Policy analysis for deciding on a malaria vaccine RTS,S in Tanzania

Malaria Journal

Case Study

Antoinette Ba Nguz¹  Aziza Mwisongo²  Hassan Mshinda³  Salim Abdulla⁴  Innocent Semali⁵  Marcel Tanner⁶  Idda Romore⁷  Ritha J. A. Njau⁸ 

[1] Agence de Médecine Préventive, 08BP 660, Abidjan, Côte d’Ivoire;Centres for Health Sciences, University of the Witwatersrand, Johannesburg, South Africa;Commission for Science and Technology (COSTECH), P.O. Box 4302, Dar Es Salaam, Tanzania;Ifakara Health Institute (IHI), P.O. Box 78373, Dar Es Salaam, Tanzania;Muhimbili University of Health and Allied Science (MUHAS), P.O. Box 65015, Dar Es Salaam, Tanzania;Swiss Tropical and Public Health Institute, Socinstrasse 57, Postfach, 4002, Basel, Switzerland;University of Basel, Basel, Switzerland;Swiss Tropical and Public Health Institute, Socinstrasse 57, Postfach, 4002, Basel, Switzerland;University of Basel, Basel, Switzerland;Ifakara Health Institute (IHI), P.O. Box 78373, Dar Es Salaam, Tanzania;World Health Organization Country Office, P.O Box 9292, Dar Es Salaam, Tanzania;

关键词: Malaria;    Policy Process;    Policy Framework;    Malaria Intervention;    Malaria Vaccine;   

DOI  :  10.1186/s12936-016-1197-6

 received in 2015-05-29, accepted in 2016-03-01,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundTraditionally, it has taken decades to introduce new interventions in low-income countries. Several factors account for these delays, one of which is the absence of a framework to facilitate comprehensive understanding of policy process to inform policy makers and stimulate the decision-making process. In the case of the proposed introduction of malaria vaccines in Tanzania, a specific framework for decision-making will speed up the administrative process and shorten the time until the vaccine is made available to the target population.MethodsQualitative research was used as a basis for developing the Policy Framework. Interviews were conducted with government officials, bilateral and multilateral partners and other stakeholders in Tanzania to assess malaria treatment policy changes and to draw lessons for malaria vaccine adoption.ResultsThe decision-making process for adopting malaria interventions and new vaccines in general takes years, involving several processes: meetings and presentations of scientific data from different studies with consistent results, packaging and disseminating evidence and getting approval for use by the Ministry of Health and Social Welfare (MOHSW). It is influenced by contextual factors; Promoting factors include; epidemiological and intervention characteristics, country experiences of malaria treatment policy change, presentation and dissemination of evidence, coordination and harmonization of the process, use of international scientific evidence. Barriers factors includes; financial sustainability, competing health and other priorities, political will and bureaucratic procedures, costs related to the adoption and implementations of interventions, supply and distribution and professional compliance with anti-malarial drugs.ConclusionThe framework facilitates the synthesis of information in a coherent way, enabling a clearer understanding of the policy process, thereby speeding up the policy decision-making process and shortening the time for a malaria vaccine to become available.

【 授权许可】

CC BY   
© Romore et al. 2016