title: Population access to rotavirus vaccination in industrialized countries: lessons learnt from current experience.
abstract: BACKGROUND
  Four steps are usually necessary before population access to vaccination programmes. Marketing authorization, appropriation by national agencies of the data, recommendation and policy-decision steps on funding and implementation. Using rotavirus vaccination as an illustrative case, this study aims at better understanding picture of population access, and identifying lessons learnt from current experience.
  
  
  METHODS
  Systematic review of national vaccination policies in 20 countries.
  
  
  RESULTS
  12 countries have included rotavirus vaccination in their childhood national vaccination programme, two decided not to include it, decision is pending in three countries, while it has not started in the three remaining countries. Published evaluations and/or advice were available in 16 countries. Many differences in content and outcomes were identified.
  
  
  CONCLUSIONS
  Rotavirus vaccination implementation across industrialized countries was disparate, leading to unequal population access over time. Comparative analyses of the decision-making process suggest different interpretations of available evidence, raising the need for a similar decision integrated framework, using a structured and systematic approach.
authors.affiliation: 28, rue Parmentier, 92200 Neuilly sur Seine, France.
authors.forename: Catherine
authors.initials: C
authors.lastname: Weil-Olivier
authors.forename: Aurélie
authors.initials: A
authors.lastname: Millier
authors.forename: Mondher
authors.initials: M
authors.lastname: Toumi
authors.forename: Mélanie
authors.initials: M
authors.lastname: Trichard
mesh_terms: D019049:Developed Countries; D006291:Health Policy; D006297:Health Services Accessibility; D006801:Humans; D017589:Immunization Programs; D012400:Rotavirus Infections / Q000517:prevention & control*; D022243:Rotavirus Vaccines / Q000008:administration & dosage*; D014611:Vaccination / Q000706:statistics & numerical data*
chemical_list: D022243:Rotavirus Vaccines
keywords: HTA; industrialized countries; population access; recommendation; rotavirus vaccination; systematic review