Toward political economy of sustainable financing for immunization in the World Health Organization African Region through a systems thinking lens.

Autor:	Adamu AA; Cochrane South Africa, South African Medical Research Council, Francie van Zijl Drive, Parow Valley, 7505, Tygerberg, Cape Town, South Africa; Division of Epidemiology and Biostatistics, Department of Global Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Francie van Zijl Drive, Parow Valley, 7505, Tygerberg, Cape Town, South Africa. Electronic address: abdu.adamu@gmail.com., Essoh TA; Agence de Médecine Préventive, Bureau Regional Afrique, 08 BP 660, Cocody II, Abidjan, Cote d'Ivoire., Jalo RI; Department of Community Medicine, Bayero University/Aminu Kano Teaching Hospital, Along Zaria Road, Kano City, Kano, Nigeria., Wiysonge CS; Cochrane South Africa, South African Medical Research Council, Francie van Zijl Drive, Parow Valley, 7505, Tygerberg, Cape Town, South Africa; Division of Epidemiology and Biostatistics, Department of Global Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Francie van Zijl Drive, Parow Valley, 7505, Tygerberg, Cape Town, South Africa; Communicable and Non-Communicable Diseases Cluster, World Health Organization Regional Office for Africa, Djoue, BP 06, Brazzaville, Congo.
Jazyk:	angličtina
Zdroj:	International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases [Int J Infect Dis] 2023 Nov; Vol. 136, pp. 158-161. Date of Electronic Publication: 2023 Sep 27.
DOI:	10.1016/j.ijid.2023.09.017
Abstrakt:	There is an urgent need for countries in Africa to allocate more domestic financial resources to immunization so that national immunization programmes can attain self-reliance in line with World Health Organization's Immunization Agenda 2030. However, resource allocation is fundamentally a political process because other competing needs exist. Political economy analysis (PEA) can guide policy influencers in their engagement with decision makers to tilt their interest in support of sustainable immunization financing. PEA can provide a deeper understanding of the potential constraints and facilitators of a policy direction to expand the fiscal space for immunization using domestic resources within the context of a country's socioeconomic and political realities. To further advance the usefulness of PEA for decision making, a systems thinking lens should be applied to account for the inherent complexity of the social systems involved in resource allocation and implementation. Several methods and tools of systems thinking already exist and can be employed. Causal loop diagrams, when incorporated in a PEA of sustainable financing for immunization can aid the identification of feedback loops which can be used as leverage points for intervention. Competing Interests: Declarations of competing interest The authors have no competing interests to declare. (Copyright © 2023 The Author(s). Published by Elsevier Ltd.. All rights reserved.)
Databáze:	MEDLINE
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