The WHO Tailoring Immunization Programmes (TIP) approach: Review of implementation to date

Area of Science:

• Public Health
• Vaccinology
• Health Policy

Background:

• The World Health Organization Regional Office for Europe developed the Guide to Tailoring Immunization Programmes (TIP).
• TIP offers a structured process for countries to identify barriers and motivators to vaccination in populations with low coverage.
• The guide aims to facilitate the design of tailored interventions to improve immunization uptake.

Purpose of the Study:

• To review the implementation of the TIP approach in the WHO European Region.
• To assess the strengths and identify areas for improvement in the TIP process.
• To provide recommendations for enhancing the effectiveness of TIP in improving vaccination coverage.

Main Methods:

• A review committee conducted visits to four countries that had implemented TIP projects.
• National and regional TIP documents were reviewed.
• An online survey was distributed to Member States in the WHO European Region that had not implemented TIP.
• A workshop was held to formulate conclusions and recommendations.

Main Results:

• The most cited strengths of TIP include its social science research, interdisciplinary approach, and community engagement.
• National immunization managers recognize the value of TIP and the research it addresses.
• There is a need for further support to help countries develop implementable strategies based on TIP findings.

Conclusions:

• Understanding community and individual perspectives is vital for improving immunization programs.
• TIP provides a valuable framework for identifying susceptible populations and diagnosing challenges.
• Future efforts should focus on strengthening the design of strategies and interventions for sustainable change.