Evidence map›Paper›PMID 36167397›Full record

ReviewBMJ open2022

Partnerships in the introduction of new routine vaccines in Bangladesh: evidence from a prospective process evaluation.

Sharmin Khan Luies, Tahmina Sultana, Ashwin Budden, Mohammad Asaduzzaman, Md Billal Hossain, Matthew Kelly, Darren Gray, Md Jasim Uddin, Haribondhu Sarma

Open access · goldAbstract readReview
In one paragraph

Review in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 31% of its field
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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. An effective vaccine is only the first step: the need to create and sustain demand for TB vaccines.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2023
    Article
  2. 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

9 authors at 3 institutions in 2 countries.

Sharmin Khan LuiesInfectious Diseases Division, icddr,b, 68 Shaheed Tajuddin Ahmed Sarani, Mohakhali, Dhaka 1212, Bangladesh sharminkhan.luies@gmail.com.ORCID 0000-0001-6005-1692
Tahmina SultanaResearch Program, Bangladesh Institute of Governance and Management, Dhaka, Bangladesh.
Ashwin BuddenD'EVA Consulting, Washington, District of Columbia, USA.
Mohammad AsaduzzamanSanMarkS at iDE (International Development Enterprises), iDE Bangladesh, Dhaka, Bangladesh.
Md Billal HossainDepartment of Sociology, Shahjalal University of Science and Technology, Sylhet, Bangladesh.
Matthew KellyNational Centre for Epidemiology and Population Health, The Australian National University, Canberra, Australian Capital Territory, Australia.ORCID 0000-0001-7963-2139
Darren GrayNational Centre for Epidemiology and Population Health, The Australian National University, Canberra, Australian Capital Territory, Australia.
Md Jasim UddinHealth Systems and Population Studies Division, icddr,b, 68 Shaheed Tajuddin Ahmed Sarani, Mohakhal, Dhaka 1212, Bangladesh.
Haribondhu SarmaNational Centre for Epidemiology and Population Health, The Australian National University, Canberra, Australian Capital Territory, Australia.ORCID 0000-0003-1553-8498
Australian National University · AUInternational Centre for Diarrhoeal Disease Research · BDShahjalal University of Science and Technology · BD

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the contribution of partners in the introduction of two new vaccines concurrently: pneumococcal 10-valent conjugate vaccine (PCV-10) and inactivated polio vaccine (IPV) into the routine Expanded Programme on Immunization (EPI) in Bangladesh.

designWe conducted a prospective process evaluation that included the theory of change development, root cause analysis and in-depth investigation. As part of process tracking, we reviewed relevant documents, observed trainers' and vaccinators' training and key stakeholder meetings. We analysed the data thematically.

settingWe purposively selected eight

participantsNineteen national key informants were interviewed and 16 frontline health workers were invited to the group discussions considering their involvement in the vaccine introduction process.

resultsThe EPI experienced several challenges during the joint introduction of PCV-10 and IPV, such as frequent changes in the vaccine introduction schedule, delays in budget allocation, vaccine supply shortage and higher wastage rates of IPV. EPI addressed these challenges in collaboration with its partners, that is, the World Health Organization (WHO) and United Nations Children's Fund (UNICEF), who provided technical assistance to develop a training curriculum and communication materials and enhanced demand generation at the community level. In addition, the WHO conducted a country readiness assessment for PCV-10, and UNICEF supported vaccine shipment. Other government ministries, City Corporations and municipalities also supported the EPI.

conclusionsThe partnership among the EPI stakeholders effectively addressed various operational challenges during the joint introduction of PCV-10 and IPV helped strengthen Bangladesh's immunisation systems. These accomplishments are attributed to several factors that should be supported and strengthened for future vaccine introductions in Bangladesh and other low and-middle countries.

Indexed as

Immunization ProgramsPneumococcal VaccinesPoliovirus Vaccine, InactivatedBangladeshChildHumansProgram EvaluationProspective StudiesVaccines, ConjugatePneumococcal VaccinesPoliovirus Vaccine, InactivatedVaccines, Conjugateorganisation of health servicespublic healthqualitative research

Identifiers

PMID36167397
PMCPMC9516160
OpenAlexW4297369360

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.