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Priority-setting for early access to COVID-19 vaccines in Islamic Republic of Iran
Fatemeh Bahmani1, Alireza Parsapour2, Nasrin Abbasi3
1Department of Medical Ethics, School of Medicine, Iran University of Medical Sciences, Tehran, Islamic Republic of Iran.
Background:
Priority-setting for early access to vaccines during a pandemic optimizes the impact of vaccine rollout, however, low- and middle-income countries (LMICs) have little experience in policymaking on this. In the Islamic Republic of Iran, the national clinical ethics committee developed a policy for early access to COVID-19 vaccines with support from the national committee on COVID-19 vaccine.
Aims:
This paper reports the process and results of a national COVID-19 vaccine priority-setting in the Islamic Republic of Iran and discusses its ethical and cultural aspects.
Methods:
A multidisciplinary team of experts planned and developed a national guideline following an extensive literature review and face-to-face consultations.
Results:
We present the list of priority groups and subgroups, tiered through a 4-phase process, as well as the ethical values and sociocultural issues underpinning COVID-19 vaccine prioritization in the Islamic Republic of Iran.
Conclusions:
Our experience shows that a transparent and well-reasoned policymaking process can inform fair prioritysetting for pandemic vaccines, especially in LMICs.
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