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Construction of an indicator framework for vaccine inclusion in public health programs: A Delphi-entropy method study. | LitMetric

AI Article Synopsis

  • Governments must identify vaccine priorities for public health programs, utilizing a framework with 4 primary, 17 secondary, and 45 tertiary indicators focused on diseases, vaccines, and social factors.
  • The study found that "vaccine-preventable diseases" was the most significant primary indicator, while "health burden" was key among secondary indicators, indicating a need for focused indicator assessment across different administrative levels.
  • Additionally, social drivers are critical for decision-making, and different strategies are necessary for implementing WHO-recommended vaccines at varying administrative levels in China.

Article Abstract

Governments must decide which vaccine priority to include in their public health programs. Using the modified Delphi and entropy method, we developed an indicator framework for vaccine inclusion at the national, provincial, municipal, and district/county levels, each containing three dimensions. In total, 4 primary indicators, 17 secondary indicators, and 45 tertiary indicators were selected, covering vaccine-preventable diseases, candidate vaccines, and social drivers of the supply and demand sides. From a subjective perspective, there was no significant weighting difference in the primary and secondary indicators at all administrative levels. "Vaccine-preventable diseases" as a primary indicator had the greatest weight in the peer group, of which "Health burden" had the highest weight among the secondary indicators. From the objective perspective, the social drivers on the supply and demand sides of the primary indicators accounted for 65% and higher. Among the secondary indicators, "the characteristics of the candidate vaccine" and "vaccine-related policies on the supply side" held 8% of weights or more at both national and provincial levels. "Demographic characteristics" held the highest weight at the municipal (13.50) and district/county (15.45) level. This study indicates that China needs different considerations when using WHO-recommended vaccines at the national, provincial, municipal, and district/county levels. In addition, this study highlights that behavioral and social drivers are important indicators that need to be considered for decision-making. This framework provides a tool for policymakers to determine the inclusion priority of candidate vaccines.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10760382PMC
http://dx.doi.org/10.1080/21645515.2023.2272539DOI Listing

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