Positioning implementation science in national immunization programmes to improve coverage equity and advance progress toward Immunization Agenda 2030: An urgent global health imperative

Despite the availability of effective vaccines for preventing common childhood infectious diseases, there is still significant disparities in access and utilization across many low- and middle-income countries (LMIC). The factors that drive these disparities are often multilevel, originating from in...

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Main Authors: Abdu A. Adamu, Duduzile Ndwandwe, Rabiu I. Jalo, Charles S. Wiysonge
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Human Vaccines & Immunotherapeutics
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/21645515.2024.2331872
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author Abdu A. Adamu
Duduzile Ndwandwe
Rabiu I. Jalo
Charles S. Wiysonge
author_facet Abdu A. Adamu
Duduzile Ndwandwe
Rabiu I. Jalo
Charles S. Wiysonge
author_sort Abdu A. Adamu
collection DOAJ
description Despite the availability of effective vaccines for preventing common childhood infectious diseases, there is still significant disparities in access and utilization across many low- and middle-income countries (LMIC). The factors that drive these disparities are often multilevel, originating from individuals, health facilities, health systems and communities, and also multifaceted. Implementation science has emerged as a field to help address “know-do” gaps in health systems, and can play a significant role in strengthening immunization systems to understand and solve implementation barriers that limit access and uptake within their contexts. This article presents a reflexive perspective on how to position implementation research in immunization programmes to improve coverage equity. Furthermore, key points of synergy between implementation research and vaccination are highlighted, and some potential practice changes that can be applied within specific contexts were proposed. Using a human rights lens, it was concluded that the cost that is associated with implementation failure in immunization programmes is significant and unjust, and future directions for implementation research to optimize its application in practice settings have been recommended.
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spelling doaj-art-b8a7639c7f564370b502b0b122f000c82025-08-20T03:12:43ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2024-12-0120110.1080/21645515.2024.2331872Positioning implementation science in national immunization programmes to improve coverage equity and advance progress toward Immunization Agenda 2030: An urgent global health imperativeAbdu A. Adamu0Duduzile Ndwandwe1Rabiu I. Jalo2Charles S. Wiysonge3Cochrane South Africa, South African Medical Research Council, Cape Town, South AfricaCochrane South Africa, South African Medical Research Council, Cape Town, South AfricaDepartment of Community Medicine, Bayero University/Aminu Kano Teaching Hospital, Kano, NigeriaCochrane South Africa, South African Medical Research Council, Cape Town, South AfricaDespite the availability of effective vaccines for preventing common childhood infectious diseases, there is still significant disparities in access and utilization across many low- and middle-income countries (LMIC). The factors that drive these disparities are often multilevel, originating from individuals, health facilities, health systems and communities, and also multifaceted. Implementation science has emerged as a field to help address “know-do” gaps in health systems, and can play a significant role in strengthening immunization systems to understand and solve implementation barriers that limit access and uptake within their contexts. This article presents a reflexive perspective on how to position implementation research in immunization programmes to improve coverage equity. Furthermore, key points of synergy between implementation research and vaccination are highlighted, and some potential practice changes that can be applied within specific contexts were proposed. Using a human rights lens, it was concluded that the cost that is associated with implementation failure in immunization programmes is significant and unjust, and future directions for implementation research to optimize its application in practice settings have been recommended.https://www.tandfonline.com/doi/10.1080/21645515.2024.2331872Implementation scienceimmunizationsystems thinkingcomplexityglobal health
spellingShingle Abdu A. Adamu
Duduzile Ndwandwe
Rabiu I. Jalo
Charles S. Wiysonge
Positioning implementation science in national immunization programmes to improve coverage equity and advance progress toward Immunization Agenda 2030: An urgent global health imperative
Human Vaccines & Immunotherapeutics
Implementation science
immunization
systems thinking
complexity
global health
title Positioning implementation science in national immunization programmes to improve coverage equity and advance progress toward Immunization Agenda 2030: An urgent global health imperative
title_full Positioning implementation science in national immunization programmes to improve coverage equity and advance progress toward Immunization Agenda 2030: An urgent global health imperative
title_fullStr Positioning implementation science in national immunization programmes to improve coverage equity and advance progress toward Immunization Agenda 2030: An urgent global health imperative
title_full_unstemmed Positioning implementation science in national immunization programmes to improve coverage equity and advance progress toward Immunization Agenda 2030: An urgent global health imperative
title_short Positioning implementation science in national immunization programmes to improve coverage equity and advance progress toward Immunization Agenda 2030: An urgent global health imperative
title_sort positioning implementation science in national immunization programmes to improve coverage equity and advance progress toward immunization agenda 2030 an urgent global health imperative
topic Implementation science
immunization
systems thinking
complexity
global health
url https://www.tandfonline.com/doi/10.1080/21645515.2024.2331872
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