The role of National Immunization Technical Advisory Groups (NITAG) in strengthening health system governance: Lessons from three middle-income countries—Argentina, Jordan, and South Africa (2017–2018)

Panero, Maria S.; Khuri‐Bulos, Najwa; Biscayart, C.; Bonvehí, Pablo; Hayajneh, Wail A.; Madhi, Shabir A.

doi:10.1016/j.vaccine.2020.08.069

Cited by 4 publications

(3 citation statements)

References 21 publications

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“…Recommendations made by independent and credible expert groups, such as NITAGs, play a vital role in strengthening the governance of immunisation programmes which is critical for their self-regulation. 66 One hundred and seventy-two countries have formally established NITAGs to, among other things, provide immunisation programme assessments that are independent of the immunisation programme itself. A balance between self-regulation and the existence of NITAGs that provide independent recommendations are critical to a resilient immunisation system.…”

Section: Discussionmentioning

confidence: 99%

Identifying characteristics that enable resilient immunisation programmes: a scoping review

Baxter,

Slater,

Hermany

et al. 2024

BMJ Open

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ObjectivesThe COVID-19 pandemic highlighted the fragility of immunisation programmes and resulted in a significant reduction in vaccination rates, with increasing vaccine-preventable disease outbreaks consequently reported. These vulnerabilities underscore the importance of resilient immunisation programmes to ensure optimal performance during crises. To date, a framework for assessing immunisation programme resilience does not exist. We conducted a scoping review of immunisation programmes during times of crisis to identify factors that characterise resilient immunisation programmes, which may inform an Immunisation Programme Resilience Tool.DesignScoping review design followed the Arksey and O’Malley framework, and manuscript reporting followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Scoping Reviews guidelines.Data sourcesCINAHL, CENTRAL, Embase, Google Scholar, MEDLINE, PsycINFO and Web of Science and databases were searched between 1 January 2011 and 2 September 2023. Citation searching of identified studies was also performed.Eligibility criteriaWe included primary empirical peer-reviewed studies that discussed the resilience of immunisation programme to crises, shocks or disruptions.Data extraction and synthesisTwo independent reviewers screened records and performed data extraction. We extracted data on study location and design, crisis description, and resilience characteristics discussed, and identified evidence gaps in the literature. Findings were synthesised using tabulation and an evidence gap map.ResultsThirty-seven studies met the eligibility criteria. These studies captured research conducted across six continents, with most concentrated in Africa, Asia and Europe. One study had a randomised controlled trial design, while 36 studies had observational designs (15 analytical and 21 descriptive). We identified five characteristics of resilient immunisation programmes drawing on the Health System Resilience Index (Integration, Awareness, Resource Availability and Access, Adaptiveness and Self-regulation) and several evidence gaps in the literature.ConclusionsTo our knowledge, no immunisation programme resilience tool exists. We identified factors from the Health System Resilience Index coupled with factors identified through primary empirical evidence, which may inform development of an immunisation programme resilience tool.

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Section: Discussionmentioning

confidence: 99%

Identifying characteristics that enable resilient immunisation programmes: a scoping review

Baxter,

Slater,

Hermany

et al. 2024

BMJ Open

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show abstract

“…The current situation of NITAGs in the Americas is no different from that observed in other regions of the world. In the progress assessment towards the 2020 Global Vaccines Action Plan, almost 90% of countries had established an NITAG, but no information was available on the actual contribution of these groups to national immunization programs and their impact on the programs [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

“…This monitoring should include identifying funding constraints, secretariat support, independence of members, and transparency in proceedings, and it can be done through qualitative studies with relevant national and international stakeholders. Furthermore, exchange of experiences and best practices between NITAGs should be encouraged [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

Status of the national immunization technical advisory groups in the Americas: recommendations for improvement

Betancourt-Cravioto,

Trejo Varón,

Becerra-Posada

et al. 2024

Rev Panam Salud Publica

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Vaccine events raising public concern and associated immunization program policy and practice changes, China, 2005–2021

Liu

Wang

Yin

et al. 2022

Vaccine

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The role of National Immunization Technical Advisory Groups (NITAG) in strengthening health system governance: Lessons from three middle-income countries—Argentina, Jordan, and South Africa (2017–2018)

Cited by 4 publications

References 21 publications

Identifying characteristics that enable resilient immunisation programmes: a scoping review

Identifying characteristics that enable resilient immunisation programmes: a scoping review

Status of the national immunization technical advisory groups in the Americas: recommendations for improvement

Vaccine events raising public concern and associated immunization program policy and practice changes, China, 2005–2021

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