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Priority implementation research for measles-rubella microarray patches identified using the Child Health and

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Innovative measles-rubella microarray patches (MR-MAPs) could improve vaccination in low-income countries. This study prioritized research questions for MR-MAP implementation, focusing on supply chains, vaccine uptake, and human resources for equitable access.

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Area of Science:

  • Global Health
  • Vaccinology
  • Implementation Science

Background:

  • Measles and rubella remain significant global health threats, particularly impacting marginalized communities in low- and middle-income countries (LMICs).
  • Measles-rubella microarray patches (MR-MAPs) are emerging technologies with the potential to enhance immunization coverage and equity.
  • Limited evidence on MR-MAPs' use cases, implementation, cost-effectiveness, and integration necessitates a prioritized research agenda.

Purpose of the Study:

  • To develop a prioritized implementation research agenda for measles-rubella microarray patches (MR-MAPs) in LMICs.
  • To identify and rank research questions crucial for the successful introduction and integration of MR-MAPs into national immunization programs.
  • To guide future research investments and efforts for MR-MAPs over the next decade.

Main Methods:

  • Utilized the Child Health and Nutrition Research Initiative (CHNRI) methodology to prioritize 36 research questions (RQs).
  • RQs were identified through a rapid literature assessment and expert consultations, followed by an online survey for stakeholder assessment.
  • Calculated research priority scores (RPS) and average expert agreement (AEA), with stratified analyses conducted for specific respondent groups.

Main Results:

  • 139 respondents identified diverse priorities, with a median RPS of 80% for the 36 RQs.
  • Key priorities include research on vaccine supply chain management, vaccine uptake in underserved populations, and human resource implications.
  • Stratified analyses showed LMIC government representatives prioritized operational questions on human resources, vaccine administration, and dual delivery mechanisms. Fifteen RQs were prioritized overall.

Conclusions:

  • This exercise established a prioritized list of implementation questions to inform MR-MAP research investments for LMIC introduction.
  • The identified research questions and potential evidence may be applicable to other vaccine microarray patches (MAPs).
  • This research addresses critical evidence gaps for the successful rollout of MR-MAPs, aiming to ensure equitable vaccination and accelerate measles and rubella control and elimination efforts.