National Immunization Program Decision Making Using the CAPACITI Decision-Support Tool: User Feedback from Indonesia...

Area of Science:

• Global Health
• Health Systems Strengthening
• Vaccinology

Background:

• Limited resources necessitate effective prioritization of new vaccines in low- and middle-income countries (LMICs).
• Coordinated stakeholder engagement is crucial for informed immunization decision-making.
• Optimizing vaccine portfolios and health system components is essential for resource allocation.

Purpose of the Study:

• To introduce the Country-led Assessment for Prioritization on Immunization (CAPACITI) decision-support tool.
• To describe the pilot testing of CAPACITI in Indonesia and Ethiopia.
• To identify factors enabling and constraining the use of the CAPACITI tool.

Main Methods:

• Development of an evidence-based, context-specific, and transparent prioritization process.
• Collaboration between LMIC decision-makers and the World Health Organization (WHO).
• Utilizing a multi-criteria decision-support tool (CAPACITI) with stakeholder input and consideration of data quality.

Main Results:

• User feedback from Indonesia and Ethiopia highlighted enabling and constraining factors for CAPACITI implementation.
• The CAPACITI tool facilitates evaluation of trade-offs among health interventions.
• Variable data quality was considered within the decision-making process.

Conclusions:

• The CAPACITI tool supports informed prioritization for immunization programs in LMICs.
• Lessons learned from pilot countries can inform broader implementation.
• Stakeholder engagement and a structured process are key to successful vaccine prioritization.