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赞比亚规模庞大的跨部门协调委员会(ICC)在支持基于证据的疫苗及卫生部门规划方面所发挥的作用。

The role of Zambia's expansive Inter-agency Coordinating Committee (ICC) in supporting evidence-based vaccine and health sector programming.

作者信息

Sakas Zoe, Rodriguez Katie, Hester Kyra A, Darwar Roopa, Dounebaine Bonheur, Ellis Anna S, Rosenblum Simone, Isett Kimberley R, Orenstein Walter, Freeman Matthew C, Kilembe William, Bednarczyk Robert A

机构信息

Gangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, United States of America.

School of Public Policy, Georgia Institute of Technology, Atlanta, Georgia, United States of America.

出版信息

PLOS Glob Public Health. 2024 May 30;4(5):e0002820. doi: 10.1371/journal.pgph.0002820. eCollection 2024.

Abstract

New vaccines, technologies, and regulations, alongside increased demand for vaccines, all require prioritization and coordination from key players within the vaccine sector. Inter-agency Coordinating Committees (ICC) support decision-making and coordination at the national-level and act as key drivers for sustainable improvements in vaccination programming. We utilized a previous qualitative case study, which investigated critical success factors for high routine immunization coverage in Zambia from 2000-2018, specifically to study the Zambian ICC. Qualitative data were collected between October 2019 and February 2020, including key informant interviews (n = 66) at the national, provincial, district, and health facility levels. Thematic analysis was applied to understand the role of the Zambian ICC and its impact on the policy environment over time. Within our study period, the ICC demonstrated the following improvements: 1) expanded membership to include diverse representation; 2) expanded scope and mandate to include maternal and child health in decision-making; and 3) distinct roles for collaboration with the Zambia Immunization Technical Advisory Group (ZITAG). The diverse and expansive membership of the Zambian ICC, along with its ability to foster government commitment and lobby for additional resources, supported improvements in immunization programming. The Zambian ICC holds considerable influence on government agencies and external partners, which facilitates procurement of funding, policy decisions, and strategic planning.

摘要

新疫苗、技术和法规,以及对疫苗需求的增加,都需要疫苗行业内关键参与者进行优先排序和协调。机构间协调委员会(ICC)支持国家层面的决策和协调,并成为疫苗接种规划可持续改善的关键驱动力。我们利用了之前的一项定性案例研究,该研究调查了2000年至2018年赞比亚高常规免疫覆盖率的关键成功因素,特别是为了研究赞比亚的机构间协调委员会。2019年10月至2020年2月期间收集了定性数据,包括在国家、省、区和卫生机构层面进行的关键信息访谈(n = 66)。应用主题分析来了解赞比亚机构间协调委员会的作用及其随时间对政策环境的影响。在我们的研究期间,机构间协调委员会取得了以下进展:1)扩大成员范围以纳入不同代表;2)扩大范围和任务授权,将孕产妇和儿童健康纳入决策;3)与赞比亚免疫技术咨询小组(ZITAG)合作的不同角色。赞比亚机构间协调委员会成员多样且广泛,加上其促进政府承诺并争取更多资源的能力,支持了免疫规划的改善。赞比亚机构间协调委员会对政府机构和外部伙伴具有相当大的影响力,这有助于资金采购、政策决策和战略规划。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89ae/11139285/74643e603f91/pgph.0002820.g001.jpg

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