Evidence map›Paper›PMID 30765172›Full record

ArticleVaccine2019

Developing standardized competencies to strengthen immunization systems and workforce.

Denise Traicoff, Alice Pope, Peter Bloland, Dharmesh Lal, Jhilmil Bahl, Steven Stewart, Tove Ryman, Molly Abbruzzese, Carla Lee, Johannes Ahrendts and 2 more

Abstract read
In one paragraph

Article in Vaccine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Denise TraicoffCenters for Disease Control and Prevention, 1600 Clifton Rd, MS A-04, Atlanta, GA 30333, USA. Electronic address: dtraicoff@cdc.gov.
Alice PopeCenters for Disease Control and Prevention, 1600 Clifton Rd, MS A-04, Atlanta, GA 30333, USA. Electronic address: apope@cdc.gov.
Peter BlolandCenters for Disease Control and Prevention, 1600 Clifton Rd, MS A-04, Atlanta, GA 30333, USA. Electronic address: pbloland@cdc.gov.
Dharmesh LalPublic Health Foundation of India, Plot No. 47, Sector 44, Institutional Area, Gurugram 122002, India.
Jhilmil BahlWorld Health Organization, 20 Avenue Appia, 1211 Geneva 27, Switzerland. Electronic address: bahlj@who.int.
Steven StewartCenters for Disease Control and Prevention, 1600 Clifton Rd, MS A-04, Atlanta, GA 30333, USA.
Tove RymanBill & Melinda Gates Foundation, 500 5th Ave, Seattle, WA 98109, USA. Electronic address: Tove.Ryman@gatesfoundation.org.
Molly AbbruzzeseBill & Melinda Gates Foundation, 500 5th Ave, Seattle, WA 98109, USA. Electronic address: Molly.abbruzzese@gatesfoundation.org.
Carla LeeCenters for Disease Control and Prevention, 1600 Clifton Rd, MS A-04, Atlanta, GA 30333, USA. Electronic address: CLee@cdc.gov.
Johannes AhrendtsGavi, The Vaccine Alliance, Global Health Campus, Chemin du Pommier 40, 1218 Grand-Saconnex, Geneva, Switzerland. Electronic address: jahrendts@gavi.org.
Lorraine ShamallaUNICEF, Programme Division/Polio, 3 United Nation Plaza, 8th Floor, New York, NY 10017, USA. Electronic address: lshamalla@unicef.org.
Hardeep SandhuCenters for Disease Control and Prevention, 1600 Clifton Rd, MS A-04, Atlanta, GA 30333, USA. Electronic address: HSandhu@cdc.gov.

Funding

Intramural CDC HHS CC999999World Health Organization 001
6 · The paper itself

Abstract

Despite global support for immunization as a core component of the human right to health and the maturity of immunization programs in low- and middle-income countries throughout the world, there is no comprehensive description of the standardized competencies needed for immunization programs at the national, multiple sub-national, and community levels. The lack of defined and standardized competencies means countries have few guidelines to help them address immunization workforce planning, program management, and performance monitoring. Potential consequences resulting from the lack of defined competencies include inadequate or inefficient distribution of resources to support the required functions and difficulties in adequately managing the health workforce. In 2015, an international multi-agency working group convened to define standardized competencies that national immunization programs could adapt for their own workforce planning needs. The working group used a stepwise approach to ensure that the competencies would align with immunization programs' objectives. The first step defined the attributes of a successful immunization program. The group then defined the work functions needed to achieve those attributes. Based on the work functions, the working group defined specific competencies. This process resulted in three products: (1) Attributes of an immunization program described within eight technical domains at four levels within a health system: National, Provincial, District/Local, and Community; (2) 229 distinct functions within those eight domains at each of the four levels; and (3) 242 competencies, representing eight technical domains and two foundational domains (Management and Leadership and Vaccine Preventable Diseases and Program). Currently available as a working draft and being tested with immunization projects in several countries, the final document will be published by WHO as normative guidelines. Vertical immunization programs as well as integrated systems can customize the framework to suit their needs. Standardized competencies can support immunization program improvements and help strengthen effective health systems.

Indexed as

Global HealthImmunization ProgramsGovernment ProgramsHealth WorkforceHumansImmunizationInternationalityCompetency modelingGlobal healthHealth workforceImmunization competenciesProgramme planningWorkforce development

Identifiers

PMID30765172
PMCPMC6532664

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.