Integration of other services with human papillomavirus vaccination; lessons from earlier in the life course highlight the need for new policy and implementation evidence

Morgan, Chris; Giattas, Mary Rose; Holroyd, Taylor A.; Pfitzer, Anne; Engel, Danielle; Sidibe, Anissa; Holloway, Megan; Bloem, Paul; Fields, Rebecca; Shimp, Lora; Kumar, Somesh

doi:10.1016/j.vaccine.2021.12.066

Cited by 11 publications

(17 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…10 The WHO has published guidelines on integrating immunisation services 38,39 and integration is prioritised in the global Immunisation Agenda 2030. 40,41 There are numerous examples of attempts to integrate SSHAP contact -Olivia Tulloch oliviatulloch@anthrologica.com www.socialscienceinaction.org 13 various services within the health sector. Among the most commonly integrated services are immunisation, family planning, and HIV-related services.…”

Section: Global Integration Efforts Beyond Covid-19mentioning

confidence: 99%

“…One review found that most of these showed encouraging outcomes terms of family planning knowledge, attitudes, and contraceptive uptake, without adverse effects on immunisation services. 40 Most recently, polio teams in countries across Africa, South-east Asia, and the Eastern Mediterranean region are beginning to expand their role beyond polio to include vaccination and surveillance for other diseases as part of their transition programme. In India, the National Polio Surveillance Project has been renamed the National Public Health Support Programme, with an expanded remit focusing on overall population health.…”

Section: Global Integration Efforts Beyond Covid-19mentioning

confidence: 99%

“…A review of family planning and immunisation integration experiences listed similar influencing factors: adequate staff numbers, enabling social and gender norms, appropriate infrastructure, and coordinated and reliable supply chains. 40 These factors have the potential to apply to any intervention, but in the case of integration, they could potentially be exacerbated due to the complexity of a multi-service, multi-sectoral programme with various stakeholders and additional logistical and financing requirements. Reviews have also listed factors that are specific to integration, including providing staff with sufficient training and support for additional services and time to perform additional tasks, and clear regular communication between programme managers from the different areas or sectors.…”

Section: Global Integration Efforts Beyond Covid-19mentioning

confidence: 99%

“…Reviews have also listed factors that are specific to integration, including providing staff with sufficient training and support for additional services and time to perform additional tasks, and clear regular communication between programme managers from the different areas or sectors. 40 Other potential challenges relate to the coordination of a large number of collaborating actors, and having different funding sources for different interventions, as well as the logistical complications of transporting a more diverse range of items to outreach sites. 50 More can be learnt from programmes that are inherently cross-sectoral, such as ECD and child welfare screening where the health, education, and social welfare sectors may all be involved in service delivery, but each with different priorities, funding, reporting channels, and staff skill sets.…”

Section: Global Integration Efforts Beyond Covid-19mentioning

confidence: 99%

“…HPV vaccination with adolescent health education (including RSH), deworming, and nutrition and vision screening in schools, health facilities, and communities. 40,50 Side effects of deworming believed by community members to be attributable to HPV vaccines, affecting uptake. Challenge of reaching out-of-school girls.…”

Section: Tanzaniamentioning

confidence: 99%

See 4 more Smart Citations

Key Considerations for Integrating COVID-19 Vaccination Services: Insights from Iraq and Syria for the MENA Region

Butler¹,

Karam²

2022

View full text Add to dashboard Cite

With the COVID-19 pandemic well into its third year, governments and response partners are recognising that it no longer makes sense for COVID-19 services, including vaccination, to exist in isolation. There is growing recognition of the potential for integration with other services as the way forward for COVID-19 vaccination. This has recently begun to occur in various countries, but until now, there has been little evidence available as to the success of these initiatives. Service delivery integration occurs where “managerial or operational changes to health systems bring together inputs, delivery, management, and organisation of particular service functions in ways that are contextually appropriate and person-centred with the aim of improving coverage, access, quality, acceptability, effectiveness, and cost-effectiveness” (Haldane et al. 2022) This brief draws on evidence from academic and grey literature and consultations with partners working in the COVID-19 response to review current integration efforts (as of August 2022) and explore potentially effective ways to integrate COVID-19 vaccination into other services in the Middle East and North Africa (MENA) region. Recent guidance on integration from WHO has also been cross-referenced where relevant. Iraq is taken as a detailed case study due to the efforts already made there on integration of COVID-19 and routine immunisation (RI) services. Global integration experiences and a brief discussion of integration efforts in Syria are also included. The brief is part of the Social Science in Humanitarian Action Platform (SSHAP) series on social science considerations relating to COVID-19 vaccines and was written for SSHAP by Nadia Butler supported by Soha Karam (Anthrologica). Verbal consultations and reviews of the draft were provided from response partners in Iraq and other locations within the region (IFRC MENARO, Iraq MoH, UNICEF Iraq, UNICEF MENARO, UNICEF Syria, WHO EMRO). The brief was requested by the UNICEF Middle East and North Africa Regional Office (MENARO) and is the responsibility of SSHAP.

show abstract

Section: Global Integration Efforts Beyond Covid-19mentioning

confidence: 99%

Section: Global Integration Efforts Beyond Covid-19mentioning

confidence: 99%

Section: Global Integration Efforts Beyond Covid-19mentioning

confidence: 99%

Section: Global Integration Efforts Beyond Covid-19mentioning

confidence: 99%

Section: Tanzaniamentioning

confidence: 99%

See 3 more Smart Citations

Key Considerations for Integrating COVID-19 Vaccination Services: Insights from Iraq and Syria for the MENA Region

Butler¹,

Karam²

2022

View full text Add to dashboard Cite

show abstract

Supporting evidence-based rotavirus vaccine introduction decision-making and implementation: Lessons from 8 Gavi-eligible countries

Jennings,

Sauer,

Manchester

et al. 2024

Vaccine

Self Cite

View full text Add to dashboard Cite

Key decision-making factors for human papillomavirus (HPV) vaccine program introduction in low-and-middle-income-countries: Global and national stakeholder perspectives

Guillaume

Waheed

Schlieff

et al. 2022

Human Vaccines & Immunotherapeutics

View full text Add to dashboard Cite

Low-and-middle-income countries (LMICs) experience a high burden of cervical cancer. The human papillomavirus (HPV) vaccine prevents high-risk strains of HPV that cause cervical cancer; however, the integration of HPV vaccines into national immunization programs within many LMICs has been suboptimal. Our study evaluated key factors that drive the decision-making process for the implementation of HPV vaccine programs in LMICs. Stakeholder analysis and semi-structured in-depth interviews were conducted with national and global stakeholders. Interview data were analyzed through qualitative descriptive methods. Findings from our study revealed the decision-making process for HPV vaccines requires the involvement of multiple institutions and stakeholders from national and global levels, with decision-making being a country-specific process. Partner considerations, locally driven processes, availability of data, and infrastructure and resource considerations were found to be critical factors in the decision-making process. Future programs should evaluate the best approaches for investing in initiatives to enhance coordination, ensure vaccine introduction is locally driven, increase the availability of data needed for decision-making, and equip countries with the necessary resources to guide country decision-making in the face of increasingly complex decision-making environments.

show abstract

Integration of other services with human papillomavirus vaccination; lessons from earlier in the life course highlight the need for new policy and implementation evidence

Cited by 11 publications

References 28 publications

Key Considerations for Integrating COVID-19 Vaccination Services: Insights from Iraq and Syria for the MENA Region

Key Considerations for Integrating COVID-19 Vaccination Services: Insights from Iraq and Syria for the MENA Region

Supporting evidence-based rotavirus vaccine introduction decision-making and implementation: Lessons from 8 Gavi-eligible countries

Key decision-making factors for human papillomavirus (HPV) vaccine program introduction in low-and-middle-income-countries: Global and national stakeholder perspectives

Contact Info

Product

Resources

About