Adamu Abdu Abdullahi, Ndwandwe Duduzile, Jalo Rabiu Ibrahim, Ndiaye Sidy, Ahmed Jamal, Wiysonge Charles Shey
Polio Eradication Programme, World Health Organization Region Office for Africa, Djoue, BP 06, Brazzaville, Congo.
Vaccine-Preventable Diseases Programme, World Health Organization Regional Office for Africa, Djoue, BP 06, Brazzaville, Congo.
Pan Afr Med J. 2025 Jan 30;50:38. doi: 10.11604/pamj.2025.50.38.44117. eCollection 2025.
The success of immunization programmes in maximizing the public health and economic benefits of vaccines hinges on the ability of stakeholders within countries at both national and subnational levels to implement effectively with equity as the Northern Star. The field of implementation science which emerged in response to know-do gaps, has several frameworks, models, and theories that can be used by immunization stakeholders to enhance vaccination efforts across diverse contexts. However, there is a need to up-skill immunization stakeholders in Africa with implementation science capacity. Existing immunization-related training on the continent are a low-hanging opportunity that can be leveraged to enhance core competencies like implementation theories and frameworks, implementation strategies, systems thinking, quality improvement, and process evaluation among stakeholders. We posit that strengthening the capacity and capability of immunization stakeholders in implementation science can lead to an improvement in its continuous usage within programme settings to solve contextual bottlenecks. Two pathways for achieving this are suggested in this article.
免疫规划在将疫苗的公共卫生和经济效益最大化方面的成功，取决于国家和国家以下各级的利益相关者以公平为指引有效实施的能力。为应对知行差距而兴起的实施科学领域，有若干框架、模型和理论可供免疫利益相关者用来在不同背景下加强疫苗接种工作。然而，非洲的免疫利益相关者需要提升实施科学能力。非洲大陆现有的与免疫相关的培训是一个可以利用的现成机会，可借此提高利益相关者的核心能力，如实施理论和框架、实施策略、系统思维、质量改进和过程评估。我们认为，加强免疫利益相关者在实施科学方面的能力，可促使其在项目环境中持续运用该方法来解决实际瓶颈问题。本文提出了实现这一目标的两条途径。
