Comparing 3 Approaches for Making Vaccine Adoption Decisions in Thailand

The World Health Organization (WHO) has developed the Total System Effectiveness (TSE) framework to assist national policy-makers in prioritizing vaccines. The pilot was launched in Thailand to explore the potential use of TSE in a country with established governance structures and accountable decis...

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Bibliographic Details
Published in:International journal of health policy and management 2020-10, Vol.9 (10), p.439-447
Main Authors: Rattanavipapong, Waranya, Kapoor, Ritika, Teerawattananon, Yot, Luttjeboer, Jos, Botwright, Siobhan, Archer, Rachel A, Giersing, Birgitte, Hutubessy, Raymond C W
Format: Article
Language:English
Subjects:
Biological products industry
Health administration
health technology assessment
National health insurance
Original
priority setting
Public health
thailand
universal health coverage
vaccine
Vaccines
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Summary:The World Health Organization (WHO) has developed the Total System Effectiveness (TSE) framework to assist national policy-makers in prioritizing vaccines. The pilot was launched in Thailand to explore the potential use of TSE in a country with established governance structures and accountable decision-making processes for immunization policy. While the existing literature informs vaccine adoption decisions in GAVI-eligible countries, this study attempts to address a gap in the literature by examining the policy process of a non-GAVI eligible country. A rotavirus vaccine (RVV) test case was used to compare the decision criteria made by the existing processes (Expanded Program on Immunization [EPI], and National List of Essential Medicines [NLEM]) for vaccine prioritization and the TSE-pilot model, using Thailand specific data. The existing decision-making processes in Thailand and TSE were found to offer similar recommendations on the selection of a RVV product. The authors believe that TSE can provide a well-reasoned and step by step approach for countries, especially low- and middle-income countries (LMICs), to develop a systematic and transparent decision-making process for immunization policy.
ISSN:2322-5939
2322-5939
DOI:10.15171/ijhpm.2020.01