

Brouwers,

Mote

et al. 2023

BMC Proc

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Background In 2021, twenty out of twenty-one countries in the Eastern and Southern Africa (ESA) region introduced COVID-19 vaccines. With variable willingness to uptake vaccines across countries, the aim of the present study was to better understand factors that impact behavioral and social drivers of vaccination (BeSD). Using the theory-based “increasing vaccination model”, the drivers Thinking & Feeling, Social Processes, Motivation, and Practical Issues were adapted to the COVID-19 context and utilized in a cross-country assessment. Methods Data was collected on 27.240 health workers in Kenya, Malawi, Mozambique, South Africa and South Sudan. This was done by administering a survey of seven target questions via the UNICEF Internet of Good Things (IoGT) online platform between February and August 2021. Results Findings showed a gap between perceived importance and trust in vaccines: Most health workers thought Covid-19 vaccination was very important for their health, while less than 30% trusted it very much. The pro-vaccination social and work norm was not well established since almost 66% of all respondents would take the vaccine if recommended to them, but only 49% thought most adults would, and only 48% thought their co-workers would. Access was highlighted as a crucial barrier, with less than a quarter reporting that accessing vaccination services for themselves would be very easy. Women exhibited slightly lower scores than men across the board. When testing the associations between drivers in Kenya and South Africa, it appears that when target interventions are developed for specific age groups, social norms become the main drivers of intention to get vaccinated. Conclusions The present study revealed various key relations with demographic variables that would help immunization programmes and implementing partners to develop targeted interventions. First, there is a serious gap between perceived importance of COVID-19 vaccines and how much trust people in them. Second, problems with access are still rather serious and solving this would strongly benefit those who demand a vaccine, Third, the role of social norms is the most important predictor of willingness when considering age differences.

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Decision-maker led implementation research on immunization: learning from low- and middle-income countries

Cited by 6 publications

References 6 publications

Positioning implementation science in national immunization programmes to improve coverage equity and advance progress toward Immunization Agenda 2030: An urgent global health imperative

Positioning implementation science in national immunization programmes to improve coverage equity and advance progress toward Immunization Agenda 2030: An urgent global health imperative

Embedding implementation research to cross the quality of care chasm during the covid-19 pandemic and beyond

Measuring behavioral and social drivers of COVID-19 vaccination in health workers in Eastern and Southern Africa

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