title: A policy framework for accelerating adoption of new vaccines.
abstract: Rapid uptake of new vaccines can improve health and wealth and contribute to meeting Millennium Development Goals. In the past, however, the introduction and use of new vaccines has been characterized by delayed uptake in the countries where the need is greatest. Based on experience with accelerating the adoption of Hib, pneumococcal and rotavirus vaccines, we propose here a framework for new vaccine adoption that may be useful for future efforts. The framework organizes the major steps in the process into a continuum from evidence to policy, implementation and finally access. It highlights the important roles of different actors at various times in the process and may allow new vaccine initiatives to save time and improve their efficiency by anticipating key steps and actions.
authors.affiliation: International Vaccine Access Center, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. olevine@jhsph.edu
authors.forename: Orin S
authors.initials: OS
authors.lastname: Levine
authors.forename: Rana
authors.initials: R
authors.lastname: Hajjeh
authors.forename: John
authors.initials: J
authors.lastname: Wecker
authors.forename: Thomas
authors.initials: T
authors.lastname: Cherian
authors.forename: Katherine L
authors.initials: KL
authors.lastname: O'Brien
authors.forename: Maria Deloria
authors.initials: MD
authors.lastname: Knoll
authors.forename: Lois
authors.initials: L
authors.lastname: Privor-Dumm
authors.forename: Hans
authors.initials: H
authors.lastname: Kvist
authors.forename: Angeline
authors.initials: A
authors.lastname: Nanni
authors.forename: Allyson P
authors.initials: AP
authors.lastname: Bear
authors.forename: Mathuram
authors.initials: M
authors.lastname: Santosham
mesh_terms: D017277:Drug Approval / Q000331:legislation & jurisprudence* / Q000458:organization & administration*; D006291:Health Policy / Q000331:legislation & jurisprudence*; D006801:Humans; D014612:Vaccines / Q000008:administration & dosage* / Q000592:standards*
chemical_list: D014612:Vaccines