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  • Abdelmagid, Nada (author)

The Governance of Childhood Vaccination Services in Crisis Settings : A Scoping Review

  • Article/chapterEnglish2023

Publisher, publication year, extent ...

  • MDPI,2023
  • electronicrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:uu-519756
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-519756URI
  • https://doi.org/10.3390/vaccines11121853DOI

Supplementary language notes

  • Language:English
  • Summary in:English

Part of subdatabase

Classification

  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • The persistence of inadequate vaccination in crisis-affected settings raises concerns about decision making regarding vaccine selection, timing, location, and recipients. This review aims to describe the key features of childhood vaccination intervention design and planning in crisis-affected settings and investigate how the governance of childhood vaccination is defined, understood, and practised. We performed a scoping review of 193 peer-reviewed articles and grey literature on vaccination governance and service design and planning. We focused on 41 crises between 2010 and 2021. Following screening and data extraction, our analysis involved descriptive statistics and applying the governance analysis framework to code text excerpts, employing deductive and inductive approaches. Most documents related to active outbreaks in conflict-affected settings and to the mass delivery of polio, cholera, and measles vaccines. Information on vaccination modalities, target populations, vaccine sources, and funding was limited. We found various interpretations of governance, often implying hierarchical authority and regulation. Analysis of governance arrangements suggests a multi-actor yet fragmented governance structure, with inequitable actor participation, ineffective actor collaboration, and a lack of a shared strategic vision due to competing priorities and accountabilities. Better documentation of vaccination efforts during emergencies, including vaccination decision making, governance, and planning, is needed. We recommend empirical research within decision-making spaces.

Subject headings and genre

Added entries (persons, corporate bodies, meetings, titles ...)

  • Southgate, Rosamund J (author)
  • Alhaffar, Mervat (author)
  • Ahmed, Matab (author)
  • Bani, Hind (author)
  • Mounier-Jack, Sandra (author)
  • Dahab, Maysoon (author)
  • Checchi, Francesco (author)
  • Sabahelzain, Majdi M (author)
  • Nor, BarniUppsala universitet,Internationell kvinno- och mödrahälsovård och migration,Birgitta Essen(Swepub:uu)barno959 (author)
  • Rao, Bhargavi (author)
  • Singh, Neha S (author)
  • Uppsala universitetInternationell kvinno- och mödrahälsovård och migration (creator_code:org_t)

Related titles

  • In:Vaccines: MDPI11:122076-393X

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  • Vaccines (Search for host publication in LIBRIS)

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