Evidence map›Paper›PMID 38400179›Full record

ArticleVaccines2024

Key Learnings from the Development and Early Use of Global Guidance on the Integration of COVID-19 Vaccination into Broader Health Systems.

Ibrahim Dadari, Alba Vilajeliu, Viorica Berdaga, Shalini Rozario, Phoebe Meyer, Laura Nic Lochlainn, Dirk Horemans, Nuria Toro, Gloria Lihemo, Sanjay Bhardwaj and 7 more

Abstract read
In one paragraph

Article in Vaccines, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

17 authors.

Ibrahim DadariImmunization Section, United Nations Children's Fund (UNICEF) HQ, New York, NY 10017, USA.ORCID 0000-0003-3759-6357
Alba VilajeliuEssential Programme on Immunization Unit, Immunization Vaccines & Biologicals Department, World Health Organization (WHO), 1202 Geneva, Switzerland.
Viorica BerdagaImmunization Section, United Nations Children's Fund (UNICEF) HQ, New York, NY 10017, USA.
Shalini RozarioImmunization Section, United Nations Children's Fund (UNICEF) HQ, New York, NY 10017, USA.
Phoebe MeyerImmunization Section, United Nations Children's Fund (UNICEF) HQ, New York, NY 10017, USA.
Laura Nic LochlainnEssential Programme on Immunization Unit, Immunization Vaccines & Biologicals Department, World Health Organization (WHO), 1202 Geneva, Switzerland.ORCID 0000-0001-8095-9892
Dirk HoremansIntegrated Health Services Department, World Health Organization (WHO), 1202 Geneva, Switzerland.
Nuria ToroIntegrated Health Services Department, World Health Organization (WHO), 1202 Geneva, Switzerland.
Gloria LihemoImmunization Section, United Nations Children's Fund (UNICEF) HQ, New York, NY 10017, USA.
Sanjay BhardwajImmunization Section, United Nations Children's Fund (UNICEF) HQ, New York, NY 10017, USA.
Peter CowleyHealth Systems Governance and Financing, World Health Organization (WHO), 1202 Geneva, Switzerland.
Diana Chang BlancEssential Programme on Immunization Unit, Immunization Vaccines & Biologicals Department, World Health Organization (WHO), 1202 Geneva, Switzerland.
Florence Conteh-NordmanImmunization Section, United Nations Children's Fund (UNICEF) HQ, New York, NY 10017, USA.
Imran MirzaImmunization Section, United Nations Children's Fund (UNICEF) HQ, New York, NY 10017, USA.ORCID 0000-0002-4420-4051
Shahira MalmImmunization Section, United Nations Children's Fund (UNICEF) HQ, New York, NY 10017, USA.
Ida Marie AmedaUNICEF Eastern and Southern Africa Regional Office, Nairobi P.O. Box 44145, Kenya.ORCID 0000-0003-1839-5664
Ann LindstrandEssential Programme on Immunization Unit, Immunization Vaccines & Biologicals Department, World Health Organization (WHO), 1202 Geneva, Switzerland.ORCID 0000-0002-8271-9486

Funding

World Health Organization 001
6 · The paper itself

Abstract

More than 13.5 billion COVID-19 vaccine doses were delivered between 2021 and 2023 through a mix of delivery platforms, with mass vaccination campaigns being the main approach. In 2022, with the continued circulation of SARS-CoV2 and the need for periodic boosters being most likely, countries were required to plan for more sustainable approaches to provide COVID-19 vaccinations. In this context of uncertainty, a global tool for integrating COVID-19 vaccines into immunization programs and as part of broader health systems was published jointly by the WHO and UNICEF to respond to country needs. This paper summarizes the approach to, and lessons learned during, the development of a global guidance document and describes some examples of its early use in low- and middle-income countries (LMICs). The guidance leveraged existing health system frameworks, proposed four steps for planning and implementing the COVID-19 vaccination integration journey, and identified investment areas. The development process maximized robust global stakeholder and country engagement, and the timeframe was aligned with donor funding windows to support countries with the integration of COVID-19 vaccination. The rapid dissemination of the guidance document allowed countries to ascertain their readiness for integrating COVID-19 vaccination and inform the development of national plans and funding applications. While progress has been made in specific areas (e.g., optimizing cold chain and logistics leveraging COVID-19 vaccination), in the context of decreasing demand for COVID-19 vaccines, reaching adult COVID-19 vaccine high-priority-use groups and engaging and coordinating with other health programs (beyond immunization) remain challenges, particularly in LMICs. We share the learning that despite the uncertainties of a pandemic, guidance documents can be developed and used within a short timeframe. Working in partnership with stakeholders within and beyond immunization towards a common objective is powerful and can allow progress to be made in terms of integrating health services and better preparing for future pandemics.

Indexed as

COVID-19 vaccineglobal guidancehealth systemsimmunization programsintegrated health servicesintegrationprimary health care

Identifiers

PMID38400179
PMCPMC10892213

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.