Evidence map›Paper›PMID 34372981›Full record

ArticleValue in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research2021

The CAPACITI Decision-Support Tool for National Immunization Programs.

Siobhan Botwright, Birgitte K Giersing, Martin I Meltzer, Anna-Lea Kahn, Mark Jit, Rob Baltussen, Nathalie El Omeiri, Joseph N-M Biey, Kelly L Moore, Praveen Thokala and 3 more

Abstract read
In one paragraph

Article in Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–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

14 citing papers in PubMed.

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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

13 authors.

Siobhan BotwrightWorld Health Organization, Geneva, Switzerland.
Birgitte K GiersingWorld Health Organization, Geneva, Switzerland.
Martin I MeltzerCenters for Disease Control and Prevention, Atlanta, GA, USA.
Anna-Lea KahnWorld Health Organization, Geneva, Switzerland.
Mark JitLondon School of Hygiene and Tropical Medicine, London, England, UK.
Rob BaltussenRadboud University Medical Center, Nijmegen, The Netherlands.
Nathalie El OmeiriPan American Health Organization, WHO Regional Office for the Americas, Washington, DC, USA.
Joseph N-M BieyInter-Country Support Team, Regional Office for Africa, World Health Organization, Ouagadougou, Burkina Faso.
Kelly L MooreVanderbilt School of Medicine, Nashville, TN, USA.
Praveen ThokalaUniversity of Sheffield, Western Bank, Sheffield, England, UK.
Jason M MwendaWHO Regional Office for Africa, Republic of Congo, Cite du D'Joue, Brazzaville, Congo.
Melanie BertramWorld Health Organization, Geneva, Switzerland.
Raymond C W HutubessyWorld Health Organization, Geneva, Switzerland. Electronic address: hutubessyr@who.int.

Funding

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

Abstract

objectivesImmunization programs in low-income and middle-income countries (LMICs) are faced with an ever-growing number of vaccines of public health importance recommended by the World Health Organization, while also financing a greater proportion of the program through domestic resources. More than ever, national immunization programs must be equipped to contextualize global guidance and make choices that are best suited to their setting. The CAPACITI decision-support tool has been developed in collaboration with national immunization program decision makers in LMICs to structure and document an evidence-based, context-specific process for prioritizing or selecting among multiple vaccination products, services, or strategies.

methodsThe CAPACITI decision-support tool is based on multi-criteria decision analysis, as a structured way to incorporate multiple sources of evidence and stakeholder perspectives. The tool has been developed iteratively in consultation with 12 countries across Africa, Asia, and the Americas.

resultsThe tool is flexible to existing country processes and can follow any type of multi-criteria decision analysis or a hybrid approach. It is structured into 5 sections: decision question, criteria for decision making, evidence assessment, appraisal, and recommendation. The Excel-based tool guides the user through the steps and document discussions in a transparent manner, with an emphasis on stakeholder engagement and country ownership.

conclusionsPilot countries valued the CAPACITI decision-support tool as a means to consider multiple criteria and stakeholder perspectives and to evaluate trade-offs and the impact of data quality. With use, it is expected that LMICs will tailor steps to their context and streamline the tool for decision making.

Indexed as

Decision Support TechniquesHealth PolicyHealth PrioritiesTechnology Assessment, BiomedicalAfricaAsiaDeveloping CountriesHumansImmunization ProgramsPublic HealthStakeholder ParticipationState MedicineVaccinationVaccinesWorld Health OrganizationVaccinesdecision-supportHTAimmunizationLMICMCDApriority settingvaccine

Identifiers

PMID34372981
PMCPMC10563585

What OpenQuestion holds

Textmetadata
LicenceTDM
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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.