Moving forward on strengthening and sustaining National Immunization Technical Advisory Groups (NITAGs) globally: Recommendations from the 2nd global NITAG network meeting

Noni E. MacDonald, Philippe Duclos, Ole Wichmann, Louise Henaff, Anthony Harnden, Aisha Alshammary, Roberto Arroba Tijerino, Madeline Hall, Jahit Sacarlal, Rupa Rajbhandari Singh

Résultat de recherche: Articleexamen par les pairs

21 Citations (Scopus)

Résumé

National Immunization Technical Advisory Groups (NITAGs) provide independent, evidence-informed advice to assist their governments in immunization policy formation. This is complex work and many NITAGs face challenges in fulfilling their roles. Inter-country NITAG collaboration opportunities have the potential to enhance NITAG function and grow the quality of recommendations. Hence the many requests for formation of a network linking NITAGs together so they can learn from each other. The first Global NITAG Network (GNN) meeting, held in 2016, led to a push to launch the GNN and grow the network. At the second GNN meeting, held June 28–29, 2017 in Berlin, the GNN was formally inaugurated. Participants discussed GNN governance, reflected on the April 2017 Strategic Advisory Group of Experts (SAGE) on Immunization conclusions concerning strengthening of NITAGs and also shared NITAG experiences in evaluation and inter-country collaborations and independence. They also discussed the role of Regional Technical Advisory Groups on Immunization (RTAGs) and regional networks. A number of issues were raised including NITAGs and communications, dissemination of recommendations and vaccine implementation as well as implications of off-label recommendations. Participants were alerted to immunization evidence assessment sites and value of sharing of resources. They also discussed potential GNN funding opportunities, developed an action plan for 2017–18 and selected a Steering Committee to help move the GNN forward. All participants agreed on the importance of the GNN and the value in attracting more countries to join the GNN.

Langue d'origineEnglish
Pages (de-à)6925-6930
Nombre de pages6
JournalVaccine
Volume35
Numéro de publication50
DOI
Statut de publicationPublished - déc. 15 2017

Note bibliographique

Funding Information:
Nepal provided an example of a NITAG with more independence from the Ministry of Health. In Nepal the NITAG was established in 2009 and it now fulfills all the six WHO indicators (including the declaration of interests) and provides independent technical guidance on optimal immunization to the Ministry of Health. The NITAG is supported by a secretariat in the Ministry of Health.

Funding Information:
The authors wish to formally acknowledge the work of Kathy Cavallaro, Abigail Shefer of the US Centre for Disease Control and Prevention and the 2016 GNN Steering Committee for their work on the background documents for the 2nd GNN meeting especially on governance. We also acknowledge the financial contribution of the US Centers for Disease Control and Prevention to WHO which was used to support the GNN meeting as well as the financial support provided by the German Federal Ministry of Health through its global health program.

Funding Information:
WHO provided a brief summary on support for the GNN secretariat. The Supporting Independent Immunization and Vaccine Advisory Committees (SIVAC) Initiative; to support the establishment of NITAGS in low income countries and the development and strengthening of NITAG tools to support NITAGs e.g. the NRC, the NITAG evaluation tool; from the Bill and Melinda Gates Foundation ended in 2016 [3] . Currently there are limited dedicated resources to support the establishment of new NITAGs or for travel of NITAG members to future GNN meetings. However, GAVI eligible countries can include the establishment of NITAGs in their work plans which could ensure some targeted technical assistance for the establishment and/or support of a NITAG. All countries must be encouraged to fund and support a NITAG. This is backed up by the 2017 World Health Assembly recommendation that emphasizes the importance of NITAG work. Participants noted that for the GNN, NRC and NITAGs to thrive there must be country and partner support. While the NRC will now be supported by WHO, further development and sustainability will require more resources and support. The possibility of requesting funding from professional societies to support the GNN and the NRC was put forward for consideration. However, this was seen as concerning as some societies may have received unrestricted funds from vaccine manufacturers and hence have conflicts of interest. Many participants expressed discomfort with this option. Other sources need to be sought.

Publisher Copyright:
© 2017

ASJC Scopus Subject Areas

  • Molecular Medicine
  • General Immunology and Microbiology
  • General Veterinary
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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