A health technology assessment of COVID-19 vaccination for Nigerian decision-makers: Identifying stakeholders and pathways to support evidence uptake.

Autor: Uzochukwu BSC; Department of Community Medicine, University of Nigeria Nsukka, Enugu Campus, Nsukka, Nigeria.; Health Policy Research Group, College of Medicine, University of Nigeria Nsukka, Enugu Campus, Nsukka, Nigeria., Okeke C; Department of Community Medicine, University of Nigeria Nsukka, Enugu Campus, Nsukka, Nigeria. chinyereokeke83@yahoo.com.; Health Policy Research Group, College of Medicine, University of Nigeria Nsukka, Enugu Campus, Nsukka, Nigeria. chinyereokeke83@yahoo.com., Shuaib F; National Primary Health Care Development Agency Abuja, Abuja, Nigeria., Torres-Rueda S; Department of Global Health & Development, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK., Vassall A; Department of Global Health & Development, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK., Jit M; Department of Infectious Disease Epidemiology, Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, United Kingdom.; Centre for Mathematical Modelling of Infectious Diseases, London School of Hygiene and Tropical Medicine, London, UK., Nonvignon J; Health Economics Programme, Africa Center for Disease Control and Prevention, Addis Ababa, Ethiopia., Uzochukwu AC; Department of Management, Faculty of Business Administration and Management, University of Nigeria Nsukka, Enugu Campus, Nsukka, Nigeria., Ruiz F; Department of Global Health & Development, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK.
Jazyk: angličtina
Zdroj: Health research policy and systems [Health Res Policy Syst] 2024 Jun 26; Vol. 22 (1), pp. 73. Date of Electronic Publication: 2024 Jun 26.
DOI: 10.1186/s12961-024-01158-y
Abstrakt: Background: Nigeria commenced rollout of vaccination for coronavirus disease 2019 (COVID-19) in March 2021 as part of the national public health response to the pandemic. Findings from appropriately contextualized cost-effectiveness analyses (CEA) as part of a wider process involving health technology assessment (HTA) approaches have been important in informing decision-making in this area. In this paper we outline the processes that were followed to identify COVID-19 vaccine stakeholders involved in the selection, approval, funding, procurement and rollout of vaccines in Nigeria, and describe the process routes we identified to support uptake of HTA-related information for evidence-informed policy in Nigeria.
Methods: Our approach to engaging with policy-makers and other stakeholders as part of an HTA of COVID vaccination in Nigeria consisted of three steps, namely: (i) informal discussions with key stakeholders; (ii) stakeholder mapping, analysis and engagement; and (iii) communication and dissemination strategies for the HTA-relevant evidence produced. The analysis of the stakeholder mapping uses the power/interest grid framework.
Results: The informal discussion with key stakeholders generated six initial policy questions. Further discussions with policy-makers yielded three suitable policy questions for analysis: which COVID-19 vaccines should be bought; what is the optimal mode of delivery of these vaccines; and what are the cost and cost-effectiveness of vaccinating people highlighted in Nigeria's phase 2 vaccine rollout prioritized by the government, especially the inclusion of those aged between 18 and 49 years. The stakeholder mapping exercise highlighted the range of organizations and groups within Nigeria that could use the information from this HTA to guide decision-making. These stakeholders included both public/government, private and international organizations The dissemination plan developed included disseminating the full HTA results to key stakeholders; production of policy briefs; and presentation at different national and international conferences and peer-reviewed publications.
Conclusions: HTA processes that involve stakeholder engagement will help ensure important policy questions are taken into account when designing any HTA including any underpinning evidence generation. Further guidance about stakeholder engagement throughout HTA is required, especially for those with low interest in vaccine procurement and use.
(© 2024. The Author(s).)
Databáze: MEDLINE
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